Evidence map›Paper›PMID 19326367›Full record

ArticleStatistics in medicine2009

Using short-term response information to facilitate adaptive randomization for survival clinical trials.

Xuelin Huang, Jing Ning, Yisheng Li, Elihu Estey, Jean-Pierre Issa, Donald A Berry

Abstract read
In one paragraph

Article in Statistics in medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. A novel evaluation of optimality for randomized controlled trials.Journal of biopharmaceutical statistics · 2017
    Article
  12. Review
  13. Adaptive clinical trial designs in oncology.Chinese clinical oncology · 2014
    Article
  14. Article
  15. Evaluating many treatments and biomarkers in oncology: a new design.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013
    Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xuelin HuangDepartment of Biostatistics, The University of Texas, M. D. Anderson Cancer Center, Houston, TX 77030, U.S.A.
Jing Ning
Yisheng Li
Elihu Estey
Jean-Pierre Issa
Donald A Berry

Funding

University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KONOPLEVA, MARINA Y · 2003 to 2023
$43.7M
Tyrosine Kinases, Serine-Threonine Kinases,&Phosophatases in PathogenesisP01CA108631 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ESTEY, ELIHU · 2005 to 2009
$9.7M
NCI NIH HHS 1 P50 CA100632NCI NIH HHS 1 PO1 CA108631-01NCI NIH HHS P01 CA108631NCI NIH HHS P50 CA100632
6 · The paper itself

Abstract

Increased survival is a common goal of cancer clinical trials. Owing to the long periods of observation and follow-up to assess patient survival outcome, it is difficult to use outcome-adaptive randomization in these trials. In practice, often information about a short-term response is quickly available during or shortly after treatment, and this short-term response is a good predictor for long-term survival. For example, complete remission of leukemia can be achieved and measured after a few cycles of treatment. It is a short-term response that is desirable for prolonging survival. We propose a new design for survival trials when such short-term response information is available. We use the short-term information to 'speed up' the adaptation of the randomization procedure. We establish a connection between the short-term response and the long-term survival through a Bayesian model, first by using prior clinical information, and then by dynamically updating the model according to information accumulated in the ongoing trial. Interim monitoring and final decision making are based upon inference on the primary outcome of survival. The new design uses fewer patients, and can more effectively assign patients to the better treatment arms. We demonstrate these properties through simulation studies.

Indexed as

Random AllocationBayes TheoremBiometryHumansModels, StatisticalNeoplasmsRandomized Controlled Trials as TopicSurvival RateTime FactorsTreatment Outcome

Identifiers

PMID19326367
PMCPMC2883264

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.