Evidence map›Paper›PMID 23507740›Full record

ReviewNature reviews. Clinical oncology2013

Adaptive designs for dual-agent phase I dose-escalation studies.

Jennifer A Harrington, Graham M Wheeler, Michael J Sweeting, Adrian P Mander, Duncan I Jodrell

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
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  9. A Bayesian model-free approach to combination therapy phase I trials using censored time-to-toxicity data.Journal of the Royal Statistical Society. Series C, Applied statistics · 2019
    Article
  10. Article
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  13. From Famine to Feast: Developing Early-Phase Combination Immunotherapy Trials Wisely.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  14. Article
  15. Article
  16. Article
  17. Article
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  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jennifer A HarringtonDepartment of Oncology, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK. jenny.harrington@cruk.cam.ac.uk
Graham M Wheeler
Michael J Sweeting
Adrian P Mander
Duncan I Jodrell

Funding

British Heart Foundation RG/08/014/24067Cancer Research UK 15678Medical Research Council G0800860Medical Research Council MC_U105232027Medical Research Council MC_UP_1302/2Medical Research Council MR/L003120/1
6 · The paper itself

Abstract

Anticancer agents used in combination are fundamental to successful cancer treatment, particularly in a curative setting. For dual-agent phase I trials, the goal is to identify drug doses and schedules for further clinical testing. However, current methods for establishing the recommended phase II dose for agents in combination can fail to fully explore drug interactions. With increasing numbers of anticancer drugs requiring testing, new adaptive model-based trial designs that improve on current practice have been proposed, although uptake has been minimal. We describe the methods available and discuss some of the opportunities and challenges faced in dual-agent phase I trials, as well as giving examples of trials in which adaptive designs have been implemented successfully. Improving the design and execution of phase I trials of drug combinations critically relies on collaboration between the statistical and clinical communities to facilitate the implementation of adaptive, model-based designs.

Indexed as

Research DesignAlgorithmsAntineoplastic Combined Chemotherapy ProtocolsBayes TheoremClinical Trials, Phase I as TopicDose-Response Relationship, DrugDrug Administration ScheduleHumansModels, TheoreticalMulticenter Studies as TopicTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.