cLRT‐Mod : An efficient methodology for pharmacometric model‐based analysis of longitudinal phase II dose finding studies under model uncertainty

2021 ◽  
Author(s):  
Simon Buatois ◽  
Sebastian Ueckert ◽  
Nicolas Frey ◽  
Sylvie Retout ◽  
France Mentré

2011 ◽  
Vol 3 (2) ◽  
pp. 276-287 ◽  
Author(s):  
Byron Jones ◽  
Gary Layton ◽  
Helen Richardson ◽  
Neal Thomas


2021 ◽  
Author(s):  
Michael Cole ◽  
Christina Yap ◽  
Christopher Buckley ◽  
Wan-Fai Ng ◽  
Iain McInnes ◽  
...  

Abstract Background: Adaptive model-based dose-finding designs have demonstrated advantages over traditional rule-based designs but have increased statistical complexity resulting in slow uptake especially outside of cancer trials. TRAFIC is a multi-centre, early phase trial in Rheumatoid Arthritis incorporating a model-based design.Methods: A Bayesian adaptive dose-finding phase I trial rolling into a single arm, single stage phase II trial. Model parameters for phase I were chosen via Monte Carlo simulation evaluating objective performance measures under clinically relevant scenarios and incorporated stopping rules for early termination. Potential designs were further calibrated utilising dose transition pathways.Discussion: TRAFIC is an MRC funded trial of a re-purposed treatment demonstrating that it is possible to design, fund and implement a model-based phase I trial in a non-cancer population within conventional research funding tracks and regulatory constraints. The phase I design allows borrowing of information from previous trials; all accumulated data to be utilised in decision-making; verification of operating characteristics through simulation; improved understanding for management and oversight teams through dose transition pathways. The rolling phase II design brings efficiencies in trial conduct including site and monitoring activities, and cost.TRAFIC is the first funded model-based dose-finding trial in inflammatory disease demonstrating that small phase I/II trials can have an underlying statistical basis for decision-making and interpretation.Trial Registration: ISRCTN 36667085



2013 ◽  
Vol 33 (10) ◽  
pp. 1646-1661 ◽  
Author(s):  
José Pinheiro ◽  
Björn Bornkamp ◽  
Ekkehard Glimm ◽  
Frank Bretz


Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
M. Cole ◽  
C. Yap ◽  
C. Buckley ◽  
W. F. Ng ◽  
I. McInnes ◽  
...  

Abstract Background Adaptive model-based dose-finding designs have demonstrated advantages over traditional rule-based designs but have increased statistical complexity but uptake has been slow especially outside of cancer trials. TRAFIC is a multi-centre, early phase trial in rheumatoid arthritis incorporating a model-based design. Methods A Bayesian adaptive dose-finding phase I trial rolling into a single-arm, single-stage phase II trial. Model parameters for phase I were chosen via Monte Carlo simulation evaluating objective performance measures under clinically relevant scenarios and incorporated stopping rules for early termination. Potential designs were further calibrated utilising dose transition pathways. Discussion TRAFIC is an MRC-funded trial of a re-purposed treatment demonstrating that it is possible to design, fund and implement a model-based phase I trial in a non-cancer population within conventional research funding tracks and regulatory constraints. The phase I design allows borrowing of information from previous trials, all accumulated data to be utilised in decision-making, verification of operating characteristics through simulation, improved understanding for management and oversight teams through dose transition pathways. The rolling phase II design brings efficiencies in trial conduct including site and monitoring activities and cost. TRAFIC is the first funded model-based dose-finding trial in inflammatory disease demonstrating that small phase I/II trials can have an underlying statistical basis for decision-making and interpretation. Trial registration Trials Registration: ISRCTN, ISRCTN36667085. Registered on September 26, 2014.



1997 ◽  
Vol 21 (1-2) ◽  
pp. S1099-S1103 ◽  
Author(s):  
K Stole-Hansen




2010 ◽  
Vol 42 (2) ◽  
pp. 44-50
Author(s):  
Sergey I. Lyashko ◽  
Dmitriy A. Klyushin ◽  
V. V. Pavlychko


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