Evidence map›Paper›PMID 29601671›Full record

ArticleCancer medicine2018

The importance of greater speed in drug development for advanced malignancies.

David J Stewart, Andrew A Stewart, Paul Wheatley-Price, Gerald Batist, Hagop M Kantarjian, Joan Schiller, Mark Clemons, John-Peter Bradford, Laurel Gillespie, Razelle Kurzrock

Abstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Review
  8. What Is Ailing Oncology Clinical Trials? Can We Fix Them?Current oncology (Toronto, Ont.) · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Determinants of the Cancer Drug Funding Process in Canada.Current oncology (Toronto, Ont.) · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Cancer drug development: The missing links.Experimental biology and medicine (Maywood, N.J.) · 2019
    Review
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

10 authors.

David J StewartThe University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-0184-7946
Andrew A StewartCareMedics, Manotick, Ontario, Canada.
Paul Wheatley-PriceThe University of Ottawa, Ottawa, Ontario, Canada.
Gerald BatistSegal Cancer Centre, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Hagop M KantarjianUniversity of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-1908-3307
Joan SchillerThe Inova Dwight and Martha Schar Cancer Institute, Fairfax, Virginia and Lung Cancer Research Foundation, New York, USA.
Mark ClemonsThe University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-0738-2713
John-Peter BradfordBradford Bachinski Limited and the Life Saving Therapies Network, Ottawa, Ontario, Canada.
Laurel GillespieThe Ottawa Hospital, Ottawa, Ontario, Canada.
Razelle KurzrockUniversity of California San Diego Moores Cancer Center, San Diego, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It takes on average 6-12 years to develop new anticancer drugs from discovery to approval. Effective new agents prolong survival. To demonstrate the importance of rapid drug approval, we calculated life-years potentially saved if selected agents were approved more rapidly. As illustrative examples, we used 27 trials documenting improvements in survival. We multiplied improvement in median survival by numbers of patients dying annually and multiplied this by number of years from drug discovery until approval. For every year by which time to drug approval could have been shortened, there would have been a median number of life-years potentially saved of 79,920 worldwide per drug. Median number of life-years lost between time of drug discovery and approval was 1,020,900 per example. If we were able to use available opportunities to decrease the time required to take a drug from discovery to approval to 5 years, the median number of life-years saved per example would have been 523,890 worldwide. Various publications have identified opportunities to speed drug development without sacrificing patient safety. While many investigational drugs prove to be ineffective, some significantly prolong survival and/or reduce suffering. These illustrative examples suggest that a substantial number of life-years could potentially be saved by increasing the efficiency of development of new drugs for advanced malignancies.

Indexed as

Drug ApprovalAlgorithmsAntineoplastic AgentsClinical Trials as TopicDrug DevelopmentHumansNeoplasmsSurvival AnalysisTime FactorsTreatment OutcomeAntineoplastic AgentsCancerdrug approvaldrug developmentlife-years saved

Identifiers

PMID29601671
PMCPMC5943431

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.