Evidence map›Paper›PMID 31337605›Full record

ArticleBlood advances2019

Challenges and approaches to implementing master/basket trials in oncology.

Amy Burd, Richard L Schilsky, John C Byrd, Ross L Levine, Vassiliki A Papadimitrakopoulou, Roy S Herbst, Mary W Redman, Brian J Druker, David R Gandara

Abstract read
In one paragraph

Article in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Advancing Effective Clinical Trial Designs for Myelofibrosis.Hematology/oncology clinics of North America · 2021
    Review
  6. Article
  7. Article
  8. Article
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

9 authors.

Amy BurdThe Leukemia & Lymphoma Society, Rye Brook, NY.
Richard L SchilskyAmerican Society of Clinical Oncology, Alexandria, VA.
John C ByrdThe Leukemia & Lymphoma Society, Rye Brook, NY.ORCID 0000-0001-8331-8206
Ross L LevineMemorial Sloan Kettering Cancer Center, New York, NY.
Vassiliki A PapadimitrakopoulouThe University of Texas MD Anderson Cancer Center, Houston, TX.
Roy S HerbstYale Cancer Center, New Haven, CT.
Mary W RedmanFred Hutchinson Cancer Research Center, Seattle, WA.
Brian J DrukerKnight Cancer Institute, Oregon Health and Science University, Portland, OR; and.
David R GandaraUC Davis Comprehensive Cancer Center, Sacramento, CA.ORCID 0000-0003-1784-048X

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Targeted Therapy for LeukemiaR35CA197734 · NCI · UNIVERSITY OF CINCINNATI · PI BYRD, JOHN C. · 2015 to 2021
$6.6M
NCATS NIH HHS UL1 TR001863NCI NIH HHS R35 CA197734
6 · The paper itself

Abstract

The appetite for cutting-edge cancer research, across medical institutions, scientific researchers, and health care providers, is increasing based on the promise of true breakthroughs and cures with new therapeutics available for investigation. At the same time, the barriers for advancing clinical research are impacting how quickly drug development efforts are conducted. For example, we know now that under a microscope, patients with the same type of cancer and histology might look the same; however, the reality is that most cancers are driven by genomic, transcriptional, and epigenetic changes that make each patient unique. Additionally, the immunologic reaction to different tumor types is distinct among patients. The challenge for researchers developing new therapies today is vastly different than it was in the era of cytotoxics. Today, we must identify a sufficient number of patients harboring a rare mutation or other characteristic and match this to the right therapeutic option. This summary provides a guide to help inform the scientific cancer community about the benefits and challenges of conducting umbrella or basket trials (master trials), and to create a roadmap to help make this new and evolving form of clinical trial design as effective as possible.

Indexed as

Clinical Trials as TopicMedical OncologyClinical Decision-MakingDisease ManagementHumansNeoplasmsPrecision MedicineResearch Design

Identifiers

PMID31337605
PMCPMC6650731

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.