8 Sequential designs

8.1 An overview of sequential designs

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stop trial early: sequential analyses

sample path: plot efficient score Z vs. Fisher’s information V

triangular test: control of error rates of type I and II

Christmas tree: correct for gaps between interim looks.

Further reading:

  • Whitehead J (1997) The design and analysis of sequential clinical trials. Wiley, 2nd edition.

  • Jennison, C., & Turnbull, B. W. (1999). Group sequential methods with applications to clinical trials. Chapman and Hall/CRC.

8.2 Sequential designs: Anaesthetic trial

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Control. Exp.
Date SC nC SE nE
05/01/81 8 8 6 7
02/02/81 21 22 13 17
02/03/81 33 35 21 27
30/03/81 38 41 23 33



n=nC+nE, S=SC+SE, F=n-S

Patients

women attending for outpatient termination of pregnancy.

Objective

Does the experimental anaesthetic reduce the incidence of serious nausea compared with the control technique? ( binary data).

Statistics

Z=nESC-nCSEn and V=nEnCSFn3.

Unnumbered Figure: Link