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Bayesiansk fas I klinisk prövning – dosbestämningsdesign×Adaptiv randomiserad klinisk prövning×
ÄmnesområdeEpidemiologiEpidemiologi
FamiljProcess / pipelineProcess / pipeline
Ursprungsår1990Late 1990s–2000s (widespread adoption post-2010)
UpphovspersonO'Quigley, Pepe & Fisher (Continual Reassessment Method)Donald Berry and colleagues; formalized by FDA guidance in 2010 and 2019
TypAdaptive Bayesian dose-finding designExperimental clinical trial design
UrsprungskällaO'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 ↗Berry, D. A. (2006). Bayesian clinical trials. Nature Reviews Drug Discovery, 5(1), 27–36. DOI ↗
AliasBayesian dose-finding trial, CRM trial, continual reassessment method trial, Bayesian dose-escalation studyadaptive RCT, adaptive trial design, response-adaptive randomization trial, adaptive clinical trial
Närliggande56
SammanfattningA 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.An adaptive randomized clinical trial (adaptive RCT) is a prospective experimental study that uses pre-specified rules to modify one or more trial aspects — such as sample size, allocation ratios, or treatment arms — based on accumulating data collected during the trial itself, while maintaining statistical validity and integrity of the study.
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ScholarGateJämför metoder: Bayesian Phase I clinical trial · Adaptive Randomized Clinical Trial. Hämtad 2026-06-19 från https://scholargate.app/sv/compare