用早期结果进行实用临床试验的组序设计:规划和实施的方法和指导
Nick R Parsons1, Joydeep Basu2, Nigel Stallard2
1Warwick Clinical Trials Unit (WCTU), Warwick Medical School, University of Warwick, CV4 7AL, Coventry, UK. nick.parsons@warwick.ac.uk.
BMC medical research methodology
|February 16, 2024
概括
临床试验中的组序列设计可以使用简单的分析表达式更有效地规划,从而减少对昂贵和耗时的模拟的需求. 这种方法通过提供快速规划工具,简化了自适应性试验设计.
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
- 适应性试验方法学
背景情况:
- 组序列设计是随机临床试验的高效适应方法,当早期结果可用时.
- 它们的广泛采用受到规划所需的模拟研究的复杂性和成本的阻碍.
- 这项研究解决了适应性试验设计需要更简单的规划工具的需求.
研究的目的:
- 开发用于计划组顺序设计的简单分析表达式.
- 消除在试验计划阶段需要进行广泛的模拟研究的需要.
- 为探索适应性临床试验中的设计选项提供灵活的工具.
主要方法:
- 使用了一个带有近似多变量正常分布的纵向结果模型.
- 分析了三种招聘模式 (固定,增长,下降率).
- 从早期结果中获得治疗效果差异和效率增长的分析表达式.
主要成果:
- 信息积累模式根据相关性和招聘模型而变化,为试验规划提供指导.
- 通过案例研究,分析表达式被证明是快速灵活的规划工具.
- 提出的方法避免了需要单个参与者数据模拟.
结论:
- 分析表达式可以在试验规划中经常使用,对结果和招聘做出适度假设.
- 这些表达方式有效地促进了各种设计选项的探索.
- 这种方法简化了适应性临床试验的规划,使其更容易获得.
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