Evidence map›Paper›PMID 40220316›Full record

ArticleJournal of the National Cancer Institute2025

Effect size estimation in cooperative group- and industry-sponsored phase 3 oncology trials.

Sonal S Noticewala, Adam J Grippin, Ramez Kouzy, Joseph Abi Jaoude, Avital Miller, Alexander Sherry, Ethan B Ludmir

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Sonal S NoticewalaDepartment of Gastrointestinal Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Adam J GrippinDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0002-8076-4240
Ramez KouzyDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0002-1521-0495
Joseph Abi JaoudeDepartment of Gastrointestinal Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0002-2283-4765
Avital MillerDepartment of Gastrointestinal Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0009-0007-4072-1442
Alexander SherryDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0001-5115-1691
Ethan B LudmirDepartment of Gastrointestinal Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0002-5472-5344

Funding

Cancer Center Support P30CA016672NCI NIH HHS T32-CA196561-08Sabin Family Foundation FellowshipUniversity of Texas MD Anderson Cancer Center
6 · The paper itself

Abstract

Overly optimistic estimations of effect sizes may lead to underpowered studies and risk of erroneously dismissing effective treatments. To understand the prevalence and factors contributing to estimation of effect sizes, we evaluated 385 superiority-design phase 3 oncology randomized controlled trials with prespecified and observed hazard ratios in published manuscripts. Of these, 88% were sponsored by industry and 22.6% were sponsored by cooperative groups. Few (10%) studies provided justification of their chosen sample size in the manuscript or available protocol. Overly optimistic estimations of effect sizes were common in cooperative group studies and, by contrast, uncommon in industry-sponsored studies. Moreover, industry-sponsored trials meeting the primary endpoint frequently achieved lower hazard ratios than expected. Together, these data suggest a correlation between study sponsorship, clinical trial power calculations, and subsequent trial outcomes.

Indexed as

Clinical Trials, Phase III as TopicDrug IndustryMedical OncologyNeoplasmsRandomized Controlled Trials as TopicResearch DesignResearch Support as TopicHumansSample Size

Identifiers

PMID40220316
PMCPMC12342805

What OpenQuestion holds

Textmetadata
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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.