通过FDA瘤学加速批准计划获得的生命年数:一个投资组合模型
Ágnes Benedict1, Gábor Szabó2, Kinga Marczell2
1Evidera/PPD, Vienna, Austria.
Journal of the National Comprehensive Cancer Network : JNCCN
|April 22, 2024
概括
美国食品和药物管理局 (FDA) 针对癌症治疗的加速批准计划 (AAP) 已为美国患者提供了估计的263,000个生命年. 这项研究量化了AAP批准的瘤药物对人口水平的生存益处.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 监管科学 监管科学
背景情况:
- 美国食品和药物管理局 (FDA) 的加速批准计划 (AAP) 面临着对其在人口层面的健康益处的审查.
- 缺乏量化AAP对瘤学患者存活率的影响.
研究的目的:
- 为了估计癌症患者在2006年至2022年期间通过美国FDA的加速批准计划 (AAP) 批准的疗法所获得的生命年数.
主要方法:
- 利用FDA数据,临床试验结果和吸收工具来识别AAP批准的130种瘤治疗方法.
- 开发了一种决策分析模型,以估计患者队伍的生存率增长和累计寿命.
- 通过与AAP场景和没有AAP场景进行比较,计算了可归因于AAP的增量寿命年.
主要成果:
- 据估计,在美国,到2022年12月,大约911,000名癌症患者获得了约263,000年的寿命.
- 这一好处与在AAP下批准的69种产品有关,这些产品的整体存活率数据可用.
结论:
- 在癌症患者,特别是那些有很高的未满足需求的癌症患者中,AAP为癌症患者带来了相当大的生存益处,以增加的生命年来衡量.
- 评估对患者生存的影响对于围绕AAP评估的政策讨论至关重要.
更多相关视频
10:49Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
18.2K
13:17In Vitro and In Vivo Evaluation of Photocontrolled Biologically Active Compounds - Potential Drug Candidates for Cancer Photopharmacology
Published on: September 29, 2023
2.3K
相关概念视频
Clinical Trials: Overview
2.9K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
2.9K
Cancer Survival Analysis
345
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
345
Targeted Cancer Therapies
7.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.6K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Actuarial Approach
77
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
77
