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Updated: Feb 7, 2026

Method for Novel Anti-Cancer Drug Development using Tumor Explants of Surgical Specimens
Published on: July 29, 2011
The use of real-world data in cancer drug development
E Skovlund1, H G M Leufkens2, J F Smyth3
1Department of Public Health and Nursing, NTNU, Trondheim, Norway; Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Abstract:
Excitement about the dramatic increase in potential successful anticancer medicines in recent years is hampered by the high costs involved as well as the length of time traditional pathways take for regulatory approval. The translation of experimental clinical data into real-world evidence is also problematic. While the randomised controlled trial remains the gold standard for assessing efficacy and safety, there is increasing interest in the use of observational data to enable more rapid, informed and widespread availability and access to important anticancer medicines. Taking real-world evidence into account in regulatory and health technology assessment in a thoughtful and balanced fashion will enrich and justify sound decision-making.
Insights
High costs and lengthy approval times hinder access to new anticancer medicines. Utilizing real-world evidence alongside traditional trials can accelerate patient access to vital cancer treatments.
Area of Science:
- Oncology
- Health Technology Assessment
- Regulatory Science
Background:
- Anticancer drug development faces challenges with high costs and lengthy regulatory approval processes.
- Translating experimental clinical data into real-world evidence (RWE) for regulatory use remains a significant hurdle.
- Randomized controlled trials (RCTs) are the established standard for assessing drug efficacy and safety.
Purpose of the Study:
- To explore the potential of real-world evidence (RWE) to overcome limitations in anticancer drug development and approval.
- To advocate for the balanced integration of RWE into regulatory and health technology assessment (HTA) processes.
- To facilitate faster and broader access to innovative anticancer therapies.
Main Methods:
- Review of current challenges in anticancer drug development and regulatory pathways.
- Discussion on the role and potential of observational data and RWE.
- Analysis of the benefits of incorporating RWE into decision-making frameworks.
Main Results:
- RWE offers a complementary approach to RCTs for evaluating anticancer medicines.
- Integrating RWE can potentially expedite the availability of novel cancer treatments.
- Thoughtful consideration of RWE can enhance the robustness of regulatory and HTA decisions.
Conclusions:
- Real-world evidence presents a valuable opportunity to improve access to anticancer medicines.
- Balancing RWE with traditional trial data is crucial for informed regulatory and HTA decision-making.
- Strategic use of RWE can accelerate the translation of scientific advancements into clinical practice.
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