使用患者报告结果 (PRO) 数据来补充在早期临床癌症药物开发中的暴露-反应分析
Huiming Xia1, Brian P Booth2, Yaning Wang3
1Bristol Myers Squibb, Princeton, USA.
Journal of patient-reported outcomes
|November 17, 2023
概括
患者报告结果 (PRO) 仪器在癌症药物试验中有效识别了已知的安全关系,超过了传统的临床医生报告. 这增强了暴露-反应分析,以更好地优化剂量.
科学领域:
- 药物监督 药物监督 药物监督
- 临床试验方法论 临床试验方法论
- 患者报告的结果
背景情况:
- 患者报告结果 (PRO) 仪器捕捉症状不良事件.
- PRO仪器量化暴露相关事件的耐受性方面.
- 这项研究评估了补充临床医生报告的安全数据的PRO.
研究的目的:
- 调查PRO仪器识别已知的暴露-反应 (ER) 关系的安全能力.
- 使用临床医生报告的ER分析与PRO数据进行比较.
- 评估用于补充抗癌药物开发中的传统ER分析的PRO.
主要方法:
- 在抗癌药物试验中的120名患者的回顾性分析.
- 使用常用术语对不良事件的标准 (CTCAE) 和 PRO-CTCAE 对腹不良事件的并行分析.
- 对ER的比较分析评估了与原来的新药申请 (NDA) 发现的一致性.
主要成果:
- 根据PRO-CTCAE的数据,已知ER与腹的关系被确定.
- 基于标准CTCAE的ER分析没有确定已知的ER关系.
- 来自PRO的数据表明,在这个子集中,敏感性更高.
结论:
- 经PRO评估的症状不良事件数据可以成为补充传统ER分析的敏感工具.
- 使用PROs量化耐受性方面可能会提高ER分析的灵敏度.
- 这支持早期临床试验剂量优化,而患者数据有限.
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