对于获得加速批准的瘤药物,使用患者报告的结果措施
Donald C Moore1, Joseph B Elmes2, Scott A Strassels3
1Department of Pharmacy, Levine Cancer Institute, Atrium Health, 1021 Morehead Medical Drive, Charlotte, NC, 28204, USA. Donald.moore1@atriumhealth.org.
概括
患者报告结果 (PRO) 在瘤药物试验中不一致地用于加速FDA批准. 为了更好地评估生活质量,需要进一步协调PRO评估工具.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 健康 结果 研究 研究 结果
背景情况:
- 患者报告结果 (PROs) 对于评估癌症患者与健康相关的生活质量至关重要.
- 癌症临床试验越来越多地将PRO纳入瘤学临床试验,但它们在加速批准途径中的使用尚未得到充分记录.
研究的目的:
- 为了确定作为瘤药物临床试验的终点,PRO被纳入的频率,从而获得最初的FDA加速批准.
- 评估在这些试验中使用的PRO评估工具的类型和协调.
主要方法:
- 在2013年至2022年期间提交给FDA的新药申请的横截面研究.
- 评估59种获得初步加速批准的独特瘤药物.
- 分析PRO评估,包括在支持临床试验中的测量工具.
主要成果:
- 在通过加速途径批准的59种瘤药物中,35种 (59%) 包含了PRO评估.
- 每个试验中使用的PRO测量的中位数为1个.
- 在应用程序中使用了23种不同的PRO评估工具,这表明缺乏协调.
结论:
- 在支持初步加速批准瘤药物的试验中,PRO测量不一致地被使用.
- 在这些关键试验中使用的PRO评估工具中缺乏标准化和协调.
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