Abstract
Compared to single-arm phase II trials, randomized phase II trials provide a more reliable way to assess the efficacy of experimental drugs and make the Go/No-Go decision. This chapter introduces a frequentist design, followed by several Bayesian randomized phase II designs, including randomized Bayesian optimal phase 2 (BOP2) design and two-stage screened selection design. This chapter focuses on Bayesian designs because of their flexibility and efficiency to handle the complexity of immunotherapies and targeted therapies that may involve binary, survival, ordinal, co-primary and multiple endpoints. A two-stage screened selection design (SSD) for randomized trials but without the control treatment is also introduced. Software to implement these designs are described.
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Notes
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References
Estey, E. H., & Thall, P. F. (2003). New designs for phase 2 clinical trials. Blood, 102(2), 442–448.
Herbst, R. S., Prager, D., Hermann, R., Miller, V., Fehrenbacher, L., Hoffman, P., et al. (2004). TRIBUTE-A phase III trial of erlotinib HCl (OSI-774) combined with carboplatin and paclitaxel (CP) chemotherapy in advanced non-small cell lung cancer (NSCLC). Journal of Clinical Oncology, 22(14 suppl), 7011–7011.
Jung, S. H. (2008). Randomized phase II trials with a prospective control. Statistics in Medicine, 27(4), 568–583.
Jung, S. H. (2013). Randomized phase II cancer clinical trials. CRC Press.
Mandrekar, S. J., & Sargent, D. J. (2010). Randomized phase II trials: Time for a new era in clinical trial design. Journal of Thoracic Oncology, 5(7), 932–934.
Park, J. J., Siden, E., Zoratti, M. J., Dron, L., Harari, O., Singer, J., et al. (2019). Systematic review of basket trials, umbrella trials, and platform trials: A landscape analysis of master protocols. Trials, 20(1), 1–10.
Rubinstein, L. V., Korn, E. L., Freidlin, B., Hunsberger, S., Ivy, S. P., & Smith, M. A. (2005). Design issues of randomized phase II trials and a proposal for phase II screening trials. Journal of Clinical Oncology, 23(28), 7199–7206.
Sandler, A., Gray, R., Perry, M. C., Brahmer, J., Schiller, J. H., Dowlati, A., et al. (2006). Paclitaxel-carboplatin alone or with bevacizumab for non-small-cell lung cancer. New England Journal of Medicine, 355(24), 2542–2550.
Sargent, D. J., & Goldberg, R. M. (2001). A flexible design for multiple armed screening trials. Statistics in Medicine, 20(7), 1051–1060.
Simon, R., Wittes, R. E., & Ellenberg, S. S. (1985). Randomized phase II clinical trials. Cancer Treatment Reports, 69(12), 1375–1381.
Thall, P. F., Wooten, L. H., & Tannir, N. M. (2005). Monitoring event times in early phase clinical trials: Some practical issues. Clinical Trials, 2(6), 467–478.
Vickers, A. J., Ballen, V., & Scher, H. I. (2007). Setting the bar in phase II trials: The use of historical data for determining “go/no go’’ decision for definitive phase III testing. Clinical Cancer Research, 13(3), 972–976.
Wu, J., Pan, H., & Hsu, C. W. (2022). Two-stage screened selection designs for randomized phase II trials with time-to-event endpoints. Biometrical Journal.
Wu, J. (2015). Sample size calculation for the one-sample log-rank test. Pharmaceutical Statistics, 14(1), 26–33.
Wu, J. (2017). Single-arm phase II survival trial design under the proportional hazards model. Statistics in Biopharmaceutical Research, 9(1), 25–34.
Yap, C., Pettitt, A., & Billingham, L. (2013). Screened selection design for randomised phase II oncology trials: an example in chronic lymphocytic leukaemia. BMC Medical Research Methodology, 13(1), 1–9.
Zhou, H., Chen, C., Sun, L., & Yuan, Y. (2020). Bayesian optimal phase II clinical trial design with time-to-event endpoint. Pharmaceutical Statistics, 19(6), 776–786.
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Pan, H., Yuan, Y. (2023). Randomized Phase II Designs. In: Bayesian Adaptive Design for Immunotherapy and Targeted Therapy. Springer, Singapore. https://doi.org/10.1007/978-981-19-8176-0_7
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DOI: https://doi.org/10.1007/978-981-19-8176-0_7
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