Improving adaptive seamless designs through Bayesian optimization

Sample size planning for complex study designs: A tutorial for the mlpwr package

A common challenge in designing empirical studies is determining an appropriate sample size. When more complex models are used, estimates of power can only be obtained using Monte Carlo simulations. In this tutorial, we introduce the R package mlpwr to perform simulation-based power analysis based on surrogate modeling. Surrogate modeling is a powerful tool in guiding the search for study design parameters that imply a desired power or meet a cost threshold (e.g., in terms of monetary cost). mlpwr can be used to search for the optimal allocation when there are multiple design parameters, e.g., when balancing the number of participants and the number of groups in multilevel modeling. At the same time, the approach can take into account the cost of each design parameter, and aims to find a cost-efficient design. We introduce the basic functionality of the package, which can be applied to a wide range of statistical models and study designs. Additionally, we provide two examples based on empirical studies for illustration: one for sample size planning when using an item response theory model, and one for assigning the number of participants and the number of countries for a study using multilevel modeling.

Recent innovations in adaptive trial designs: A review of design opportunities in translational research

Clinical trials are constantly evolving in the context of increasingly complex research questions and potentially limited resources. In this review article, we discuss the emergence of "adaptive" clinical trials that allow for the preplanned modification of an ongoing clinical trial based on the accumulating evidence with application across translational research. These modifications may include terminating a trial before completion due to futility or efficacy, re-estimating the needed sample size to ensure adequate power, enriching the target population enrolled in the study, selecting across multiple treatment arms, revising allocation ratios used for randomization, or selecting the most appropriate endpoint. Emerging topics related to borrowing information from historic or supplemental data sources, sequential multiple assignment randomized trials (SMART), master protocol and seamless designs, and phase I dose-finding studies are also presented. Each design element includes a brief overview with an accompanying case study to illustrate the design method in practice. We close with brief discussions relating to the statistical considerations for these contemporary designs.