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DESCRIPTION:     Time Session\n            &nbsp\; &nbsp\;Speaker  &nbsp\;A
 bstract Slides&nbsp\;   &nbsp\;8:50 &nbsp\;Registration &amp\; Coffee&nbsp
 \;  &nbsp\; &nbsp\; &nbsp\;   &nbsp\;9:10 &nbsp\;Welcome &amp\; Introducti
 on&nbsp\;  &nbsp\; &nbsp\; &nbsp\;   &nbsp\;9:15 &nbsp\;What&rsquo\;s new 
 in simulation  Benoit Beck (Axiosis)&nbsp\;\n            &nbsp\; TBC\n    
         &nbsp\;     &nbsp\;10:00 &nbsp\;Best practice in modelling and sim
 ulation: initiatives from PSI and EFPIA  &nbsp\;Michael O&rsquo\;Kelly (Qu
 intiles)  &nbsp\;At&nbsp\;an EMA-IFPIA workshop on modelling and simulatio
 n in 2011\, regulators called for a Best Practice document for projects in
 volving modelling and simulation. Finally\, in the last few months\, two d
 ifferent working groups have come up with two tools aimed at helping stati
 sticians and their colleagues to promote and use best practice. The Europe
 an Federation of Pharmaceutical Industries &amp\; Associations (EFPIA) wor
 king group on Model Informed Drug Discovery and Development (MID3) has jus
 t published a wide-ranging 90-page paper on the whys and hows of Best Prac
 tice. The paper includes as a supplement a table of 103 examples of the us
 e of modelling and simulation in pharmaceutical science. At the same time\
 , the Board of PSI in December adopted a Best Practice document proposed b
 y the PSI Modelling and Simulation Special Interest Group (SIG). The two i
 nitiatives are consistent in their recommendations\, with the SIG providin
 g a template that could be used to put the recommendations for best practi
 ce into action. This presentation will identify the elements necessary for
  best practice in simulation of clinical trials\, and survey current pract
 ice in this area.       &nbsp\;10:45 &nbsp\;Tea &amp\; Coffee&nbsp\;  &nbs
 p\; &nbsp\; &nbsp\;   &nbsp\;11:15 &nbsp\;Writing Clinical Trial&nbsp\;Sim
 ulators: there&rsquo\;s more to it than the stats analysis.  &nbsp\;Tom Pa
 rke (Berry Consultants)  When writing ones first trial simulator it&rsquo\
 ;s inevitable that one&rsquo\;s focus (as a&nbsp\;stats programmer) is on 
 the novel aspect of the trial design that has required writing a simulator
  in the first place. However there are other aspects of trial simulation t
 hat will end up as being every bit as important. By understanding these ot
 her aspects in advance you&rsquo\;ll be able to better plan to accommodate
  them and do a better job of writing and using a trial simulator.   &nbsp\
 ;    &nbsp\;12:00 &nbsp\;Assessment of various continual reassessment meth
 od models for dose-escalation phase 1 oncology clinical trials: Clinical t
 rial data and simulation studies  &nbsp\;Gareth James (Phastar)  &nbsp\;\n
             Background: The continual reassessment method (CRM) is conside
 red more efficient and ethical than standard methods for dose-escalation t
 rials in oncology\, but requires an underlying estimate of the dose-toxici
 ty relationship (&ldquo\;prior skeleton&rdquo\;) and there is limited guid
 ance of what this should be when little is known about this association. A
 im:&nbsp\; To compare the CRM with different prior skeleton approaches and
  the 3+3 method in their ability to determine the true maximum tolerated d
 ose (MTD) of various &ldquo\;true&rdquo\; dose-toxicity relationships.  &n
 bsp\;   &nbsp\;12:45 &nbsp\;Lunch  &nbsp\; &nbsp\; &nbsp\;   &nbsp\;13:45 
 Simulating Dose Finding Designs using Bayesian Decisions\, with examples f
 or Severe Asthma\, Ulcerative Colitis and Alzheimer&rsquo\;s Disease.   &n
 bsp\;Alun Bedding (AZ)  &nbsp\;Choosing the correct dose for Phase III is 
 a pivotal part of drug development.&nbsp\; Model based approaches are the 
 most appropriate way of doing this and Bayesian decisions are more informa
 tive. Simulation is needed in order to understand the operating characteri
 stics of designs given different assumptions.&nbsp\; Examples\, including 
 those for severe asthma\, ulcerative colitis and Alzheimer&rsquo\;s diseas
 e will be used for illustration.  &nbsp\;    &nbsp\;14:30 &nbsp\;Use of si
 mulations to aid decision making   &nbsp\;Jane Temple (GSK)  &nbsp\;&nbsp\
 ;In clinical trial design we often use simulations to illustrate operation
 al characteristics where analytical solutions are intractable.&nbsp\; In t
 his talk we will look at some case studies where these simulations have ai
 ded decision making and so increased understanding within the project team
 .&nbsp\; We will look at an example of complex go/no go criteria and how t
 hese criteria were refined based on the results of the simulation.&nbsp\; 
 We will look at an example of how simulations were used to explore the imp
 act of partial data on the operational characteristics of a futility analy
 sis.  &nbsp\;    &nbsp\;15:15 &nbsp\;Tea &amp\; Coffee   &nbsp\;    &nbsp\
 ;   &nbsp\;15:45 &nbsp\;Simulating a sequences of clinical trials - a whol
 e drug development program\, in order to optimize the design\, planning an
 d resource allocation  &nbsp\;Tom Parke (Berry Consultants)  &nbsp\;It&rsq
 uo\;s hard to judge how big a phase 2 should be\, what the trade off in po
 wer and type error should be\, and what the significance of other post pha
 se 2 errors (such dose selection\, population selection\, estimate of effe
 ct size) might be\, without considering the whole picture of time to regis
 tration\, overall probability of technical success and overall value / cli
 nical usefulness should the treatment be successfully registered.  &nbsp\;
     &nbsp\;14:30 &nbsp\;Close  &nbsp\; &nbsp\; &nbsp\;        Registration
  Costs &nbsp\;   &nbsp\;Registration on or before 4th April  &nbsp\;   &nb
 sp\;PSI Member  &pound\;120 (plus VAT)&nbsp\;   &nbsp\;Non-Member  &pound\
 ;160 (plus VAT)   &nbsp\;Academic  &pound\;60 &nbsp\; (plus VAT)   &nbsp\;
 Registration after 4th April  &nbsp\;   &nbsp\;PSI Member  &pound\;160 (pl
 us VAT)   &nbsp\;Non-Member  &pound\;220 (plus VAT)&nbsp\;   &nbsp\;Academ
 ic  &pound\;90 &nbsp\; (plus VAT)   &nbsp\;Fee includes lunch &amp\; refre
 shments &nbsp\;    \nPlease contact the PSI Secretariat if you require par
 king on the day of the event. Please contact us if you have any dietary re
 quirements.   \nFor information regarding the scientific content\, contact
 :  Nick Manamley\nTel: +44 (0)1223 436196 Nick.manamley@amgen.com  David L
 awrence&nbsp\;\nTel: +44 (0)788 473 5459 David.Lawrence@astrazeneca.com  C
 arly Barnett&nbsp\;\nTel: +44 208 990 3781 Carly.m.barnett@gsk.com &nbsp\;
DTEND:20160427T160000Z
DTSTAMP:20260913T050125Z
DTSTART:20160427T075000Z
LOCATION:
SEQUENCE:0
SUMMARY:Use of Simulation in Clinical Trial Design
UID:RFCALITEM639248724854171888
X-ALT-DESC;FMTTYPE=text/html:<strong><br /> </strong><br /> <table class="P
 SI-default-table"> <tbody> <tr class="PSI-default-tableTableHeaderRow"> <t
 d class="PSI-default-tableTableHeaderFirstCol"><strong>Time</strong></td> 
 <td style="text-align: justify\;" class="PSI-default-tableTableHeaderOddCo
 l"><strong>Session<br />\n            &nbsp\;</strong></td> <td style="tex
 t-align: justify\;" class="PSI-default-tableTableHeaderEvenCol"><strong>&n
 bsp\;Speaker<br /> </strong></td> <td class="PSI-default-tableTableHeaderL
 astCol"><strong>&nbsp\;Abstract</strong></td> <td style="text-align: justi
 fy\;" class="PSI-default-tableTableHeaderLastCol">Slides&nbsp\;</td> </tr>
  <tr class="PSI-default-tableTableOddRow"> <td class="PSI-default-tableTab
 leFirstCol">&nbsp\;8:50</td> <td class="PSI-default-tableTableOddCol">&nbs
 p\;<strong>Registration &amp\; Coffee&nbsp\;</strong><br /> </td> <td clas
 s="PSI-default-tableTableEvenCol">&nbsp\;</td> <td class="PSI-default-tabl
 eTableLastCol">&nbsp\;</td> <td class="PSI-default-tableTableLastCol">&nbs
 p\;</td> </tr> <tr class="PSI-default-tableTableEvenRow"> <td class="PSI-d
 efault-tableTableFirstCol">&nbsp\;9:10</td> <td class="PSI-default-tableTa
 bleOddCol">&nbsp\;<strong>Welcome &amp\; Introduction&nbsp\;</strong><br /
 > </td> <td class="PSI-default-tableTableEvenCol">&nbsp\;</td> <td class="
 PSI-default-tableTableLastCol">&nbsp\;</td> <td class="PSI-default-tableTa
 bleLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-tableTableOddRow"> <
 td class="PSI-default-tableTableFirstCol">&nbsp\;9:15</td> <td class="PSI-
 default-tableTableOddCol">&nbsp\;<strong>What&rsquo\;s new in simulation</
 strong><br /> </td> <td class="PSI-default-tableTableEvenCol"><strong>Beno
 it Beck (Axiosis)&nbsp\;</strong><br />\n            &nbsp\;</td> <td clas
 s="PSI-default-tableTableLastCol">TBC<br />\n            &nbsp\;</td> <td 
 class="PSI-default-tableTableLastCol"><br /> </td> </tr> <tr class="PSI-de
 fault-tableTableEvenRow"> <td class="PSI-default-tableTableFirstCol">&nbsp
 \;10:00</td> <td class="PSI-default-tableTableOddCol">&nbsp\;<strong>Best 
 practice in modelling and simulation: initiatives from PSI and EFPIA</stro
 ng><br /> </td> <td class="PSI-default-tableTableEvenCol">&nbsp\;<strong>M
 ichael O&rsquo\;Kelly (Quintiles)</strong><br /> </td> <td class="PSI-defa
 ult-tableTableLastCol">&nbsp\;At&nbsp\;an EMA-IFPIA workshop on modelling 
 and simulation in 2011\, regulators called for a Best Practice document fo
 r projects involving modelling and simulation. Finally\, in the last few m
 onths\, two different working groups have come up with two tools aimed at 
 helping statisticians and their colleagues to promote and use best practic
 e. The European Federation of Pharmaceutical Industries &amp\; Association
 s (EFPIA) working group on Model Informed Drug Discovery and Development (
 MID3) has just published a wide-ranging 90-page paper on the whys and hows
  of Best Practice. The paper includes as a supplement a table of 103 examp
 les of the use of modelling and simulation in pharmaceutical science. At t
 he same time\, the Board of PSI in December adopted a Best Practice docume
 nt proposed by the PSI Modelling and Simulation Special Interest Group (SI
 G). The two initiatives are consistent in their recommendations\, with the
  SIG providing a template that could be used to put the recommendations fo
 r best practice into action. This presentation will identify the elements 
 necessary for best practice in simulation of clinical trials\, and survey 
 current practice in this area.<br /> <br /> </td> <td class="PSI-default-t
 ableTableLastCol"><br /> </td> </tr> <tr class="PSI-default-tableTableOddR
 ow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;10:45</td> <td clas
 s="PSI-default-tableTableOddCol">&nbsp\;<strong>Tea &amp\; Coffee&nbsp\;</
 strong><br /> </td> <td class="PSI-default-tableTableEvenCol">&nbsp\;</td>
  <td class="PSI-default-tableTableLastCol">&nbsp\;</td> <td class="PSI-def
 ault-tableTableLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-tableTab
 leEvenRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;11:15</td> <
 td class="PSI-default-tableTableOddCol">&nbsp\;<strong>Writing Clinical Tr
 ial&nbsp\;</strong><strong style="line-height: 1.5\; font-size: 10pt\;">Si
 mulators: there&rsquo\;s more to it than the stats analysis.</strong><br /
 > </td> <td class="PSI-default-tableTableEvenCol">&nbsp\;<strong>Tom Parke
  (Berry Consultants)</strong><br /> </td> <td class="PSI-default-tableTabl
 eLastCol">When writing ones first trial simulator it&rsquo\;s inevitable t
 hat one&rsquo\;s focus (as a&nbsp\;stats programmer) is on the novel aspec
 t of the trial design that has required writing a simulator in the first p
 lace. However there are other aspects of trial simulation that will end up
  as being every bit as important. By understanding these other aspects in 
 advance you&rsquo\;ll be able to better plan to accommodate them and do a 
 better job of writing and using a trial simulator.<br /> <br /> </td> <td 
 class="PSI-default-tableTableLastCol">&nbsp\;<br /> </td> </tr> <tr class=
 "PSI-default-tableTableOddRow"> <td class="PSI-default-tableTableFirstCol"
 >&nbsp\;12:00</td> <td class="PSI-default-tableTableOddCol">&nbsp\;<strong
 >Assessment of various continual reassessment method models for dose-escal
 ation phase 1 oncology clinical trials: Clinical trial data and simulation
  studies</strong><br /> </td> <td class="PSI-default-tableTableEvenCol">&n
 bsp\;<strong>Gareth James (Phastar)</strong><br /> </td> <td class="PSI-de
 fault-tableTableLastCol">&nbsp\;\n            <p><strong>Background:</stro
 ng> The continual reassessment method (CRM) is considered more efficient a
 nd ethical than standard methods for dose-escalation trials in oncology\, 
 but requires an underlying estimate of the dose-toxicity relationship (&ld
 quo\;prior skeleton&rdquo\;) and there is limited guidance of what this sh
 ould be when little is known about this association.</p> <strong>Aim</stro
 ng>:&nbsp\; To compare the CRM with different prior skeleton approaches an
 d the 3+3 method in their ability to determine the true maximum tolerated 
 dose (MTD) of various &ldquo\;true&rdquo\; dose-toxicity relationships.<br
  /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;</td> </tr> <tr
  class="PSI-default-tableTableEvenRow"> <td class="PSI-default-tableTableF
 irstCol">&nbsp\;12:45</td> <td class="PSI-default-tableTableOddCol">&nbsp\
 ;<strong>Lunch</strong><br /> </td> <td class="PSI-default-tableTableEvenC
 ol">&nbsp\;</td> <td class="PSI-default-tableTableLastCol">&nbsp\;</td> <t
 d class="PSI-default-tableTableLastCol">&nbsp\;</td> </tr> <tr class="PSI-
 default-tableTableEvenRow"> <td class="PSI-default-tableTableFirstCol">&nb
 sp\;13:45</td> <td class="PSI-default-tableTableOddCol"><span style="line-
 height: 1.5\; font-size: 10pt\;"><strong>Simulating Dose Finding Designs u
 sing Bayesian Decisions\, with examples for Severe Asthma\, Ulcerative Col
 itis and Alzheimer&rsquo\;s Disease.</strong></span><br /> <br /> </td> <t
 d class="PSI-default-tableTableEvenCol">&nbsp\;<strong>Alun Bedding (AZ)</
 strong><br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;Choos
 ing the correct dose for Phase III is a pivotal part of drug development.&
 nbsp\; Model based approaches are the most appropriate way of doing this a
 nd Bayesian decisions are more informative. Simulation is needed in order 
 to understand the operating characteristics of designs given different ass
 umptions.&nbsp\; Examples\, including those for severe asthma\, ulcerative
  colitis and Alzheimer&rsquo\;s disease will be used for illustration.<br 
 /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;<br /> </td> </t
 r> <tr class="PSI-default-tableTableOddRow"> <td class="PSI-default-tableT
 ableFirstCol">&nbsp\;14:30</td> <td class="PSI-default-tableTableOddCol">&
 nbsp\;<strong>Use of simulations to aid decision making</strong><br /> <br
  /> </td> <td class="PSI-default-tableTableEvenCol">&nbsp\;<strong>Jane Te
 mple (GSK)</strong><br /> </td> <td class="PSI-default-tableTableLastCol">
 &nbsp\;&nbsp\;In clinical trial design we often use simulations to illustr
 ate operational characteristics where analytical solutions are intractable
 .&nbsp\; In this talk we will look at some case studies where these simula
 tions have aided decision making and so increased understanding within the
  project team.&nbsp\; We will look at an example of complex go/no go crite
 ria and how these criteria were refined based on the results of the simula
 tion.&nbsp\; We will look at an example of how simulations were used to ex
 plore the impact of partial data on the operational characteristics of a f
 utility analysis.<br /> </td> <td class="PSI-default-tableTableLastCol">&n
 bsp\;<br /> </td> </tr> <tr class="PSI-default-tableTableEvenRow"> <td cla
 ss="PSI-default-tableTableFirstCol">&nbsp\;15:15</td> <td class="PSI-defau
 lt-tableTableOddCol">&nbsp\;<strong>Tea &amp\; Coffee</strong><br /> <br /
 > </td> <td class="PSI-default-tableTableEvenCol">&nbsp\;<br /> </td> <td 
 class="PSI-default-tableTableLastCol"><br /> </td> <td class="PSI-default-
 tableTableLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-tableTableOdd
 Row"> <td class="PSI-default-tableTableFirstCol">&nbsp\;15:45</td> <td cla
 ss="PSI-default-tableTableOddCol">&nbsp\;<strong>Simulating a sequences of
  clinical trials - a whole drug development program\, in order to optimize
  the design\, planning and resource allocation</strong><br /> </td> <td cl
 ass="PSI-default-tableTableEvenCol">&nbsp\;<strong>Tom Parke (Berry Consul
 tants)</strong><br /> </td> <td class="PSI-default-tableTableLastCol">&nbs
 p\;It&rsquo\;s hard to judge how big a phase 2 should be\, what the trade 
 off in power and type error should be\, and what the significance of other
  post phase 2 errors (such dose selection\, population selection\, estimat
 e of effect size) might be\, without considering the whole picture of time
  to registration\, overall probability of technical success and overall va
 lue / clinical usefulness should the treatment be successfully registered.
 <br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;<br /> </td>
  </tr> <tr class="PSI-default-tableTableEvenRow"> <td class="PSI-default-t
 ableTableFirstCol">&nbsp\;14:30</td> <td class="PSI-default-tableTableOddC
 ol">&nbsp\;<strong>Close</strong><br /> </td> <td class="PSI-default-table
 TableEvenCol">&nbsp\;</td> <td class="PSI-default-tableTableLastCol">&nbsp
 \;</td> <td class="PSI-default-tableTableLastCol">&nbsp\;</td> </tr> </tbo
 dy> </table> <br /> <table class="PSI-default-table"> <tbody> <tr class="P
 SI-default-tableTableHeaderRow"> <td class="PSI-default-tableTableHeaderFi
 rstCol"><strong>Registration Costs</strong></td> <td class="PSI-default-ta
 bleTableHeaderLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-tableTabl
 eOddRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;<strong>Regist
 ration on or before 4<sup>th</sup> April</strong><br /> </td> <td class="P
 SI-default-tableTableLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-ta
 bleTableEvenRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;PSI Me
 mber<br /> </td> <td class="PSI-default-tableTableLastCol">&pound\;120 (pl
 us VAT)&nbsp\;</td> </tr> <tr class="PSI-default-tableTableOddRow"> <td cl
 ass="PSI-default-tableTableFirstCol">&nbsp\;Non-Member<br /> </td> <td cla
 ss="PSI-default-tableTableLastCol">&pound\;160 (plus VAT)</td> </tr> <tr c
 lass="PSI-default-tableTableEvenRow"> <td class="PSI-default-tableTableFir
 stCol">&nbsp\;Academic<br /> </td> <td class="PSI-default-tableTableLastCo
 l">&pound\;60 &nbsp\; (plus VAT)</td> </tr> <tr class="PSI-default-tableTa
 bleOddRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;<strong>Regi
 stration after 4<sup>th</sup> April</strong><br /> </td> <td class="PSI-de
 fault-tableTableLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-tableTa
 bleEvenRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;PSI Member<
 br /> </td> <td class="PSI-default-tableTableLastCol">&pound\;160 (plus VA
 T)</td> </tr> <tr class="PSI-default-tableTableOddRow"> <td class="PSI-def
 ault-tableTableFirstCol">&nbsp\;Non-Member<br /> </td> <td class="PSI-defa
 ult-tableTableLastCol">&pound\;220 (plus VAT)&nbsp\;</td> </tr> <tr class=
 "PSI-default-tableTableEvenRow"> <td class="PSI-default-tableTableFirstCol
 ">&nbsp\;Academic<br /> </td> <td class="PSI-default-tableTableLastCol">&p
 ound\;90 &nbsp\; (plus VAT)</td> </tr> <tr class="PSI-default-tableTableFo
 oterRow"> <td class="PSI-default-tableTableFooterFirstCol">&nbsp\;<span st
 yle="line-height: 1.5\; font-size: 10pt\;">Fee includes lunch &amp\; refre
 shments</span></td> <td class="PSI-default-tableTableFooterLastCol">&nbsp\
 ;</td> </tr> </tbody> </table> <br />\nPlease contact the PSI Secretariat 
 if you require parking on the day of the event. Please contact us if you h
 ave any dietary requirements.<br /> <br /> <p> <br />\nFor information reg
 arding the scientific content\, contact:<br /> <br /> <strong>Nick Manamle
 y</strong><br />\nTel: +44 (0)1223 436196<br /> <a href="mailto:Nick.manam
 ley@amgen.com">Nick.manamley@amgen.com</a><br /> <br /> <strong>David Lawr
 ence</strong>&nbsp\;<br />\nTel: +44 (0)788 473 5459<br /> <a href="mailto
 :David.Lawrence@astrazeneca.com">David.Lawrence@astrazeneca.com</a><br /> 
 <br /> <strong>Carly Barnett&nbsp\;</strong><br />\nTel: +44 208 990 3781<
 br /> <a href="https://www.psiweb.org/Sitefinity/Public/Services/ICalander
 Service/file.ics/Carly.m.barnett@gsk.com">Carly.m.barnett@gsk.com</a></p> 
 <div>&nbsp\;</div>
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