A practical Bayesian design to identify the maximum tolerated dose contour for drug combination trials.

ABSTRACT: Drug combination therapy has become the mainstream approach to cancer treatment. One fundamental feature that makes combination trials different from single-agent trials is the existence of the maximum tolerated dose (MTD) contour, that is, multiple MTDs. As a result, unlike single-agent phase I trials, which aim to find a single MTD, it is often of interest to find the MTD contour for combination trials. We propose a new dose-finding design, the waterfall design, to find the MTD contour for drug combination trials. Taking the divide-and-conquer strategy, the waterfall design divides the task of finding the MTD contour into a sequence of one-dimensional dose-finding processes, known as subtrials. The subtrials are conducted sequentially in a certain order, such that the results of each sub

SUBMITTER: Zhang L 

PROVIDER: S-EPMC5096994 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature