Increasing efficiency of preclinical research by group sequential designs

Autor: Jonathan Kimmelman, John P. A. Ioannidis, Alice Schneider, Bob Siegerink, André Rex, Sophie K. Piper, Ulrike Grittner, Oscar Florez-Vargas, George Karystianis, Ian Wellwood, Ulrich Dirnagl, Konrad Neumann
Přispěvatelé: Wellwood, Ian [0000-0002-6059-9209], Apollo - University of Cambridge Repository
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Research design
Drug Research and Development
Biomedical Research
QH301-705.5
Bayesian Method
Biology
Research and Analysis Methods
General Biochemistry
Genetics and Molecular Biology

Field (computer science)
03 medical and health sciences
Mathematical and Statistical Techniques
0302 clinical medicine
Frequentist inference
Medicine and Health Sciences
Clinical Trials
ddc:610
Statistical Methods
Biology (General)
Biomedicine
Block (data storage)
Pharmacology
General Immunology and Microbiology
business.industry
Experimental Design
General Neuroscience
Research Assessment
Probability Theory
Probability Distribution
Reproducibility
Reliability engineering
Clinical trial
030104 developmental biology
Sample size determination
Research Design
Perspective
Physical Sciences
Group sequential
Clinical Medicine
General Agricultural and Biological Sciences
business
Mathematics
Bayesian Statistics
Statistics (Mathematics)
030217 neurology & neurosurgery
Zdroj: PLoS biology 15(3), e2001307 (2017). doi:10.1371/journal.pbio.2001307
PLoS Biology, Vol 15, Iss 3, p e2001307 (2017)
PLoS Biology
Popis: Despite the potential benefits of sequential designs, studies evaluating treatments or experimental manipulations in preclinical experimental biomedicine almost exclusively use classical block designs. Our aim with this article is to bring the existing methodology of group sequential designs to the attention of researchers in the preclinical field and to clearly illustrate its potential utility. Group sequential designs can offer higher efficiency than traditional methods and are increasingly used in clinical trials. Using simulation of data, we demonstrate that group sequential designs have the potential to improve the efficiency of experimental studies, even when sample sizes are very small, as is currently prevalent in preclinical experimental biomedicine. When simulating data with a large effect size of d = 1 and a sample size of n = 18 per group, sequential frequentist analysis consumes in the long run only around 80% of the planned number of experimental units. In larger trials (n = 36 per group), additional stopping rules for futility lead to the saving of resources of up to 30% compared to block designs. We argue that these savings should be invested to increase sample sizes and hence power, since the currently underpowered experiments in preclinical biomedicine are a major threat to the value and predictiveness in this research domain.
Databáze: OpenAIRE