Monitoring futility and efficacy in phase II trials with Bayesian posterior distributions—A calibration approach

A multistage single arm phase II trial with binary endpoint is considered. Bayesian posterior probabilities are used to monitor futility in interim analyses and efficacy in the final analysis. For a beta-binomial model, decision rules based on Bayesian posterior probabilities are converted to “tradi...

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Hauptverfasser: Kopp-Schneider, Annette (VerfasserIn) , Witt, Ruth (VerfasserIn) , Witt, Olaf (VerfasserIn) , Abel, Ulrich (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2019
In: Biometrical journal
Year: 2018, Jahrgang: 61, Heft: 3, Pages: 488-502
ISSN:1521-4036
DOI:10.1002/bimj.201700209
Online-Zugang:Verlag, Volltext: https://doi.org/10.1002/bimj.201700209
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/bimj.201700209
Volltext
Verfasserangaben:Annette Kopp‐Schneider, Manuel Wiesenfarth, Ruth Witt, Dominic Edelmann, Olaf Witt, Ulrich Abel
Beschreibung
Zusammenfassung:A multistage single arm phase II trial with binary endpoint is considered. Bayesian posterior probabilities are used to monitor futility in interim analyses and efficacy in the final analysis. For a beta-binomial model, decision rules based on Bayesian posterior probabilities are converted to “traditional” decision rules in terms of number of responders among patients observed so far. Analytical derivations are given for the probability of stopping for futility and for the probability to declare efficacy. A workflow is presented on how to select the parameters specifying the Bayesian design, and the operating characteristics of the design are investigated. It is outlined how the presented approach can be transferred to statistical models other than the beta-binomial model.
Beschreibung:Gesehen am 23.05.2019
First published: 02 September 2018
Beschreibung:Online Resource
ISSN:1521-4036
DOI:10.1002/bimj.201700209