{"podcast":{"title":"In the Interim...","slug":"in-the-interim-7211889","podcast_index_feed_id":7211889,"rss_url":"https://feeds.transistor.fm/in-the-interim","website_url":"https://berryconsultants.com","image_url":"https://img.transistorcdn.com/4kEBoJ9pC_kLNSr6AX2uD_qdxx8BJ7dMddtvubROpQ0/rs:fill:0:0:1/w:1400/h:1400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9jM2M0/ZDE2YzA1N2FhNjkx/NDk1NDczNjYzM2E5/NjlmYS5wbmc.jpg","author":"Berry","episode_count":66,"summary":"A podcast on statistical science and clinical trials. Explore the intricacies of Bayesian statistics and adaptive clinical trials. Uncover methods that push beyond conventional paradigms, ushering in data-driven insights that enhance trial outcomes while ensuring safety and efficacy. Join us as we dive into complex medical challenges and regulatory landscapes, offering innovative solutions tailored for pharma pioneers. Featuring expertise from industry leaders, each episode is crafted to provide clarity, foster debate, and challenge mainstream perspectives, ensuring you remain at the forefront of clinical trial excellence.","last_synced_at":"2026-06-16T00:19:29.083980+00:00","page_url":"https://stenobird.com/podcast/in-the-interim-7211889"},"episode":{"title":"Fighting Time in Adaptive Trials","slug":"fighting-time-in-adaptive-trials","published_at":"2026-06-01T11:00:00+00:00","page_url":"https://stenobird.com/podcast/in-the-interim-7211889/fighting-time-in-adaptive-trials","show_page_url":"https://stenobird.com/podcast/in-the-interim-7211889","url":"https://share.transistor.fm/s/78ee295b","audio_url":"https://media.transistor.fm/78ee295b/7961cbbb.mp3","summary":"In this episode of \"In the Interim…\", Dr. Scott Berry explores the challenge of protracted endpoint timelines in adaptive clinical trials and the statistical strategies used to increase the rate of actionable information gain. Drawing on detailed case studies from breast cancer (I-SPY 2), Alzheimer’s disease (BAN 2401), diabetes (AWARD-5/Trulicity), and cardiac arrest, Scott addresses the technical demands of longitudinal modeling and interim data imputation for accelerating learning. The discussion prioritizes a critical, empirical perspective of demonstrating how carefully constructed statistical models, simulation, and Bayesian methods can convert interim patient data into more robust estimates of delayed outcomes and support key design adaptations. The episode is a direct account of the methods, uncertainties, and real-world impact of fighting time in adaptive trials. Key Highlights Analyzes how delayed primary endpoints challenge adaptive trial efficiency, and how adaptive trial designs use accumulating in-trial data to inform adaptive allocation, arm graduation, and early trial conclusions. Dissects the use of longitudinal models in I-SPY 2, in which interim MRI measurements at one and three months are mapped to predicted six-month pathologic complete response, through an ordinal stratified, pre-specified modeling approach—illustrating both the strengths and limits of interim forecasting. Reviews the BAN 2401 adaptive Alzheimer’s trial, where early cognitive assessments were modeled to forecast 12-month outcomes enabling response adaptive randomization and sample size adaptation based on projections from interim data. Details the AWARD-5 seamless trial for dulaglutide (Trulicity), where strategic enrollment pacing, predictive modeling of early HbA1c and weight lo…","meta_description":"In this episode of \"In the Interim…\", Dr. Scott Berry explores the challenge of protracted endpoint timelines in adaptive clinical trials and the statisti…","key_points":[],"chapters":[],"topics":[],"duration_seconds":3369,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/in-the-interim-7211889/episodes/fighting-time-in-adaptive-trials/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/in-the-interim-7211889/fighting-time-in-adaptive-trials.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}