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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Joint TITE-CRM
T2 - A Design for Dose Finding Studies for Therapies with Late-Onset Safety and Activity Outcomes
AU - Barnett, Helen
AU - Boix, Oliver
AU - Kontos, Dimitris
AU - Jaki, Thomas
PY - 2025/1/2
Y1 - 2025/1/2
N2 - In Phase I/II dose-finding trials, the objective is to find the Optimal Biological Dose (OBD), a dose that is both safe and shows sufficient activity that maximizes some optimality criterion based on safety and activity. In cancer, treatment is typically given over several cycles, complicating the identification of the OBD as both toxicity and activity outcomes may occur at any point throughout the follow up of multiple cycles. In this work we present and assess the Joint TITE-CRM, a model-based design for late onset toxicities and activity based on the well-known TITE-CRM. It is found to be superior to the currently available alternative designs that account for late onset bivariate outcomes, as well as being both intuitive and computationally feasible.
AB - In Phase I/II dose-finding trials, the objective is to find the Optimal Biological Dose (OBD), a dose that is both safe and shows sufficient activity that maximizes some optimality criterion based on safety and activity. In cancer, treatment is typically given over several cycles, complicating the identification of the OBD as both toxicity and activity outcomes may occur at any point throughout the follow up of multiple cycles. In this work we present and assess the Joint TITE-CRM, a model-based design for late onset toxicities and activity based on the well-known TITE-CRM. It is found to be superior to the currently available alternative designs that account for late onset bivariate outcomes, as well as being both intuitive and computationally feasible.
KW - Dose-finding
KW - Late-onset activity
KW - Late-onset toxicities
KW - Model-Based
KW - Phase I trials
U2 - 10.1080/19466315.2024.2333388
DO - 10.1080/19466315.2024.2333388
M3 - Journal article
C2 - 39877730
VL - 17
SP - 149
EP - 160
JO - Statistics in Biopharmaceutical Research
JF - Statistics in Biopharmaceutical Research
SN - 1946-6315
IS - 1
ER -