PMID- 28872409 OWN - NLM STAT- MEDLINE DCOM- 20190726 LR - 20190726 IS - 1520-5711 (Electronic) IS - 1054-3406 (Linking) VI - 28 IP - 3 DP - 2018 TI - Considerations for pediatric trial designs and analyses. PG - 413-436 LID - 10.1080/10543406.2017.1372771 [doi] AB - There are challenges in designing pediatric trials arising from special ethical issues and the relatively small accessible patient population. The application of conventional phase 3 trial designs to pediatrics is not realistic in some therapeutic areas. To address this issue, we propose various approaches for designing pediatric trials that incorporate data available from adult studies using James-Stein shrinkage estimation, empirical shrinkage estimation, and Bayesian methods. We also apply the concept of consistency used in multi-regional trials to pediatric trials. The performance of these methods is assessed through representative scenarios and an example using actual Type 2 diabetes mellitus (T2DM) trials. FAU - Cho, Meehyung AU - Cho M AD - a Biostatistics and Programming , Sanofi US , Bridgewater , NJ , USA. FAU - Qiu, Zhiying AU - Qiu Z AD - a Biostatistics and Programming , Sanofi US , Bridgewater , NJ , USA. FAU - Ye, Jenny AU - Ye J AD - a Biostatistics and Programming , Sanofi US , Bridgewater , NJ , USA. FAU - Quan, Hui AU - Quan H AD - a Biostatistics and Programming , Sanofi US , Bridgewater , NJ , USA. FAU - Zhao, Peng-Liang AU - Zhao PL AD - a Biostatistics and Programming , Sanofi US , Bridgewater , NJ , USA. LA - eng PT - Journal Article DEP - 20171006 PL - England TA - J Biopharm Stat JT - Journal of biopharmaceutical statistics JID - 9200436 MH - Child MH - Clinical Trials as Topic/ethics/*standards MH - Diabetes Mellitus, Type 2/diagnosis/epidemiology/*therapy MH - Humans MH - Pediatrics/ethics/*standards MH - Practice Guidelines as Topic/*standards OTO - NOTNLM OT - Bayesian method OT - James-Stein shrinkage estimation OT - empirical shrinkage estimation OT - pediatric OT - sample size OT - weighted combination EDAT- 2017/09/06 06:00 MHDA- 2019/07/28 06:00 CRDT- 2017/09/06 06:00 PHST- 2017/09/06 06:00 [pubmed] PHST- 2019/07/28 06:00 [medline] PHST- 2017/09/06 06:00 [entrez] AID - 10.1080/10543406.2017.1372771 [doi] PST - ppublish SO - J Biopharm Stat. 2018;28(3):413-436. doi: 10.1080/10543406.2017.1372771. Epub 2017 Oct 6.