在非线性混合效果模型中,强大的和适应性的两阶段设计
Lucie Fayette1,2, Romain Leroux1, France Mentré1
1Inserm, IAME, Université Paris Cité and Université Sorbonne Paris Nord, F-75018, Paris, France.
The AAPS journal
|July 19, 2023
概括
本研究介绍了非线性混合效应模型 (NLMEM) 的强大的自适应设计,采用双阶段方法. 它通过结合模型平均和强大的费舍尔信息矩阵方法来优化临床试验设计,以获得更高的精度.
科学领域:
- 生物统计学 生物统计学
- 临床试验设计 临床试验设计
- 药学指标 (Pharmacometrics) 是一个指标.
背景情况:
- 非线性混合效应模型 (NLMEM) 对于分析复杂的纵向数据至关重要.
- 优化研究设计,特别是在临床试验中,需要准确的模型和参数,通常需要适应性策略.
- 现有的设计优化方法,如基于费舍尔信息矩阵 (FIM) 的D标准,依赖于先前的参数猜测,限制了它们的稳定性.
研究的目的:
- 为NLMEM提出一个新的两阶段适应性设计策略.
- 通过使用强大的预期FIM和与候选模型相比的模型平均值 (MA) 来增强设计优化.
- 在模拟眼科临床试验中评估拟议的策略,以优化剂量和时间.
主要方法:
- 开发了一个两阶段的自适应设计框架,结合了强大的预期FIM和MA.
- 为模拟定义了候选剂量反应模型.
- 一阶段和两阶段 (50/50分) 的设计被使用局部最佳,强大的设计进行了比较,并采用单个模型分析,模型选择 (MS) 或MA.
主要成果:
- 在临时分析中,采用MS的两阶段适应性设计证明了能够纠正初始模型选择错误的能力.
- 坚固的设计 (一阶段和两阶段) 证明有价值,产生可接受的偏差和精度.
- 拟议的强大的自适应设计策略比传统方法提供了更好的性能.
结论:
- 开发的强大的自适应设计策略有效优化纵向研究,特别是在临床环境中.
- 这种方法为设计存在模型不确定性的研究提供了有价值的工具.
- 该方法适用于眼科以外的各种治疗领域.
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