Adaptive phase 2/3 designs for oncology drug development-Time to hedge

被引:4
作者
Chen, Cong [1 ,3 ]
Rubin, Eric H. [2 ]
机构
[1] Merck & Co Inc, Biostat & Res Decis Sci, Rahway, NJ 07065 USA
[2] Merck & Co Inc, Oncol Early Dev, Rahway, NJ 07065 USA
[3] MAILSTOP UG-1CD44,351 North Sumneytown Pike, North Wales, PA 19454 USA
关键词
Oncology; Immunotherapy; Adaptive design;
D O I
10.1016/j.cct.2022.107047
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Randomized-controlled Phase 2 trials are routinely skipped in oncology drug development in favor of directly going to confirmatory Phase 3 after signal-detection post dose-finding in Phase 1. With improved standard-of -care, this speed-oriented aggressive approach is not sustainable. It is time to apply the state-of-art adaptive 2 -in-1 Phase 2/3 designs to mitigate the risk of costly Phase 3 failures and allow a study to choose the optimal path to success.
引用
收藏
页数:2
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