Evidence map›Paper›PMID 31907370›Full record

ReviewBritish journal of cancer2020

Effective delivery of Complex Innovative Design (CID) cancer trials-A consensus statement.

Sarah P Blagden, Lucinda Billingham, Louise C Brown, Sean W Buckland, Alison M Cooper, Stephanie Ellis, Wendy Fisher, Helen Hughes, Debbie A Keatley, Francois M Maignen and 7 more

Abstract readConsensus StatementReview
In one paragraph

Review in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

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  20. Exploring Heterogeneity in Histology-Independent Technologies and the Implications for Cost-Effectiveness.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    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

17 authors.

Sarah P BlagdenDepartment of Oncology, University of Oxford, Oxford, UK. sarah.blagden@oncology.ox.ac.uk.
Lucinda BillinghamCancer Research UK Clinical Trials Unit, Institute of Cancer and Genomic Studies, University of Birmingham, Birmingham, UK.
Louise C BrownMedical Research Council (MRC) Clinical Trials Unit, University College London, London, UK.
Sean W BucklandPfizer, Surrey, UK.
Alison M CooperThe Association of the British Pharmaceutical Industry (ABPI), London, UK.
Stephanie EllisHealth Research Authority, London, UK.
Wendy FisherWendy Fisher Consulting (WFC) Ltd, London, UK.
Helen HughesCardiff and Vale University Health Board, Cardiff, UK.
Debbie A KeatleyIndependent Cancer Patients' Voice, National Cancer Research Institute (NCRI), London, UK.
Francois M MaignenNational Institute for Health and Care Excellence (NICE), London, UK.
Alex MorozovPfizer, New York, USA.
Will NavaieHealth Research Authority, London, UK.
Sarah PearsonOncology Clinical Trials Office, University of Oxford, Oxford, UK.
Abeer ShaabanQueen Elizabeth Hospital Birmingham and the University of Birmingham, Birmingham, UK.
Kirsty WydenbachMedicines and Healthcare products Regulatory Agency (MHRA), London, UK.
Pamela R KearnsCancer Research UK Clinical Trials Unit, Institute of Cancer and Genomic Studies, University of Birmingham, Birmingham, UK.
Experimental Cancer Medicine Centres (ECMC) CID trials working group

Funding

Cancer Research UK 25354Cancer Research UK 28028Medical Research Council MC_UU_12023/20Medical Research Council MC_UU_12023/21Medical Research Council MC_UU_12023/24Medical Research Council MC_UU_12023/25Medical Research Council MC_UU_12023/4
6 · The paper itself

Abstract

The traditional cancer drug development pathway is increasingly being superseded by trials that address multiple clinical questions. These are collectively termed Complex Innovative Design (CID) trials. CID trials not only assess the safety and toxicity of novel anticancer medicines but also their efficacy in biomarker-selected patients, specific cancer cohorts or in combination with other agents. They can be adapted to include new cohorts and test additional agents within a single protocol. Whilst CID trials can speed up the traditional route to drug licencing, they can be challenging to design, conduct and interpret. The Experimental Cancer Medicine Centres (ECMC) network, funded by the National Institute for Health Research (NIHR), Cancer Research UK (CRUK) and the Health Boards of Wales, Northern Ireland and Scotland, formed a working group with relevant stakeholders from clinical trials units, the pharmaceutical industry, funding bodies, regulators and patients to identify the main challenges of CID trials. The working group generated ten consensus recommendations. These aim to improve the conduct, quality and acceptability of oncology CID trials in clinical research and, importantly, to expedite the process by which effective treatments can reach cancer patients.

Indexed as

Research DesignAntineoplastic AgentsClinical Trials as TopicHumansNeoplasmsAntineoplastic Agents

Identifiers

PMID31907370
PMCPMC7028941

What OpenQuestion holds

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LicenceCC BY
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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.