{"id":1133,"date":"2022-03-25T12:36:56","date_gmt":"2022-03-25T12:36:56","guid":{"rendered":"http:\/\/jsr.isrt.ac.bd\/?post_type=article&p=1133"},"modified":"2022-03-25T12:37:04","modified_gmt":"2022-03-25T12:37:04","slug":"d-optimal-designs-for-dose-finding-in-phase-i-clinical-trials","status":"publish","type":"article","link":"http:\/\/jsr.isrt.ac.bd\/article\/d-optimal-designs-for-dose-finding-in-phase-i-clinical-trials\/","title":{"rendered":"D-optimal designs for dose finding in phase I clinical trials"},"content":{"rendered":"

Determining the maximum tolerated dose (MTD) is the main challenge of phase I clinical trials. There are many methods in the literature to determine the MTD. The D-optimal design can also be used to find the MTD. The D-optimal design depends on the Fisher information matrix (FIM), and it minimizes the generalized variance of the parameter estimates. However, the D-optimal design is yet to receive much attention from clinicians. Since a dose-response model is usually non-linear, the FIM depends on the unknown model parameters. To optimize the FIM through the D-criterion, values need to be assumed for the model parameters. This paper focuses on investigating four different D-optimal designs depending on parameter values: design based on posterior Bayes estimators, design based on maximum likelihood estimators, sequential Bayesian design and two-stage Bayesian design. Six plausible dose-response scenarios and a real scenario are investigated through a simulation study. Except for the D-optimal design that utilizes maximum likelihood estimates in FIM optimization, all other D-optimal designs are found very competitive for the correct MTD recommendation. The D-optimal designs are also compared with an A-optimal design. The performance of A-optimal design is not attractive as these designs. Because of its numerical simplicity compared to the others, the posterior-based D-optimal design is recommended for dose-finding in phase I clinical trials.<\/p>\n

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Determining the maximum tolerated dose (MTD) is the main challenge of phase I clinical trials. There are many methods in the literature to determine the MTD. The D-optimal design can also be used to find the MTD. The D-optimal design depends on the Fisher information matrix (FIM), and it minimizes the generalized variance of the […]<\/p>\n","protected":false},"author":2,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"issuem_issue":[30],"issuem_issue_categories":[],"issuem_issue_tags":[],"yoast_head":"\nD-optimal designs for dose finding in phase I clinical trials - JSR<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jsr.isrt.ac.bd\/article\/d-optimal-designs-for-dose-finding-in-phase-i-clinical-trials\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D-optimal designs for dose finding in phase I clinical trials - JSR\" \/>\n<meta property=\"og:description\" content=\"Determining the maximum tolerated dose (MTD) is the main challenge of phase I clinical trials. There are many methods in the literature to determine the MTD. The D-optimal design can also be used to find the MTD. 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There are many methods in the literature to determine the MTD. The D-optimal design can also be used to find the MTD. 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