DEVISING PROOF-OF-CONCEPT STRATEGIES IN ONCOLOGY CLINICAL TRIALS

作者: PAUL S. WISSEL

DOI: 10.1016/B978-012088561-9/50015-6

关键词:

摘要: Publisher Summary This chapter discusses proof-of-concept strategies in oncology clinical trials. A program can offer efficiency the drug development process through pre-phase I planning and identification of important safety, activity, competitive landscape criteria that must be met. Determining degree correlation surrogate end point to benefit is essential assigning a value its inclusion study development. An focus proof-of- concept point, which predictive primary phase III point. The application statistical analysis central element for program. Statistical includes sample size estimates assure an adequate number patients are enrolled purposes assessing safety pharmacodynamics, pharmacokinetics, predictability marker It suggested when based on newly established points, greater understanding mechanism action putative links considered. found reliable method measuring any pharmacokinetic or pharmacodynamic used studies proper interpretation results.

参考文章(55)
Melissa Fazzari, Glenn Heller, Howard I Scher, The phase II/III transition : Toward the proof of efficacy in cancer clinical trials Controlled Clinical Trials. ,vol. 21, pp. 360- 368 ,(2000) , 10.1016/S0197-2456(00)00056-8
Gert Riethmüller, Christina R. M. Kentenich, Wolfgang Janni, Florian Hepp, Klaus Pantel, Harald L. Sommer, Fritz Willgeroth, Stephan Braun, Monoclonal Antibody Therapy with Edrecolomab in Breast Cancer Patients: Monitoring of Elimination of Disseminated Cytokeratin-positive Tumor Cells in Bone Marrow Clinical Cancer Research. ,vol. 5, pp. 3999- 4004 ,(1999)
Edward L. Korn, Susan G. Arbuck, James M. Pluda, Richard Simon, Richard S. Kaplan, Michaele C. Christian, Clinical Trial Designs for Cytostatic Agents: Are New Approaches Needed? Journal of Clinical Oncology. ,vol. 19, pp. 265- 272 ,(2001) , 10.1200/JCO.2001.19.1.265
Monica M. Bertagnolli, Gary J. Kelloff, David S. Alberts, Peter T. Scardino, Wael A. Sakr, Lee W. Wattenberg, Anil K. Rustgi, Adi F. Gazdar, Michele Follen, Joyce A. O’Shaughnessy, Vassiliki A Papadimitrakopoulou, Caroline C. Sigman, Steven P. Stratton, William G. Nelson, Stephen Lam, Carol J. Fabian, Frank L. Meyskens, Michael B. Sporn, Andrew J. Dannenberg, Scott M. Lippman, Gary B. Gordon, Waun Ki Hong, Daniel D. Von Hoff, Treatment and Prevention of Intraepithelial Neoplasia: An Important Target for Accelerated New Agent Development: Recommendations of the American Association for Cancer Research Task Force on the Treatment and Prevention of Intraepithelial Neoplasia Clinical Cancer Research. ,vol. 8, pp. 314- 346 ,(2002)
Philip W. Kantoff, Susan Halabi, Mark Conaway, Joel Picus, Jeffrey Kirshner, Vera Hars, Donald Trump, Eric P. Winer, Nicholas J. Vogelzang, Hydrocortisone With or Without Mitoxantrone in Men With Hormone-Refractory Prostate Cancer: Results of the Cancer and Leukemia Group B 9182 Study Journal of Clinical Oncology. ,vol. 17, pp. 2506- 2513 ,(1999) , 10.1200/JCO.1999.17.8.2506
I F Tannock, D Osoba, M R Stockler, D S Ernst, A J Neville, M J Moore, G R Armitage, J J Wilson, P M Venner, C M Coppin, K C Murphy, Chemotherapy with mitoxantrone plus prednisone or prednisone alone for symptomatic hormone-resistant prostate cancer: a Canadian randomized trial with palliative end points. Journal of Clinical Oncology. ,vol. 14, pp. 1756- 1764 ,(1996) , 10.1200/JCO.1996.14.6.1756
T Jansson, J E Westlin, H Ahlström, A Lilja, B Långström, J Bergh, Positron emission tomography studies in patients with locally advanced and/or metastatic breast cancer: a method for early therapy evaluation? Journal of Clinical Oncology. ,vol. 13, pp. 1470- 1477 ,(1995) , 10.1200/JCO.1995.13.6.1470
P Dombernowsky, I Smith, G Falkson, R Leonard, L Panasci, J Bellmunt, W Bezwoda, G Gardin, A Gudgeon, M Morgan, A Fornasiero, W Hoffmann, J Michel, T Hatschek, T Tjabbes, H A Chaudri, U Hornberger, P F Trunet, Letrozole, a new oral aromatase inhibitor for advanced breast cancer: double-blind randomized trial showing a dose effect and improved efficacy and tolerability compared with megestrol acetate. Journal of Clinical Oncology. ,vol. 16, pp. 453- 461 ,(1998) , 10.1200/JCO.1998.16.2.453
Afshin Dowlati, Scot C. Remick, Lili Liu, James K. V. Willson, Sosamma J. Berger, Timothy P. Spiro, Stanton L. Gerson, Nathan A. Berger, John Haaga, Sequential tumor biopsies in early phase clinical trials of anticancer agents for pharmacodynamic evaluation. Clinical Cancer Research. ,vol. 7, pp. 2971- 2976 ,(2001)
Gordon J. S. Rustin, Robert C. Bast, Gary J. Kelloff, J. Carl Barrett, Stephen K. Carter, Perry D. Nisen, Caroline C. Sigman, David R. Parkinson, Raymond W. Ruddon, Use of CA-125 in Clinical Trial Evaluation of New Therapeutic Drugs for Ovarian Cancer Clinical Cancer Research. ,vol. 10, pp. 3919- 3926 ,(2004) , 10.1158/1078-0432.CCR-03-0787