Translational clinical trials: an entropy-based approach to sample size

Steven Piantadosi1

  • 1Oncology Biostatistics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.

Insights

Translational clinical trials are small studies essential for early therapeutic evidence. This paper introduces an information-based approach to understand their statistical properties and determine appropriate sample sizes.

Area of Science:

  • Biomedical research
  • Clinical pharmacology
  • Experimental therapeutics

Background:

  • Translational clinical trials are small, early-stage studies of novel therapies.
  • These trials are critical for assessing treatment effects on disease targets and informing future research.
  • The unique statistical properties of translational trials are often overlooked within traditional clinical trial frameworks.

Purpose of the Study:

  • To discuss the translational clinical trial setting.
  • To present an information (entropy)-based approach for understanding translational trial properties and applications.
  • To propose a method for motivating sample size in translational trials.

Main Methods:

  • Review of the translational clinical trial setting.
  • Application of an information (entropy)-based framework.
  • Development of a sample size motivation approach.

Main Results:

  • Identification of translational trials as crucial for early therapeutic evaluation.
  • Presentation of an entropy-based method to analyze translational trial characteristics.
  • Proposal of a novel approach for determining sample size in early-phase trials.

Conclusions:

  • Translational trials, combining biological insights with experimental design, effectively reduce uncertainty for emerging therapies.
  • An information-based approach offers valuable insights into the statistical properties and utility of translational trials.
  • A structured method for sample size determination is presented to enhance the design and interpretation of these vital studies.

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