Simonの2段階法原理 検出力 n1:stage1の例数、n2:stage2の例数、 r1:stage1における薬効棄却例数、 r :Stage2における薬効棄却例数 p1期待奏功率 B(r1, p1, n1) Min{r,n1) b(x, p1, n1) B(r x, p1, n2) (2) xr11 Simonの2段階法原理 n1:stage1の例数、n2:stage2の例数、N=n1+n2 r1:stage1における薬効棄却例数、 r :Stage2における薬効棄却例数 p0:閾値奏功率、p1期待奏功率、p*:観測 • 有意水準αの制約:r Stage2で薬効が棄却 prob(p*|p0)<α rは下記を満たす数の最小値。 B(r, p0,N)< α (1) • 検出力 1-βの制約 B(r1, p1, n1) Min{r ,n1) x r11 b( x, p1, n1) B(r x, p1, n2) (2) • また、p0のもとNを最小にするような、r1、n1、すなわち • N=n1+(1-B(r1,p0,n1))n2 を最小 (3) • (1)、(2)、(3)を満たす、n1、n2、r1、rを決める General Session III: Challenges Importing Biomarkers into Clinical Trials Co-Chairs: Vered Stearns, MD – Johns Hopkins Oncology Center Susan G. Hilesenbeck, PhD – Lester and Sue Smith Breast Center at Baylor College of Medicine Overview Susan G. Hilsenbeck, PhD – Lester and Sue Smith Breast Center at Baylor College of Medicine Vered Stearns, MD – Johns Hopkins Oncology Center Challenges in Transporting Multi-Gene Classifiers to the Clinic Lara Lusa, PhD – University of Ljubljana, Slovenia Statistical Consideration for Incorporating Biomarkers into Trials Gary M. Clark, PhD – Array BioPharma Prospective Germline Pharmacogenetic Testing for Irinotecan and 5-Fluorouracil Federico Innocenti, MD, PhD – University of Chicago Reproducible Research/Signatures Christos Sotiriou, MD, PhD - Institut Jules Bordet Panel Discussion: When is a Marker Ready for Trial? Led by moderators and Christos Sotiriou, MD, PhD
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