Evidence map›Paper›PMID 39397762›Full record

ArticleStatistical methods in medical research2024

A seamless Phase I/II platform design with a time-to-event efficacy endpoint for potential COVID-19 therapies.

Thomas Jaki, Helen Barnett, Andrew Titman, Pavel Mozgunov

Abstract read
In one paragraph

Article in Statistical methods in medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

4 authors.

Thomas JakiFaculty for Informatics and Data Science, University Regensburg, Germany.ORCID 0000-0002-1096-188X
Helen BarnettSchool of Mathematical Sciences, Lancaster University, UK.ORCID 0000-0001-7466-7033
Andrew TitmanSchool of Mathematical Sciences, Lancaster University, UK.
Pavel MozgunovMRC Biostatistics Unit, University of Cambridge, UK.ORCID 0000-0001-6810-0284

Funding

Medical Research Council MC_UU_00002/19
6 · The paper itself

Abstract

In the search for effective treatments for COVID-19, the initial emphasis has been on re-purposed treatments. To maximize the chances of finding successful treatments, novel treatments that have been developed for this disease in particular, are needed. In this article, we describe and evaluate the statistical design of the AGILE platform, an adaptive randomized seamless Phase I/II trial platform that seeks to quickly establish a safe range of doses and investigates treatments for potential efficacy. The bespoke Bayesian design (i) utilizes randomization during dose-finding, (ii) shares control arm information across the platform, and (iii) uses a time-to-event endpoint with a formal testing structure and error control for evaluation of potential efficacy. Both single-agent and combination treatments are considered. We find that the design can identify potential treatments that are safe and efficacious reliably with small to moderate sample sizes.

Indexed as

Bayes TheoremClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicCOVID-19COVID-19 Drug TreatmentResearch DesignSARS-CoV-2Adaptive Clinical Trials as TopicAntiviral AgentsEndpoint DeterminationHumansPandemicsRandomized Controlled Trials as TopicSample SizeTreatment OutcomeAntiviral AgentsAdaptive platform trialCOVID-19dose-escalationrandomizedseamlesstime-to-improvement

Identifiers

PMID39397762
PMCPMC11577684

What OpenQuestion holds

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LicenceCC BY
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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.