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. Author manuscript; available in PMC: 2021 Mar 3.
Published in final edited form as: Stat Med. 2019 Oct 17;38(28):5299–5316. doi: 10.1002/sim.8361
B1 Let j* denote the highest dose level that has been tried. If π^j,Tλe and j* is not the highest dose in the trial, escalate the dose to dj*+1 for treating the next cohort of patients; otherwise, proceed to step B2.
B2 Given the observed interim data D collected in both stages I and II, determine the admissible dose set A. If no dose is admissible, terminate the trial and no dose should be selected as the OBD. Otherwise, assign the next cohort of patients to the admissible dose (i.e., ∈ A) that has the largest posterior mean utility, which can be pre-tabulated.
B3 Repeat steps B1 and B2 until reaching the prespecified maximum sample size N or the number of patients treated at one of the doses reaches s2 (> s1), and then select the OBD as the admissible dose (i.e., ∈ A) that has the largest posterior mean utility. For most trials, a value between 18 to 24 is a reasonable choice for s2.