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제 1상 임상시험에서 Biased Coin Design과 멈춤규칙을 이용한 MTD 추정법

Maximum tolerated dose estimation by Biased coin design and stopping rule in Phase I clinical trial

  • 전소영 (가톨릭대학교 의생명.건강과학과) ;
  • 김동재 (가톨릭대학교 의생명.건강과학과)
  • Jeon, Soyoung (Department of Biomedicine.Health Science, The Catholic University of Korea) ;
  • Kim, Dongjae (Department of Biomedicine.Health Science, The Catholic University of Korea)
  • 투고 : 2019.11.25
  • 심사 : 2019.12.17
  • 발행 : 2020.04.30

초록

'투약용량 발견 시험(Dose Finding Study)'라고도 불리는 제 1상 임상시험은 동물 실험 혹은 시험관 실험을 통하여 개발된 신약물질을 사람에게 실시하는 첫 단계이다. 제1상 임상시험의 가장 주요한 목적은 환자에게 허용할 수 있고 최대의 효능을 가진 복용량을 결정하는 것이다. 본 논문에서는 이를 고려하여 최대허용용량(MTD)를 결정할 수 있는 적절한 추정방법을 제안하였다. 이 방법은 Biased coin design과 멈춤규칙을 이용하여 MTD를 추정한다. 제안하는 방법은 모의실험을 통해 기존의 방법들과 비교하였다.

Phase I clinical trials (Dose Finding Studies) are the first step in administering new drugs developed through animal experiments or in vitro experiments to humans. An important area of interest in designing Phase I clinical trials is determining the dose that provides the greatest efficacy and acceptable safe dose to the patient. In this paper, we propose a method to determine the maximum tolerated dose considering efficacy and safety using Biased coin design and stopping rule. The proposed method is compared with existing methods through simulation.

키워드

참고문헌

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