Optimum designs for clinical trials in personalized medicine when response variance depends on treatment

Duarte, Belmiro P.M. and Atkinson, Anthony C. (2024) Optimum designs for clinical trials in personalized medicine when response variance depends on treatment. Journal of Biopharmaceutical Statistics. ISSN 1054-3406

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Abstract

We study optimal designs for clinical trials when the value of the response and its variance depend on treatment and covariates are included in the response model. Such designs are generalizations of Neyman allocation, commonly used in personalized medicine when external factors may have differing effects on the response depending on subgroups of patients. We develop theoretical results for D-, A-, E- and D (Formula presented.) -optimal designs and construct semidefinite programming (SDP) formulations that support their numerical computation. D-, A-, and E-optimal designs are appropriate for efficient estimation of distinct properties of the parameters of the response models. Our formulation allows finding optimal allocation schemes for a general number of treatments and of covariates. Finally, we study frequentist sequential clinical trial allocation within contexts where response parameters and their respective variances remain unknown. We illustrate, with a simulated example and with a redesigned clinical trial on the treatment of neuro-degenerative disease, that both theoretical and SDP results, derived under the assumption of known variances, converge asymptotically to allocations obtained through the sequential scheme. Procedures to use static and sequential allocation are proposed.

Item Type:	Article
Additional Information:	© 2024 Taylor & Francis Group, LLC.
Divisions:	Statistics
Subjects:	H Social Sciences > HA Statistics R Medicine
Date Deposited:	18 Sep 2024 09:33
Last Modified:	13 Nov 2024 22:15
URI:	http://eprints.lse.ac.uk/id/eprint/125440

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