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On the inefficiency of the adaptive design for monitoring clinical trials

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  • Anastasios A. Tsiatis

Abstract

Adaptive designs, which allow the sample size to be modified based on sequentially computed observed treatment differences, have been advocated recently for monitoring clinical trials. Although such methods have a great deal of appeal on the surface, we show that such methods are inefficient and that one can improve uniformly on such adaptive designs using standard group-sequential tests based on the sequentially computed likelihood ratio test statistic. Copyright Biometrika Trust 2003, Oxford University Press.

Suggested Citation

  • Anastasios A. Tsiatis, 2003. "On the inefficiency of the adaptive design for monitoring clinical trials," Biometrika, Biometrika Trust, vol. 90(2), pages 367-378, June.
  • Handle: RePEc:oup:biomet:v:90:y:2003:i:2:p:367-378
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    Cited by:

    1. André Scherag & Johannes Hebebrand & Helmut Schäfer & Hans-Helge Müller, 2009. "Flexible Designs for Genomewide Association Studies," Biometrics, The International Biometric Society, vol. 65(3), pages 815-821, September.
    2. Chambaz Antoine & van der Laan Mark J., 2011. "Targeting the Optimal Design in Randomized Clinical Trials with Binary Outcomes and No Covariate: Theoretical Study," The International Journal of Biostatistics, De Gruyter, vol. 7(1), pages 1-32, January.
    3. Christopher Jennison & Bruce W. Turnbull, 2006. "Discussions," Biometrics, The International Biometric Society, vol. 62(3), pages 670-673, September.
    4. P. Bauer, 2006. "Discussions," Biometrics, The International Biometric Society, vol. 62(3), pages 676-678, September.
    5. Jingjing Chen, 2019. "A Note of Adaptive Design in Clinical Trials," Biostatistics and Biometrics Open Access Journal, Juniper Publishers Inc., vol. 9(5), pages 107-111, August.
    6. Carl-Fredrik Burman & Christian Sonesson, 2006. "Are Flexible Designs Sound?," Biometrics, The International Biometric Society, vol. 62(3), pages 664-669, September.
    7. Michael A. Proschan, 2006. "Discussions," Biometrics, The International Biometric Society, vol. 62(3), pages 674-676, September.
    8. Lingyun Liu & Sam Hsiao & Cyrus R. Mehta, 2018. "Efficiency Considerations for Group Sequential Designs with Adaptive Unblinded Sample Size Re-assessment," Statistics in Biosciences, Springer;International Chinese Statistical Association, vol. 10(2), pages 405-419, August.

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