American journal of biostatistics最新文献

筛选

英文中文

A Bayesian Adaptive Design for Combination of Three Drugs in Cancer Phase I Clinical Trials. 癌症I期临床试验中三种药物联合的贝叶斯自适应设计。

American journal of biostatistics Pub Date : 2016-01-01 Epub Date: 2016-08-25 DOI: 10.3844/amjbsp.2016.1.11

Mourad Tighiouart, Quanlin Li, Steven Piantadosi, Andre Rogatko

{"title":"A Bayesian Adaptive Design for Combination of Three Drugs in Cancer Phase I Clinical Trials.","authors":"Mourad Tighiouart, Quanlin Li, Steven Piantadosi, Andre Rogatko","doi":"10.3844/amjbsp.2016.1.11","DOIUrl":"https://doi.org/10.3844/amjbsp.2016.1.11","url":null,"abstract":"<p><p>We describe a Bayesian adaptive design for early phase cancer trials of a combination of three agents. This is an extension of an earlier work by the authors by allowing all three agents to vary during the trial and by assigning different drug combinations to cohorts of three patients. The primary objective is to estimate the Maximum Tolerated Dose (MTD) surface in the three-dimensional Cartesian space. A class of linear models on the logit of the probability of Dose Limiting Toxicity (DLT) are used to describe the relationship between doses of the three drugs and the probability of DLT. Trial design proceeds using conditional escalation with overdose control, where at each stage of the trial, we seek a dose of one agent using the current posterior distribution of the MTD of this agent given the current doses of the other two agents. The MTD surface is estimated at the end of the trial as a function of Bayes estimates of the model parameters. Operating characteristics are evaluated with respect to trial safety and percent of dose recommendation at dose combination neighborhoods around the true MTD surface.</p>","PeriodicalId":91834,"journal":{"name":"American journal of biostatistics","volume":"6 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3844/amjbsp.2016.1.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35167128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10