Informing single-arm clinical trials with external controls

被引:32
作者
Davi, Ruthie [1 ]
Mahendraratnam, Nirosha [2 ]
Chatterjee, Arnaub [1 ]
Dawson, C. Jill [3 ]
Sherman, Rachel [4 ]
机构
[1] Medidata Solut, New York, NY 10014 USA
[2] Duke Margolis Ctr Hlth Policy, Washington, DC USA
[3] Medidata Solut, Danville, CA USA
[4] Harvard Pilgrim Hlth Care Inst, Dept Populat Hlth, Boston, MA USA
关键词
D O I
10.1038/d41573-020-00146-5
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Randomized controlled trials are the accepted standard for evaluating investigational therapies, but such trials are sometimes not an option for reasons of ethics or feasibility. Here, we discuss opportunities to address evidence gaps by using historical clinical trial data and real-world data in external control arms for single-arm trials, as well as the associated challenges.
引用
收藏
页码:821 / 822
页数:2
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共 5 条
[1]   A Tutorial and Case Study in Propensity Score Analysis: An Application to Estimating the Effect of In-Hospital Smoking Cessation Counseling on Mortality [J].
Austin, Peter C. .
MULTIVARIATE BEHAVIORAL RESEARCH, 2011, 46 (01) :119-151
[2]   Real-World Data for Regulatory Decision Making: Challenges and Possible Solutions for Europe [J].
Cave, Alison ;
Kurz, Xavier ;
Arlett, Peter .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2019, 106 (01) :36-39
[3]   Blinatumomab vs historical standard therapy of adult relapsed/refractory acute lymphoblastic leukemia [J].
Goekbuget, N. ;
Kelsh, M. ;
Chia, V. ;
Advani, A. ;
Bassan, R. ;
Dombret, H. ;
Doubek, M. ;
Fielding, A. K. ;
Giebel, S. ;
Haddad, V. ;
Hoelzer, D. ;
Holland, C. ;
Ifrah, N. ;
Katz, A. ;
Maniar, T. ;
Martinelli, G. ;
Morgades, M. ;
O'Brien, S. ;
Ribera, J-M ;
Rowe, J. M. ;
Stein, A. ;
Topp, M. ;
Wadleigh, M. ;
Kantarjian, H. .
BLOOD CANCER JOURNAL, 2016, 6 :e473-e473
[4]   A Review of Perspectives on the Use of Randomization in Phase II Oncology Trials [J].
Grayling, Michael J. ;
Dimairo, Munyaradzi ;
Mander, Adrian P. ;
Jaki, Thomas F. .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2019, 111 (12) :1255-1262
[5]   Accelerating development of scientific evidence for medical products within the existing US regulatory framework [J].
Sherman, Rachel E. ;
Davies, Kathleen M. ;
Robb, Melissa A. ;
Hunter, Nina L. ;
Califf, Robert M. .
NATURE REVIEWS DRUG DISCOVERY, 2017, 16 (05) :297-298