对于高级/转移性疾病的III期试验的二级总生存终点的时间和报告
Boris Freidlin1, Larissa A Korde2, Edward L Korn1
1Biometric Research Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD.
概括
有效的救援疗法可以改善癌症患者的存活率,并复杂化专注于整体存活率 (OS) 的试验. 新的试验设计使用中间终点,使操作系统成为次要终点,这需要仔细的数据管理.
科学领域:
- 在瘤学瘤学.
- 临床试验设计 临床试验设计
- 生物统计学 生物统计学
背景情况:
- 最近的癌症治疗方法的进步提高了患者的生存率.
- 有效的救援疗法使使用整体存活率 (OS) 作为主要终点的最终III期试验复杂化.
- 加快药物开发需要替代试验设计.
研究的目的:
- 审查使用中间初级终点的III期癌症试验.
- 评估当前设计和报告操作系统的实践,作为二次终点.
- 为维护操作系统数据完整性和可访问性提供建议.
主要方法:
- 对最近公布的第三期癌症临床试验的综述.
- 对二级OS端点设计和报告的当代实践的分析.
- 为未来的试验制定基于证据的建议.
主要成果:
- 许多III期试验现在都使用了中间终点 (例如,无进展生存),OS作为次要终点.
- 在二次操作系统数据的设计和报告中存在变化.
- 确定了二级操作系统端点在数据完整性和可访问性方面的潜在挑战.
结论:
- 设计具有二次总生存 (OS) 终点的III期试验是一种必要的调整.
- 设计和报告二级操作系统数据的标准化方法至关重要.
- 提供了建议,以确保针对患者,临床医生和公共卫生的 robust OS 数据.
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