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تحلیل تطبیقی پاسخ به دوز×کارآزمایی بالینی فاز I تطبیقی×
حوزهاپیدمیولوژیاپیدمیولوژی
خانوادهProcess / pipelineProcess / pipeline
سال پیدایش2000s (key papers 2005–2007; ICH E4 guidance 1994 for classical dose-response)1990 (model-based adaptive era); rule-based designs from the 1970s–1980s
پدیدآورFrank Bretz, José Pinheiro and colleagues; foundational MCP-Mod frameworkO'Quigley, Pepe, and Fisher (CRM); earlier rule-based 3+3 designs pre-date it
نوعAdaptive statistical design and analysisAdaptive clinical trial design
منبع بنیادینBretz, F., Pinheiro, J. C., & Branson, M. (2005). Combining multiple comparisons and modeling techniques in dose-response studies. Biometrics, 61(3), 738-748. DOI ↗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 ↗
نام‌های دیگرadaptive DRA, adaptive dose-finding analysis, adaptive exposure-response analysis, adaptive D-R modelingadaptive dose-escalation trial, adaptive dose-finding study, model-based adaptive Phase I design
مرتبط61
خلاصهAdaptive dose-response analysis combines pre-specified dose-response modeling with planned interim looks that allow modifications — such as dropping ineffective doses or reallocating sample size — while maintaining statistical integrity. The most widely cited framework is MCP-Mod (Multiple Comparisons and Modeling), endorsed by the EMA and FDA as a fit-for-purpose methodology for dose-finding studies in drug development.An adaptive Phase I clinical trial is a first-in-human or early-phase dose-finding study that continuously updates the recommended dose after each patient cohort using a prespecified statistical model, rather than following a fixed rule. The goal is to identify the maximum tolerated dose (MTD) or the recommended Phase II dose (RP2D) efficiently while minimising exposure of participants to sub-therapeutic or toxic doses. Adaptive designs — most notably the Continual Reassessment Method (CRM) — replace or augment traditional rule-based designs such as the 3+3 schema.
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ScholarGateمقایسهٔ روش‌ها: Adaptive Dose-Response Analysis · Adaptive Phase I Clinical Trial. بازیابی‌شده در 2026-06-18 از https://scholargate.app/fa/compare