Dataset Information
Statistical controversies in clinical research: early-phase adaptive design for combination immunotherapies.
Ontology highlight
ABSTRACT: Background
In recent years, investigators have asserted that the 3 + 3 design lacks flexibility, making its use in modern early-phase trial settings, such as combinations and/or biological agents, inefficient. More innovative approaches are required to address contemporary research questions, such as those posed in trials involving immunotherapies.Design
We describe the implementation of an adaptive design for identifying an optimal treatment regimen, defined by low toxicity and high immune response, in an early-phase trial of a melanoma helper peptide vaccine plus novel adjuvant combinations.Results
Operating characteristics demonstrate the ability of the method to effectively recommend optimal regimens in a high percentage of trials with reasonable sample sizes.Conclusions
The proposed design is a practical, early-phase, adaptive method for use with combined immunotherapy regimens. This design can be applied more broadly to early-phase combination studies, as it was used in an ongoing study of two small molecule inhibitors in relapsed/refractory mantle cell lymphoma.
SUBMITTER: Wages NA
PROVIDER: S-EPMC5834099 | biostudies-literature | 2017 Apr
REPOSITORIES: biostudies-literature
Publications
Statistical controversies in clinical research: early-phase adaptive design for combination immunotherapies.
Annals of oncology : official journal of the European Society for Medical Oncology 20170401 4
<h4>Background</h4>In recent years, investigators have asserted that the 3 + 3 design lacks flexibility, making its use in modern early-phase trial settings, such as combinations and/or biological agents, inefficient. More innovative approaches are required to address contemporary research questions, such as those posed in trials involving immunotherapies.<h4>Design</h4>We describe the implementation of an adaptive design for identifying an optimal treatment regimen, defined by low toxicity and ...[more]