Design issues in randomized clinical trials of maintenance therapies

B Freidlin, RF Little, EL Korn - Journal of the National Cancer …, 2015 - academic.oup.com
A potential therapeutic strategy for patients who respond (or have stable disease) on a fixed-
duration induction therapy is to receive maintenance therapy, typically given for a prolonged …

Overall survival as the outcome for randomized clinical trials with effective subsequent therapies

EL Korn, B Freidlin, JS Abrams - Journal of clinical oncology, 2011 - ascopubs.org
We review how overall survival (OS) comparisons should be interpreted with increasing
availability of effective therapies that can be given subsequently to the treatment assigned in …

Why post‐progression survival and post‐relapse survival are not appropriate measures of efficacy in cancer randomized clinical trials

X García‐Albéniz, J Maurel… - International Journal of …, 2015 - Wiley Online Library
Comparisons of post‐relapse survival (PRS) and post‐progression survival have been used
to measure efficacy in some cancer clinical trials. These comparisons are an attempt to …

The randomized discontinuation trial: a phase II design to assess growth-inhibitory agents

WM Stadler - Molecular Cancer Therapeutics, 2007 - AACR
An increasing number of putative anticancer targets and drugs have been identified with
many of these expected to be growth inhibitory. Clinical development of these agents in the …

Other paradigms: Randomized discontinuation trial design

W Stadler - The Cancer Journal, 2009 - journals.lww.com
Phase II oncologic clinical trials for agents that are mainly growth inhibitory and benefit only
a selected patient population are challenging. The randomized discontinuation trial design …

Picking the winners in a sea of plenty

HI Scher, G Heller - Clinical cancer research, 2002 - AACR
Purpose: Selecting an experimental arm for a Phase III trial is based on the results of Phase
II investigations. Historical results show that this paradigm leads to the failure of many …

[引用][C] Is response rate relevant to the phase II trial design of targeted agents?

A Dowlati, P Fu - Journal of Clinical Oncology, 2008 - ascopubs.org
Phase II trials serve an important role in oncologic drug development by screening single
agents or combinations of agents in a single disease entity for signs of efficacy that would …

[HTML][HTML] Progression-free survival decreases with each subsequent therapy in patients presenting for phase I clinical trials

CH Bailey, G Jameson, C Sima, S Fleck, E White… - Journal of …, 2012 - ncbi.nlm.nih.gov
Background: There is often a finite progression-free interval of time between one systemic
therapy and the next when treating patients with advanced cancer. While it appears that …

Understanding and communicating measures of treatment effect on survival: can we do better?

ED Saad, JR Zalcberg, J Péron, E Coart… - JNCI: Journal of the …, 2018 - academic.oup.com
Time-to-event end points are the most frequent primary end points in phase III oncology
trials, both in the adjuvant and advanced settings. The evaluation of these end points is …

Assumptions of expected benefits in randomized phase III trials evaluating systemic treatments for cancer

HK Gan, B You, GR Pond… - Journal of the National …, 2012 - academic.oup.com
Background In designing phase III randomized clinical trials (RCTs), the expected
magnitude of the benefit of the experimental therapy (δ) determines the number of patients …