Basket Trials: Review of Current Practice and Innovations for Future Trials

Brian P Hobbs1, Roberto Carmagnani Pestana2, Emily C Zabor3

  • 1Dell Medical School, The University of Texas at Austin, Austin, TX.

Insights

Basket trials evaluate targeted cancer therapies across various tumor types. This review discusses their statistical design and interpretation challenges in oncology research.

Area of Science:

  • Oncology
  • Immunology
  • Genetics

Background:

  • Advances in cancer biology and immunology reveal shared genetic and immune traits across distinct cancer histologies.
  • Pharmacologic innovations enable targeted therapies for multiple tumor types based on identified molecular alterations.

Purpose of the Study:

  • To review the implementation of basket trials in oncology.
  • To discuss the statistical design and analysis challenges associated with basket trials.

Main Methods:

  • Review of oncology studies utilizing basket trial designs.
  • Discussion of statistical considerations for phase II basket trials.

Main Results:

  • Basket trials are a key tool for evaluating biomarker-targeted therapies across multiple histologies.
  • Challenges exist in the statistical design and interpretation of results from basket trials.

Conclusions:

  • Basket trials offer a novel approach for testing targeted agents in diverse cancer types.
  • Addressing statistical complexities is crucial for the effective use and interpretation of basket trial data.