TY - JOUR KW - adaptive design KW - biomarker studies KW - false discovery rate KW - multiplicity problem KW - phase II clinical trials AU - Gail A. Van Norman AB - Phase II clinical studies represent a critical point in determining drug costs, and phase II is a poor predictor of drug success: >30% of drugs entering phase II studies fail to progress, and >58% of drugs go on to fail in phase III. Adaptive clinical trial design has been proposed as a way to reduce the costs of phase II testing by providing earlier determination of futility and prediction of phase III success, reducing overall phase II and III trial sizes, and shortening overall drugĀ development time. This review examines issues in phase II testing and adaptive trial design. BT - JACC: Basic to Translational Science DA - 2019-06-01 DO - 10.1016/j.jacbts.2019.02.005 IS - 3 N2 - Phase II clinical studies represent a critical point in determining drug costs, and phase II is a poor predictor of drug success: >30% of drugs entering phase II studies fail to progress, and >58% of drugs go on to fail in phase III. Adaptive clinical trial design has been proposed as a way to reduce the costs of phase II testing by providing earlier determination of futility and prediction of phase III success, reducing overall phase II and III trial sizes, and shortening overall drugĀ development time. This review examines issues in phase II testing and adaptive trial design. PY - 2019 SP - 428 EP - 437 T2 - JACC: Basic to Translational Science TI - Phase II Trials in Drug Development and Adaptive Trial Design UR - https://www.sciencedirect.com/science/article/pii/S2452302X19300658 VL - 4 Y2 - 2026-01-07 SN - 2452-302X ER -