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https://github.com/insightsengineering/simidm

Simulation Engine for Multistate Models
https://github.com/insightsengineering/simidm

multistate-models r simulation-engine

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Simulation Engine for Multistate Models

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# simIDM

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Survival multistate models are a powerful and flexible tool for modeling
and analyzing complex time-to-event data. The three-state illness-death
model can be used to jointly model the oncology endpoints
progression-free survival (PFS) and overall survival (OS). Jointly
modeling the endpoints PFS and OS with the illness-death model has the
major advantage of both adequately accounting for the correlation of the
two endpoints and eliminating the need of the strong assumption of
proportional hazards. This package provides the tools to simulate a
large number of clinical trials with endpoints OS and PFS based on the
illness-death model, which can be used for trail planning, for example.
The simulation set-up allows random and event-driven censoring, an
arbitrary number of treatment arms, staggered study entry and drop-out.
Exponentially, Weibull and piecewise exponentially distributed survival
times can be generated. In addition, the correlation between PFS and OS
can be calculated based on the simulation scenario, or estimated from a
given data set.

**Scope:**

- Simulation of the illness-death model with constant, Weibull or
piecewise constant transition hazards.
- Conversion of the transition times to PFS and OS survival times.
- Correlation between PFS and OS survival times can be calculated.

**Main Features:**

- Exponentially, Weibull and piecewise exponentially distributed
survival times.
- Random censoring and event-driven censoring after a pre-specified
number of PFS or OS events.
- Arbitrary number of treatment arms and flexible randomization ratio.
- Staggered study entry.
- Derivation of PFS and OS survival functions from transition hazards.
- Correlation between PFS and OS can be estimated from a given data set.

## Installation

### Release

You can install the current release version from *CRAN* with:

``` r
install.packages("simIDM")
```

### Development

You can install the current development version from *GitHub* with:

``` r
if (!require("remotes")) {
install.packages("remotes")
}
remotes::install_github("insightsengineering/simIDM")
```

## Getting Started

See also the [quick
start](https://insightsengineering.github.io/simIDM/main/articles/quickstart.html)
vignette or get started by trying out this example:

``` r
library(simIDM)
transitionGroup1 <- exponential_transition(h01 = 1.2, h02 = 1.5, h12 = 1.6)
transitionGroup2 <- exponential_transition(h01 = 1, h02 = 1.3, h12 = 1.7)

simStudies <- getClinicalTrials(
nRep = 100, nPat = c(50, 50), seed = 1234, datType = "1rowPatient",
transitionByArm = list(transitionGroup1, transitionGroup2), dropout = list(rate = 0.1, time = 12),
accrual = list(param = "intensity", value = 12)
)
```

We get as output a list with `nRep` elements, each containing a data set
of a single simulated trial.

``` r
head(simStudies[[1]])
#> id trt PFStime CensoredPFS PFSevent OStime CensoredOS OSevent
#> 1 1 1 0.08087899 0 1 2.0330026 0 1
#> 2 2 1 0.84758881 0 1 0.8475888 0 1
#> 3 3 1 0.18276912 0 1 0.1968048 0 1
#> 4 4 1 0.13789870 0 1 1.2899802 0 1
#> 5 5 1 0.06458797 0 1 0.6901351 0 1
#> 6 6 1 0.83894555 0 1 1.0709457 0 1
#> recruitTime OStimeCal PFStimeCal
#> 1 0.8516769 2.884679 0.9325558
#> 2 4.1068045 4.954393 4.9543933
#> 3 2.3596282 2.556433 2.5423973
#> 4 1.1682298 2.458210 1.3061285
#> 5 0.7710655 1.461201 0.8356535
#> 6 3.1585892 4.229535 3.9975347
```

## Citing `simIDM`

To cite `simIDM` please see
[here](https://insightsengineering.github.io/simIDM/main/authors.html#citation).