Evidence map›Paper›PMID 41328627›Full record

ArticleStatistics in medicine2025

Graph Based, Adaptive, Multiarm, Multiple Endpoint, Two-Stage Designs.

Cyrus Mehta, Ajoy Mukhopadhyay, Martin Posch

Abstract read
In one paragraph

Article in Statistics in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  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

3 authors.

Cyrus MehtaCytel Corporation, Cambridge, MA, USA.ORCID https://orcid.org/0000-0003-0724-3104
Ajoy MukhopadhyayCytel Corporation, Cambridge, MA, USA.
Martin PoschMedical University of Vienna, Austria.ORCID https://orcid.org/0000-0001-8499-8573

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The graph-based approach to multiple testing is an intuitive method that enables a study team to represent clearly, through a directed graph, its priorities for hierarchical testing of multiple hypotheses, and for propagating the available type-1 error from rejected or dropped hypotheses to hypotheses yet to be tested. Although originally developed for single-stage nonadaptive designs, we show how it may be extended to two-stage designs that permit early identification of efficacious treatments, adaptive sample size re-estimation, dropping of hypotheses, and changes in the hierarchical testing strategy at the end of stage one. Two approaches are available for preserving the familywise error rate in the presence of these adaptive changes, the

Indexed as

Clinical Trials as TopicEndpoint DeterminationResearch DesignComputer SimulationData Interpretation, StatisticalHumansModels, StatisticalSample Sizeadaptive designcombiningconditional error rategraphsgroup sequentialhierarchical testingMAMS designmultiple endpoints

Identifiers

PMID41328627
PMCPMC12670376

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.