Dose-design simulations and assumptions

Evaluate operating characteristics across scenarios

Simulate the full enrollment and decision process under plausible dose-response shapes, delays and accrual. Assess overdosing, selection, sample size and failure to identify an acceptable regimen, not only correct-dose selection.

Flow diagram

Dose-design simulations and assumptionsF1.S1Define candidate design and targetsF1.S2Define dose-response scenariosF1.S3Specify operational simulationF1.S4Assess operating characteristicsF1.S5Document reproducibility and reviewF1.N1Dose-design simulation scenariosScenarioDose-responseassumptionAccrual anddelayDesignversionSafety metricSelectionmetricMain scenarioAll dosesunsafeDelayedtoxicityLow activityF1.N2Assumptions and rationaleF1.N3Method and protocol evidenceF1.S0 Start flowDose-design simulations andassumptionsF1.S999 End flowEnd flow

Steps

Define candidate design and targets

Specify toxicity target, available levels and selection objective.

Define dose-response scenarios

Include safe, toxic, steep, flat and delayed-outcome scenarios as relevant.

Specify operational simulation

Model accrual, follow-up, missing assessments and stopping rules.

Assess operating characteristics

Evaluate selection probability, allocation above target, sample size and trial duration.

Document reproducibility and review

Record code, seeds, replication precision and acceptance rationale.

Dose-design simulations and assumptions

End flow

Tables and supporting information

Dose-design simulation scenarios

Dose-design simulation scenariosScenarioDose-responseassumptionAccrual anddelayDesignversionSafety metricSelectionmetricMain scenarioAll dosesunsafeDelayedtoxicityLow activity

Attach independently generated simulation evidence; the editor does not run dose algorithms.

Assumptions and rationale

Good average performance can conceal unsafe scenarios; assess safety and selection across plausible extremes.

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