Author/Editor     Gourgou-Bourgade, Sophie; Čufer, Tanja
Title     Guidelines for time-to-event end point definitions in breast cancer trials
Type     članek
Vol. and No.     Letnik 26, št. 5
Publication year     2015
Volume     str. 873-879
ISSN     1569-8041 - Annals of oncology : official journal of the European Society for Medical Oncology / ESMO
Language     eng
Abstract     BACKGROUND: Using surrogate end points for overall survival, such as disease-free survival, is increasingly common in randomized controlled trials. However, the definitions of several of these time-to-event (TTE) end points are imprecisely which limits interpretation and cross-trial comparisons. The estimation of treatment effects may be directly affected by the definitions of end points. The DATECAN initiative (Definition for the Assessment of Time-to-event Endpoints in CANcer trials) aims to provide recommendations for definitions of TTE end points. We report guidelines for randomized cancer clinical trials (RCTs) in breast cancer. PATIENTS AND METHODS: A literature review was carried out to identify TTE end points (primary or secondary) reported in publications of randomized trials or guidelines. An international multidisciplinary panel of experts proposed recommendations for the definitions of these end points based on a validated consensus method that formalize the degree of agreement among experts. RESULTS: Recommended guidelines for the definitions of TTE end points commonly used in RCTs for breast cancer are provided for non-metastatic and metastatic settings. CONCLUSION: The use of standardized definitions should facilitate comparisons of trial results and improve the quality of trial design and reporting. These guidelines could be of particular interest to those involved in the design, conducting, reporting, or assessment of RCT.
Keywords     rak dojke
smernice
randomizirane študije
klinične študije
breast cancer
guidelines
randomized trials
clinical trials