The three-period crossover design in
Phase I clinical research analysis
and efficiency issues
Pieta Boon
To assess the efficacy of potential new drugs in the initial phase of clinical
research, an efficient design has to be used which satisfies some conditions
to guarantee the safety of the subjects. Compared to some other designs, an
appropriate three-period crossover design turns out to be the most efficient.
Several difficulties occurring in the analysis of data from the crossover
design are dealt with, e.g. the inhomogeneity of variances for the (correlated)
observations and the presence of repeated measurements. The latter occur
firstly because each subject receives doses in three periods, which
can introduce carry-over effects, secondly because in each dose period
several measurements
are taken for which a representative summary measure has to be found.
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