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The Burgeoning Use of Surrogate End Points Creates a Significant Need to Identify New Biomarkers - Challenges in Oncology Clinical Trial Design

Posted on: Monday, 2 April 2007, 15:00 CDT

Research and Markets (http://www.researchandmarkets.com/reports/c53188) has announced the addition of Challenges in Oncology Clinical Trial Design to their offering.

The ongoing evolution of cancer therapeutics and the associated increase in survival times have prompted a re-evaluation of traditional methodology in the design and conduct of oncology clinical trials. These changes have led to increasing complexity in clinical trials as well as new operational and design challenges for researchers and drug developers.

Get the Answers You Need to Shape Your Strategy

As cancer treatments improve and survival rates for many types of cancer increase, drug developers need to differentiate their agents using metrics other than increased survival.

What are the most effective new end points for developers to use in clinical trials?

Drug developers are increasingly using surrogate end points to establish their oncology agents' efficacy. What are the benefits of using these surrogate end points? Do regulators support the use of surrogates or will pharma companies face regulatory challenges?

The burgeoning use of surrogate end points creates a significant need to identify new biomarkers. What initiatives are now under way to stimulate oncology biomarker validation efforts?

What incentive will pharma companies have to pursue development of these markers rather than viewing this approach as a significant business risk?

Scope

Background on oncology clinical trials: changes in cancer treatment and FDA guidelines, current end points used.

Challenges in oncology clinical trials: choosing appropriate end points and managing data complexity, randomization design, operational challenges, safety, and recruitment.

Case studies: Novartis's Gleevec and Genentech's Tarceva.

Surrogate end points: benefits to drug developers, need for new biomarkers.

Content Outline:

Executive Summary

Strategic Considerations

Stakeholder Implications

Introduction

Background on Oncology Clinical Trials

Changes in Cancer Treatment and FDA Guidelines

Current End Points

Survival

Response Rate in Solid Tumors

Time to Progression

Composite Clinical Benefit End Points

Quality of Life

Challenges in Oncology Clinical Trials

Choosing Appropriate End Points and Managing Data Complexity

Randomization Design

Operational Challenges

Safety

Recruitment

Case Studies

Novartis's Gleevec

Genentech's Tarceva

Trends in Oncology Trials--Surrogate End Points and Biomarkers

Tables

1. Targeted Therapeutics Approved for the Treatment of Cancer

2. Commonly Used End Points in Oncology Clinical Trials

3. Response Evaluation Criteria in Solid Tumors (RECIST)

4. Select FDA-Approved Companion Diagnostics

Figures

1. Average Response Rates to "One-Size-Fits-All" Drugs

Abbott Laboratories

Amgen

Bayer

BioGenex

Bristol-Myers Squibb

Chugai

DakoCytomation

Eli Lilly

Genentech

Ilex Partners

ImClone

Merck KGaA

Millennium

Novartis

OSI Pharmaceuticals

Parexel

Pfiizer

RadPharm

Roche

Seragen

Third Wave Technologies

Ventana

Vysis

Wako

Wyeth

For more information visit http://www.researchandmarkets.com/reports/c53188

Source: Decision Resources


Source: Business Wire

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