ABSTRACT

In this chapter, we will study the so-called recursive two-stage adaptive de-

sign (RTAD; Chang, 2006). The recursive approach provides closed forms

for stopping boundaries and adjusted p-values for any K-stage design and

avoids any numerical integration; at the same time it allows for a broad

range of adaptations such as SSR, dropping losers, and changing the num-

ber and timing of analyses without specification of an error-spending func-

tion. The key ideas of the RTAD are (1) a K-stage design (K > 1) can

be constructed using recursive two-stage designs, (2) the conditional error

principle ensures that the recursive process will not inflate type-I error,

and (3) the closed form solutions are obtained through recursively utilizing

the two-stage design solutions for stopping boundary, adjusted p-value, and

conditional power. In this approach, the trial is designed one step ahead at

every interim analysis.