Reducing the patients-at-risk (PaR) in a response-adaptive trial: A numerical study
This article investigates the dichotomy between higher statistical power and higher allocation to better treatment in an ethical-optimal response-adaptive design. Although many response-adaptive designs in the literature promise higher allocation to the superior treatment, this is not always guarant...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Elsevier
2023-12-01
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Series: | IIMB Management Review |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S0970389623000952 |
Summary: | This article investigates the dichotomy between higher statistical power and higher allocation to better treatment in an ethical-optimal response-adaptive design. Although many response-adaptive designs in the literature promise higher allocation to the superior treatment, this is not always guaranteed due to the variability of the designs. A new criterion for evaluating response-adaptive designs, motivated by the value-at-risk measure, is proposed to address this problem. We also provide an illustration of applying this criterion in a real clinical trial. |
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ISSN: | 0970-3896 |