JSM Preliminary Online Program
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Activity Number: 54
Type: Topic Contributed
Date/Time: Sunday, August 2, 2009 : 4:00 PM to 5:50 PM
Sponsor: Biometrics Section
Abstract - #303656
Title: Optimal Strategies for Developing a Late-stage Clinical Program with a Possible Subset Effect
Author(s): Yang Song*+ and Cong Chen
Companies: Merck Research Laboratories and Merck Research Laboratories
Address: 351 N Sumneytown Pike, North Wales, PA, 19454,
Keywords: benefit cost evaluation ; biomarker ; decision analysis ; targeted therapy
Abstract:

With the advance of molecular biology, there have been an increasing number of targeted therapies in development. These drug candidates are often projected to be effective in a specific targeted population, defined by biomarkers. However, it is not uncommon for a targeted therapy to be effective, possibly to a lesser extent, in a more general all-comers population. Whether to develop such a drug candidate in a targeted population only or in a more general population poses a dilemma for drug developers when setting strategies for the development program. We propose a modeling approach to evaluate different late-stage development strategies from a decision analytic perspective based on a benefit cost evaluation so that optimal strategies can be derived.


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