2014
DOI: 10.1007/s00280-014-2596-4
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Predicting success in regulatory approval from Phase I results

Abstract: Drug development in oncology is resource intensive and has a high failure rate. In this exploratory analysis, we aimed to identify the characteristics and outcomes of published Phase I studies associated with future Food and Drug Administration (FDA) approval. Phase I studies of 88 anticancer agents, treating a total of 4423 subjects between 2000 and 2013 were retrospectively examined. Fisher’s Exact and Chi-square tests were used to compare the potential predictive measures. The median number of patients in P… Show more

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Cited by 10 publications
(3 citation statements)
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“…In addition to estimating historical success rates, researchers have applied a variety of statistical and artificial intelligence techniques to predicting clinical trial outcomes. For example, Goffin et al (2005) study the tumor response rates of 58 cytotoxic agents in 100 phase 1 trials and 46 agents in 499 phase 2 trials; El-Maraghi & Eisenhauer (2008) look at the objective responses of 19 phase 2 anticancer drugs in 89 single-agent trials; Malik et al (2014) examine the trial objective responses of 88 anticancer agents in phase 1; DiMasi et al (2015) analyze 62 cancer drugs and propose an approved new drug index algorithm with four factors to predict approval for lead indications within a certain time period after completion (see Hsu et al 2019). This data availability has also enhanced the ability of researchers to view the actual project-level investment decisions of these companies, as we discuss in more detail later.…”
Section: Predicting Clinical Trial Outcomesmentioning
confidence: 99%
“…In addition to estimating historical success rates, researchers have applied a variety of statistical and artificial intelligence techniques to predicting clinical trial outcomes. For example, Goffin et al (2005) study the tumor response rates of 58 cytotoxic agents in 100 phase 1 trials and 46 agents in 499 phase 2 trials; El-Maraghi & Eisenhauer (2008) look at the objective responses of 19 phase 2 anticancer drugs in 89 single-agent trials; Malik et al (2014) examine the trial objective responses of 88 anticancer agents in phase 1; DiMasi et al (2015) analyze 62 cancer drugs and propose an approved new drug index algorithm with four factors to predict approval for lead indications within a certain time period after completion (see Hsu et al 2019). This data availability has also enhanced the ability of researchers to view the actual project-level investment decisions of these companies, as we discuss in more detail later.…”
Section: Predicting Clinical Trial Outcomesmentioning
confidence: 99%
“…Statistical (typically both univariate and multivariate) analyses performed by the R&D analytics groups within pharma companies and biotechnology companies. These analyses (e.g., [5]- [7]) typically take into account several parameters (for example data from Phase 1, the mechanism of action of the drug, the availability of patients for the trial, etc. )…”
Section: Expert Input From Experienced Physicians and Drug Developersmentioning
confidence: 99%
“…From 2001 to 2009, five articles were published [4][5][6][7][8]. Interest in the topic continued to increase, with six relevant articles being published from 2010 to 2012 [9][10][11][12][13][14] and 12 articles appearing from 2013 to 2015 [15][16][17][18][19][20][21][22][23][24][25][26]. The timeframe for which data were analysed in the studies ranged from 1981 to 2014.…”
Section: Observations Publication Characteristicsmentioning
confidence: 99%