A + B Escalation Design without Dose De-escalation

Description

The general A+B designs without dose de-escalation. There are A patients at dose level i.

(1) If less than C/A patients have dose limiting toxicity (DLTs), then the dose is escalated to the next dose level i+1.

(2)If more than D/A (D C) patients have DLTs, then the previous dose i-1 will be considered the maximum tolerable dose (MTD).

(3)If no less than C/A but no more than D/A patients have DLTs, B more patients are treated at this dose level i.

(4)If no more than E (where E D) of the total A+B patients have DLT, then the dose is escalated.

(5)If more than E of the total of A+B patients have DLT, then the previous dose i-1 will be considered the MTD.

Usage

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AB.withoutDescalation(A, B, C, D, E, DLT)

Arguments

A

number of patients for the start A

B

number of patients for the continuous B

C

number of patients for the first cut off C

D

number of patients for the second cut off D, D C

E

number of patients for the third cut off D, E D

DLT

dose limiting toxicity rate for each dose level.

References

Chow SC, Shao J, Wang H. Sample Size Calculation in Clinical Research. New York: Marcel Dekker, 2003

Examples

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DLT=c(0.01,0.014,0.025,0.056,0.177,0.594,0.963)
Example.11.6.1<-AB.withoutDescalation(A=3,B=3,C=1,D=1,E=1,DLT=DLT)
Example.11.6.1
# Example.11.6.1[1]=3.1

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