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Augmented binary method for basket trials (ABBA)

Lookup NU author(s): Dr Svetlana CherlinORCiD, Professor James WasonORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).In several clinical areas, traditional clinical trials often use a responder outcome, a composite endpoint that involves dichotomising a continuous measure. An augmented binary method that improves power while retaining the original responder endpoint has previously been proposed. The method leverages information from the undichotomised component to improve power. We extend this method for basket trials, which are gaining popularity in many clinical areas. For clinical areas where response outcomes are used, we propose the new augmented binary method for basket trials that enhances efficiency by borrowing information on the treatment effect between subtrials. The method is developed within a latent variable framework using a Bayesian hierarchical modelling approach. We investigate the properties of the proposed methodology by analysing point estimates and high-density intervals in various simulation scenarios, comparing them to the standard analysis for basket trials that assumes binary outcomes. Our method results in a reduction of 95% high-density interval of the posterior distribution of the log odds ratio and an increase in power when the treatment effect is consistent across subtrials. We illustrate our approach using real data from two clinical trials in rheumatology.


Publication metadata

Author(s): Cherlin S, Wason JMS

Publication type: Article

Publication status: Published

Journal: Statistical Methods in Medical Research

Year: 2025

Pages: epub ahead of print

Online publication date: 05/12/2025

Acceptance date: 17/11/2025

Date deposited: 15/12/2025

ISSN (print): 0962-2802

ISSN (electronic): 1477-0334

Publisher: Sage Publications Ltd

URL: https://doi.org/10.1177/09622802251403365

DOI: 10.1177/09622802251403365


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Funding

Funder referenceFunder name
National Institute for Health and Care Research (NIHR301614).

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