Adaptive Design with Bayesian Informed Interim Decisions: Application To a Randomized Trial of Mechanical Circulatory Support

For clinical trials with time-to-event endpoints and where crossing of survival curves might be anticipated at the planning stage, flexible modeling along with wholesome use of patient-level data such as the calculation of predictive power as proposed here, may be more robust and efficient in making interim decisions such as sample size increase than the traditional use of the conditional power based on summary statistics and proportional hazards assumption.

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Publication Details

Journal
Therapeutic Innovation & Regulatory Science
Published
2025-08-16
DOI
https://doi.org/10.1007/s43441-025-00861-4
Primary Topic
Statistical Methods in Clinical Trials
Type
article
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article

Adaptive Design with Bayesian Informed Interim Decisions: Application To a Randomized Trial of Mechanical Circulatory Support

C R Mehta, Gregg W. Stone, Rajat Mukherjee, Yi Qin Gao et al.
Therapeutic Innovation & Regulatory Science
Statistical Methods in Clinical Trials
article

Adaptive Design with Bayesian Informed Interim Decisions: Application To a Randomized Trial of Mechanical Circulatory Support

C R Mehta, Gregg W. Stone, Rajat Mukherjee, Yi Qin Gao, Natalia Muehlemann
article en

Abstract

For clinical trials with time-to-event endpoints and where crossing of survival curves might be anticipated at the planning stage, flexible modeling along with wholesome use of patient-level data such as the calculation of predictive power as proposed here, may be more robust and efficient in making interim decisions such as sample size increase than the traditional use of the conditional power based on summary statistics and proportional hazards assumption.

Therapeutic Innovation & Regulatory ScienceVol. 59(6)
Boston University (US), Harvard University (US), Cardiovascular Institute of the South (US), Mount Sinai Hospital (US), Museu d'Arqueologia de Catalunya (ES), Abiomed (United States) (US), Cytel (United States) (US)
Openalex Percentile: Top 80%
Statistical Methods in Clinical Trials
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Adaptive Design with Bayesian Informed Interim Decisions: Application To a Randomized Trial of Mechanical Circulatory Support — C R Mehta, Gregg W. Stone, et al. · Therapeutic Innovation & Regulatory Science (2025) | TGRS Research Map | TGRS