Adaptive sample size calculations in group sequential trials
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Updated: Aug 15, 2026

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Published on: September 4, 2017
1Institut für Medizinische Statistik, Informatik und Epidemiologie, Universität zu Köln, Germany. walter.lehmacher@medizin.uni-koeln.de
Abstract:
A method for group sequential trials that is based on the inverse normal method for combining the results of the separate stages is proposed. Without exaggerating the Type I error rate, this method enables data-driven sample size reassessments during the course of the study. It uses the stopping boundaries of the classical group sequential tests. Furthermore, exact test procedures may be derived for a wide range of applications. The procedure is compared with the classical designs in terms of power and expected sample size.
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