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The FDA's Project Optimus initiative emphasizes patient-centered dose selection in oncology that balances efficacy and safety. We develop a framework for randomized dose optimization studies that uses clinically interpretable utility scores…

应用统计 · 统计学 2026-03-24 Xuemin Gu , Cong Xu , Lei Xu , Ying Yu

For on-policy reinforcement learning, discretizing action space for continuous control can easily express multiple modes and is straightforward to optimize. However, without considering the inherent ordering between the discrete atomic…

机器学习 · 计算机科学 2024-08-02 Yuanyang Zhu , Zhi Wang , Yuanheng Zhu , Chunlin Chen , Dongbin Zhao

The (conditional or unconditional) distribution of the continuous scan statistic in a one-dimensional Poisson process may be approximated by that of a discrete analogue via time discretization (to be referred to as the discrete…

概率论 · 数学 2016-02-09 Yi-Ching Yao , Daniel Wei-Chung Miao , Xenos Chang-Shuo Lin

Cancer evolves continuously over time through a complex interplay of genetic, epigenetic, microenvironmental, and phenotypic changes. This dynamic behavior drives uncontrolled cell growth, metastasis, immune evasion, and therapy resistance,…

定量方法 · 定量生物学 2025-07-08 Luoting Zhuang , Stephen H. Park , Steven J. Skates , Ashley E. Prosper , Denise R. Aberle , William Hsu

The purpose of a phase I dose-finding clinical trial is to investigate the toxicity profiles of various doses for a new drug and identify the maximum tolerated dose. Over the past three decades, various dose-finding designs have been…

统计方法学 · 统计学 2021-11-25 Yunshan Duan , Shijie Yuan , Yuan Ji , Peter Mueller

The effectiveness of personalized oncology treatments ultimately depends on whether outcomes can be causally attributed to the treatment. Advances in precision oncology have improved molecular profiling of individuals, and tailored…

应用统计 · 统计学 2025-09-29 Lydia Jang , Stefan Konigorski

Machine learning (ML) holds great potential for accurately forecasting treatment outcomes over time, which could ultimately enable the adoption of more individualized treatment strategies in many practical applications. However, a…

机器学习 · 统计学 2023-06-08 Toon Vanderschueren , Alicia Curth , Wouter Verbeke , Mihaela van der Schaar

Phase I oncology trials aim to identify a safe dose - often the maximum tolerated dose (MTD) - for subsequent studies. Conventional designs focus on population-level toxicity modeling, with recent attention on leveraging pharmacokinetic…

应用统计 · 统计学 2026-01-13 Kyong Ju Lee , Yuan Ji

In clinical trials, there is potential to improve precision and reduce the required sample size by appropriately adjusting for baseline variables in the statistical analysis. This is called covariate adjustment. Despite recommendations by…

统计方法学 · 统计学 2022-06-20 Kelly Van Lancker , Joshua Betz , Michael Rosenblum

Interval designs are a class of phase I trial designs for which the decision of dose assignment is determined by comparing the observed toxicity rate at the current dose with a prespecified (toxicity tolerance) interval. If the observed…

统计方法学 · 统计学 2013-09-20 Suyu Liu , Ying Yuan

Cross-Domain Recommendation (CDR) aims to leverage knowledge from a relatively data-richer source domain to address the data sparsity problem in a relatively data-sparser target domain. While CDR methods need to address the distribution…

信息检索 · 计算机科学 2025-05-23 Jiajie Zhu , Yan Wang , Feng Zhu , Pengfei Ding , Hongyang Liu , Zhu Sun

The challenge in controlling stochastic systems in which low-probability events can set the system on catastrophic trajectories is to develop a robust ability to respond to such events without significantly compromising the optimality of…

种群与进化 · 定量生物学 2020-10-28 Dalit Engelhardt

The conventional more-is-better dose selection paradigm, which targets the maximum tolerated dose (MTD), is not suitable for the development of targeted therapies and immunotherapies as the efficacy of these novel therapies may not increase…

统计方法学 · 统计学 2023-08-31 Peng Yang , Daniel Li , Ruitao Lin , Bo Huang , Ying Yuan

The primary objective of phase I oncology studies is to establish the safety profile of a new treatment and determine the maximum tolerated dose (MTD). This is motivated by the development of cytotoxic agents based on the underlying…

应用统计 · 统计学 2023-02-10 Yiding Zhang , Zhixing Xu , Hui Quan , Ji Lin

Traditional phase I dose finding cancer clinical trial designs aim to determine the maximum tolerated dose (MTD) of the investigational cytotoxic agent based on a single toxicity outcome, assuming a monotone dose-response relationship.…

统计方法学 · 统计学 2024-11-14 Hao Sun , Hsin-Yu Lin , Jieqi Tu , Revathi Ananthakrishnan , Eunhee Kim

In medical treatment and elsewhere, it has become standard to base treatment intensity (dosage) on evidence in randomized trials. Yet it has been rare to study how outcomes vary with dosage. In trials to obtain drug approval, the norm has…

计量经济学 · 经济学 2023-05-30 Charles F. Manski

Dose-finding clinical trials in oncology aim to estimate the maximum tolerated dose (MTD), based on safety traditionally obtained from the clinician's perspective. While the collection of patient-reported outcomes (PROs) has been advocated…

应用统计 · 统计学 2023-04-03 Anaïs Andrillon , Lucie Biard , Shing M. Lee

In this paper, an alternative Discrete skew Logistic distribution is proposed, which is derived by using the general approach of discretizing a continuous distribution while retaining its survival function. The properties of the…

统计方法学 · 统计学 2016-04-07 Deepesh Bhati , Subrata Chakraborty , Snober Gowhar Lateef

Working towards the development of an evolvable cancer treatment simulator, the investigation of Differential Evolution was considered, motivated by the high efficiency of variations of this technique in real-valued problems. A basic DE…

神经与进化计算 · 计算机科学 2020-03-27 Michail-Antisthenis Tsompanas , Larry Bull , Andrew Adamatzky , Igor Balaz

In this paper, we use Time Scale Calculus (TSC) to formulate and solve pharmacokinetic models exploring multiple dose dynamics. TSC is a mathematical framework that allows the modeling of dynamical systems comprising continuous and discrete…

动力系统 · 数学 2024-04-10 Santiago Torres Paz , Jose Ricardo Arteaga Bejarano