Evidence map›Paper›PMID 41240175›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2025

Cancer Survivors' and Caregivers' Understanding of FDA Accelerated Approval Disclosures.

Helen W Sullivan, Amie C O'Donoghue, Mihaela Johnson

Abstract read
In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2025. 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

3 authors.

Helen W SullivanUS. Food and Drug Administration, Office of Prescription Drug Promotion, Office of Medical Policy, Silver Spring, MD, USA. helen@aya.yale.edu.ORCID http://orcid.org/0000-0001-7621-7554
Amie C O'DonoghueUS. Food and Drug Administration, Office of Prescription Drug Promotion, Office of Medical Policy, Silver Spring, MD, USA.
Mihaela JohnsonRTI International, Research Triangle, NC, USA.

Funding

Center for Drug Evaluation and Research Center for Drug Evaluation and ResearchIntramural FDA HHS FD999999
6 · The paper itself

Abstract

The US Food and Drug Administration (FDA)'s accelerated approval pathway is intended to facilitate and expedite development and review for prescription drugs that treat serious or life-threatening illnesses such as cancer. Three elements of this pathway are often disclosed on prescription drug websites for oncology prescription drugs: the basis for the drug's approval, that some clinical benefits are unknown, and that confirmatory trials are ongoing. To assess their retention and understanding of these elements, we randomly assigned 202 cancer survivors and 199 caregivers to view a website for a fictitious acute lymphoblastic leukemia prescription drug with one of four accelerated approval disclosures. All disclosures stated, "In a clinical trial, Altisol returned blood counts to normal." We randomly assigned participants to the presence or absence of an "unknown outcomes" disclosure: "However, we currently do not know if Altisol helps people live longer or feel better." We also randomly assigned participants to the presence or absence of a "confirmatory-trials" disclosure: "We continue to study Altisol in clinical trials to learn more about Altisol's benefits." Participants noticed the disclosures, recognizing the three elements when asked. Regardless of whether participants saw the confirmatory-trials disclosure, participants agreed that more data is needed to learn about the drug's efficacy. The unknown-outcomes disclosure increased comprehension across a wide range of measures. These results suggest that an accelerated approval disclosure (in particular, a statement about unknown outcomes) can help patients and caregivers understand a prescription drug's benefits, which can be critical for their participation in treatment decisions.

Indexed as

Accelerated approvalCancer survivorsCaregiversComprehensionDisclosuresPrescription drugs

Identifiers

PMID41240175
PMCPMC13162275

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.