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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Bibliographic Details
Main Authors: Kopp-Schneider, Annette (Author) , Witt, Ruth (Author) , Witt, Olaf (Author) , Abel, Ulrich (Author)
Format: Article (Journal)
Language:English
Published: 2019
In: Biometrical journal
Year: 2018, Volume: 61, Issue: 3, Pages: 488-502
ISSN:1521-4036
DOI:10.1002/bimj.201700209
Online Access:Verlag, Volltext: https://doi.org/10.1002/bimj.201700209
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/bimj.201700209
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Author Notes:Annette Kopp‐Schneider, Manuel Wiesenfarth, Ruth Witt, Dominic Edelmann, Olaf Witt, Ulrich Abel
Description
Summary: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.
Item Description:Gesehen am 23.05.2019
First published: 02 September 2018
Physical Description:Online Resource
ISSN:1521-4036
DOI:10.1002/bimj.201700209