Evidence map›Paper›PMID 38205644›Full record

ReviewClinical trials (London, England)2024

Adaptive phase I-II clinical trial designs identifying optimal biological doses for targeted agents and immunotherapies.

Yong Zang, Beibei Guo, Yingjie Qiu, Hao Liu, Mateusz Opyrchal, Xiongbin Lu

Abstract readReview
In one paragraph

Review in Clinical trials (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
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  4. Review
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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.

Yong ZangDepartment of Biostatistics and Health Data Science, School of Medicine, Indiana University, Indianapolis, IN, USA.ORCID 0000-0003-0572-4756
Beibei GuoDepartment of Experimental Statistics, Louisiana State University, Baton Rouge, LA, USA.
Yingjie QiuDepartment of Biostatistics and Health Data Science, School of Medicine, Indiana University, Indianapolis, IN, USA.ORCID 0009-0009-9429-2131
Hao LiuDepartment of Biostatistics and Epidemiology, Cancer Institute of New Jersey, Rutgers University, New Brunswick, NJ, USA.
Mateusz OpyrchalDepartment of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.
Xiongbin LuDepartment of Medical and Molecular Genetics, School of Medicine, Indiana University, Indianapolis, IN, USA.

Funding

Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Sara K Quinney · 1999 to 2026
$59.3M
Use Bayesian methods to facilitate the data integration for complex clinical trialsR01GM150808 · NIGMS · INDIANA UNIVERSITY INDIANAPOLIS · PI Yong Zang · 2023 to 2026
$1.3M
Curve-free phase I/II clinical trial designs for molecularly targeted agents and immunotherapyR21CA264257 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI ZANG, YONG · 2021 to 2022
$277k
NCI NIH HHS P30 CA082709NCI NIH HHS R21 CA264257NIGMS NIH HHS R01 GM150808
6 · The paper itself

Abstract

Targeted agents and immunotherapies have revolutionized cancer treatment, offering promising options for various cancer types. Unlike traditional therapies the principle of "more is better" is not always applicable to these new therapies due to their unique biomedical mechanisms. As a result, various phase I-II clinical trial designs have been proposed to identify the optimal biological dose that maximizes the therapeutic effect of targeted therapies and immunotherapies by jointly monitoring both efficacy and toxicity outcomes. This review article examines several innovative phase I-II clinical trial designs that utilize accumulated efficacy and toxicity outcomes to adaptively determine doses for subsequent patients and identify the optimal biological dose, maximizing the overall therapeutic effect. Specifically, we highlight three categories of phase I-II designs: efficacy-driven, utility-based, and designs incorporating multiple efficacy endpoints. For each design, we review the dose-outcome model, the definition of the optimal biological dose, the dose-finding algorithm, and the software for trial implementation. To illustrate the concepts, we also present two real phase I-II trial examples utilizing the EffTox and ISO designs. Finally, we provide a classification tree to summarize the designs discussed in this article.

Indexed as

Clinical Trials, Phase I as TopicClinical Trials, Phase II as TopicImmunotherapyNeoplasmsResearch DesignAdaptive Clinical Trials as TopicAlgorithmsDose-Response Relationship, DrugHumansMolecular Targeted TherapyBayesian adaptive designdose optimizationImmunotherapyphase I–II trialtargeted agent

Identifiers

PMID38205644
PMCPMC11132954

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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.