A design for phase II testing of anticancer agents within a phase III clinical trial

A design for testing new anticancer agents is proposed such that the initial testing of new agents (phase II trials) is included within the framework of a comparative clinical trial (phase III). Randomization between phase II trials and the treatment groups of the phase III trial enforces consistenc...

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Veröffentlicht in:Controlled clinical trials 1988-06, Vol.9 (2), p.107-118
Hauptverfasser: Schaid, Daniel J., Ingle, James N., Wieand, Sam, Ahmann, David L.
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container_end_page 118
container_issue 2
container_start_page 107
container_title Controlled clinical trials
container_volume 9
creator Schaid, Daniel J.
Ingle, James N.
Wieand, Sam
Ahmann, David L.
description A design for testing new anticancer agents is proposed such that the initial testing of new agents (phase II trials) is included within the framework of a comparative clinical trial (phase III). Randomization between phase II trials and the treatment groups of the phase III trial enforces consistency of patient selection and evaluation of response criteria. Patients who progress on the phase II trials of the new agents are randomized to one of the treatments of the phase III trial. Design issues, such as sample size and power, and analysis of the proposed design, are discussed. Advantages and disadvantages of the design are illustrated by sample size calculations for a current clinical trial in advanced breast cancer.
doi_str_mv 10.1016/0197-2456(88)90032-3
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subjects Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Breast Neoplasms - drug therapy
Breast Neoplasms - mortality
Clinical Trials as Topic - methods
Drug Evaluation - methods
Humans
phase II Anticancer agents
phase III survival comparison
Probability
Random Allocation
Randomized design
Research Design
Statistics as Topic
title A design for phase II testing of anticancer agents within a phase III clinical trial
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