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Translational clinical trials: an entropy-based approach to sample size
1Oncology Biostatistics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Abstract:
Translational clinical trials are small studies of therapies emerging from the laboratory. These trials are essential for generating early evidence regarding the effects of treatment on specific targets in the disease pathway and for guiding the next studies to be done. The statistical properties of such studies have been neglected, in part, because they do not fit the well-known clinical trials developmental paradigm. This paper discusses the translational trial setting, and presents an information (entropy) based approach to understanding the properties and use of these trials. The combination of biological knowledge with a designed experiment (albeit a small one) is a powerful device for resolving much of the considerable uncertainty surrounding an emerging therapeutic concept. An approach to motivating the sample size for translational trials is presented.
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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