Sample size calculations for a continuous outcome require specification of
the anticipated variance; inaccurate specification can result in an underpo
wered or overpowered study. For this reason, adaptive methods whereby sampl
e size is recalculated using the variance of a subsample have become increa
singly popular. The first proposal of this type (Stein, 1945, Annals of Mat
hematical Statistics 16, 243-258) used all of the data to estimate the mean
difference but only the first stage data to estimate the variance. Stein's
procedure is not commonly used because many people perceive it as ignoring
relevant data. This is especially problematic when the first stage sample
size is small, as would be the case if the anticipated total sample size we
re small. A more naive approach uses in the denominator of the final test s
tatistic the variance estimate based on all of the data. Applying the Helme
rt transformation, we show why this naive approach underestimates the true
variance and how to construct an unbiased estimate that uses all of the dat
a. We prove that the type I error rate of our procedure cannot exceed alpha
.