inst/ADTreatSelApp/server.r

In MedianaDesigner: Power and Sample Size Calculations for Clinical Trials

shinyServer(function(input, output, session) {

  Simulation = reactive({

    #########################################################

    # Design parameters

    parameters = list()

    endpoint_index = as.numeric(input$endpoint_index)
    narms = as.numeric(input$narms)
    parameters$narms = narms

    parameters$sample_size = as.numeric(input$n)   

    assumptions = input$assumptions

    parameters$info_frac = c(as.numeric(input$info_frac1 / 100), as.numeric(input$info_frac2 / 100), 1, as.numeric(input$info_frac3 / 100))   

    assumptions = input$assumptions

    if (endpoint_index == 1) {
      parameters$endpoint_type = "Normal"
      parameters$control_mean = assumptions[1, 1]
      parameters$treatment_mean = as.numeric(assumptions[1, 2:narms])
      parameters$control_sd = assumptions[2, 1]
      parameters$treatment_sd = as.numeric(assumptions[2, 2:narms])
    }

    if (endpoint_index == 2) {
      parameters$endpoint_type = "Binary"
      parameters$control_rate = assumptions[1, 1] / 100
      parameters$treatment_rate = as.numeric(assumptions[1, 2:narms]  / 100)
    }

    if (endpoint_index == 3) {
      parameters$endpoint_type = "Time-to-event"  
      parameters$control_time = assumptions[1, 1]
      parameters$treatment_time = as.numeric(assumptions[1, 2:narms])          
      parameters$event_count = as.numeric(input$event_count)   
      parameters$enrollment_period = as.numeric(input$enrollment_period)   
      parameters$enrollment_parameter = as.numeric(input$enrollment_parameter)   
    }
 
    direction_index = as.numeric(input$direction_index)
    if (direction_index == 1) parameters$direction = "Higher"
    if (direction_index == 2) parameters$direction = "Lower"

    parameters$dropout_rate = as.numeric(input$dropout_rate / 100)

    parameters$futility_threshold = as.numeric(input$futility_threshold / 100)

    parameters$treatment_count = as.numeric(input$treatment_count)

    mult_test_list = c("Bonferroni", "Holm", "Hochberg")
    mult_test = as.numeric(input$mult_test)
    parameters$mult_test = mult_test_list[mult_test]

    parameters$alpha = as.numeric(input$alpha)
    parameters$nsims = as.numeric(input$nsims)

    #########################################################

    withProgress(message = "Running simulations", value = 1, {

      # Run simulations

      results = ADTreatSel(parameters) 

    })

    # Return the list of results
    results

  })


  output$DownloadResults = downloadHandler(

    filename = function() {
      "Report.docx"
    },

    content = function(file) {

      # Run simulations  
      results = Simulation()

      doc = ReportDoc(results)

      # Save the report
      xfile = paste0(file, ".docx")
      print(doc, target = xfile)          
      file.rename(xfile, file)
    }
  )

  # Create a matrix for entering sample sizes
  output$SampleSize = renderUI({

      narms = as.numeric(input$narms)  

      # Trial arms  
      trial_arms = "Control"
      if (narms >= 3) {
        for (i in 2:narms) trial_arms = c(trial_arms, paste0("Treatment ", i - 1))
      } else {
        trial_arms = c(trial_arms, "Treatment")
      }

      value = matrix(0, 1, narms)
      value[1, ] = rep(120, narms)

      rownames(value) = "Sample size"
      colnames(value) = trial_arms

      matrixInput("n", 
        class = "numeric",
        rows = list(names = TRUE),
        cols = list(names = TRUE),
        value = value
      )


  })


  # Create a matrix for entering treatment effect assumptions
  output$TreatmentEffectAssumptions = renderUI({

      narms = as.numeric(input$narms)  

      # Trial arms  
      trial_arms = "Control"
      if (narms >= 3) {
        for (i in 2:narms) trial_arms = c(trial_arms, paste0("Treatment ", i - 1))
      } else {
        trial_arms = c(trial_arms, "Treatment")
      }

      endpoint_index = as.numeric(input$endpoint_index)  

      if (endpoint_index == 1) {
          value = matrix(0, 2, narms)
          value[1, ] = c(0, rep(0.3, narms - 1))
          value[2, ] = rep(1, narms)
          rownames(value) = c("Mean", "Standard deviation")
      }

      if (endpoint_index == 2) {
          value = matrix(0, 1, narms)
          value[1, ] = c(10, rep(30, narms - 1))
          rownames(value) = c("Rate (%)")
      }

      if (endpoint_index == 3) {
          value = matrix(0, 1, narms)
          value[1, ] = c(10, rep(14, narms - 1))
          rownames(value) = c("Median time")
      }

      colnames(value) = trial_arms

      matrixInput("assumptions", 
        class = "numeric",
        rows = list(names = TRUE),
        cols = list(names = TRUE),
        value = value
      )


  })


  output$FutilityStopping = renderTable({

    results = Simulation()

    parameters = results$parameters
    sim_results = results$sim_results
    sim_summary = results$sim_summary

    narms = as.numeric(input$narms)  

    # Trial arms  
    trial_arms = "Control"
    if (narms >= 3) {
      for (i in 2:narms) trial_arms = c(trial_arms, paste0("Treatment ", i - 1))
    } else {
      trial_arms = c(trial_arms, "Treatment")
    }

    column_names = c("Treatment arm", "Probability of futility stopping (%)")

    col1 = c(trial_arms[2:narms], "All treatments")
    col2 = c(round(100 * sim_summary$futility, 1), round(100 * sim_summary$overall_futility, 1))

    data_frame = data.frame(col1, col2)
    
    colnames(data_frame) = column_names

    data_frame

  })

  output$TreatmentSelection = renderTable({

    results = Simulation()

    parameters = results$parameters
    sim_results = results$sim_results
    sim_summary = results$sim_summary

    narms = as.numeric(input$narms)  

    # Trial arms  
    trial_arms = "Control"
    if (narms >= 3) {
      for (i in 2:narms) trial_arms = c(trial_arms, paste0("Treatment ", i - 1))
    } else {
      trial_arms = c(trial_arms, "Treatment")
    }

    column_names = c("Treatment arm", "Selection probability (%)")

    col1 = c(trial_arms[2:narms], "No treatment")
    col2 = round(100 * c(sim_summary$select, sim_summary$overall_futility), 1)

    data_frame = data.frame(col1, col2)

    colnames(data_frame) = column_names

    data_frame

  })

  output$TraditionalDesign = renderTable({

    results = Simulation()

    parameters = results$parameters
    sim_results = results$sim_results
    sim_summary = results$sim_summary

    narms = as.numeric(input$narms)  

    # Trial arms  
    trial_arms = "Control"
    if (narms >= 3) {
      for (i in 2:narms) trial_arms = c(trial_arms, paste0("Treatment ", i - 1))
    } else {
      trial_arms = c(trial_arms, "Treatment")
    }

    column_names = c("Treatment arm", "Power (%)")

    col1 = trial_arms[2:narms]
    col2 = round(100 * sim_summary$trad_power, 1)

    data_frame = data.frame(col1, col2)

    colnames(data_frame) = column_names

    data_frame

  })

  output$AdaptiveDesign = renderTable({

    results = Simulation()

    parameters = results$parameters
    sim_results = results$sim_results
    sim_summary = results$sim_summary

    column_names = c("Design", "Power (%)")

    col1 = "Adaptive design"
    col2 = round(100 * sim_summary$ad_power, 1)

    data_frame = data.frame(col1, col2)

    colnames(data_frame) = column_names

    data_frame

  })

  observeEvent(input$jump_to_panel2, {
        updateTabItems(session, "sidebar",
                          selected = "endpoint_parameters")
  })

  observeEvent(input$jump_to_panel3, {
        updateTabItems(session, "sidebar",
                          selected = "interim_parameters")
  })

  observeEvent(input$jump_to_panel4, {
        updateTabItems(session, "sidebar",
                          selected = "general_parameters")
  })

  observeEvent(input$jump_to_panel5, {
        updateTabItems(session, "sidebar",
                          selected = "simulation")
  })

  observeEvent(input$jump_to_panel6, {
        updateTabItems(session, "sidebar",
                          selected = "report")
  })



})