Adaptive design simulations and sample size

Evaluate power error and feasibility

Simulate the complete stopping and adaptation process under null, alternative and operational scenarios. Report Monte Carlo uncertainty along with error rates, power, bias and coverage.

Flow diagram

Adaptive design simulations and sample sizeF1.S1Define candidate adaptive designsF1.S2Define null and alternativescenariosF1.S3Simulate the full decision processF1.S4Assess operating characteristicsF1.S5Document reproducible evidenceF1.N1Adaptive operating-characteristic scenariosScenarioEffectassumptionsOperationalassumptionsRule versionError orpowerEstimationpropertiesNullTargetalternativeDelayedoutcomesMisspecifiednuisanceF1.N2Assumptions and rationaleF1.N3Method and protocol evidenceF1.S0 Start flowAdaptive design simulations andsample sizeF1.S999 End flowEnd flow

Steps

Define candidate adaptive designs

Specify objectives, decision rules and maximum information or sample size.

Define null and alternative scenarios

Vary effect, nuisance parameters, accrual, delay and missingness.

Simulate the full decision process

Include interim timing, permitted actions and final analysis methods.

Assess operating characteristics

Assess type I error or relevant Bayesian decision properties, power, sample size, bias and interval coverage. Quantify Monte Carlo uncertainty from independent simulated trial replicates.

Document reproducible evidence

Record software, code version, seeds, Monte Carlo uncertainty and review decisions.

Adaptive design simulations and sample size

End flow

Tables and supporting information

Adaptive operating-characteristic scenarios

Adaptive operating-characteristic scenariosScenarioEffectassumptionsOperationalassumptionsRule versionError orpowerEstimationpropertiesNullTargetalternativeDelayedoutcomesMisspecifiednuisance

Keep simulation results separate from scenario specifications.

Assumptions and rationale

Power alone is insufficient; adaptive estimation and confidence intervals also require assessment.

Method and protocol evidence

Attach the protocol, methodological sources and versioned software specification supporting these decisions. Record citations and provenance; do not enter participant identifiers.

Sources