Prognostic Enrichment is a clinical trial strategy of evaluating an intervention in a patient population with a higher rate of the unwanted event than the broader patient population (R. Temple (2010) ). A higher event rate translates to a lower sample size for the clinical trial, which can have both practical and ethical advantages. The package BioPET-Surv
provides tools to evaluate biomarkers for prognostic enrichment of clinical trials with survival or time-to-event outcomes. An associated R shiny webtool (with simplified functionality) can be found here.
Key functions of this package are:
sim_data
: Simulate a dataset containing biomarker and survival observationssurv_enrichment
: Estimate trial characteristics at different levels of enrichment, given a biomarker (which can be a single biomarker or a composite)surv_plot_enrichment
: Visualize trial characteristics returned by surv_enrichment
Update history
v4, 9/19/2019
Added the functionality of simulating datasets containing biomarker and survival observations. The R function currently allows for constant baseline hazard.
v3, 5/21/2019:
Incorporated an alternative method for calculating event rates. The method comes from Heagerty et al (2000), and uses a kernel smoothed version of Kaplan-Meier survival estimators. This method allows the censoring process to be dependent on the biomarker, and guarantees monotone ROC curves (if the user is interested in the prognostic capacity of a biomarker represented by time-dependent ROC curves).
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