Surrogate endpoints in advanced sarcoma trials: a meta-analysis

Alternative endpoints to overall survival (OS) are frequently used to assess treatment efficacy in randomized controlled trials (RCT). Their properties in terms of surrogate outcomes for OS need to be assessed. We evaluated the surrogate properties of progression-free survival (PFS), time-to-progres...

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Veröffentlicht in:Oncotarget 2018-10, Vol.9 (77), p.34617-34627
Hauptverfasser: Savina, Marion, Litière, Saskia, Italiano, Antoine, Burzykowski, Tomasz, Bonnetain, Franck, Gourgou, Sophie, Rondeau, Virginie, Blay, Jean-Yves, Cousin, Sophie, Duffaud, Florence, Gelderblom, Hans, Gronchi, Alessandro, Judson, Ian, Le Cesne, Axel, Lorigan, Paul, Maurel, Joan, van der Graaf, Winette, Verweij, Jaap, Mathoulin-Pélissier, Simone, Bellera, Carine
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container_end_page 34627
container_issue 77
container_start_page 34617
container_title Oncotarget
container_volume 9
creator Savina, Marion
Litière, Saskia
Italiano, Antoine
Burzykowski, Tomasz
Bonnetain, Franck
Gourgou, Sophie
Rondeau, Virginie
Blay, Jean-Yves
Cousin, Sophie
Duffaud, Florence
Gelderblom, Hans
Gronchi, Alessandro
Judson, Ian
Le Cesne, Axel
Lorigan, Paul
Maurel, Joan
van der Graaf, Winette
Verweij, Jaap
Mathoulin-Pélissier, Simone
Bellera, Carine
description Alternative endpoints to overall survival (OS) are frequently used to assess treatment efficacy in randomized controlled trials (RCT). Their properties in terms of surrogate outcomes for OS need to be assessed. We evaluated the surrogate properties of progression-free survival (PFS), time-to-progression (TTP) and time-to-treatment failure (TTF) in advanced soft tissue sarcomas (STS). A total of 21 trials originally met the selection criteria and 14 RCTs ( = 2846) were included in the analysis. Individual-level associations were moderate (highest for 12-month PFS: Spearman's rho = 0.66; 95% CI [0.63; 0.68]). Trial-level associations were ranked as low for the three endpoints as per the IQWiG criterion. We performed a meta-analysis using individual-patient data (IPD). Phase II/III RCTs evaluating therapies for adults with advanced STS were eligible. We estimated the individual- and the trial-level associations between then candidate surrogates and OS. Statistical methods included weighted linear regression and the two-stage model introduced by Buyse and Burzykowski. The strength of the trial-level association was ranked according to the German Institute for Quality and Efficiency in Health Care (IQWiG) guidelines. Our results do not support strong surrogate properties of PFS, TTP and TTF for OS in advanced STS.
doi_str_mv 10.18632/oncotarget.26166
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free E- Journals; PubMed Central Open Access
subjects Cancer
Life Sciences
Meta-Analysis
Santé publique et épidémiologie
title Surrogate endpoints in advanced sarcoma trials: a meta-analysis
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