Bayesian approach for design and analysis of medical device trials in the era of modern clinical studies

Medical device technology develops rapidly, and the life cycle of a medical device is much shorter than drugs. It is necessary to evaluate the safety and effectiveness of a medical device in a timely manner to keep up with technology flux. Bayesian methods provides an efficient approach to addressin...

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Main Authors: Cao Han, Yao Chen, Yuan Ying
Format: Article
Language:English
Published: De Gruyter 2023-10-01
Series:Medical Review
Subjects:
Online Access:https://doi.org/10.1515/mr-2023-0026
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author Cao Han
Yao Chen
Yuan Ying
author_facet Cao Han
Yao Chen
Yuan Ying
author_sort Cao Han
collection DOAJ
description Medical device technology develops rapidly, and the life cycle of a medical device is much shorter than drugs. It is necessary to evaluate the safety and effectiveness of a medical device in a timely manner to keep up with technology flux. Bayesian methods provides an efficient approach to addressing this challenge. In this article, we review the characteristics of the Bayesian approach and some Bayesian designs that were commonly used in medical device regulatory setting, including Bayesian adaptive design, Bayesian diagnostic design, Bayesian multiregional design, and Bayesian label expansion study. We illustrate these designs with medical devices approved by the US Food and Drug Administration (FDA). We also review several innovative Bayesian information borrowing methods, and briefly discuss the challenges and future directions of the Bayesian application in medical device trials. Our objective is to promote the use of the Bayesian approach to accelerate the development of innovative medical devices and their accessibility to patients for effective disease diagnoses and treatments.
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spelling doaj.art-e38b807c582f4f1ca0d6a4aaa40c645a2023-12-26T07:40:39ZengDe GruyterMedical Review2749-96422023-10-013540842410.1515/mr-2023-0026Bayesian approach for design and analysis of medical device trials in the era of modern clinical studiesCao Han0Yao Chen1Yuan Ying2Department of Biostatistics, Peking University First Hospital, Beijing, ChinaDepartment of Biostatistics, Peking University First Hospital, Beijing, ChinaDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, USAMedical device technology develops rapidly, and the life cycle of a medical device is much shorter than drugs. It is necessary to evaluate the safety and effectiveness of a medical device in a timely manner to keep up with technology flux. Bayesian methods provides an efficient approach to addressing this challenge. In this article, we review the characteristics of the Bayesian approach and some Bayesian designs that were commonly used in medical device regulatory setting, including Bayesian adaptive design, Bayesian diagnostic design, Bayesian multiregional design, and Bayesian label expansion study. We illustrate these designs with medical devices approved by the US Food and Drug Administration (FDA). We also review several innovative Bayesian information borrowing methods, and briefly discuss the challenges and future directions of the Bayesian application in medical device trials. Our objective is to promote the use of the Bayesian approach to accelerate the development of innovative medical devices and their accessibility to patients for effective disease diagnoses and treatments.https://doi.org/10.1515/mr-2023-0026medical devicebayesian designbayesian information borrowing
spellingShingle Cao Han
Yao Chen
Yuan Ying
Bayesian approach for design and analysis of medical device trials in the era of modern clinical studies
Medical Review
medical device
bayesian design
bayesian information borrowing
title Bayesian approach for design and analysis of medical device trials in the era of modern clinical studies
title_full Bayesian approach for design and analysis of medical device trials in the era of modern clinical studies
title_fullStr Bayesian approach for design and analysis of medical device trials in the era of modern clinical studies
title_full_unstemmed Bayesian approach for design and analysis of medical device trials in the era of modern clinical studies
title_short Bayesian approach for design and analysis of medical device trials in the era of modern clinical studies
title_sort bayesian approach for design and analysis of medical device trials in the era of modern clinical studies
topic medical device
bayesian design
bayesian information borrowing
url https://doi.org/10.1515/mr-2023-0026
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