Process / pipelineClinical / epidemiology
Bayesian Phase I Clinical Trial — Dose-Finding Design
A Bayesian Phase I clinical trial uses prior probability models and sequential Bayes updating to find the maximum tolerated dose (MTD) of a new agent. Unlike the traditional 3+3 rule-based escalation, the Bayesian approach revises a dose-toxicity curve continuously as each patient's outcome is observed, allowing faster convergence to the true MTD while minimising exposure of patients to unsafe or subtherapeutic doses.
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Sources
- O'Quigley, J., Pepe, M., & Fisher, L. (1990). Continual reassessment method: a practical design for phase 1 clinical trials in cancer. Biometrics, 46(1), 33–48. DOI: 10.2307/2531628 ↗
- Chevret, S. (Ed.). (2006). Statistical Methods for Dose-Finding Experiments. Wiley. ISBN: 978-0470861769