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Optimal and lead-in adaptive allocation for binary outcomes: A comparison of Bayesian methods

Roy T. Sabo and Ghalib Bello

Communications in Statistics - Theory and Methods, 2017, vol. 46, issue 6, 2823-2836

Abstract: We compare posterior and predictive estimators and probabilities in response-adaptive randomization designs for two- and three-group clinical trials with binary outcomes. Adaptation based upon posterior estimates are discussed, as are two predictive probability algorithms: one using the traditional definition, the other using a skeptical distribution. Optimal and natural lead-in designs are covered. Simulation studies show that efficacy comparisons lead to more adaptation than center comparisons, though at some power loss, skeptically predictive efficacy comparisons and natural lead-in approaches lead to less adaptation but offer reduced allocation variability. Though nuanced, these results help clarify the power-adaptation trade-off in adaptive randomization.

Date: 2017
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DOI: 10.1080/03610926.2015.1053929

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