Adaptive Multiple Testing Procedure for Clinical Trials with Urn Allocation

This work combines the Urn allocation and O’Brien and Fleming multiple testing procedure to compare two treatments in clinical trials in a novel way. It is shown that this approach overcomes the constraints that previously made it challenging to apply the original adaptive design to clinical trials....

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Main Authors: Hanan Hammouri, Mohammed Ali, Marwan Alquran, Areen Alquran, Ruwa Abdel Muhsen, Belal Alomari
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Mathematics
Subjects:
Online Access:https://www.mdpi.com/2227-7390/11/18/3965
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author Hanan Hammouri
Mohammed Ali
Marwan Alquran
Areen Alquran
Ruwa Abdel Muhsen
Belal Alomari
author_facet Hanan Hammouri
Mohammed Ali
Marwan Alquran
Areen Alquran
Ruwa Abdel Muhsen
Belal Alomari
author_sort Hanan Hammouri
collection DOAJ
description This work combines the Urn allocation and O’Brien and Fleming multiple testing procedure to compare two treatments in clinical trials in a novel way. It is shown that this approach overcomes the constraints that previously made it challenging to apply the original adaptive design to clinical trials. The method provides unique flexibility, enabling trials to be stopped early if one treatment shows it is superior without compromising the efficiency of the original multiple testing procedure in terms of type I error rate and power. Experimental data and simulated case examples are used to illustrate the efficacy and robustness of this original approach and its potential for usage in a variety of clinical settings.
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spelling doaj.art-fe58bac11d0744c5b206a88b1e9040972023-11-19T11:50:04ZengMDPI AGMathematics2227-73902023-09-011118396510.3390/math11183965Adaptive Multiple Testing Procedure for Clinical Trials with Urn AllocationHanan Hammouri0Mohammed Ali1Marwan Alquran2Areen Alquran3Ruwa Abdel Muhsen4Belal Alomari5Department of Mathematics and Statistics, Faculty of Science and Art, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, JordanDepartment of Mathematics and Statistics, Faculty of Science and Art, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, JordanDepartment of Mathematics and Statistics, Faculty of Science and Art, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, JordanDepartment of Statistics, Yarmouk University, Irbid 21163, JordanDepartment of Mathematical Sciences, New Mexico State University, Las Cruces, NM 88001, USADepartment of Mathematics and Statistics, Faculty of Science and Art, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, JordanThis work combines the Urn allocation and O’Brien and Fleming multiple testing procedure to compare two treatments in clinical trials in a novel way. It is shown that this approach overcomes the constraints that previously made it challenging to apply the original adaptive design to clinical trials. The method provides unique flexibility, enabling trials to be stopped early if one treatment shows it is superior without compromising the efficiency of the original multiple testing procedure in terms of type I error rate and power. Experimental data and simulated case examples are used to illustrate the efficacy and robustness of this original approach and its potential for usage in a variety of clinical settings.https://www.mdpi.com/2227-7390/11/18/3965statistical algorithmsequential group testO’Brien and Flemingtype I error and powersimulationsSAS software
spellingShingle Hanan Hammouri
Mohammed Ali
Marwan Alquran
Areen Alquran
Ruwa Abdel Muhsen
Belal Alomari
Adaptive Multiple Testing Procedure for Clinical Trials with Urn Allocation
Mathematics
statistical algorithm
sequential group test
O’Brien and Fleming
type I error and power
simulations
SAS software
title Adaptive Multiple Testing Procedure for Clinical Trials with Urn Allocation
title_full Adaptive Multiple Testing Procedure for Clinical Trials with Urn Allocation
title_fullStr Adaptive Multiple Testing Procedure for Clinical Trials with Urn Allocation
title_full_unstemmed Adaptive Multiple Testing Procedure for Clinical Trials with Urn Allocation
title_short Adaptive Multiple Testing Procedure for Clinical Trials with Urn Allocation
title_sort adaptive multiple testing procedure for clinical trials with urn allocation
topic statistical algorithm
sequential group test
O’Brien and Fleming
type I error and power
simulations
SAS software
url https://www.mdpi.com/2227-7390/11/18/3965
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AT ruwaabdelmuhsen adaptivemultipletestingprocedureforclinicaltrialswithurnallocation
AT belalalomari adaptivemultipletestingprocedureforclinicaltrialswithurnallocation