Evidence map›Paper›PMID 28166468›Full record

ArticleJournal of biopharmaceutical statistics2017

Dose-finding designs for trials of molecularly targeted agents and immunotherapies.

Cody Chiuzan, Jonathan Shtaynberger, Gulam A Manji, Jimmy K Duong, Gary K Schwartz, Anastasia Ivanova, Shing M Lee

Abstract read
In one paragraph

Article in Journal of biopharmaceutical statistics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.9field-weighted citation impact, top 7% of its field
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

15 citing papers in PubMed, 30 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Cody Chiuzana Department of Biostatistics, Mailman School of Public Health , Columbia University , New York , New York , USA.
Jonathan Shtaynbergera Department of Biostatistics, Mailman School of Public Health , Columbia University , New York , New York , USA.
Gulam A Manjib Division of Hematology and Oncology, Department of Medicine , Columbia University , New York , New York , USA.
Jimmy K Duonga Department of Biostatistics, Mailman School of Public Health , Columbia University , New York , New York , USA.
Gary K Schwartzb Division of Hematology and Oncology, Department of Medicine , Columbia University , New York , New York , USA.
Anastasia Ivanovac Department of Biostatistics , UNC at Chapel Hill , Chapel Hill , North Carolina , USA.
Shing M Leea Department of Biostatistics, Mailman School of Public Health , Columbia University , New York , New York , USA.
Columbia University · USUniversity of North Carolina at Chapel Hill · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Statistical Methods for Cancer Clinical TrialsP01CA142538 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TSIATIS, ANASTASIOS A · 2010 to 2019
$21.3M
NCI NIH HHS P01 CA142538NCI NIH HHS P30 CA016086
6 · The paper itself

Abstract

Recently, there has been a surge of early phase trials of molecularly targeted agents (MTAs) and immunotherapies. These new therapies have different toxicity profiles compared to cytotoxic therapies. MTAs can benefit from new trial designs that allow inclusion of low-grade toxicities, late-onset toxicities, addition of an efficacy endpoint, and flexibility in the specification of a target toxicity probability. To study the degree of adoption of these methods, we conducted a Web of Science search of articles published between 2008 and 2014 that describe phase 1 oncology trials. Trials were categorized based on the dose-finding design used and the type of drug studied. Out of 1,712 dose-finding trials that met our criteria, 1,591 (92.9%) utilized a rule-based design, and 92 (5.4%; range 2.3% in 2009 to 9.7% in 2014) utilized a model-based or novel design. Over half of the trials tested an MTA or immunotherapy. Among the MTA and immunotherapy trials, 5.8% used model-based methods, compared to 3.9% and 8.3% of the chemotherapy or radiotherapy trials, respectively. While the percentage of trials using novel dose-finding designs has tripled since 2007, the adoption of these designs continues to remain low.

Indexed as

Clinical Trials, Phase I as TopicImmunotherapyMolecular Targeted TherapyAntineoplastic AgentsDose-Response Relationship, DrugHumansMaximum Tolerated DoseMedical OncologyNeoplasmsAntineoplastic AgentsDose-finding methodsimmunotherapymaximum tolerated doseoptimal dosephase 1 designstargeted therapy

Identifiers

PMID28166468
PMCPMC5383533
OpenAlexW2586405436

What OpenQuestion holds

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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.