在规划和进行剂量优化试验时的统计和实际考虑
Ying Yuan1, Heng Zhou2, Suyu Liu1
1Department of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
项目Optimus的目标是找到最佳的生物剂量,以获得更好的利益风险平衡. 本综述探讨了剂量优化试验设计,提供实用指导和实施软件工具.
科学领域:
- 临床药理学 临床药理学
- 药物开发 药物开发
- 生物统计学 生物统计学
背景情况:
- 美国食品和药物管理局的"最佳项目"旨在重新定义药物剂量选择.
- 目前的方法通常集中在最大耐受剂量 (MTD) 上,这可能不是最佳的益处-风险.
- 转向最佳生物剂量需要新的试验设计和策略.
研究的目的:
- 提供对剂量优化试验设计的全面审查.
- 讨论各种设计策略的优缺点.
- 为规划和执行剂量优化研究提供实际指导.
主要方法:
- 审查关于剂量确定和剂量优化策略的现有文献.
- 分析 1/2 期和 2/3 期试验设计以优化剂量.
- 讨论实际考虑和实施挑战.
- 介绍用于试验设计的免费可用的软件工具.
主要成果:
- 剂量优化比MTD识别更复杂,需要仔细考虑设计和实施.
- 为了优化剂量,可以采用各种设计策略,包括适应性和平台试验.
- 成功实施需要仔细规划,统计专业知识和适当的软件支持.
结论:
- 项目Optimus代表了对优化药物剂量的重大转变,以改善患者的治疗结果.
- 实施剂量优化试验需要对不同的设计选项和实际挑战有充分的了解.
- 现有的资源和工具可以促进这些复杂的试验的设计和执行.
更多相关视频
06:20Irradiator Commissioning and Dosimetry for Assessment of LQ α and β Parameters, Radiation Dosing Schema, and in vivo Dose Deposition
Published on: March 11, 2021
07:57Positron Emission Tomography-based Dose Painting Radiation Therapy in a Glioblastoma Rat Model using the Small Animal Radiation Research Platform
Published on: March 24, 2022
相关概念视频
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Clinical Trials
There are four phases in a clinical trial. A phase one...
Drug Dosage Regimen: Overview
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Rational Dosage Regimen: Maintenance Dose and Loading Dose
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
Analysis of Population Pharmacokinetic Data
Dose-Response Relationship: Overview
