在注册乳腺癌试验中报告年龄较大的子组 2012-2021年
Colm Mac Eochagain1, Nicolò Matteo Luca Battisti2
1Breast Cancer Unit, Royal Marsden Hospital, Sutton, London, UK. colmme@gmail.com.
Breast cancer research and treatment
|September 4, 2023
概括
在乳腺癌试验中,报告特定年龄的数据是不充分的,特别是在老年人中. 关键的疗效,安全和生活质量结果往往是缺失的,需要为这一人口群改进报告标准.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 老年医学 老年医学
背景情况:
- 乳腺癌不成比例地影响着老年人,这使得特定年龄的数据至关重要.
- 乳腺癌治疗的注册临床试验需要对老年患者子组进行全面报告.
研究的目的:
- 评估乳腺癌登记试验中老年成人子组报告的完整性.
- 确定报告老年患者疗效,安全和生活质量数据的缺陷.
主要方法:
- 在2012-2021年期间,FDA批准了27项临床试验和216篇出版物的系统评估.
- 数据提取的重点是65岁及以上患者的疗效,基线特征,安全性和与健康有关的生活质量 (HRQOL).
主要成果:
- 在评估的试验中,只有20.3%的患者年龄在65岁或以上.
- 主要终点的完整报告是充足的 (72.7%),但经常使用代用措施 (84.8%).
- 在老年人群中,总生存率 (50.0%不存在),二次疗效终点 (81.8%),基线特征 (70.4%),毒性 (55.6%) 和HRQOL (87.5%) 存在显著的数据差距.
结论:
- 乳腺癌登记试验显示,在报告年龄特定数据方面存在重大缺陷.
- 对老年人的关键结果报告不足,需要强制性报告标准,并专注于他们的特定需求.
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