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Abstract Details

Activity Number: 325
Type: Topic Contributed
Date/Time: Tuesday, July 31, 2012 : 10:30 AM to 12:20 PM
Sponsor: Biopharmaceutical Section
Abstract - #304797
Title: Regulatory Issues Associated with Prognostic Biomarker Evaluation
Author(s): Kyunghee Song*+
Companies: FDA/CDRH
Address: 10903 New Hampshire Ave, Silver Spring, MD, 20993, United States
Keywords: biomarker ; prognostic ; diagnostic test ; survival outcomes ; regulatory issues
Abstract:

In general, the evaluation of diagnostic test using biomarkers with prognostic claim should include the clinical outcome studies. The clinical outcomes are observed in a follow-up fashion and the clinical performance to support the clinical utility of the device depends on the analysis of these clinical outcomes. However, before making any clinical interpretation, it should be noted that the determination of the biomarker status depends on the diagnostic tests, and there are likely to be false positives and false negatives when imperfect diagnostic tests are used. Therefore, analyzing and interpreting the survival outcomes without considering this possibility introduce bias in the clinical outcome study. In this talk, I will conduct a series of simulation study to address these issues and also discuss some regulatory concerns.


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