Evidence map›Paper›PMID 33990993›Full record

GuidelineCancer science2021

Guidelines for clinical evaluation of anti-cancer drugs.

Hironobu Minami, Naomi Kiyota, Shiro Kimbara, Yuichi Ando, Tomoya Shimokata, Atsushi Ohtsu, Nozomu Fuse, Yasutoshi Kuboki, Toshio Shimizu, Noboru Yamamoto and 8 more

Open access · goldAbstract readGuideline
In one paragraph

Guideline in Cancer science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Materials today. Bio · 2024
    Article
  17. Review
  18. Oncology drug lag in Japan: has it improved over the last decade?International journal of clinical oncology · 2023
    Article
  19. Article
  20. 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

18 authors at 10 institutions in 1 country.

Hironobu MinamiDivision of Medical Oncology and Hematology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID https://orcid.org/0000-0001-8630-9145
Naomi KiyotaDivision of Medical Oncology and Hematology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID https://orcid.org/0000-0001-8021-6116
Shiro KimbaraDivision of Medical Oncology and Hematology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Yuichi AndoDepartment of Clinical Oncology and Chemotherapy, Nagoya University Hospital, Nagoya, Japan.ORCID https://orcid.org/0000-0002-6849-2297
Tomoya ShimokataDepartment of Clinical Oncology and Chemotherapy, Nagoya University Hospital, Nagoya, Japan.
Atsushi OhtsuNational Cancer Center Hospital East, Kashiwa, Japan.
Nozomu FuseClinical Research Support Office, National Cancer Center Hospital East, Kashiwa, Japan.
Yasutoshi KubokiDepartment of Experimental Therapeutics, National Cancer Center Hospital East, Kashiwa, Japan.
Toshio ShimizuDepartment of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6632-0638
Noboru YamamotoDepartment of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0787-2851
Kazuto NishioDepartment of Genome Biology, Kindai University Faculty of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0002-8275-0846
Yutaka KawakamiDepartment of Immunology, School of Medicine, International University of Health and Welfare, Chiba, Japan.
Shin-Ichi NihiraTokyo Biochemical Research Foundation-Comprehensive Academy for Advanced Oncology, Tokyo, Japan.
Kazuhiro SaseClinical Pharmacology & Regulatory Science, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Takahiro NonakaDivision of Epidemiology, Office of Medical Informatics and Epidemiology, Pharmaceuticals and Medical Devices Agency, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1320-6190
Hideaki TakahashiOffice of New Drug V, Pharmaceuticals and Medical Devices Agency, Tokyo, Japan.
Yukiko KomoriOffice of New Drug IV, Pharmaceuticals and Medical Devices Agency, Tokyo, Japan.
Koshin KiyoharaOffice of New Drug V, Pharmaceuticals and Medical Devices Agency, Tokyo, Japan.
Pharmaceuticals and Medical Devices Agency · JPNational Cancer Center Hospital East · JPKobe University Hospital · JPNagoya University Hospital · JPTokyo National Hospital · JPInternational University of Health and Welfare · JPJuntendo University · JPKindai University · JPKobe University · JPTokyo Biochemical Research Foundation · JP

Funding

Japan Agency for Medical Research and Development (AMED) JP20mk0101136
6 · The paper itself

Abstract

Clinical studies intended for regulatory approval must demonstrate the clinical benefits of the drug in a target population. Clinical development of a drug proceeds by stepwise clinical studies; after safety and pharmacokinetics are evaluated and the recommended dosage and administration are determined, efficacy and safety are evaluated in an exploratory manner, and finally clinical benefits are compared with conventional standard therapies. Guidelines for the clinical evaluation of anti-cancer drugs in Japan were established in 1991 and amended in 2006 after molecular-targeted drugs were introduced. Recent progress in the development of drugs acting on the immune system and cancer genomic medicine targeting rare but important molecular subtypes have altered the strategy for development of anti-cancer drugs. It is often difficult to conduct a confirmatory randomized controlled study using overall survival as the primary endpoint in rare molecular subtypes, and the primary evaluation of the efficacy of some drugs and subsequent approval is based on the tumor response. As conducting clinical studies for rare subtypes solely within Japan is difficult, drug development needs to be conducted within a global study. However, this requires robust monitoring to detect possible ethnic differences in pharmacokinetics and drug efficacy. Development using the conditional approval system for drugs enforced in 2020 may be considered, when clinical utility is evaluated based on surrogate endpoints. Because of these changes, we have revised the guidelines for the clinical evaluation of anti-cancer drugs in Japan. To promote global development of anti-cancer drugs involving Japan, the guidelines have been translated into English.

Indexed as

Antineoplastic AgentsClinical Studies as TopicDrug DevelopmentHumansJapanNeoplasmsRare DiseasesTreatment OutcomeAntineoplastic Agentsanti-cancer drugsclinical trialsdevelopmental therapeuticsguidelinesregulatory science

Identifiers

PMID33990993
PMCPMC8253284
OpenAlexW3162595824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.