An Adaptive Bayesian Approach to Continuous Dose-response Modeling

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ISBN 13 :
Total Pages : 72 pages
Book Rating : 4.:/5 (793 download)

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Book Synopsis An Adaptive Bayesian Approach to Continuous Dose-response Modeling by : Thomas J. Leininger

Download or read book An Adaptive Bayesian Approach to Continuous Dose-response Modeling written by Thomas J. Leininger and published by . This book was released on 2009 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical drug trials are costly and time-consuming. Bayesian methods alleviate the inefficiencies in the testing process while providing user-friendly probabilistic inference and predictions from the sampled posterior distributions, saving resources, time, and money. We propose a dynamic linear model to estimate the mean response at each dose level, borrowing strength across dose levels.

An Adaptive Bayesian Approach to Dose-response Modeling

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ISBN 13 :
Total Pages : 72 pages
Book Rating : 4.:/5 (55 download)

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Book Synopsis An Adaptive Bayesian Approach to Dose-response Modeling by : Thomas J. Leininger

Download or read book An Adaptive Bayesian Approach to Dose-response Modeling written by Thomas J. Leininger and published by . This book was released on 2009 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical drug trials are costly and time-consuming. Bayesian methods alleviate the inefficiencies in the testing process while providing user-friendly probabilistic inference and predictions from the sampled posterior distributions, saving resources, time, and money. We propose a dynamic linear model to estimate the mean response at each dose level, borrowing strength across dose levels. Our model permits nonmonotonicity of the dose-response relationship, facilitating precise modeling of a wider array of dose-response relationships (including the possibility of toxicity). In addition, we incorporate an adaptive approach to the design of the clinical trial, which allows for interim decisions and assignment to doses based on dose-response uncertainty and dose efficacy. The interim decisions we consider are stopping early for success and stopping early for futility, allowing for patient and time savings in the drug development process. These methods complement current clinical trial design research.

An Adaptive Bayesian Approach to Bernoulli-response Clinical Trials

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ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.:/5 (367 download)

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Book Synopsis An Adaptive Bayesian Approach to Bernoulli-response Clinical Trials by : Andrew W. Stacey

Download or read book An Adaptive Bayesian Approach to Bernoulli-response Clinical Trials written by Andrew W. Stacey and published by . This book was released on 2007 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modeling clinical trials in a Bayesian framework allows the experiment to be adaptive. In this adaptive design batches of subjects are assigned to doses based on the posterior probability of success for each dose, thereby increasing the probability of receiving advantageous doses. Good posterior fitting is demonstrated for typical dose-response curves and the Bayesian design is shown to properly stop drug trials for clinical futility or clinical success. In this paper we demonstrate that an adaptive Bayesian approach to dose-response studies increases both the statistical and medicinal effectiveness of clinical research.

Bayesian Adaptive Methods for Clinical Trials

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Publisher : CRC Press
ISBN 13 : 1439825513
Total Pages : 316 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Bayesian Adaptive Methods for Clinical Trials by : Scott M. Berry

Download or read book Bayesian Adaptive Methods for Clinical Trials written by Scott M. Berry and published by CRC Press. This book was released on 2010-07-19 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Already popular in the analysis of medical device trials, adaptive Bayesian designs are increasingly being used in drug development for a wide variety of diseases and conditions, from Alzheimer's disease and multiple sclerosis to obesity, diabetes, hepatitis C, and HIV. Written by leading pioneers of Bayesian clinical trial designs, Bayesian Adapti

Modern Approaches to Clinical Trials Using SAS

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Publisher : SAS Institute
ISBN 13 : 1629600822
Total Pages : 482 pages
Book Rating : 4.6/5 (296 download)

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Book Synopsis Modern Approaches to Clinical Trials Using SAS by : Sandeep Menon

Download or read book Modern Approaches to Clinical Trials Using SAS written by Sandeep Menon and published by SAS Institute. This book was released on 2015-12-09 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get the tools you need to use SAS® in clinical trial design! Unique and multifaceted, Modern Approaches to Clinical Trials Using SAS: Classical, Adaptive, and Bayesian Methods, edited by Sandeep M. Menon and Richard C. Zink, thoroughly covers several domains of modern clinical trial design: classical, group sequential, adaptive, and Bayesian methods that are applicable to and widely used in various phases of pharmaceutical development. Written for biostatisticians, pharmacometricians, clinical developers, and statistical programmers involved in the design, analysis, and interpretation of clinical trials, as well as students in graduate and postgraduate programs in statistics or biostatistics, the book touches on a wide variety of topics, including dose-response and dose-escalation designs; sequential methods to stop trials early for overwhelming efficacy, safety, or futility; Bayesian designs that incorporate historical data; adaptive sample size re-estimation; adaptive randomization to allocate subjects to more effective treatments; and population enrichment designs. Methods are illustrated using clinical trials from diverse therapeutic areas, including dermatology, endocrinology, infectious disease, neurology, oncology, and rheumatology. Individual chapters are authored by renowned contributors, experts, and key opinion leaders from the pharmaceutical/medical device industry or academia. Numerous real-world examples and sample SAS code enable users to readily apply novel clinical trial design and analysis methodologies in practice.

Handbook of Methods for Designing, Monitoring, and Analyzing Dose-Finding Trials

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Publisher : CRC Press
ISBN 13 : 149874611X
Total Pages : 306 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Handbook of Methods for Designing, Monitoring, and Analyzing Dose-Finding Trials by : John O'Quigley

Download or read book Handbook of Methods for Designing, Monitoring, and Analyzing Dose-Finding Trials written by John O'Quigley and published by CRC Press. This book was released on 2017-04-27 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Methods for Designing, Monitoring, and Analyzing Dose-Finding Trials gives a thorough presentation of state-of-the-art methods for early phase clinical trials. The methodology of clinical trials has advanced greatly over the last 20 years and, arguably, nowhere greater than that of early phase studies. The need to accelerate drug development in a rapidly evolving context of targeted therapies, immunotherapy, combination treatments and complex group structures has provided the stimulus to these advances. Typically, we deal with very small samples, sequential methods that need to be efficient, while, at the same time adhering to ethical principles due to the involvement of human subjects. Statistical inference is difficult since the standard techniques of maximum likelihood do not usually apply as a result of model misspecification and parameter estimates lying on the boundary of the parameter space. Bayesian methods play an important part in overcoming these difficulties, but nonetheless, require special consideration in this particular context. The purpose of this handbook is to provide an expanded summary of the field as it stands and also, through discussion, provide insights into the thinking of leaders in the field as to the potential developments of the years ahead. With this goal in mind we present: An introduction to the field for graduate students and novices A basis for more established researchers from which to build A collection of material for an advanced course in early phase clinical trials A comprehensive guide to available methodology for practicing statisticians on the design and analysis of dose-finding experiments An extensive guide for the multiple comparison and modeling (MCP-Mod) dose-finding approach, adaptive two-stage designs for dose finding, as well as dose–time–response models and multiple testing in the context of confirmatory dose-finding studies. John O’Quigley is a professor of mathematics and research director at the French National Institute for Health and Medical Research based at the Faculty of Mathematics, University Pierre and Marie Curie in Paris, France. He is author of Proportional Hazards Regression and has published extensively in the field of dose finding. Alexia Iasonos is an associate attending biostatistician at the Memorial Sloan Kettering Cancer Center in New York. She has over one hundred publications in the leading statistical and clinical journals on the methodology and design of early phase clinical trials. Dr. Iasonos has wide experience in the actual implementation of model based early phase trials and has given courses in scientific meetings internationally. Björn Bornkamp is a statistical methodologist at Novartis in Basel, Switzerland, researching and implementing dose-finding designs in Phase II clinical trials. He is one of the co-developers of the MCP-Mod methodology for dose finding and main author of the DoseFinding R package. He has published numerous papers on dose finding, nonlinear models and Bayesian statistics, and in 2013 won the Royal Statistical Society award for statistical excellence in the pharmaceutical industry.

Handbook of Methods for Designing, Monitoring, and Analyzing Dose-Finding Trials

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Publisher : CRC Press
ISBN 13 : 1351648020
Total Pages : 390 pages
Book Rating : 4.3/5 (516 download)

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Book Synopsis Handbook of Methods for Designing, Monitoring, and Analyzing Dose-Finding Trials by : John O'Quigley

Download or read book Handbook of Methods for Designing, Monitoring, and Analyzing Dose-Finding Trials written by John O'Quigley and published by CRC Press. This book was released on 2017-04-27 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Methods for Designing, Monitoring, and Analyzing Dose-Finding Trials gives a thorough presentation of state-of-the-art methods for early phase clinical trials. The methodology of clinical trials has advanced greatly over the last 20 years and, arguably, nowhere greater than that of early phase studies. The need to accelerate drug development in a rapidly evolving context of targeted therapies, immunotherapy, combination treatments and complex group structures has provided the stimulus to these advances. Typically, we deal with very small samples, sequential methods that need to be efficient, while, at the same time adhering to ethical principles due to the involvement of human subjects. Statistical inference is difficult since the standard techniques of maximum likelihood do not usually apply as a result of model misspecification and parameter estimates lying on the boundary of the parameter space. Bayesian methods play an important part in overcoming these difficulties, but nonetheless, require special consideration in this particular context. The purpose of this handbook is to provide an expanded summary of the field as it stands and also, through discussion, provide insights into the thinking of leaders in the field as to the potential developments of the years ahead. With this goal in mind we present: An introduction to the field for graduate students and novices A basis for more established researchers from which to build A collection of material for an advanced course in early phase clinical trials A comprehensive guide to available methodology for practicing statisticians on the design and analysis of dose-finding experiments An extensive guide for the multiple comparison and modeling (MCP-Mod) dose-finding approach, adaptive two-stage designs for dose finding, as well as dose–time–response models and multiple testing in the context of confirmatory dose-finding studies. John O’Quigley is a professor of mathematics and research director at the French National Institute for Health and Medical Research based at the Faculty of Mathematics, University Pierre and Marie Curie in Paris, France. He is author of Proportional Hazards Regression and has published extensively in the field of dose finding. Alexia Iasonos is an associate attending biostatistician at the Memorial Sloan Kettering Cancer Center in New York. She has over one hundred publications in the leading statistical and clinical journals on the methodology and design of early phase clinical trials. Dr. Iasonos has wide experience in the actual implementation of model based early phase trials and has given courses in scientific meetings internationally. Björn Bornkamp is a statistical methodologist at Novartis in Basel, Switzerland, researching and implementing dose-finding designs in Phase II clinical trials. He is one of the co-developers of the MCP-Mod methodology for dose finding and main author of the DoseFinding R package. He has published numerous papers on dose finding, nonlinear models and Bayesian statistics, and in 2013 won the Royal Statistical Society award for statistical excellence in the pharmaceutical industry.

Bayesian Analysis with R for Drug Development

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Publisher : CRC Press
ISBN 13 : 1351585932
Total Pages : 262 pages
Book Rating : 4.3/5 (515 download)

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Book Synopsis Bayesian Analysis with R for Drug Development by : Harry Yang

Download or read book Bayesian Analysis with R for Drug Development written by Harry Yang and published by CRC Press. This book was released on 2019-06-26 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug development is an iterative process. The recent publications of regulatory guidelines further entail a lifecycle approach. Blending data from disparate sources, the Bayesian approach provides a flexible framework for drug development. Despite its advantages, the uptake of Bayesian methodologies is lagging behind in the field of pharmaceutical development. Written specifically for pharmaceutical practitioners, Bayesian Analysis with R for Drug Development: Concepts, Algorithms, and Case Studies, describes a wide range of Bayesian applications to problems throughout pre-clinical, clinical, and Chemistry, Manufacturing, and Control (CMC) development. Authored by two seasoned statisticians in the pharmaceutical industry, the book provides detailed Bayesian solutions to a broad array of pharmaceutical problems. Features Provides a single source of information on Bayesian statistics for drug development Covers a wide spectrum of pre-clinical, clinical, and CMC topics Demonstrates proper Bayesian applications using real-life examples Includes easy-to-follow R code with Bayesian Markov Chain Monte Carlo performed in both JAGS and Stan Bayesian software platforms Offers sufficient background for each problem and detailed description of solutions suitable for practitioners with limited Bayesian knowledge Harry Yang, Ph.D., is Senior Director and Head of Statistical Sciences at AstraZeneca. He has 24 years of experience across all aspects of drug research and development and extensive global regulatory experiences. He has published 6 statistical books, 15 book chapters, and over 90 peer-reviewed papers on diverse scientific and statistical subjects, including 15 joint statistical works with Dr. Novick. He is a frequent invited speaker at national and international conferences. He also developed statistical courses and conducted training at the FDA and USP as well as Peking University. Steven Novick, Ph.D., is Director of Statistical Sciences at AstraZeneca. He has extensively contributed statistical methods to the biopharmaceutical literature. Novick is a skilled Bayesian computer programmer and is frequently invited to speak at conferences, having developed and taught courses in several areas, including drug-combination analysis and Bayesian methods in clinical areas. Novick served on IPAC-RS and has chaired several national statistical conferences.

Bayesian Designs for Phase I-II Clinical Trials

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Publisher : CRC Press
ISBN 13 : 1498709567
Total Pages : 310 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Bayesian Designs for Phase I-II Clinical Trials by : Ying Yuan

Download or read book Bayesian Designs for Phase I-II Clinical Trials written by Ying Yuan and published by CRC Press. This book was released on 2017-12-19 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reliably optimizing a new treatment in humans is a critical first step in clinical evaluation since choosing a suboptimal dose or schedule may lead to failure in later trials. At the same time, if promising preclinical results do not translate into a real treatment advance, it is important to determine this quickly and terminate the clinical evaluation process to avoid wasting resources. Bayesian Designs for Phase I–II Clinical Trials describes how phase I–II designs can serve as a bridge or protective barrier between preclinical studies and large confirmatory clinical trials. It illustrates many of the severe drawbacks with conventional methods used for early-phase clinical trials and presents numerous Bayesian designs for human clinical trials of new experimental treatment regimes. Written by research leaders from the University of Texas MD Anderson Cancer Center, this book shows how Bayesian designs for early-phase clinical trials can explore, refine, and optimize new experimental treatments. It emphasizes the importance of basing decisions on both efficacy and toxicity.

Adaptive Design Theory and Implementation Using SAS and R, Second Edition

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Publisher : CRC Press
ISBN 13 : 1482256592
Total Pages : 709 pages
Book Rating : 4.4/5 (822 download)

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Book Synopsis Adaptive Design Theory and Implementation Using SAS and R, Second Edition by : Mark Chang

Download or read book Adaptive Design Theory and Implementation Using SAS and R, Second Edition written by Mark Chang and published by CRC Press. This book was released on 2014-12-01 with total page 709 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get Up to Speed on Many Types of Adaptive Designs Since the publication of the first edition, there have been remarkable advances in the methodology and application of adaptive trials. Incorporating many of these new developments, Adaptive Design Theory and Implementation Using SAS and R, Second Edition offers a detailed framework to understand the use of various adaptive design methods in clinical trials. New to the Second Edition Twelve new chapters covering blinded and semi-blinded sample size reestimation design, pick-the-winners design, biomarker-informed adaptive design, Bayesian designs, adaptive multiregional trial design, SAS and R for group sequential design, and much more More analytical methods for K-stage adaptive designs, multiple-endpoint adaptive design, survival modeling, and adaptive treatment switching New material on sequential parallel designs with rerandomization and the skeleton approach in adaptive dose-escalation trials Twenty new SAS macros and R functions Enhanced end-of-chapter problems that give readers hands-on practice addressing issues encountered in designing real-life adaptive trials Covering even more adaptive designs, this book provides biostatisticians, clinical scientists, and regulatory reviewers with up-to-date details on this innovative area in pharmaceutical research and development. Practitioners will be able to improve the efficiency of their trial design, thereby reducing the time and cost of drug development.

The Application of Bayesian Adaptive Design and Markov Model in Clinical Trials

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Publisher :
ISBN 13 :
Total Pages : 1110 pages
Book Rating : 4.:/5 (93 download)

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Book Synopsis The Application of Bayesian Adaptive Design and Markov Model in Clinical Trials by : Xiaoyu Lu

Download or read book The Application of Bayesian Adaptive Design and Markov Model in Clinical Trials written by Xiaoyu Lu and published by . This book was released on 2013 with total page 1110 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this research, two new designs in clinical trials are proposed. The first problem is a new Bayesian adaptive dose-finding design and its application in an oncology clinical trial. This design is used for phase IB studies with the biomarker as the endpoint and with the fewer patients. The second problem is another new Bayesian adaptive dose-finding design with longitudinal analysis and its application in phase II depression clinical trial. This design is best fit for phase II dosing-finding clinical trials with clinical endpoints. MTD information has been obtained before the trials. In adaptive dose-finding clinical trials, the strategy is to reduce the allocation of patients to non-informative doses and also save the trial cost. Bayesian adaptive dose finding design has the ability to utilize accumulating data obtained in real time to alter the course of the trial, thereby enabling dynamic allocation to different dosing groups and dropping of ineffective dosing group earlier. In this research, Bayesian adaptive method is used as a new and useful approach that applies to phase IB and phase II dose-finding clinical trials to evaluate safety and efficacy of the study treatment. Response model and Normal Dynamic Linear Models (NDLMs) are applied in stages 1-4. Conditional probability for each parameter in the model is derived using appropriate prior distributions. Markov Chain Monte Carlo (MCMC) method is used to do the simulation. Model parameters with meaningful prior distributions and the posterior quantities are obtained to evaluate the trial results and they help to determine the optimal dose level which can be used in later studies. Simulations are done for different scenarios in the two designs and used to validate the model. Five-thousand simulation trials are conducted to verify the repeatability of the results. The posterior probability of success for the trial is greater than 90% based on the simulation results. The results give clearer idea if one needs to go further to test new dose levels based on the thorough evaluation of the existing partial data. Compared with the other adaptive dose finding strategy, the proposed Bayesian adaptive designs are sensitive and robust to help the investigators draw conclusion as early as possible. The designs can also reduce sample size substantially which in turn leads to savings in cost and time. Continuous-time Markov model has the advantage over the traditional survival model and can be used to describe disease as a series of probable transitions between health states. This is an attractive feature since it provides the ability to describe the course of disease over time. It can also describe and estimate expected survival in clinical cohort. In this research, continuous-time Markov model is used in the time-to-event analysis in a phase II oncology trial. Six states are defined in the Markov chain which is used in time to progression analysis for 36 patients with neuroendocrine carcinoma. The transition probability matrix P is defined and used to iterate future transition and survival probabilities. The estimate from matrix analysis shows that the results are reliable and comparable with the Kaplan-Meier results.

Bayesian Dose-response Modeling in Sparse Data

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Publisher :
ISBN 13 : 9781321846508
Total Pages : 160 pages
Book Rating : 4.8/5 (465 download)

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Book Synopsis Bayesian Dose-response Modeling in Sparse Data by : Steven B. Kim

Download or read book Bayesian Dose-response Modeling in Sparse Data written by Steven B. Kim and published by . This book was released on 2015 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses Bayesian dose-response modeling in small samples applied to two different settings. The first setting is early phase clinical trials, and the second setting is toxicology studies in cancer risk assessment. In early phase clinical trials, experimental units are humans who are actual patients. Prior to a clinical trial, opinions from multiple subject area experts are generally more informative than the opinion of a single expert, but we may face a dilemma when they have disagreeing prior opinions. In this regard, we consider compromising the disagreement and compare two different approaches for making a decision. In addition to combining multiple opinions, we also address balancing two levels of ethics in early phase clinical trials. The first level is individual-level ethics which reflects the perspective of trial participants. The second level is population-level ethics which reflects the perspective of future patients. We extensively compare two existing statistical methods which focus on each perspective and propose a new method which balances the two conflicting perspectives. In toxicology studies, experimental units are living animals. Here we focus on a potential non-monotonic dose-response relationship which is known as hormesis. Briefly, hormesis is a phenomenon which can be characterized by a beneficial effect at low doses and a harmful effect at high doses. In cancer risk assessments, the estimation of a parameter, which is known as a benchmark dose, can be highly sensitive to a class of assumptions, monotonicity or hormesis. In this regard, we propose a robust approach which considers both monotonicity and hormesis as a possibility. In addition, We discuss statistical hypothesis testing for hormesis and consider various experimental designs for detecting hormesis based on Bayesian decision theory. Past experiments have not been optimally designed for testing for hormesis, and some Bayesian optimal designs may not be optimal under a wrong parametric assumption. In this regard, we consider a robust experimental design which does not require any parametric assumption.

Bayesian Applications in Pharmaceutical Development

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Publisher : CRC Press
ISBN 13 : 1351584162
Total Pages : 453 pages
Book Rating : 4.3/5 (515 download)

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Book Synopsis Bayesian Applications in Pharmaceutical Development by : Mani Lakshminarayanan

Download or read book Bayesian Applications in Pharmaceutical Development written by Mani Lakshminarayanan and published by CRC Press. This book was released on 2019-11-07 with total page 453 pages. Available in PDF, EPUB and Kindle. Book excerpt: The cost for bringing new medicine from discovery to market has nearly doubled in the last decade and has now reached $2.6 billion. There is an urgent need to make drug development less time-consuming and less costly. Innovative trial designs/ analyses such as the Bayesian approach are essential to meet this need. This book will be the first to provide comprehensive coverage of Bayesian applications across the span of drug development, from discovery, to clinical trial, to manufacturing with practical examples. This book will have a wide appeal to statisticians, scientists, and physicians working in drug development who are motivated to accelerate and streamline the drug development process, as well as students who aspire to work in this field. The advantages of this book are: Provides motivating, worked, practical case examples with easy to grasp models, technical details, and computational codes to run the analyses Balances practical examples with best practices on trial simulation and reporting, as well as regulatory perspectives Chapters written by authors who are individual contributors in their respective topics Dr. Mani Lakshminarayanan is a researcher and statistical consultant with more than 30 years of experience in the pharmaceutical industry. He has published over 50 articles, technical reports, and book chapters besides serving as a referee for several journals. He has a PhD in Statistics from Southern Methodist University, Dallas, Texas and is a Fellow of the American Statistical Association. Dr. Fanni Natanegara has over 15 years of pharmaceutical experience and is currently Principal Research Scientist and Group Leader for the Early Phase Neuroscience Statistics team at Eli Lilly and Company. She played a key role in the Advanced Analytics team to provide Bayesian education and statistical consultation at Eli Lilly. Dr. Natanegara is the chair of the cross industry-regulatory-academic DIA BSWG to ensure that Bayesian methods are appropriately utilized for design and analysis throughout the drug-development process.

ילקוט למועדים: ראש חודש

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Publisher :
ISBN 13 :
Total Pages : 64 pages
Book Rating : 4.:/5 (692 download)

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Book Synopsis ילקוט למועדים: ראש חודש by :

Download or read book ילקוט למועדים: ראש חודש written by and published by . This book was released on 1972 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Modern Approaches to Clinical Trials Using SAS: Classical, Adaptive, and Bayesian Methods

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Publisher : SAS Institute
ISBN 13 : 1629600849
Total Pages : 364 pages
Book Rating : 4.6/5 (296 download)

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Book Synopsis Modern Approaches to Clinical Trials Using SAS: Classical, Adaptive, and Bayesian Methods by : Sandeep Menon

Download or read book Modern Approaches to Clinical Trials Using SAS: Classical, Adaptive, and Bayesian Methods written by Sandeep Menon and published by SAS Institute. This book was released on 2015-12-09 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers domains of modern clinical trial design: classical, group sequential, adaptive, and Bayesian methods applicable to and used in various phases of pharmaceutical development. Written for biostatisticians, pharmacometricians, clinical developers, and statistical programmers involved in the design, analysis, and interpretation of clinical trials, as well as students in graduate and postgraduate programs in statistics or biostatistics, it covers topics including: dose-response and dose-escalation designs; sequential methods to stop trials early for overwhelming efficacy, safety, or futility; Bayesian designs incorporating historical data; adaptive sample size re-estimation and randomization to allocate subjects to effective treatments; population enrichment designs. Methods are illustrated using clinical trials from diverse therapeutic areas, including dermatology, endocrinology, infectious disease, neurology, oncology and rheumatology. --

Bayesian Adaptive Methods for Phase I Clinical Trials

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Publisher :
ISBN 13 : 9781361043813
Total Pages : pages
Book Rating : 4.0/5 (438 download)

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Book Synopsis Bayesian Adaptive Methods for Phase I Clinical Trials by : Ruitao Lin

Download or read book Bayesian Adaptive Methods for Phase I Clinical Trials written by Ruitao Lin and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Bayesian Adaptive Methods for Phase I Clinical Trials" by Ruitao, Lin, 林瑞涛, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: The primary objective of phase I dose-finding trials is to determine the maximum tolerated dose (MTD), which is typically defined as the dose with the dose-limiting toxicity probability closest to the target toxicity probability. The American Society of Clinical Oncology (ASCO) recently published an update of the ASCO policy statement to call for new phase I trial designs to allow for more efficient escalation to the therapeutic dose levels in order to cope with the changing landscape in cancer research. In this thesis, innovative and robust designs for single- or multiple-agent phase I dose-finding trials are studied. To enhance robustness and efficiency, two nonparametric methods are proposed to locate the MTD in single-agent phase I clinical trials without imposing any parametric assumption on the underlying distribution of the toxicity curve. First, a uniformly most powerful Bayesian interval (UMPBI) design is developed for dose finding, where the optimal interval is determined by the rejection region of the uniformly most powerful Bayesian test. UMPBI is easy to implement and can be nicely interpreted. Compared with existing interval designs, the proposed UMPBI design exhibits a unique feature of convergence to the MTD. Next, a nonparametric overdose control (NOC) method is proposed by casting dose finding in a Bayesian model selection framework. Each dose assignment under NOC is determined such that the posterior probability of overdosing is controlled. In addition, NOC is incorporated with a fractional imputation method to deal with late-onset toxicity outcomes. Both of the UMPBI and NOC designs are flexible, as well as possessing sound theoretical support and desirable numerical performance. In the era of precision medicine, combination therapy is playing an increasingly important role in drug development. However, drug combinations often lead to a high-dimensional dose searching space compared to conventional single-agent dose finding, especially when three or more drugs are combined for treatment. Most of the current dose-finding designs aim to quantify the toxicity probability space using certain prespecified yet complicated models. Not only do these models characterize each individual drug's toxicity profile, but they also need to quantify their interaction effects, which often leads to multi-parameter models. In order to stabilize the current practice of dose finding in drug-combination trials with limited sample sizes, a random walk Bayesian optimal interval (RW-BOIN) design and a Bootstrap aggregating continual reassessment method (Bagging CRM) are proposed. RW-BOIN is built on the basis of the single-agent BOIN design, and it can be utilized to tackle high-dimensional dose-finding problems. A convergence theorem is established to ensure the validity of RW-BOIN. On the other hand, Bagging CRM implements a dimension reduction technique and some ensemble methods in machine learning, so that the toxicity probability space can be stably reduced to a one-dimensional searching line. Simulation studies show that both RW-BOIN and Bagging CRM have comparative and robust operating characteristics compared with existing approaches under various dose-toxicity scenarios. All of the proposed methods are exemplified with real phase I dose-finding trials. Subjects: Bayesian statistical decision theory Clinical trials - Statistical methods

Bayesian Approaches in Oncology Using R and OpenBUGS

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Publisher : CRC Press
ISBN 13 : 1000330060
Total Pages : 188 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Bayesian Approaches in Oncology Using R and OpenBUGS by : Atanu Bhattacharjee

Download or read book Bayesian Approaches in Oncology Using R and OpenBUGS written by Atanu Bhattacharjee and published by CRC Press. This book was released on 2020-12-14 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bayesian Approaches in Oncology Using R and OpenBUGS serves two audiences: those who are familiar with the theory and applications of bayesian approach and wish to learn or enhance their skills in R and OpenBUGS, and those who are enrolled in R and OpenBUGS-based course for bayesian approach implementation. For those who have never used R/OpenBUGS, the book begins with a self-contained introduction to R that lays the foundation for later chapters. Many books on the bayesian approach and the statistical analysis are advanced, and many are theoretical. While most of them do cover the objective, the fact remains that data analysis can not be performed without actually doing it, and this means using dedicated statistical software. There are several software packages, all with their specific objective. Finally, all packages are free to use, are versatile with problem-solving, and are interactive with R and OpenBUGS. This book continues to cover a range of techniques related to oncology that grow in statistical analysis. It intended to make a single source of information on Bayesian statistical methodology for oncology research to cover several dimensions of statistical analysis. The book explains data analysis using real examples and includes all the R and OpenBUGS codes necessary to reproduce the analyses. The idea is to overall extending the Bayesian approach in oncology practice. It presents four sections to the statistical application framework: Bayesian in Clinical Research and Sample Size Calcuation Bayesian in Time-to-Event Data Analysis Bayesian in Longitudinal Data Analysis Bayesian in Diagnostics Test Statistics This book is intended as a first course in bayesian biostatistics for oncology students. An oncologist can find useful guidance for implementing bayesian in research work. It serves as a practical guide and an excellent resource for learning the theory and practice of bayesian methods for the applied statistician, biostatistician, and data scientist.