Pragmatic randomized clinical trials: a proposal to enhance evaluation of new cancer therapies with early signs of exceptional activity

被引:12
作者
Koehler, M. [1 ]
Donnelly, E. T. [2 ]
Kalanovic, D. [3 ]
Dagher, R. [4 ]
Rothenberg, M. L. [1 ]
机构
[1] Pfizer Oncol, New York, NY 10017 USA
[2] Pfizer Oncol, Cambridge, MA USA
[3] Pfizer Oncol, Reg Med Affairs, Berlin, Germany
[4] Pfizer, Worldwide Safety & Regulatory, Groton, CT USA
关键词
WORLD EFFECTIVENESS TRIAL; MULTIPLE-MYELOMA; DRUG DEVELOPMENT; SALFORD LUNG; BORTEZOMIB; PROTOCOL; AGE;
D O I
10.1093/annonc/mdw143
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We propose that for oncology drugs that demonstrate "exceptional activity" in Phase 1 or Phase 2 trials and receive accelerated/conditional approval and/or Breakthrough Therapy Designation, and for certain expanded indications, regulatory authorities should consider accepting data from prospectively-agreed pragmatic randomized clinical trials to grant full regulatory approval.
引用
收藏
页码:1342 / 1348
页数:7
相关论文
共 15 条
  • [1] The Salford Lung Study protocol: a pragmatic, randomised phase III real-world effectiveness trial in chronic obstructive pulmonary disease
    Bakerly, Nawar Diar
    Woodcock, Ashley
    New, John P.
    Gibson, J. Martin
    Wu, Wei
    Leather, David
    Vestbo, Jorgen
    [J]. RESPIRATORY RESEARCH, 2015, 16
  • [2] Methodological Standards and Patient-Centeredness in Comparative Effectiveness Research The PCORI Perspective
    Basch, Ethan
    Aronson, Naomi
    Berg, Alfred
    Flum, David
    Gabriel, Sherine
    Goodman, Steven N.
    Helfand, Mark
    Ioannidis, John P. A.
    Lauer, Michael
    Meltzer, David
    Mittman, Brian
    Newhouse, Robin
    Normand, Sharon-Lise
    Schneeweiss, Sebastian
    Slutsky, Jean
    Tinetti, Mary
    Yancy, Clyde
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 307 (15): : 1636 - 1640
  • [3] Oncology 2020: a drug development and approval paradigm
    Dhingra, K.
    [J]. ANNALS OF ONCOLOGY, 2015, 26 (11) : 2347 - 2350
  • [4] Cross-over-it's a feature, not a bug
    Engelsberg, A.
    [J]. ANNALS OF ONCOLOGY, 2015, 26 (09) : 2000 - 2002
  • [5] European Medicines Agency, 2015, REFL PAP PROP ENH EA
  • [6] Institute of Medicine (US) Forum on Drug Discovery Development and Translation, 2010, TRANSF CLIN RES US C
  • [7] A Prospective Analysis of the Influence of Older Age on Physician and Patient Decision-Making When Considering Enrollment in Breast Cancer Clinical Trials (SWOG S0316)
    Javid, Sara H.
    Unger, Joseph M.
    Gralow, Julie R.
    Moinpour, Carol M.
    Wozniak, Antoinette J.
    Goodwin, J. Wendall
    Lara, Primo N., Jr.
    Williams, Pamela A.
    Hutchins, Laura F.
    Gotay, Carolyn C.
    Albain, Kathy S.
    [J]. ONCOLOGIST, 2012, 17 (09) : 1180 - 1190
  • [8] Randomized controlled trial of the effect on quality of life of second- vs first-generation antipsychotic drugs in schizophrenia - Cost Utility of the Latest Antipsychotic Drugs in Schizophrenia Study (CUtLASS 1)
    Jones, Peter B.
    Barnes, Thomas R. E.
    Davies, Linda
    Dunn, Graham
    Lloyd, Helen
    Hayhurst, Karen P.
    Murray, Robin M.
    Markwick, Alison
    Lewis, Shon W.
    [J]. ARCHIVES OF GENERAL PSYCHIATRY, 2006, 63 (10) : 1079 - U6
  • [9] Participation in cancer clinical trials - Race-, sex-, and age-based disparities
    Murthy, VH
    Krumholz, HM
    Gross, CP
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (22): : 2720 - 2726
  • [10] Bortezomib or high-dose dexamethasone for relapsed multiple myeloma
    Richardson, PG
    Sonneveld, P
    Schuster, MW
    Irwin, D
    Stadtmauer, EA
    Facon, T
    Harousseau, JL
    Ben-Yehuda, D
    Lonial, S
    Goldschmidt, H
    Reece, D
    San-Miguel, JF
    Bladé, J
    Boccadoro, M
    Cavenagh, J
    Dalton, WS
    Boral, AL
    Esseltine, DL
    Porter, JB
    Schenkein, D
    Anderson, KC
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (24) : 2487 - 2498