Optimizing the Data Combination Rule for Seamless Phase II/III Clinical Trials

Lisa Hampson, Christopher Jennison

Research output: Contribution to journalArticle

3 Citations (Scopus)
32 Downloads (Pure)

Abstract

We consider seamless Phase II/III clinical trials which compare K treatments with a common control in Phase II, then test the most promising treatment against control in Phase III. The final hypothesis test for the selected treatment can use data from both Phases, subject to controlling the familywise type I error rate. We show that the choice of method for conducting the final hypothesis test has a substantial impact on the power to demonstrate that an effective treatment is superior to control. To understand these differences in power we derive decision rules which maximise power for particular configurations of treatment effects. A rule with such an optimal frequentist property is found as the solution of a multivariate Bayes decision problem. The optimal rules that we derive depend on the assumed configuration of treatment means. However, we are able to identify two decision rules with robust efficiency across a wide variety of scenarios: a rule using a weighted average of the Phase II and Phase III data on the selected treatment and control, and a closed testing procedure using an inverse normal combination rule and a Dunnett test for intersection hypotheses. For the first of these rules, we find the optimal division of a given total sample size between Phase II and Phase III.We also assess the value of using Phase II data in the final analysis and find that for many plausible scenarios, between 50% and 70% of the Phase II numbers on the selected treatment and control would need to be added to the Phase III sample size in order to achieve the same increase in power.
Original languageEnglish
Pages (from-to)39-58
Number of pages20
JournalStatistics in medicine
Volume34
Issue number1
Early online date15 Oct 2014
DOIs
Publication statusPublished - 15 Jan 2015

Keywords

  • Bayes decision problem
  • combination test
  • closed testing procedure
  • multiple hypothesis testing
  • seamless phase II/III trial
  • treatment selection

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