## [1] "DesignGrouped"

Dose toxicity model

A logistic log normal model will describe the relationship between dose and toxicity: \[ p(Tox | d) = f(X = 1 | \theta, d) = \frac{e^{(\alpha + I_c \times \delta_0) + (\beta + I_c \times \delta_1) \cdot log(d/d^*)}}{1 + e^{(\alpha + I_c \times \delta_0) + (\beta + I_c \times \delta_1) \cdot log(d/d^*)}} \]where d* denotes a reference dose and Ic is a binary indicator which is 1 for the combo arm and 0 for the mono arm.

The prior for θ is given by\[ \boldsymbol\theta = \begin{bmatrix}\alpha \\ \beta \\ log(\delta_0) \\ log(\delta_1)\end{bmatrix}\sim N \left(\begin{bmatrix} 0.00 \\ 0.00 \\ 0.00 \\ 0.00\end{bmatrix} , \begin{bmatrix} 1.00 & 0.00 & 0.00 & 0.00 \\ 0.00 & 1.00 & 0.00 & 0.00 \\ 0.00 & 0.00 & 1.00 & 0.00 \\ 0.00 & 0.00 & 0.00 & 1.00\end{bmatrix} \right) \]

The reference dose will be 1.00.

Monotherapy rules

Design

Stopping rule

If 20 or more participants have been treated.

Escalation rule

Defined by highest dose administered so far
Dose
Min Max Increment
0 2 2
2 Inf 1

Use of placebo

Placebo will not be administered in the trial.

Dose recommendation

The dose recommended for the next cohort will be chosen in the following way. First, doses that are ineligible according to the increments rule will be discarded. Next, any dose for which the mean posterior probability of toxicity being in the overdose range - (0.35, 1] - is 0.25 or more will also be discarded. Finally, the dose amongst those remaining which has the highest chance that the mean posterior probability of toxicity is in the target toxicity range of 0.2 to 0.35 (inclusive) will be selected.

Cohort size

A constant size of 3 participants.

Observed monotherapy data

No participants are yet evaluable.

The dose grid is 1, 2 and 3.

Starting dose

The starting dose is 1.

Combination therapy rules

Design

Stopping rule

If 20 or more participants have been treated.

Escalation rule

Defined by highest dose administered so far
Dose
Min Max Increment
0 2 2
2 Inf 1

Use of placebo

Placebo will not be administered in the trial.

Dose recommendation

The dose recommended for the next cohort will be chosen in the following way. First, doses that are ineligible according to the increments rule will be discarded. Next, any dose for which the mean posterior probability of toxicity being in the overdose range - (0.35, 1] - is 0.25 or more will also be discarded. Finally, the dose amongst those remaining which has the highest chance that the mean posterior probability of toxicity is in the target toxicity range of 0.2 to 0.35 (inclusive) will be selected.

Cohort size

A constant size of 3 participants.

Observed combination therapy data

No participants are yet evaluable.

The dose grid is 1, 2 and 3.

Starting dose

The starting dose is 1.

Other details

No combination dosing may occur until the results of at least one monotherapy cohort are available.

When monotherapy and combination therapy are used in the same cohort for the first time, the use of a different dose in each regimen is permitted.

Whenever monotherapy and combination therapy are used in the same cohort, the same dose must be used for both regimens.