FDA dips its toe in­to the world of pa­tient-re­port­ed out­comes for can­cer tri­als

While ac­knowl­edg­ing the chal­lenge of en­sur­ing pa­tient-re­port­ed out­come (PRO) da­ta in can­cer drug ap­pli­ca­tions are con­sis­tent and of high qual­i­ty, the FDA on Wednes­day out­lined its ex­pec­ta­tions for how this da­ta on symp­toms and func­tion­al im­pacts may aid the agency’s ben­e­fit/risk as­sess­ments.

Can­cer drug tri­als typ­i­cal­ly em­ploy stan­dard­ized ef­fi­ca­cy as­sess­ments of over­all sur­vival and tu­mor re­duc­tion mea­sures, in ad­di­tion to close­ly track­ing any ad­verse events to eval­u­ate a new drug’s safe­ty and ef­fi­ca­cy bal­ance. But the FDA is al­so look­ing to bet­ter em­ploy a core set of PROs to ad­dress dis­ease symp­toms, symp­to­matic ad­verse events, and phys­i­cal func­tion, all of which may be im­por­tant con­trib­u­tors to a pa­tient’s qual­i­ty of life.

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