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On the choice of doses for phase III clinical trials

Vera Lisovskaja (Institutionen för matematiska vetenskaper, matematisk statistik) ; Carl-Fredrik Burman (Institutionen för matematiska vetenskaper)
Statistics in Medicine (0277-6715). Vol. 32 (2013), 10, p. 1661-1676.
[Artikel, refereegranskad vetenskaplig]

Many potential new medicines fail in phase III clinical trials, because of either insufficient efficacy or intolerability. Such failures may be caused by the absence of an effect and also if a suboptimal dose is being tested. It is thus important to consider how to optimise the choice of dose or doses that continue into the confirmatory phase. For many indications, it is common to test one single active dose in phase III. However, phase IIB dose-finding trials are relatively small and often lack the ability of precisely estimating the dose–response curves for efficacy and tolerability. Because of this uncertainty in dose response, it is reasonable to consider bringing more than one dose into phase III. Using simple but illustrative models, we find the optimal doses and compare the probability of success, for fixed total sample sizes, when one or two active doses are included in phase III.

Nyckelord: optimal doses, multiple testing, benefit/risk, probability of success, Bayesian decision analysis, design of clinical trials



Denna post skapades 2013-01-17. Senast ändrad 2013-05-30.
CPL Pubid: 171128

 

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Institutioner (Chalmers)

Institutionen för matematiska vetenskaper, matematisk statistik (2005-2016)
Institutionen för matematiska vetenskaperInstitutionen för matematiska vetenskaper (GU)

Ämnesområden

Statistik
Matematisk statistik

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