Evidence map›Paper›PMID 37439816›Full record

ArticleCancer chemotherapy and pharmacology2023

Access to innovation through clinical trials and the national early access program for patients with lung cancer in France: focus on atezolizumab and durvalumab.

Emmanuelle Jacquet, Fiona Pham, Billy Taouk, Ghania Kerouani-Lafaye, Adrien Monard, Liora Brunel, Nicolas Albin

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Article in Cancer chemotherapy and pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Emmanuelle JacquetDepartment of Oncohematology, Centre Hospitalier Universitaire Grenoble-Alpes, Grenoble, France.
Fiona PhamOncology Hematology and Cell Therapy Department, French National Agency for Safety of Medicines and Health Products ANSM, 147 Boulevard Anatole France, Saint-Denis, France.
Billy TaoukOncology Hematology and Cell Therapy Department, French National Agency for Safety of Medicines and Health Products ANSM, 147 Boulevard Anatole France, Saint-Denis, France.
Ghania Kerouani-LafayeOncology Hematology and Cell Therapy Department, French National Agency for Safety of Medicines and Health Products ANSM, 147 Boulevard Anatole France, Saint-Denis, France.
Adrien MonardOncology Hematology and Cell Therapy Department, French National Agency for Safety of Medicines and Health Products ANSM, 147 Boulevard Anatole France, Saint-Denis, France.ORCID 0000-0001-6485-4951
Liora BrunelOncology Hematology and Cell Therapy Department, French National Agency for Safety of Medicines and Health Products ANSM, 147 Boulevard Anatole France, Saint-Denis, France.
Nicolas AlbinOncology Hematology and Cell Therapy Department, French National Agency for Safety of Medicines and Health Products ANSM, 147 Boulevard Anatole France, Saint-Denis, France. nicolas.albin@ansm.sante.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTumor genomic profiling and PD-L1 testing mean lung cancer management can be tackled through a personalized approach. Targeted therapies and immunotherapy are necessary to improve survival and preserve the patients' quality of life. Early access to innovation before marketing authorization (MA) is possible in France through clinical trials and an early-access program called a Temporary Authorization for Use (ATU), which is a unique regulatory system in Europe. This study aims to assess the impact of early access to innovation through clinical trials and ATUs in thoracic oncology.

methodsData from clinical trials between 2018 and 2021 and ATUs between 2005 and 2019 were collected internally and assessed for drugs in thoracic oncology, with specific focus on 2 ATUs, respectively, atezolizumab and durvalumab.

resultsFrom 2018 to 2021, the National Agency for the Safety of Medicines and Health Products authorized 145 clinical trials in lung cancer. Between 2005 and 2019, 19 drugs obtained an EU MA or an MA extension for a therapeutic indication in lung cancer. During this period, 11 of these drugs were granted an ATU, corresponding to 6851 patients treated. Of this total number of patients, data were collected for 33.1% and 71.2%, who received durvalumab and atezolizumab, respectively. Real-life efficacy data were consistent with the clinical trial data.

conclusionOver the past 15 years, clinical trials and the French early access program have allowed considerable early access to therapeutic innovation in real life for patients, especially in thoracic oncology.

Indexed as

Lung NeoplasmsQuality of LifeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedFranceHumansAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedatezolizumabdurvalumabClinical trialEarly access programLung cancerReal life dataTemporary authorization for use

Identifiers

PMID37439816

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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.