Patients value anticancer therapies that provide durable clinical responses; immune-checkpoint inhibitors can provide such benefit for patients with some advanced-stage malignancies, albeit only for a minority of those treated. Modern oncology value frameworks have set efficacy thresholds in an attempt to assess the clinical benefit of anticancer therapeutics. But, is the benefit of durable cancer control reflected in these thresholds?
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References
Hodi, F. S. et al. Improved survival with ipilimumab in patients with metastatic melanoma. N. Engl. J. Med. 363, 711–723 (2010).
Schadendorf, D. et al. Pooled analysis of long-term survival data from phase II and phase III trials of ipilimumab in unresectable or metastatic melanoma. J. Clin. Oncol. 33, 1889–1894 (2015).
Hellmann, M. D., Kris, M. G. & Rudin, C. M. Medians and milestones in describing the path to cancer cures: telling “tails”. JAMA Oncol. 2, 167–168 (2016).
Schilsky, R. L. & Schnipper, L. E. Hans Christian Andersen and the value of new cancer treatments. J. Natl Cancer Inst. https://doi.org/10.1093/jnci/djx261 (2017).
Slomiany, M. et al. Value Frameworks in oncology: comparative analysis and implications to the pharmaceutical industry. Am. Health Drug Benefits 10, 253–260 (2017).
Shafrin, J. et al. Patient versus physician valuation of durable survival gains: implications for value framework assessments. Value Health 20, 217–223 (2017).
Ben-Aharon, O. et al. Association of immunotherapy with durable survival as defined by value frameworks for cancer care. JAMA Oncol. https://doi.org/10.1001/jamaoncol.2017.4445 (2017).
Schnipper, L. E. et al. Updating the American Society of Clinical Oncology Value Framework: revisions and reflections in response to comments received. J. Clin. Oncol. 34, 2925–2934 (2016).
Cherny, N. I. et al. ESMO-Magnitude of Clinical Benefit Scale version 1.1. Ann. Oncol. 28, 2340–2366 (2017).
Woglom, W. H. Immunity to transplantable tumors. Cancer Rev. 4, 129–214 (1929).
Prasad, V. et al. The strength of association between surrogate end points and survival in oncology: a systematic review of trial-level meta-analyses. JAMA Intern. Med. 175, 1389–1398 (2015).
Davis, C. et al. Availability of evidence of benefits on overall survival and quality of life of cancer drugs approved by European Medicines Agency: retrospective cohort study of drug approvals 2009–2013. BMJ 359, j4530 (2017).
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Summary of trials assessed for ASCO value framework bonus pointsS1 by Ben-Aharon et al.S2 (PDF 85 kb)
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Del Paggio, J. Cancer immunotherapy and the value of cure. Nat Rev Clin Oncol 15, 268–270 (2018). https://doi.org/10.1038/nrclinonc.2018.27
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DOI: https://doi.org/10.1038/nrclinonc.2018.27
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