Description Usage Arguments Value Author(s) References See Also Examples
The DTOX model enables us to estimate posterior probability of toxicity p_T versus dose directly. The dose-toxicity model is given by:
p_T(d_k,\boldsymbol{β}) = Φ(-β_0 + β_1 log(d_k))
where β_q \sim U(l_q, u_q) \forall q = 0,1 and
beta0mean = c(l_0, u_0),
beta1mean = c(l_1, u_1)
where default choices are beta0mean = c(0, 16.71) and beta1mean = c(0, 6.43). So the default choices for model's priors are given by
betapriors = c(l_0 = 0, u_0 = 16.71, l_1 = 0, u_1 = 6.43)
Finally, the DTOX model has the following stopping rule in toxicity: if
P(p_T(dose) > theta) > prob
then, no dose is suggested and the trial is stopped.
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y |
A binary vector of patient's toxicity outcomes; TRUE indicates a toxicity, FALSE otherwise. |
doses |
A vector with the doses panel. |
x |
A vector with the dose level assigned to the patients. |
theta |
The toxicity target. |
prob |
The threshold of the posterior probability of toxicity for the stopping rule; defaults to 0.9. |
betapriors |
A vector with the value for the prior distribution of the regression parameters in the model; defaults to betapriors = c(beta0mean, beta1mean), where beta0mean = c(0, 16.71) and beta1mean = c(0, 6.43). |
options |
A list with the Stan model's options; the number of chains, how many iterations for each chain and the number of warmup iterations; defaults to options = list(nchains = 4, niter = 4000, nadapt = 0.8). |
auc |
A vector with the computed AUC values of each patient for pktox, pkcrm, pklogit and pkpop; defaults to NULL. |
deltaAUC |
The difference between computed individual AUC and the AUC of the population at the same dose level (defined as an average); argument for pkcov; defaults to NULL. |
p0 |
The skeleton of CRM for pkcrm; defaults to NULL (must be defined only in the PKCRM model). |
L |
The AUC threshold to be set before starting the trial for pklogit, pkcrm and pktox; defaults to NULL (must be defined only in the PKCRM model). |
thetaL |
A second threshold of AUC; must be defined only in the PKCRM model. |
CI |
A logical constant indicating the estimated 95% credible interval; defaults to TRUE. |
A list is returned, consisting of determination of the next recommended dose and estimations of the model. Objects generated by dtox contain at least the following components:
newDose |
The next maximum tolerated dose (MTD); equals to "NA" if the trial has stopped before the end, according to the stopping rules. |
pstim |
The mean values of estimated probabilities of toxicity. |
p_sum |
The summary of the estimated probabilities of toxicity if CI = TRUE, otherwise is NULL. |
parameters |
The estimated model's parameters. |
Artemis Toumazi artemis.toumazi@gmail.com, Moreno Ursino moreno.ursino@inserm.fr, Sarah Zohar sarah.zohar@inserm.fr
Ursino, M., et al, (2017) Dose-finding methods for Phase I clinical trials using pharmacokinetics in small populations, Biometrical Journal, <doi:10.1002/bimj.201600084>.
Toumazi, A., et al, (2018) dfpk: An R-package for Bayesian dose-finding designs using pharmacokinetics (PK) for phase I clinical trials, Computer Methods and Programs in Biomedicine, <doi:10.1016/j.cmpb.2018.01.023>.
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