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      ASTIN: a Bayesian adaptive dose-response trial in acute stroke.

      Clinical Trials (London, England)
      Bayes Theorem, Clinical Trials, Phase II as Topic, methods, Dose-Response Relationship, Drug, Humans, Neuroprotective Agents, administration & dosage, therapeutic use, Stroke, drug therapy

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          Abstract

          Understanding the dose-response is critical for successful drug development. We describe an adaptive design to efficiently learn about the dose-response and the ED95. A dynamic termination rule allows for early discontinuation either for efficacy or futility. The design was deployed in ASTIN, a phase II proof-of-concept trial of the neuroprotectant, neutrophil inhibitory factor (NIF), in acute stroke. We discuss the learning from this trial.

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