Bayesian Optimal Phase II design with optimised stopping boundaries and response-adaptive randomisation

Fuente: arXiv
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Main Authors: Fitchett, Connor, Mukherjee, Ayon, Villar, Sofía S., Robertson, David S.
Format: Preprint
Published: 2025
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author Fitchett, Connor
Mukherjee, Ayon
Villar, Sofía S.
Robertson, David S.
author_facet Fitchett, Connor
Mukherjee, Ayon
Villar, Sofía S.
Robertson, David S.
contents The Bayesian Optimal Phase II (BOP2) framework is a flexible trial design that can naturally facilitate complex adaptations due to its Bayesian setting. BOP2 uses equal randomisation and equally placed interim analyses in its design, but it is unclear whether these give the best operating characteristics. By incorporating Bayesian Response-Adaptive Randomisation (BRAR) and optimal interim analysis placement, we show that allocation to the best treatment and expected sample size can be improved with minimal impact on power. We discuss recommendations on implementing these adaptations, using simulation-based evidence, to give practical advice to practitioners. Reproducible code for the simulations is freely provided.
format Preprint
id arxiv_https___arxiv_org_abs_2511_14714
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Bayesian Optimal Phase II design with optimised stopping boundaries and response-adaptive randomisation
Fitchett, Connor
Mukherjee, Ayon
Villar, Sofía S.
Robertson, David S.
Applications
The Bayesian Optimal Phase II (BOP2) framework is a flexible trial design that can naturally facilitate complex adaptations due to its Bayesian setting. BOP2 uses equal randomisation and equally placed interim analyses in its design, but it is unclear whether these give the best operating characteristics. By incorporating Bayesian Response-Adaptive Randomisation (BRAR) and optimal interim analysis placement, we show that allocation to the best treatment and expected sample size can be improved with minimal impact on power. We discuss recommendations on implementing these adaptations, using simulation-based evidence, to give practical advice to practitioners. Reproducible code for the simulations is freely provided.
title Bayesian Optimal Phase II design with optimised stopping boundaries and response-adaptive randomisation
topic Applications
url https://arxiv.org/abs/2511.14714