论文标题
剂量调查临床试验的上下文约束学习
Contextual Constrained Learning for Dose-Finding Clinical Trials
论文作者
论文摘要
医疗领域的临床试验受预算的限制。因此,可以招募的患者人数受到限制。当患者群体异质时,这会在学习亚组对特定药物的特定反应方面遇到困难,尤其是对各种剂量。此外,由于临床试验的目的不是为试验中的任何给定患者提供好处,因此很难招募患者。在本文中,我们提出了C3T预算,这是预算和安全限制下剂量发现的上下文约束临床试验算法。该算法旨在最大程度地提高临床试验中的药物疗效,同时还学习了正在测试的药物。 C3T预算招募剩余预算,剩余时间以及每个组的特征(例如人口分布,估计的预期功效和估计信誉)的患者。此外,该算法旨在避免不安全的剂量。这些特征在模拟的临床试验研究中进一步说明,该研究证实了理论分析,并证明了有效的预算使用以及平衡的学习处理权衡。
Clinical trials in the medical domain are constrained by budgets. The number of patients that can be recruited is therefore limited. When a patient population is heterogeneous, this creates difficulties in learning subgroup specific responses to a particular drug and especially for a variety of dosages. In addition, patient recruitment can be difficult by the fact that clinical trials do not aim to provide a benefit to any given patient in the trial. In this paper, we propose C3T-Budget, a contextual constrained clinical trial algorithm for dose-finding under both budget and safety constraints. The algorithm aims to maximize drug efficacy within the clinical trial while also learning about the drug being tested. C3T-Budget recruits patients with consideration of the remaining budget, the remaining time, and the characteristics of each group, such as the population distribution, estimated expected efficacy, and estimation credibility. In addition, the algorithm aims to avoid unsafe dosages. These characteristics are further illustrated in a simulated clinical trial study, which corroborates the theoretical analysis and demonstrates an efficient budget usage as well as a balanced learning-treatment trade-off.