• Gan To Kagaku Ryoho · Aug 2000

    Review

    [Continual reassessment method (CRM)].

    • N Ishizuka.
    • Division of Cancer Information & Epidemiology, National Cancer Center Research Institute.
    • Gan To Kagaku Ryoho. 2000 Aug 1; 27 (9): 1449-57.

    AbstractWe discuss the basic concept of the continual reassessment method (CRM) and some modifications. The CRM has been proposed as alternatives of traditional cohort design for phase I trials in cancer. To focus on the dilemma between ethical concern and scientific purpose, we review the requirement for the phase I settings and the issues of the traditional cohort design. Then, CRM is introduced so that the essential feature is in the sequential (continual) selection of a dose level for next patients based on the dose-toxicity relationship and in updating the relationship based on patients' response date using Bayesian calculation. Finally we discuss both advantages and pitfalls in practice.

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