Explore Enrichment Factors

Background. Recently we completed a project and explored the enrichment factors that can be used to increase the ability of the clinical trial to demonstrate the treatment effect. The analyzed data is from a randomized, double blind, placebo-controlled Phase 3 clinical trial conducted in multinational centers.

Purposes and Assumptions.  Using the analysis data from this study, a series of analyses on patients’ baseline measurements in the ITT population were performed with two purposes:  1) to identify a group of patients (enriching group) who might have greater benefit from the treatment; or 2) a large placebo responders.  In terms of the disease characteristics, demographic factors, such as age, gender, and age-gender interaction were first assumed to be potential enriching factors. Meanwhile, the medical history, disease severity at baseline and concomitant drug usage as well as their interactions were also assumed to have influence on the drug effects. Read more

New Breakthroughs Create New Cancer Research Endpoints

In December 2018 the FDA released new guidelines for clinical trials of cancer drugs and biologics. Such endpoints serve different purposes at different points in time during the trial. During early trials the focus is on efficacy and safety. Later on, trials select endpoints for clinical benefits like improved survival and symptom relief.

 

For cancer patients, the survival rate is considered the optimum endpoint all other things being equal. Tumor assessment and symptom assessment are two other common endpoint categories.

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