ABSTRACT

The U.S. FDA released the draft Guidance for Industry, Adaptive Design

Clinical Trials for Drugs and Biologics in February 2010. Since then, more

than four years has past, no updated or final version has yet been seen.

Because it is a draft, it is not recommended for implementation. Adaptive

design study has made big progress in the past five years and some of

the FDA’s views in the draft may be out of date. Nevertheless, there

is much valuable information we should be aware of, and everyone who

practices adaptive trials should carefully read the draft guidance. The

Journal of Biopharmaceutical Statistics published a special issue (Liu and

Chang, 2010) of discussion papers on the draft adaptive design guidance by

the U.S. Food and Drug Administration. In this special discussion issue,

technical papers were invited not only to address existing problems with

adaptive designs as pointed out by the FDA guidance but also to introduce

new designs for clinical trial settings that have not been adequately tackled

in the literature.