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Studiu clinic adaptiv de Faza I×Concepția adaptativă a studiilor clinice×
DomeniuEpidemiologieDesign experimental
FamilieProcess / pipelineHypothesis test
Anul apariției1990 (model-based adaptive era); rule-based designs from the 1970s–1980s1994
Autorul originalO'Quigley, Pepe, and Fisher (CRM); earlier rule-based 3+3 designs pre-date itBauer & Köhne
TipAdaptive clinical trial designAdaptive hypothesis test with interim analyses
Sursa seminalăO'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 ↗Bauer, P. & Köhne, K. (1994). Evaluation of Experiments with Adaptive Interim Analyses. Biometrics, 50(4), 1029–1041. DOI ↗
Denumiri alternativeadaptive dose-escalation trial, adaptive dose-finding study, model-based adaptive Phase I designadaptive design, group sequential design, sample size re-estimation, platform trial
Înrudite13
RezumatAn 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.Adaptive clinical trial design is a flexible experimental framework, formalised by Bauer and Köhne in 1994, in which pre-specified rules allow the trial to be modified mid-course — adjusting sample size, treatment arms, or randomisation ratios — based on accumulating interim data while rigorously controlling the Type I error rate.
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ScholarGateCompară metode: Adaptive Phase I Clinical Trial · Adaptive Clinical Trial Design. Preluat la 2026-06-19 de pe https://scholargate.app/ro/compare