
Modern Approaches to Clinical Trials Using SAS: Classical, Adaptive, and Bayesian Methods
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Content
- Intro
- Contents
- Foreword
- About This Book
- Purpose
- Is This Book for You?
- Prerequisites
- About the Examples
- Software Used to Develop the Book's Content
- Example Code and Data
- Output and Graphics Used in This Book
- Additional Resources
- Keep in Touch
- About the Authors
- Acknowledgments
- Overview of Clinical Trials in Support of Drug Development
- 1.1 Introduction
- 1.2 Evolution of Clinical Trials and the Emergence of Guidance Documents
- 1.3 Emergence of Group Sequential Designs in the 70s and 80s
- 1.4 Emergence of Adaptive Designs in the 90s
- 1.5 Widespread Research on Adaptive Designs Since the Turn of the 21st Century
- 1.5.1 Early Phase Oncology Designs
- 1.5.2 Multiplicity in Adaptive Designs
- 1.5.3 Formation of the Adaptive Design Working Group
- 1.5.4 Opportunities in the Learning Phase
- 1.5.5 Software
- 1.6 Opportunities and Challenges in Designing, Conducting, and Analyzing Adaptive Trials
- 1.6.1 Logistics in Trial Execution
- 1.6.2 Open Research Questions
- 1.7 The Future of Adaptive Trials in Clinical Drug Development
- References
- Authors
- Designing and Monitoring Group Sequential Clinical Trials
- 2.1 Introduction
- 2.2 Examples of Classical Fixed-Sample Designs
- 2.3 Theories of Group Sequential Tests
- 2.3.1 General Framework
- 2.3.2 Normal Endpoint
- 2.3.3 Binomial Endpoint
- 2.3.4 Survival Endpoint
- 2.4 Types of Stopping Boundaries
- 2.4.1 Calculation of Stopping Boundaries
- 2.4.2 P-value or Haybittle-Peto Boundaries
- 2.4.3 Unified Family Boundaries
- 2.4.4 Spending Function Boundaries
- 2.5 Special Issues
- 2.6 Summary
- References
- Authors
- Sample Size Re-estimation
- 3.1 Introduction
- 3.1.1 Motivation. Why Sample Size Re-estimation?
- 3.1.2 Overview of Considerations and Issues
- 3.2 Blinded SSR Methods
- 3.3 Unblinded SSR Methods
- 3.3.1 Overview
- 3.3.2 Classification of Methods Used to Control Type I Error Rate
- 3.3.3 Methods Based on Combination Tests
- 3.3.4 Sample Size Re-estimation Based on Promising Zone
- 3.3.5 Methods Based on the Conditional Type I Error Principle
- 3.4 Information-Based Design
- 3.5 Summary and Conclusions
- References
- Authors
- Bayesian Survival Meta-Experimental Design Using Historical Data
- 4.1 Introduction
- 4.2 Meta Design Setting
- 4.2.1 Notation
- 4.2.2 Input Data for a Meta-Trial Design Variable
- 4.2.3 Input Historical Data
- 4.3 Meta-Regression Survival Models
- 4.3.1 Model for Future Survival Data
- 4.3.2 Model for Historical Survival Data
- 4.4 Bayesian Meta-Experimental Design
- 4.5 Specification of Prior Distributions
- 4.5.1 Fitting Priors
- 4.5.2 Sampling Priors
- 4.6 Computational Algorithms
- 4.6.1 Predictive Data Generation
- 4.6.2 Sampling from the Posterior Distributions
- 4.6.3 Power Calculation
- 4.7 SAS MACRO BSMED
- 4.7.1 Implementation of BSMED
- 4.7.2 Illustrative Examples
- 4.8 Summary
- References
- Authors
- Appendix
- Macro Call
- Inputs
- Output
- Running Time
- Continual Reassessment Methods
- 5.1 Dose Finding in Oncology
- 5.2 Continual Reassessment Method
- 5.3 Bayesian Model Averaging Continual Reassessment Method
- 5.4 Fractional Continual Reassessment Method
- 5.5 Time-to-Event Continual Reassessment Method
- 5.6 Summary
- References
- Authors
- Classical Dose-Response Study
- 6.1 Introduction
- 6.2 Statistical Design Considerations in a Classical Dose-Response Study
- 6.2.1 Dose-Response Relationship
- 6.2.2 Finding the Minimum Effective Dose
- 6.2.3 Determining the Dose Range to Study
- 6.2.4 Was the Concept Proven?
- 6.2.5 How to Space the Test Dosages
- 6.2.6 Number of Doses and Control Groups
- 6.2.7 Sample Size Considerations
- 6.2.8 Example of the Design Stage
- 6.3 Considerations in the Design and Final Analysis Stages
- 6.4 Analysis Examples Using Simulated Data
- 6.4.1 Brief Introduction to the Emax Model
- 6.4.2 Continuous Endpoint
- 6.4.3 Binary Endpoint
- 6.5 Summary
- References
- Authors
- Implementing the MCP-Mod Procedure for Dose-Response Testing and Estimation
- 7.1 Introduction
- 7.2 Methodology
- 7.2.1 Original MCP-Mod Approach
- 7.2.2 MCP-Mod for General Parametric Models
- 7.3 Considerations for MCP-Mod at the Design Stage
- 7.4 Further Considerations on MCP-Mod
- 7.5 Analysis Examples Using SAS
- 7.5.1 The optcont Macro
- 7.5.2 Example 1: biom Data with Normally Distributed Outcome and Model Selection
- 7.5.3 Example 2: neurodeg Data for Generalized MCP-Mod Approach with Model Averaging
- 7.6 Conclusions
- References
- Authors
- Appendix
- Appendix A
- Appendix B
- Appendix C
- Appendix D
- Bayesian Dose Response
- 8.1 Introduction and Background
- 8.2 Statistical Model for Bayesian Dose-Response
- 8.3 Analysis Examples for a Continuous Endpoint
- 8.3.1 Asthma Trial with 75 Patients Per Group
- 8.3.2 Asthma Trial with 100 Patients Per Group
- 8.4 Analysis Example for a Binary Endpoint
- 8.5 Summary
- References
- Authors
- Overview of Adaptive Randomization
- 9.1 Introduction
- 9.2 Simple Randomization
- 9.3 Restricted Randomization
- 9.3.1 Permuted Block Randomization
- 9.3.2 Biased Coin Design
- 9.4 Covariate-Adaptive Randomization
- 9.4.1 Stratified Randomization
- 9.4.2 Covariate-Adaptive Randomization by Minimization
- 9.4.3 Model-Based Optimal Covariate-Adaptive Randomization
- 9.5 Response-Adaptive Randomization
- 9.5.1 Play-the-Winner Rule
- 9.5.2 Randomized Play-the-Winner Rule
- 9.5.3 Optimal Adaptive Randomization
- 9.5.4 Bayesian Response-Adaptive Randomization
- 9.6 Summary
- References
- Authors
- Optimal Response-Adaptive Randomization Designs in Binary Outcome Clinical Trials
- 10.1 Introduction
- 10.1.1 Randomized Clinical Trials
- 10.1.2 Response-Adaptive Randomization
- 10.1.3 A Classification of Response-Adaptive Randomization Designs
- 10.1.4 Organization of This Chapter
- 10.2 Optimal Allocation
- 10.3 Response-Adaptive Randomization for Implementing Optimal Allocation
- 10.3.1 Preliminaries
- 10.3.2 Sequential Maximum Likelihood Estimation Design
- 10.3.3 Doubly Adaptive Biased Coin Design
- 10.3.4 Efficient Randomized-Adaptive Design
- 10.3.5 Theoretical Comparison of Various RAR Designs
- 10.4 Simulation of Optimal Response-Adaptive Randomization Procedures
- 10.4.1 Simulating a Single RAR Sequence
- 10.4.2 Operating Characteristics of RAR designs via Monte Carlo Simulation
- 10.5 Power and Sample Size for Response-Adaptive Randomization
- 10.6 Additional Considerations
- 10.6.1 More Than Two Treatments and Non-Binary Outcomes
- 10.6.2 Delayed Response
- 10.6.3 Misclassified Response
- 10.6.4 Time Trends
- 10.7 Examples
- 10.7.1 Redesigning a Real Clinical Trial
- 10.7.2 Implementing DBCD
- 10.8 Summary
- References
- Authors
- Population Enrichment Designs
- 11.1 Introduction
- 11.1.1 Background
- 11.1.2 Issues to Consider
- 11.2 Classical Designs
- 11.2.1 Retrospective Design
- 11.2.2 Prospective Design
- 11.3 Efficiency of Classical Enrichment Designs
- 11.4 Adaptive Enrichment Designs
- 11.4.1 Introduction
- 11.4.2 Frequentist Methods
- 11.4.3 Bayesian Methods
- 11.5 Summary
- References
- Authors
- Index
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