Master protocol trials in oncology: Review and new trial designs
- PMID: 30182068
- PMCID: PMC6120722
- DOI: 10.1016/j.conctc.2018.08.009
Master protocol trials in oncology: Review and new trial designs
Erratum in
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Erratum regarding missing Declaration of Competing Interest statements in previously published articles.Contemp Clin Trials Commun. 2020 Dec 10;20:100688. doi: 10.1016/j.conctc.2020.100688. eCollection 2020 Dec. Contemp Clin Trials Commun. 2020. PMID: 33392412 Free PMC article.
Abstract
In oncology, next generation sequencing and comprehensive genomic profiling have enabled the detailed classification of tumors using molecular biology. However, it is unrealistic to conduct phase I-III trials according to each sub-population based on patient molecular subtypes. Common protocols that assess the combination of several molecular markers and their targeted therapies by means of multiple sub-studies are required. These protocols are called "master protocols," and are drawing attention as a next-generation clinical trial design. Recently, several reviews of clinical trials based on the master protocol design have been published, but their definitions of these such trials, including basket, umbrella, and platform trials, were not consistent. Concurrently, the acceleration of the development of new statistical designs for master protocol trials has been underway. This article provides an overview of recent reviews for master protocols, including their statistical design methodologies in Oncology. We also introduce several examples of previous and on-going master protocol trials along with their classifications by some recent studies.
Keywords: Basket; Bayesian adaptive method; Master protocol; Platform; Umbrella.
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