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طراحی افزایش دوز (روش ارزیابی مداوم)×طراحی کارآزمایی‌های ترتیبی / گروهی ترتیبی×
حوزهطراحی آزمایشطراحی آزمایش
خانوادهProcess / pipelineHypothesis test
سال پیدایش19901979
پدیدآورJohn O'Quigley, Margaret Pepe & Lloyd FisherO'Brien & Fleming; Pocock; Lan & DeMets
نوعAdaptive Bayesian dose-finding designAdaptive stopping trial design
منبع بنیادینO'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 ↗O'Brien, P.C. & Fleming, T.R. (1979). A Multiple Testing Procedure for Clinical Trials. Biometrics, 35(3), 549–556. DOI ↗
نام‌های دیگرContinual Reassessment Method, CRM Design, Phase I Dose-Finding Design, Doz Artırma Tasarımıgroup sequential design, adaptive stopping design, Ardışık Deneme Tasarımı (Sequential / Group Sequential)
مرتبط23
خلاصهDose-Escalation Design, formalized as the Continual Reassessment Method (CRM), is a Bayesian adaptive algorithm for identifying the Maximum Tolerated Dose (MTD) in Phase I clinical trials. Introduced by John O'Quigley, Margaret Pepe, and Lloyd Fisher in 1990, CRM treats dose-toxicity response as a parametric curve, updates a prior probability model after each patient's outcome, and assigns subsequent patients to the dose currently estimated closest to a pre-specified target toxicity probability.Sequential and group sequential trial designs allow a study to be stopped early — or continued — based on interim analyses conducted as data accumulate. The core framework was formalised by O'Brien and Fleming in 1979 and extended by Lan and DeMets's alpha-spending approach, and it controls the overall Type I error rate across all planned looks by pre-specifying both efficacy and futility boundaries before enrolment begins.
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ScholarGateمقایسهٔ روش‌ها: Dose-Escalation Design · Sequential Design. بازیابی‌شده در 2026-06-15 از https://scholargate.app/fa/compare