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Optimal test statistics for minimising not cured proportion in adaptive clinical trial. Optimal test statistics for minimising not cured proportion. (English) Zbl 1378.62133

Summary: In last several decades adaptive sequential binary design has been used with a goal to increase performance in estimation, testing of parameters and to reduce expected number of non-cured patients in the context of clinical trials. The procedures have been studied theoretically and also using simulation techniques in many papers. As for example play the winner rule, randomised play the winner rule, adaptive randomised play the winner rule have been studied extensively. W. F. Rosenberger et al. [Biometrics 57, No. 3, 909–913 (2001; Zbl 1209.62181)] considered different types of difference function of \( \hat {p_{A}}\) and \(\hat {p_{B}}\) as the test statistic in adaptive sequential design for the purpose of better inference along with decreasing number of non-cured patients. In this paper we considered how to choose the optimal function to achieve the goals with better performance. Using extensive simulation studies we have supported our claim and have shown that our methods perform better than existing methods. Also in the methods given by us we have a choice on the proportion of non-cured patients which we can vary with the inferential goal in mind. This is a new approach in adaptive sequential design.

MSC:

62P10 Applications of statistics to biology and medical sciences; meta analysis
62L05 Sequential statistical design
62F03 Parametric hypothesis testing

Citations:

Zbl 1209.62181
Full Text: DOI

References:

[1] Rosenberger, W.F., Stallard, N., Ivanova, A., Harper, C.N. and Ricks, M.L (2001). Optimal adaptive designs for binary response trials. Biometrics57, 3, 909-913. · Zbl 1209.62181 · doi:10.1111/j.0006-341X.2001.00909.x
[2] Wei, L.J. and Durham, S (1978). The randomized play-the-winner rule in medical trials. J. Amer. Statist. Assoc.73, 364, 840-843. · Zbl 0391.62076 · doi:10.1080/01621459.1978.10480109
[3] Zelen, M. (1969). Play-the-winner rule and the controlled clinical trial. J. Amer. Statist. Assoc.64, 131-146. · doi:10.1080/01621459.1969.10500959
[4] Biswas, A. and Bandyopadhyay, U (1999). Allocation by randomised play-the-winner rule in the presence of prognostic factors. Sankhya: The Indian Journal of Statistics61, Series B, Pt. 3, 397-412. · Zbl 0972.62061
[5] Azriel, D., Mandel, M. and Rinott, Y (2012). Optimal allocation to maximise the power of two sample tests for binary response. Biometrica99, 101-113. · Zbl 1234.62132 · doi:10.1093/biomet/asr077
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