Resumen
We consider two-stage adaptive designs for clinical trials where data from the two stages are dependent. This occurs when additional data are obtained from patients during their second stage follow-up. While the proposed flexible approach allows modifications of trial design, sample size, or statistical analysis using the first stage data, there is no need for a complete prespecification of the adaptation rule. Methods are provided for an adaptive closed testing procedure, for calculating overall adjusted p-values, and for obtaining unbiased estimators and confidence bounds for parameters that are invariant to modifications. A motivating example is used to illustrate these methods.