EconPapers    
Economics at your fingertips  
 

Bayesian predictive monitoring with bivariate binary outcomes in phase II clinical trials

Valeria Sambucini

Computational Statistics & Data Analysis, 2019, vol. 132, issue C, 18-30

Abstract: Traditionally, phase II single-arm trials are based on a binary response variable that represents the efficacy of the experimental treatment. However, the introduction of an additional binary endpoint to assess whether the new therapy is also sufficiently safe for a further evaluation in larger phase III studies is often suggested. A Bayesian predictive strategy for interim monitoring in phase II trials focused on bivariate binary outcomes is proposed. At any interim analysis, the stopping rules are based on the evaluation of the predictive probability that the trial will show a conclusive result at the planned end of the study, given the observed data. The proposed procedure is applied using hypothetical scenarios that represent different situations which may occur at the interim stage. A real data application is also illustrated with the use of both non-informative and informative prior distributions. Finally, simulation studies to evaluate the operating characteristics of the design have been performed.

Keywords: Bayesian monitoring; Dirichlet-multinomial model; Efficacy and safety endpoints; Posterior predictive probabilities; Phase II clinical trials (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0167947318301610
Full text for ScienceDirect subscribers only.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:csdana:v:132:y:2019:i:c:p:18-30

DOI: 10.1016/j.csda.2018.06.015

Access Statistics for this article

Computational Statistics & Data Analysis is currently edited by S.P. Azen

More articles in Computational Statistics & Data Analysis from Elsevier
Bibliographic data for series maintained by Catherine Liu ().

 
Page updated 2025-03-19
Handle: RePEc:eee:csdana:v:132:y:2019:i:c:p:18-30