Dose Finding in Drug Development (eBook) von Naitee Ting

and New Drug Development Process.- Dose Finding Based on Preclinical Studies.- Dose-Finding Studies in Phase I and Estimation of Maximally Tolerated Dose.- Dose-Finding in OncologyNonparametric Methods.- Dose Finding in OncologyParametric Methods.- Dose Response: PharmacokineticPharmacodynamic Approach.- General Considerations in DoseResponse Study Designs.- Clinical Trial SimulationA Case Study Incorporating Efficacy and Tolerability Dose Response.- Analysis of DoseResponse StudiesEmax Model.- Analysis of DoseResponse StudiesModeling Approaches.- Multiple Comparison Procedures in Dose Response Studies.- Partitioning Tests in DoseResponse Studies with Binary Outcomes.- Analysis of DoseResponse Relationship Based on Categorical Outcomes.- Power and Sample Size for Dose Response Studies.

This book emphasizes dose selection issues from a statistical point of view. It presentsstatisticalapplicationsinthedesignandanalysisofdoseresponsestudies. The importance of this subject can be found from the International Conference on Harmonization (ICH) E4 Guidance document. Establishing the doseresponse relationship is one of the most important act- ities in developing a new drug. A clinical development program for a new drug can be broadly divided into four phases namely Phases I, II, III, and IV. Phase I clinical trials are designed to study the clinical pharmacology. Information - tained from these studies will help in designing Phase II studies. Doseresponse relationshipsareusuallystudiedinPhaseII.PhaseIIIclinicaltrialsarelarge-scale, long-term studies. These studies serve to con?rm ?ndings from Phases I and II. ResultsobtainedfromPhasesI,II,andIIIclinicaltrialswouldthenbedocumented and submitted to regulatory agencies for drug approval. In the United States, - viewers from Food and Drug Administration (FDA) review these documents and make a decision to approve or to reject this New Drug Application (NDA). If the new drug is approved, then Phase IV studies can be started. Phase IV clinical trials are also known as postmarketing studies.