Source:http://linkedlifedata.com/resource/pubmed/id/16342336
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
2005-12-19
|
pubmed:abstractText |
In this paper, Bayesian decision procedures are developed for dose-escalation studies based on bivariate observations of undesirable events and signs of therapeutic benefit. The methods generalize earlier approaches taking into account only the undesirable outcomes. Logistic regression models are used to model the two responses, which are both assumed to take a binary form. A prior distribution for the unknown model parameters is suggested and an optional safety constraint can be included. Gain functions to be maximized are formulated in terms of accurate estimation of the limits of a 'therapeutic window' or optimal treatment of the next cohort of subjects, although the approach could be applied to achieve any of a wide variety of objectives. The designs introduced are illustrated through simulation and retrospective implementation to a completed dose-escalation study.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jan
|
pubmed:issn |
0277-6715
|
pubmed:author | |
pubmed:copyrightInfo |
Copyright 2005 John Wiley & Sons, Ltd.
|
pubmed:issnType |
Print
|
pubmed:day |
15
|
pubmed:volume |
25
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
37-53
|
pubmed:dateRevised |
2007-11-15
|
pubmed:meshHeading |
pubmed-meshheading:16342336-Anticoagulants,
pubmed-meshheading:16342336-Bayes Theorem,
pubmed-meshheading:16342336-Clinical Trials, Phase I as Topic,
pubmed-meshheading:16342336-Decision Making,
pubmed-meshheading:16342336-Dose-Response Relationship, Drug,
pubmed-meshheading:16342336-Factor Xa,
pubmed-meshheading:16342336-Humans,
pubmed-meshheading:16342336-Logistic Models,
pubmed-meshheading:16342336-Maximum Tolerated Dose,
pubmed-meshheading:16342336-Models, Statistical,
pubmed-meshheading:16342336-Thromboembolism
|
pubmed:year |
2006
|
pubmed:articleTitle |
Bayesian decision procedures for dose-escalation based on evidence of undesirable events and therapeutic benefit.
|
pubmed:affiliation |
Medical and Pharmaceutical Statistics Research Unit, The University of Reading, UK. j.r.whitehead@reading.ac.uk
|
pubmed:publicationType |
Journal Article
|