PMID- 2702835 OWN - NLM STAT- MEDLINE DCOM- 19890512 LR - 20220410 IS - 0197-2456 (Print) IS - 0197-2456 (Linking) VI - 10 IP - 1 DP - 1989 Mar TI - Optimal two-stage designs for phase II clinical trials. PG - 1-10 AB - The primary objective of a phase II clinical trial of a new drug or regimen is to determine whether it has sufficient biological activity against the disease under study to warrant more extensive development. Such trials are often conducted in a multi-institution setting where designs of more than two stages are difficult to manage. This paper presents two-stage designs that are optimal in the sense that the expected sample size is minimized if the regimen has low activity subject to constraints upon the size of the type 1 and type 2 errors. Two-stage designs which minimize the maximum sample size are also determined. Optimum and "minimax" designs for a range of design parameters are tabulated. These designs can also be used for pilot studies of new regimens where toxicity is the endpoint of interest. FAU - Simon, R AU - Simon R AD - Biometric Research Branch, National Cancer Institute, Bethesda, Maryland 20892. LA - eng PT - Journal Article PL - United States TA - Control Clin Trials JT - Controlled clinical trials JID - 8006242 SB - IM MH - Drug Evaluation/*methods MH - Humans MH - Neoplasms/*drug therapy MH - *Research Design MH - Statistics as Topic EDAT- 1989/03/01 00:00 MHDA- 1989/03/01 00:01 CRDT- 1989/03/01 00:00 PHST- 1989/03/01 00:00 [pubmed] PHST- 1989/03/01 00:01 [medline] PHST- 1989/03/01 00:00 [entrez] AID - 0197-2456(89)90015-9 [pii] AID - 10.1016/0197-2456(89)90015-9 [doi] PST - ppublish SO - Control Clin Trials. 1989 Mar;10(1):1-10. doi: 10.1016/0197-2456(89)90015-9.