首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献,搜索用时 0 毫秒
1.
  总被引:4,自引:0,他引:4  
In many phase II clinical trials, it is essential to assess both efficacy and safety. Although several phase II designs that accommodate multiple outcomes have been proposed recently, none are derived using decision theory. This paper describes a Bayesian decision theoretic strategy for constructing phase II designs based on both efficacy and adverse events. The gain function includes utilities assigned to patient outcomes, a reward for declaring the new treatment promising, and costs associated with the conduct of the phase II trial and future phase III testing. A method for eliciting gain function parameters from medical collaborators and for evaluating the design's frequentist operating characteristics is described. The strategy is illustrated by application to a clinical trial of peripheral blood stem cell transplantation for multiple myeloma.  相似文献   

2.
3.
4.
Repeated significance tests for a normal mean   总被引:2,自引:0,他引:2  
SEIGMUND  D. 《Biometrika》1977,64(2):177-189
  相似文献   

5.
6.
    
Ding M  Rosner GL  Müller P 《Biometrics》2008,64(3):886-894
Summary .   Most phase II screening designs available in the literature consider one treatment at a time. Each study is considered in isolation. We propose a more systematic decision-making approach to the phase II screening process. The sequential design allows for more efficiency and greater learning about treatments. The approach incorporates a Bayesian hierarchical model that allows combining information across several related studies in a formal way and improves estimation in small data sets by borrowing strength from other treatments. The design incorporates a utility function that includes sampling costs and possible future payoff. Computer simulations show that this method has high probability of discarding treatments with low success rates and moving treatments with high success rates to phase III trial.  相似文献   

7.
8.
A dynamic allocation index for the discounted multiarmed bandit problem   总被引:1,自引:0,他引:1  
GITTINS  J. C.; JONES  D. M. 《Biometrika》1979,66(3):561-565
  相似文献   

9.
Cheng  Yi; Berry  Donald A. 《Biometrika》2007,94(3):673-689
Optimal decision-analytic designs are deterministic. Such designsare appropriately criticized in the context of clinical trialsbecause they are subject to assignment bias. On the other hand,balanced randomized designs may assign an excessive number ofpatients to a treatment arm that is performing relatively poorly.We propose a compromise between these two extremes, one thatachieves some of the good characteristics of both. We introducea constrained optimal adaptive design for a fully sequentialrandomized clinical trial with k arms and n patients. An r-designis one for which, at each allocation, each arm has probabilityat least r of being chosen, 0 r 1/k. An optimal design amongall r-designs is called r-optimal. An r1-design is also an r2-designif r1 r2. A design without constraint is the special case r = 0and a balanced randomized design is the special case r = 1/k.The optimization criterion is to maximize the expected overallutility in a Bayesian decision-analytic approach, where utilityis the sum over the utilities for individual patients over a‘patient horizon’ N. We prove analytically thatthere exists an r-optimal design such that each patient is assignedto a particular one of the arms with probability 1 – (k – 1)r,and to the remaining arms with probability r. We also show thatthe balanced design is asymptotically r-optimal for any givenr, 0 r < 1/k, as N/n  . This implies that everyr-optimal design is asymptotically optimal without constraint.Numerical computations using backward induction for k = 2arms show that, in general, this asymptotic optimality featurefor r-optimal designs can be accomplished with moderate trialsize n if the patient horizon N is large relative to n. We alsoshow that, in a trial with an r-optimal design, r < 1/2,fewer patients are assigned to an inferior arm than when followinga balanced design, even for r-optimal designs having the samestatistical power as a balanced design. We discuss extensionsto various clinical trial settings.  相似文献   

10.
The economics of escape behaviour in the pea aphid,Acyrthosiphon pisum   总被引:5,自引:0,他引:5  
Summary Pea aphids have several alternative responses to the detection of alarm pheromone produced by conspecifics. One of these, dropping from the feeding site to the ground, is potentially costly owing to the risk of desiccation-induced mortality on the ground before another host plant can be reached. Both dropping and walking from the feeding site incur a cost due to lost feeding opportunity. The aphids' decision as to which anti-predator tactic to use should be sensitive to the costs of their behaviour. Consequently, aphids should be less likely to drop when the risk of desiccation is higher, and less likely to drop or walk when the lost opportunity cost is higher. We tested these predictions by manipulating climatic severity (temperature and humidity) and host quality, respectively. As predicted, aphids are less likely to drop or walk in response to pheromone when feeding on high quality than on low quality hosts, and less likely to drop when the environment is hot and dry than when it is more benign. The latter is true whether the aphids are feeding on real or simulated leaves. Since all aphids were of the same clone, these results show that individual aphid genotypes possess the ability to adaptively modify their escape behaviour with changes in prevailing conditions. A number of other behavioural observations in the aphid literature may be interpreted in an economic or cost-benefit framework. The approach holds considerable promise for understanding many aspects of the anti-predator behaviour of aphids and other animals.  相似文献   

11.
12.
    
A dynamic regime is a function that takes treatment and covariate history and baseline covariates as inputs and returns a decision to be made. Murphy (2003, Journal of the Royal Statistical Society, Series B 65, 331-366) and Robins (2004, Proceedings of the Second Seattle Symposium on Biostatistics, 189-326) have proposed models and developed semiparametric methods for making inference about the optimal regime in a multi-interval trial that provide clear advantages over traditional parametric approaches. We show that Murphy's model is a special case of Robins's and that the methods are closely related but not equivalent. Interesting features of the methods are highlighted using the Multicenter AIDS Cohort Study and through simulation.  相似文献   

13.
    
Yebin Tao  Lu Wang 《Biometrics》2017,73(1):145-155
  相似文献   

14.
Asymptotic inference from sequential design in a nonlinear situation   总被引:1,自引:0,他引:1  
WU  C. F. J. 《Biometrika》1985,72(3):553-558
  相似文献   

15.
CHAO  ANNE; YANG  MARK C. K. 《Biometrika》1993,80(1):193-201
  相似文献   

16.
Summary Third and fourth instar larvae and pupae of the facultatively myrmecophilous Palaearctic blue butterflyPolyommatus icarus showed no alteration in developmental time when reared in the presence of two species ofLasius ants. Sex differences were observed in larval growth and pupal weight, with males growing larger and faster. Sex-related differences also occurred in the costs and benefits of ant-attendance. Male pupal masses tended to be larger in individuals associated with ants, and their pupal weight loss was not enhanced by ant attendance. This positive developmental effect of myrmecophily is tentatively attributed to a stimulating influence of ants on caterpillar feeding behavior. In contrast, females associated with ants tended to lose more weight during the pupal stage. Hence there is evidence for developmental benefits, rather than costs, of myrmecophily in maleP. icarus immatures, whereas ant attendance appears to be more costly for females during the pupal stage. These findings are discussed in relation to data on other myrmecophilous lycaenid species. It is suggested that maintaining low-level myrmecophily and its related organs is a comparatively inexpensive evolutionary stable strategy among this butterfly group.  相似文献   

17.
Storage of sequence data is a big concern as the amount of data generated is exponential in nature at several locations. Therefore,there is a need to develop techniques to store data using compression algorithm. Here we describe optimal storage algorithm(OPTSDNA) for storing large amount of DNA sequences of varying length. This paper provides performance analysis of optimalstorage algorithm (OPTSDNA) of a distributed bioinformatics computing system for analysis of DNA sequences. OPTSDNAalgorithm is used for storing various sizes of DNA sequences into database. DNA sequences of different lengths were stored byusing this algorithm. These input DNA sequences are varied in size from very small to very large. Storage size is calculated by thisalgorithm. Response time is also calculated in this work. The efficiency and performance of the algorithm is high (in size calculationwith percentage) when compared with other known with sequential approach.  相似文献   

18.
19.
20.
    
TABLEMAN  MARA 《Biometrika》1987,74(3):625-630
  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号