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Abstract Details

Activity Number: 387
Type: Topic Contributed
Date/Time: Tuesday, July 31, 2012 : 2:00 PM to 3:50 PM
Sponsor: Biopharmaceutical Section
Abstract - #305233
Title: Multiple Primary Endpoints in Oncology Trials
Author(s): Ai Li*+ and Bin Yao
Companies: Amgen, Inc.
Address: One Amgen Center drive, Thousand Oaks, CA, 91320, USA
Keywords: group sequential trials ; multiple endpoints ; Multiplicity ; primary endpoints ; Oncology
Abstract:

In oncology trials, overall survival (OS) is the gold standard preferred by regulators. However, it is often challenging to demonstrate treatment effect on OS. A great deal of attention has been on the roles of endpoints such as PFS and duration of response in the drug approval process. Pivotal trials with either OS or PFS as the primary endpoint are very common. In some cases sponsors even switch endpoints in the middle of the trials. Based on the experience of an actual phase 3 oncology trial, we describe situations where it may be appropriate to consider OS and PFS as co-primary endpoints. We propose a procedure that takes into account the nature of the co-primary endpoints and the timing of different analyses (i.e. interim and final analyses).


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