A Clustering Approach for Basket Trials Based on Treatment Response Trajectories

Fuente: arXiv
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Main Authors: Kojima, Masahiro, Hanada, Keisuke, Sato, Atsuya
Format: Preprint
Published: 2025
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author Kojima, Masahiro
Hanada, Keisuke
Sato, Atsuya
author_facet Kojima, Masahiro
Hanada, Keisuke
Sato, Atsuya
contents Heterogeneity in efficacy is sometimes observed across baskets in basket trials. In this study, we propose a model-free clustering framework that groups baskets based on transition probabilities derived from the trajectories of treatment response, rather than relying solely on a single efficacy endpoint such as the objective response rate. The number of clusters is not predetermined but is automatically determined in a data-driven manner based on the similarity structure among baskets. After clustering, baskets within the same cluster are analyzed using a hierarchical Bayesian model. This framework aims to improve the estimation precision of efficacy endpoints and enhance statistical power while maintaining the type~I error rate at the nominal level. The performance of the proposed method was evaluated through simulation studies. The results demonstrated that the proposed method can accurately identify cluster structures in heterogeneous settings and, even under such conditions, maintain the type~I error rate at the nominal level while improving statistical power.
format Preprint
id arxiv_https___arxiv_org_abs_2511_09890
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Clustering Approach for Basket Trials Based on Treatment Response Trajectories
Kojima, Masahiro
Hanada, Keisuke
Sato, Atsuya
Methodology
Applications
Heterogeneity in efficacy is sometimes observed across baskets in basket trials. In this study, we propose a model-free clustering framework that groups baskets based on transition probabilities derived from the trajectories of treatment response, rather than relying solely on a single efficacy endpoint such as the objective response rate. The number of clusters is not predetermined but is automatically determined in a data-driven manner based on the similarity structure among baskets. After clustering, baskets within the same cluster are analyzed using a hierarchical Bayesian model. This framework aims to improve the estimation precision of efficacy endpoints and enhance statistical power while maintaining the type~I error rate at the nominal level. The performance of the proposed method was evaluated through simulation studies. The results demonstrated that the proposed method can accurately identify cluster structures in heterogeneous settings and, even under such conditions, maintain the type~I error rate at the nominal level while improving statistical power.
title A Clustering Approach for Basket Trials Based on Treatment Response Trajectories
topic Methodology
Applications
url https://arxiv.org/abs/2511.09890