Evidence map›Paper›PMID 28520893›Full record

ArticleBiostatistics (Oxford, England)2018

Using Bayesian modeling in frequentist adaptive enrichment designs.

Noah Simon, Richard Simon

Abstract read
In one paragraph

Article in Biostatistics (Oxford, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Adaptive Enrichment Designs in Clinical Trials.Annual review of statistics and its application · 2021
    Article
  10. Article
  11. A nonparametric Bayesian basket trial design.Biometrical journal. Biometrische Zeitschrift · 2019
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. 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

2 authors.

Noah SimonDepartment of Biostatistics, University of Washington, Box 357232, Seattle, WA 98195, USA nrsimon@uw.edu.
Richard SimonBiometric Research Branch of the National Cancer Institute (at the National Institutes of Health), 9609 Medical Center Dr, Rockville, MD 20850, USA.

Funding

Data-Driven Statistical Learning with Applications to GenomicsDP5OD019820 · OD · UNIVERSITY OF WASHINGTON · PI SIMON, NOAH · 2014 to 2018
$1.7M
NIH HHS DP5 OD019820
6 · The paper itself

Abstract

Our increased understanding of the mechanistic heterogeneity of diseases has pushed the development of targeted therapeutics. We do not expect all patients with a given disease to benefit from a targeted drug; only those in the target population. That is, those with sufficient dysregulation in the biomolecular pathway targeted by treatment. However, due to complexity of the pathway, and/or technical issues with our characterizing assay, it is often hard to characterize the target population until well into large-scale clinical trials. This has stimulated the development of adaptive enrichment trials; clinical trials in which the target population is adaptively learned; and enrollment criteria are adaptively updated to reflect this growing understanding. This paper proposes a framework for group-sequential adaptive enrichment trials. Building on the work of Simon & Simon (2013). Adaptive enrichment designs for clinical trials. Biostatistics 14(4), 613-625), it includes a frequentist hypothesis test at the end of the trial. However, it uses Bayesian methods to optimize the decisions required during the trial (regarding how to restrict enrollment) and Bayesian methods to estimate effect size, and characterize the target population at the end of the trial. This joint frequentist/Bayesian design combines the power of Bayesian methods for decision making with the use of a formal hypothesis test at the end of the trial to preserve the studywise probability of a type I error.

Indexed as

Bayes TheoremClinical Trials as TopicModels, StatisticalResearch DesignHumansAdaptive enrichmentBayesian statisticsClinical trials

Identifiers

PMID28520893
PMCPMC6075009

What OpenQuestion holds

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Registered trials

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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.