Multi-stage adaptive enrichment trial design with subgroup estimation

Autor: Neha Joshi, Crystal T. Nguyen, Anastasia Ivanova
Rok vydání: 2020
Předmět:
Zdroj: J Biopharm Stat
ISSN: 1520-5711
1054-3406
DOI: 10.1080/10543406.2020.1832109
Popis: We consider the problem of estimating the best subgroup and testing for treatment effect in a clinical trial. We define the best subgroup as the subgroup that maximizes a utility function that reflects the trade-off between the subgroup size and the treatment effect. For moderate effect sizes and sample sizes, simpler methods for subgroup estimation worked better than more complex tree- based regression approaches. We propose a three-stage design with a weighted inverse normal combination test to test the hypothesis of no treatment effect across the three stages.
Databáze: OpenAIRE
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