Evidence map›Paper›PMID 33668473›Full record

ReviewJournal of clinical medicine2021

Are Quality of Randomized Clinical Trials and ESMO-Magnitude of Clinical Benefit Scale Two Sides of the Same Coin, to Grade Recommendations for Drug Approval?

Adela Rodriguez, Francis Esposito, Helena Oliveres, Ferran Torres, Joan Maurel

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 57% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Value Frameworks: Adaptation of Korean Versions of Value Frameworks for Oncology.International journal of environmental research and public health · 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

5 authors at 2 institutions in 1 country.

Adela RodriguezDepartment of Medical Oncology, Hospital Clinic of Barcelona,08036 Barcelona, Spain.ORCID 0000-0002-4899-6607
Francis EspositoDepartment of Medical Oncology, Hospital Clinic of Barcelona,08036 Barcelona, Spain.
Helena OliveresDepartment of Medical Oncology, Hospital Clinic of Barcelona,08036 Barcelona, Spain.
Ferran TorresBiostatistics Unit, Faculty of Medicine, Autonomous University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0002-7355-7913
Joan MaurelDepartment of Medical Oncology, Hospital Clinic of Barcelona,08036 Barcelona, Spain.
Hospital Clínic de Barcelona · ESUniversitat Autònoma de Barcelona · ES

Funding

Instituto de Salud Carlos III-PI13/ 01728 and PI19/00740 (to J.M). .
6 · The paper itself

Abstract

The approval of a new drug for cancer treatment by the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA) is based on positive, well-designed randomized phase III clinical trials (RCTs). However, not all of them are analyzed to support the recommendations. For this reason, there are different scales to quantify and evaluate the quality of RCTs and the magnitude of the clinical benefits of new drugs for treating solid tumors. In this review, we discuss the value of the progression-free survival (PFS) as an endpoint in RCTs and the concordance between it and the overall survival (OS) as a measure of the quality of clinical trial designs. We summarize and analyze the different scales to evaluate the clinical benefits of new drugs such as the The American Society of Clinical Oncology value framework (ASCO-VF-NHB16) and European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS) and the concordance between them, focusing on metastatic colorectal cancer (mCRC). We propose several definitions that would help to evaluate the quality of RCT, the magnitude of clinical benefit and the appropriate approval of new drugs in oncology.

Indexed as

drug approvalESMO-MCBSquality randomized studies

Identifiers

PMID33668473
PMCPMC7918206
OpenAlexW3132122038

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.