Fackle-Fornius E, Miller F, Nyquist H. Implementation of maximin efficient designs in dose-finding studies.
Pharm Stat 2014;
14:63-73. [PMID:
25405333 DOI:
10.1002/pst.1660]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Revised: 08/08/2014] [Accepted: 10/24/2014] [Indexed: 11/08/2022]
Abstract
This paper considers the maximin approach for designing clinical studies. A maximin efficient design maximizes the smallest efficiency when compared with a standard design, as the parameters vary in a specified subset of the parameter space. To specify this subset of parameters in a real situation, a four-step procedure using elicitation based on expert opinions is proposed. Further, we describe why and how we extend the initially chosen subset of parameters to a much larger set in our procedure. By this procedure, the maximin approach becomes feasible for dose-finding studies. Maximin efficient designs have shown to be numerically difficult to construct. However, a new algorithm, the H-algorithm, considerably simplifies the construction of these designs. We exemplify the maximin efficient approach by considering a sigmoid Emax model describing a dose-response relationship and compare inferential precision with that obtained when using a uniform design. The design obtained is shown to be at least 15% more efficient than the uniform design.
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