#' Optimal phase II/III drug development planning for multi-arm programs with
#' time-to-event endpoint
#'
#' The function \code{\link{optimal_multiarm}} of the drugdevelopR package
#' enables planning of multi-arm phase II/III drug development programs with
#' optimal sample size allocation and go/no-go decision rules
#' (Preussler et. al, 2019) for time-to-event endpoints. So far, only three-arm
#' trials with two treatments and one control are supported. The assumed true
#' treatment effects are assumed fixed (planning is also possible via
#' user-friendly R Shiny App:
#' \href{https://web.imbi.uni-heidelberg.de/multiarm/}{multiarm}). Fast
#' computing is enabled by parallel programming.
#'
#' @name optimal_multiarm
#' @inheritParams optimal_multiarm_generic
#' @inheritParams optimal_tte_generic
#' @param hr1 assumed true treatment effect on HR scale for treatment 1
#' @param hr2 assumed true treatment effect on HR scale for treatment 2
#' @param ec control arm event rate for phase II and III
#' @param beta type-II error rate for any pair, i.e. `1 - beta` is the
#' (any-pair) power for calculation of the number of events for phase III
#'
#' @importFrom utils setTxtProgressBar txtProgressBar
#' @importFrom mvtnorm dmvnorm qmvnorm
#' @importFrom cubature adaptIntegrate
#' @importFrom progressr progressor
#'
#' @return
#' `r optimal_return_doc(type = "tte", setting = "multiarm")`
#'
#' @examples
#' # Activate progress bar (optional)
#' \dontrun{progressr::handlers(global = TRUE)}
#' # Optimize
#' \donttest{
#' optimal_multiarm(hr1 = 0.75, hr2 = 0.80, # define assumed true HRs
#' ec = 0.6, # control arm event rate
#' n2min = 30, n2max = 90, stepn2 = 6, # define optimization set for n2
#' hrgomin = 0.7, hrgomax = 0.9, stephrgo = 0.05, # define optimization set for HRgo
#' alpha = 0.025, beta = 0.1, # drug development planning parameters
#' c2 = 0.75, c3 = 1, c02 = 100, c03 = 150, # fixed/variable costs for phase II/III
#' K = Inf, N = Inf, S = -Inf, # set constraints
#' steps1 = 1, # define lower boundary for "small"
#' stepm1 = 0.95, # "medium"
#' stepl1 = 0.85, # and "large" effect size categories
#' b1 = 1000, b2 = 2000, b3 = 3000, # define expected benefit
#' strategy = 1, # choose strategy: 1, 2 or 3
#' num_cl = 1) # number of cores for parallelized computing
#' }
#'
#' @references
#' Preussler, S., Kirchner, M., Goette, H., Kieser, M. (2019). Optimal Designs for Multi-Arm Phase II/III Drug Development Programs. Submitted to peer-review journal.
#'
#' IQWiG (2016). Allgemeine Methoden. Version 5.0, 10.07.2016, Technical Report. Available at \href{https://www.iqwig.de/ueber-uns/methoden/methodenpapier/}{https://www.iqwig.de/ueber-uns/methoden/methodenpapier/}, assessed last 15.05.19.
#' @export
optimal_multiarm <- function(hr1, hr2, ec,
n2min, n2max, stepn2,
hrgomin, hrgomax, stephrgo,
alpha, beta,
c2, c3, c02, c03,
K = Inf, N = Inf, S = -Inf,
steps1 = 1, stepm1 = 0.95, stepl1 = 0.85,
b1, b2, b3,
strategy, num_cl = 1){
steps2 <- stepm1
stepm2 <- stepl1
stepl2 <- 0
date <- Sys.time()
HRGO <- seq(hrgomin, hrgomax, stephrgo)
N2 <- seq(n2min, n2max, stepn2)
if(strategy==1){STRATEGY = 1}
if(strategy==2){STRATEGY = 2}
if(strategy==3){STRATEGY = c(1, 2)}
result <- NULL
cl <- parallel::makeCluster(getOption("cl.cores", num_cl)) #define cluster
strategy <- NA_real_
HRgo <- NA_real_
parallel::clusterExport(cl, c("pmvnorm", "dmvnorm","qmvnorm","adaptIntegrate", "pgo_tte", "ss_tte", "Ess_tte",
"PsProg_tte", "alpha", "beta",
"steps1", "steps2", "stepm1", "stepm2", "stepl1", "stepl2",
"K", "N", "S", "strategy",
"c2", "c3", "c02", "c03",
"b1", "b2", "b3", "HRgo",
"hr1", "hr2", "ec"), envir = environment())
for(strategy in STRATEGY){
ufkt <- spfkt <- pgofkt <- K2fkt <- K3fkt <-
sp2fkt <- sp3fkt <- n3fkt <- matrix(0, length(N2), length(HRGO))
pb <- progressr::progressor(steps = length(HRGO),
label = "Optimization progress",
message = "Optimization progress")
pb(paste("Performing optimization for strategy", strategy),
class = "sticky", amount = 0)
for(j in 1:length(HRGO)){
HRgo <- HRGO[j]
res <- parallel::parSapply(cl, N2, utility_multiarm, HRgo,
alpha,beta,hr1,hr2,strategy,ec,
c2,c02,c3,c03,K,N,S,
steps1, stepm1, stepl1,b1, b2, b3)
pb()
ufkt[, j] <- res[1, ]
n3fkt[, j] <- res[2, ]
spfkt[, j] <- res[3, ]
pgofkt[, j] <- res[4, ]
sp2fkt[, j] <- res[5, ]
sp3fkt[, j] <- res[6, ]
K2fkt[, j] <- res[7, ]
K3fkt[, j] <- res[8, ]
}
ind <- which(ufkt == max(ufkt), arr.ind <- TRUE)
I <- as.vector(ind[1, 1])
J <- as.vector(ind[1, 2])
Eud <- ufkt[I, J]
n3 <- n3fkt[I, J]
prob <- spfkt[I, J]
pg <- pgofkt[I, J]
k2 <- K2fkt[I, J]
k3 <- K3fkt[I, J]
prob2 <- sp2fkt[I, J]
prob3 <- sp3fkt[I, J]
result <- rbind(result, data.frame(Strategy = strategy,u = round(Eud,2), HRgo = HRGO[J], n2 = N2[I],
n3 = n3, n = N2[I] + n3,
pgo = round(pg,2), sProg = round(prob,2),
hr1 = hr1, hr2 = hr2, ec = ec,
K = K, N = N, S = S, K2 = round(k2), K3 = round(k3),
sProg2 = round(prob2,2), sProg3 = round(prob3,2),
steps1 = round(steps1,2), stepm1 = round(stepm1,2), stepl1 = round(stepl1,2),
alpha = alpha, beta = beta,
c02 = c02, c03 = c03, c2 = c2, c3 = c3,
b1 = b1, b2 = b2, b3 = b3))
}
comment(result) <- c("\noptimization sequence HRgo:", HRGO,
"\noptimization sequence n2:", N2,
"\nonset date:", as.character(date),
"\nfinish date:", as.character(Sys.time()))
class(result) <- c("drugdevelopResult", class(result))
parallel::stopCluster(cl)
return(result)
}
Add the following code to your website.
For more information on customizing the embed code, read Embedding Snippets.