乳腺癌临床试验的资格标准:一个队列研究
Katarzyna Szlezinger1, Katarzyna Pogoda2, Agnieszka Jagiełło-Gruszfeld2
1Pharmacovigilance Department, Office for Registration of Medicinal Products, Medical Devices and Biocidal Products, Aleje Jerozolimskie 181C, 02-222, Warsaw, Poland.
BMC medicine
|July 3, 2023
概括
最近的乳腺癌临床试验经常排除老年患者和伴随疾病或表现不佳的患者. 修改资格标准对于更好地评估现实世界患者群体的治疗是至关重要的.
科学领域:
- 在瘤学瘤学.
- 临床试验设计 临床试验设计
- 患者招募 患者招募
背景情况:
- 乳腺癌 (BC) 是女性中最常见的癌症.
- 临床试验的资格标准可以显著影响患者的入学.
- 老年患者和患有并发症的患者在试验中往往代表性不足.
研究的目的:
- 在最近的乳腺癌临床试验中评估资格标准.
- 确定可能限制老年患者,并发症患者或表现不佳患者入学的标准.
主要方法:
- 来自ClinicalTrials.gov (2020-2022) 的522个乳腺癌系统抗癌治疗试验的分析.
- 评估上限年龄,并发症排除和绩效状况标准.
- 后勤回归用于确定试验特征和排除标准之间的关联.
主要成果:
- 94%的近期试验包括至少一个限制性标准 (年龄,并发症,性能状况).
- 与2010-2012年试验相比,上限年龄和绩效状态排除显著增加.
- 最近的试验中,只有1%的患者65岁以上.
结论:
- 最近的乳腺癌试验往往排除了不同患者群体.
- 资格标准需要修改,以反映现实世界的临床实践.
- 更广泛的纳入标准将能够更好地评估研究中的治疗方法.
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