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基于效用的藤川篮式试验设计优化——一项比较研究的预先指定方案

Utility-based optimization of Fujikawa's basket trial design - Pre-specified protocol of a comparison study.

作者信息

Sauer Lukas D, Ritz Alexander, Kieser Meinhard

机构信息

Institute of Medical Biometry, Heidelberg University, Heidelberg, Germany.

Institute of Mathematics, Clausthal University of Technology, Clausthal-Zellerfeld, Germany.

出版信息

PLoS One. 2025 May 28;20(5):e0323097. doi: 10.1371/journal.pone.0323097. eCollection 2025.

DOI:10.1371/journal.pone.0323097
PMID:40435293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12119007/
Abstract

Basket trial designs are a type of master protocol in which the same therapy is tested in several strata of the patient cohort. Many basket trial designs implement borrowing mechanisms. These allow sharing information between similar strata with the goal of increasing power in responsive strata while at the same time constraining type-I error inflation to a bearable threshold. These borrowing mechanisms can be tuned using numerical tuning parameters. The optimal choice of these tuning parameters is subject to research. In a comparison study using simulations and numerical calculations, we are planning to investigate the use of utility functions for quantifying the compromise between power and type-I error inflation and the use of numerical optimization algorithms for optimizing these functions. The present document is the protocol of this comparison study, defining each step of the study in accordance with the ADEMP scheme for pre-specification of simulation studies.

摘要

篮子试验设计是一种主方案,其中在患者队列的几个层次中对相同的治疗方法进行测试。许多篮子试验设计采用了信息借用机制。这些机制允许在相似层次之间共享信息,目的是在反应性层次中提高检验效能,同时将I型错误膨胀限制在可承受的阈值内。这些信息借用机制可以使用数值调整参数进行调整。这些调整参数的最佳选择有待研究。在一项使用模拟和数值计算的比较研究中,我们计划研究效用函数在量化检验效能和I型错误膨胀之间的折衷方面的应用,以及数值优化算法在优化这些函数方面的应用。本文件是这项比较研究的方案,根据模拟研究预规范的ADEMP方案定义了研究的每个步骤。

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Basket trials in oncology: a systematic review of practices and methods, comparative analysis of innovative methods, and an appraisal of a missed opportunity.肿瘤学中的篮子试验:实践与方法的系统评价、创新方法的比较分析以及对错失机遇的评估
Front Oncol. 2023 Nov 14;13:1266286. doi: 10.3389/fonc.2023.1266286. eCollection 2023.
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Umbrella review of basket trials testing a drug in tumors with actionable genetic biomarkers.
伞式评价篮子试验,以检测具有可操作遗传生物标志物的肿瘤中的药物。
BMC Cancer. 2023 Jan 13;23(1):46. doi: 10.1186/s12885-022-10421-w.
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A new basket trial design based on clustering of homogeneous subpopulations.基于同质亚群聚类的新型篮子试验设计。
J Biopharm Stat. 2021 Jul 4;31(4):425-447. doi: 10.1080/10543406.2021.1897993. Epub 2021 Jul 8.
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Optimal Bayesian hierarchical model to accelerate the development of tissue-agnostic drugs and basket trials.最优贝叶斯层级模型加速组织不可知药物和篮子试验的发展。
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