## [1] "TDsamplesDesign"

Design

Dose toxicity model

A logistic log normal model will describe the relationship between dose and DLAE: \[ p(Tox | d) = f(X = 1 | \theta, d) = \frac{e^{\phi_1 + \phi_2 \cdot log(d)}}{1 + e^{\phi_1 + \phi_2 \cdot log(d)}} \]The prior is expressed in terms of pseudo data and, consequently, the number of cases and of DLAEs need not be whole numbers.

The pseudo data are defined in the following table:

Dose N DLAEs
25 3 1.05
300 3 1.80

No observed data has yet been recorded.

Together, the pseudo and observed data give rise to the following posterior for the model parameters:

\[ \boldsymbol\phi = \begin{bmatrix}\phi_1 \\ \phi_2\end{bmatrix}\sim N \left(\begin{bmatrix}-1.95 \\ 0.41\end{bmatrix} , \begin{bmatrix} 10.05 & -2.08 \\ -2.08 & 0.46\end{bmatrix} \right) \]

Stopping rule

≥ 36 patients dosed: If 36 or more participants have been treated.

Escalation rule

Defined by highest dose administered so far
Dose
Min Max Increment
25 300 2
300 Inf 2

Use of placebo

Placebo will not be administered in the trial.

Dose recommendation

The dose recommended for the next cohort will be the one which is both eligible and which is the highest dose in the dose grid strictly less than the dose (which may not be in the dose grid) that has a full Bayes posterior estimate of the probability of toxicity exactly equal to the target toxicity rate, either during [0.35] or at the end of the trial [0.3].

Cohort size

A constant size of 3 participants.

Observed data

No participants are yet evaluable.

The dose grid is 25, 50, 75, 100, 125, 150, 175, 200, 225, 250, 275 and 300.

Starting dose

The starting dose is 25.