Background <p> Trial designs are one of the important topics for drug developers. Technical understanding of adaptive dose-finding trial designs is beneficial to clinical pharmacologists as they can gain a new perspective for effectively using their expertise skills and making their contributions visible in a drug development process. However, there is no introductory review paper on dose-finding adaptive designs available for clinical pharmacologists since trial design publications in statistical journals often do not primarily focus on the practical considerations of clinical pharmacologists. </p> Objective <p> This short article reviews standard dose-finding adaptive designs that are typically employed in oncology clinical trials for clinical pharmacologists and non-statisticians. </p> Results <p> Standard dose-finding adaptive designs are described without mathematical equations, and basic concepts of model-based designs vs. model-assisted designs are provided in contrast to rule-based designs. Clinical pharmacology (CP) considerations for selecting an adaptive design, regarding objectives and endpoints, safety constraints, linear assumptions, and pre-specification of unknown dose/exposure-response relationships are described. A list of potential design inputs and impact is provided from a clinical pharmacology perspective.</p> Conclusion <p> Familiarizing themselves with adaptive trial designs will help clinical pharmacologists and non-statisticians to well prepare for drug development collaboration in a cross-functional team setting. Proactively getting involved in choosing a trial design will contribute to successful dose-finding in oncology drug development.</p>

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A short review of dose-finding adaptive trial designs for clinical pharmacologists and non-statisticians in oncology

  • Yoko Franchetti

摘要

Background

Trial designs are one of the important topics for drug developers. Technical understanding of adaptive dose-finding trial designs is beneficial to clinical pharmacologists as they can gain a new perspective for effectively using their expertise skills and making their contributions visible in a drug development process. However, there is no introductory review paper on dose-finding adaptive designs available for clinical pharmacologists since trial design publications in statistical journals often do not primarily focus on the practical considerations of clinical pharmacologists.

Objective

This short article reviews standard dose-finding adaptive designs that are typically employed in oncology clinical trials for clinical pharmacologists and non-statisticians.

Results

Standard dose-finding adaptive designs are described without mathematical equations, and basic concepts of model-based designs vs. model-assisted designs are provided in contrast to rule-based designs. Clinical pharmacology (CP) considerations for selecting an adaptive design, regarding objectives and endpoints, safety constraints, linear assumptions, and pre-specification of unknown dose/exposure-response relationships are described. A list of potential design inputs and impact is provided from a clinical pharmacology perspective.

Conclusion

Familiarizing themselves with adaptive trial designs will help clinical pharmacologists and non-statisticians to well prepare for drug development collaboration in a cross-functional team setting. Proactively getting involved in choosing a trial design will contribute to successful dose-finding in oncology drug development.