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The rising number of prematurely halted oncology RCTs, often with small sample sizes, raises ethical concerns about overestimating treatment benefits and calls for more transparent guidelines from Data Safety Monitoring Committees.

Is it better for industry or for patients to end an early oncology trial? (8)

author: Andreas Tjandra, drg | publisher: drg. Andreas Tjandra, Sp. Perio, FISID
 
Treatment Disease Trial starting date versus end of the enrolment versus date of publication DSMC Primary end point versus end point used in interim analysis Planned versus interim sample size Rationale for planning interim analysis Interim analysis consequences Control group
Melphalan + prednisone + thalidomidea Multiple Myeloma May 2000 versus August 2005 versus October 2007 Y OS versus OS 500 versus 447 patients No. of enrolled patients Stop enrolment A
Temsirolimusa Advanced renal cell carcinoma July 2003 versus April 2005 versus May 2007 Y OS versus OS 600 versus 446 events No. of events Disclosure of results A
Sunitiniba Metastatic renal cell carcinoma August 2004 versus October 2005 versus January 2007 Y PFS versus PFS 471 events versus NA Cut-off date Crossover to treatment group A
Sorafeniba Advanced clear-cell renal cell carcinoma November 2003 versus March 2005 versus January 2007 Y OS versus PFS 540 versus 363 events No. of events Crossover to treatment group + stop enrolment P
Paclitaxel + carboplatin + bevacizumaba Non-small-cell lung cancer July 2001 versus April 2004 versus December 2006 Y OS versus OS 650 versus 455 events No. of events Disclosure of results A
Lapatinib + capecitabinea HER-2-positive metastatic breast cancer March 2004 versus NA versus December 2006 Y TtP versus TtP 266 versus 114 events No. of events Crossover to treatment group + stop enrolment A
Sunitiniba Advanced gastrointestinal stromal tumour December 2003 versus January 2005 versus October 2006 Y TtP versus TtP 281 versus 149 events No. of events Crossover to treatment group P
FU + leucovorina + oxaliplatino (FOLFOX4)a Metastatic colorectal cancer April 2001 versus April 2002 versus July 2006 Y TtP versus TtP 550 versus 305 patients No. of events Stop enrolment A
Uracil + tegafur Stage III rectal cancer October 1996 versus April 2001 versus April 2006 Y RFS versus RFS and OS 400 versus 274 patients Cut-off date Disclosure of results NT
Carboplatin Epithelial ovarian cancer November 1994 versus July 1998 versus January 2006 Y TtP versus TtP 190 versus 120 events No. of events Stop enrolment A
Methotrexate, vinblastine, doxorubicin/epirubicin, cisplatin Advanced bladder cancer May 1987 versus December 1990 versus January 2006 N PFS versus PFS NA NA Stop enrolment NT
Trastuzumab + adjuvant chemotherapya HER-2 positive breast cancer May 2003 versus November 2004 versus October 2005 Y DFS versus DFS 710 versus 394 events No. of events Stop enrolment + disclosure of results A
Trastuzumab (1-year arm + 2-year arm)a HER-2-positive early-stage invasive breast cancer December 2001 versus March 2005 versus October 2005 Y DFS versus DFS 951 versus 347 events No. of events Disclosure of results NT
Bevacizumab + (irinotecan, FU, leucovorin) and bevacizumab + (FU, leucovorin)a Metastatic colorectal cancer NA versus NA versus May 2005 Y OS versus OS After 313 patients enrolled No. of enrolled patients Stop enrolment A+ P
Letrozolea Adjuvant therapy in receptor-positive breast cancer August 1998 versus September 2002 versus November 2003 Y DFS versus DFS 515 versus 171 events No. of events Disclosure of results P
Gemcitabine Advanced or metastatic adenocarcinoma of the pancreas December 1997 versus July 1999 versus September 2003 Y OS versus OS and PFS 350 patients versus 140 events No. of events Stop enrolment + crossover to treatment group A
Bevacizumab Metastatic renal cell carcinoma Oct 1998 versus Sep 2001 versus Jul 2003 Y TtP, RR versus TtP 120 versus 110 patients Cut-off date Crossover to treatment group P
Idoxifene Postmenopausal metastatic breast cancer December 1996 versus May 1999 versus February 2003 N RR, TtP versus RR, TtP 440 versus 321 patients No. of enrolled patients Trial stopped for economic consideration A
ChlVPP/EVA hybrid Hodgkin's disease September 1992 versus September 1996 versus July 2002 N NA 80 versus 60 events No. of events Stop enrolment A
Irinotecan + cisplatin Metastatic small-cell lung cancer November 1995 versus November 1998 versus January 2002 Y OS versus OS 230 versus 230 patients No. of enrolled patients Stop enrolment A
Vinblastine + doxorubicin + irradiation Hodgkin's disease NA versus April 2000 versus November 2001 Y FFS versus FFS 420 versus 348 patients No. of enrolled patients Stop enrolment A
Gemcitabine + vinorelbine Advanced non-small-cell lung cancer June 1997 versus May 1999 versus July 2000 Y OS versus OS 240 versus 120 patients No. of enrolled patients Stop enrolment A
Gemcitabine + vinorelbine + cisplatin Advanced non-small-cell lung cancer April 1997 versus April 1999 versus April 2000 N OS versus OS 240 versus 120 patients No. of enrolled patients Stop enrolment A
Lipiodol iodine-131 Adjuvant in resectable hepatocellular carcinoma April 1992 versus August 1997 versus March 1999 N Recurrence rate, recurrence sites, DFS, OS versus DFS 120 versus 43 patients No. of enrolled patients Stop enrolment NT
Doxorubicin or ethoglucid Adjuvant in superficial transitional cell bladder carcinoma December 1979 versus December 1983 versus August 1997 N NA NA versus 206 patients No. of enrolled patients Stop enrolment NT
Table 1
Summarised data on oncological trials (N=25) stopped early for benefit

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