ABSTRACT

In this chapter, we will discuss three methods for two-stage adaptive design

methods. The methods are differentiated in terms of the test statistics defined

at each stage, while the test statistic is evidence against the null hypothesis in

terms of cumulative information (data). The three methods are constructed

based on three different ways to combine the so-called stagewise p-values: (1)

the sum of p-values (MSP), (2) the product of p-values (MPP), and (3) the

inverse-normal p-values (MINP). The MINP is a generalization of the test

statistics used in the classical group sequential design. The operating charac-

teristics of MPP and MINP are very similar. The methods are very general,

meaning that they can be applied to broad adaptations and any number of

stages in the adaptive trials. However, we will focus on two-stage designs and

provide the closed forms for determination of stopping boundaries. We will

design different group sequential trials using these methods, while the appli-

cations of the methods to other types of adaptive designs will be discussed

later. Power and sample-size calculations for the adaptive designs are based

on computer simulations.