Evidence map›Paper›PMID 34283382›Full record

SynthesisQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2022

Impact of open-label versus blinded study design on patient-reported outcomes data in randomized clinical trials of immunotherapy in advanced or metastatic cancer patients: a systematic review.

Amélie Anota, Astrid Pozet, Hervé Lemasson, Francois-Emery Cotté, Antoine Falcoz, Guillaume Eberst, Guillaume Mouillet, Stéphane Guerzider, Émilie Charton, Virginie Westeel

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Prognostic associations between patient-reported outcomes and overall survival among patients with advanced squamous non-small cell lung cancer: results from the RATIONALE-307 trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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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.

Amélie AnotaMethodology and Quality of Life Unit in Oncology (INSERM UMR 1098), University Hospital of Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France.
Astrid PozetMethodology and Quality of Life Unit in Oncology (INSERM UMR 1098), University Hospital of Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France. apozet@chu-besancon.fr.ORCID http://orcid.org/0000-0003-4371-1112
Hervé LemassonBristol-Myers Squibb, Market Access, Besançon, France.
Francois-Emery CottéBristol-Myers Squibb, Market Access, Besançon, France.
Antoine FalcozMethodology and Quality of Life Unit in Oncology (INSERM UMR 1098), University Hospital of Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France.
Guillaume EberstChest Disease Department, University Hospital of Besançon, Besançon, France.
Guillaume MouilletMethodology and Quality of Life Unit in Oncology (INSERM UMR 1098), University Hospital of Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France.
Stéphane GuerziderChest Disease Department, University Hospital of Besançon, Besançon, France.
Émilie ChartonMethodology and Quality of Life Unit in Oncology (INSERM UMR 1098), University Hospital of Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France.
Virginie WesteelMethodology and Quality of Life Unit in Oncology (INSERM UMR 1098), University Hospital of Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimA systematic literature review of immuno-oncology trials was conducted to assess the potential impact of open-label vs double-blind trial design on patient-reported outcome (PRO) data.

methodsA systematic search of indexed literature published from January 2009 to May 2019 was conducted using PubMed/MEDLINE, Cochrane Library, and EMBASE database. All randomized clinical trials (RCTs) of immuno-oncology therapies on advanced cancer patients reporting PRO data were identified. Descriptive analyses were performed to quantify differences at baseline and over time, by the type of study, regarding questionnaire completion rate and PRO scores.

resultsIn total, 23 studies were retained (15 open-label, 8 blinded). At baseline, no difference in completion rate was observed between arms irrespective of trial design (absolute mean difference of 2.8% and 2.2% for open label and blinded studies, respectively). No clinically significant difference in baseline PRO scores was observed between arms. Over time, impact on PRO scores could not be identified due to the limited number of studies, heterogeneity of questionnaires and tumor types.

conclusionsTrial design had no impact on PRO completion rate or baseline scores. Future research should involve analyses by specific cancer types and ideally compare individual data from two similar RCTs (blinded vs. open-label).

Indexed as

NeoplasmsQuality of LifeDouble-Blind MethodHumansImmunotherapyPatient Reported Outcome MeasuresRandomized Controlled Trials as TopicBiasImmuno-oncologyOpen labelPatient-reported outcomesQuality of lifeRandomized controlled trials

Identifiers

What OpenQuestion holds

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Registered trials

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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.