Dose-Finding Methods: Moving Away from the 3 + 3 to Include Richer Outcomes

Clin Cancer Res. 2017 Aug 1;23(15):3977-3979. doi: 10.1158/1078-0432.CCR-17-1306. Epub 2017 Jun 19.

Abstract

The most commonly used method for dose finding, the 3 + 3, has poor performance. New adaptive designs are more efficient. Nevertheless, they have reached a maximum performance level, and further improvement requires either larger sample sizes or outcomes measures richer than the simplistic severe toxicity measured at cycle 1. Clin Cancer Res; 23(15); 3977-9. ©2017 AACRSee related article by Yan et al., p. 3994.

MeSH terms

  • Dose-Response Relationship, Drug*
  • Humans
  • Maximum Tolerated Dose
  • Neoplasms / drug therapy*
  • Neoplasms / epidemiology