Completed Cancer Mathematics & Statistics

Method - Analysis

In plain English

AI plain-English summary

Clinical trial data is riddled with gaps—patients drop out, miss appointments, or switch treatments—and this research programme builds the statistical tools to handle those gaps without distorting the results. Why this matters: When a trial loses track of what happened to a patient, the entire analysis can become unreliable. The standard fix—simply ignoring missing data—often introduces bias, making a treatment look better or worse than it really is. This programme tackles that head-on, developing practical methods for making defensible assumptions about missing outcomes and correctly incorporating them into trial interpretation. It also addresses deeper design problems: defining the right patient population, choosing meaningful outcome measures, and accounting for unplanned events like treatment intolerance or switching. Potential impact: If these methods become standard practice, future trials—especially in tuberculosis and cancer—will produce more trustworthy results. That means doctors and regulators can make better decisions about which treatments actually work. The programme also uses computer simulation to test how resilient a proposed trial would be to real-world disruptions, and collaborates with the Alan Turing Institute to apply machine learning for identifying patient subgroups that benefit most from specific treatments. The result is not a single breakthrough, but a quieter, systemic improvement in how clinical evidence is generated and interpreted.

View original technical description
Appropriate statistical analysis of trial data is key for their correct interpretation. The analysis programme develops and disseminates practical solutions to analysis challenges, principally: • missing data on patients’ outcomes (ubiquitous, and aggravated by the current pandemic). We continue to address the challenge of how to make accessible, defensible, assumptions about missing patient outcome data, and how to correctly incorporate these in the trial’s interpretation. • ensuring trials meet their objectives, by thinking carefully about the (i) patient population, (i) outcomes and how they will be measured, and (iii) how to take account of unplanned developments once patients are enrolled in a study (such as inability to tolerate treatment, or switching to another treatment). These issues are particularly important for the Unit’s tuberculosis and cancer trials. • using computer simulation to effectively understand how useful proposed trials are likely to be, and in particular how resilient to a range of scenarios that may unfold as the trial progresses • collaborating with the Alan Turing Institute to exploit recent advances in machine learning to identify subgroups of patients who may particularly benefit from certain treatments.

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Researchers

Ian White (Principal Investigator)James Carpenter (Principal Investigator)Rebecca Turner (Co-Investigator)

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Analysis of trials, meta-analyses and observational studies
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Original classification

Intramural

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