The Comparative Effectiveness of Innovative Treatments for Cancer (CEIT-Cancer) project: Rationale and design of the database and the collection of evidence available at approval of novel drugs

Abstract Background The available evidence on the benefits and harms of novel drugs and therapeutic biologics at the time of approval is reported in publicly available documents provided by the US Food and Drug Administration (FDA). We aimed to create a comprehensive database providing the relevant...

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Main Authors: Aviv Ladanie, Benjamin Speich, Florian Naudet, Arnav Agarwal, Tiago V. Pereira, Francesco Sclafani, Juan Martin-Liberal, Thomas Schmid, Hannah Ewald, John P. A. Ioannidis, Heiner C. Bucher, Benjamin Kasenda, Lars G. Hemkens
Format: Article
Language:English
Published: BMC 2018-09-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-018-2877-z
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author Aviv Ladanie
Benjamin Speich
Florian Naudet
Arnav Agarwal
Tiago V. Pereira
Francesco Sclafani
Juan Martin-Liberal
Thomas Schmid
Hannah Ewald
John P. A. Ioannidis
Heiner C. Bucher
Benjamin Kasenda
Lars G. Hemkens
author_facet Aviv Ladanie
Benjamin Speich
Florian Naudet
Arnav Agarwal
Tiago V. Pereira
Francesco Sclafani
Juan Martin-Liberal
Thomas Schmid
Hannah Ewald
John P. A. Ioannidis
Heiner C. Bucher
Benjamin Kasenda
Lars G. Hemkens
author_sort Aviv Ladanie
collection DOAJ
description Abstract Background The available evidence on the benefits and harms of novel drugs and therapeutic biologics at the time of approval is reported in publicly available documents provided by the US Food and Drug Administration (FDA). We aimed to create a comprehensive database providing the relevant information required to systematically analyze and assess this early evidence in meta-epidemiological research. Methods We designed a modular and flexible database of systematically collected data. We identified all novel cancer drugs and therapeutic biologics approved by the FDA between 2000 and 2016, recorded regulatory characteristics, acquired the corresponding FDA approval documents, identified all clinical trials reported therein, and extracted trial design characteristics and treatment effects. Herein, we describe the rationale and design of the data collection process, particularly the organization of the data capture, the identification and eligibility assessment of clinical trials, and the data extraction activities. Discussion We established a comprehensive database on the comparative effects of drugs and therapeutic biologics approved by the FDA over a time period of 17 years for the treatment of cancer (solid tumors and hematological malignancies). The database provides information on the clinical trial evidence available at the time of approval of novel cancer treatments. The modular nature and structure of the database and the data collection processes allow updates, expansions, and adaption for a continuous meta-epidemiological analysis of novel drugs. The database allows us to systematically evaluate benefits and harms of novel drugs and therapeutic biologics. It provides a useful basis for meta-epidemiological research on the comparative effects of innovative cancer treatments and continuous evaluations of regulatory developments.
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spelling doaj.art-bd4a3c8c1c0f4d999380a0596958963c2022-12-21T19:14:26ZengBMCTrials1745-62152018-09-0119111310.1186/s13063-018-2877-zThe Comparative Effectiveness of Innovative Treatments for Cancer (CEIT-Cancer) project: Rationale and design of the database and the collection of evidence available at approval of novel drugsAviv Ladanie0Benjamin Speich1Florian Naudet2Arnav Agarwal3Tiago V. Pereira4Francesco Sclafani5Juan Martin-Liberal6Thomas Schmid7Hannah Ewald8John P. A. Ioannidis9Heiner C. Bucher10Benjamin Kasenda11Lars G. Hemkens12Basel Institute for Clinical Epidemiology and Biostatistics, Department of Clinical Research, University Hospital and University of BaselBasel Institute for Clinical Epidemiology and Biostatistics, Department of Clinical Research, University Hospital and University of BaselUniv Rennes, CHU Rennes, Inserm, CIC 1414 [(Centre d’Investigation Clinique de Rennes)]Department of Medicine, University of TorontoHealth Technology Assessment Unit, Institute of Education and Health Sciences, Oswaldo Cruz German HospitalDepartment of Medicine, The Royal Marsden NHS Foundation TrustCatalan Institute of Oncology (ICO) Hospitalet, Melanoma, Sarcoma and GU Tumors UnitSt. Clara HospitalBasel Institute for Clinical Epidemiology and Biostatistics, Department of Clinical Research, University Hospital and University of BaselMeta-Research Innovation Center at Stanford (METRICS), Stanford UniversityBasel Institute for Clinical Epidemiology and Biostatistics, Department of Clinical Research, University Hospital and University of BaselBasel Institute for Clinical Epidemiology and Biostatistics, Department of Clinical Research, University Hospital and University of BaselBasel Institute for Clinical Epidemiology and Biostatistics, Department of Clinical Research, University Hospital and University of BaselAbstract Background The available evidence on the benefits and harms of novel drugs and therapeutic biologics at the time of approval is reported in publicly available documents provided by the US Food and Drug Administration (FDA). We aimed to create a comprehensive database providing the relevant information required to systematically analyze and assess this early evidence in meta-epidemiological research. Methods We designed a modular and flexible database of systematically collected data. We identified all novel cancer drugs and therapeutic biologics approved by the FDA between 2000 and 2016, recorded regulatory characteristics, acquired the corresponding FDA approval documents, identified all clinical trials reported therein, and extracted trial design characteristics and treatment effects. Herein, we describe the rationale and design of the data collection process, particularly the organization of the data capture, the identification and eligibility assessment of clinical trials, and the data extraction activities. Discussion We established a comprehensive database on the comparative effects of drugs and therapeutic biologics approved by the FDA over a time period of 17 years for the treatment of cancer (solid tumors and hematological malignancies). The database provides information on the clinical trial evidence available at the time of approval of novel cancer treatments. The modular nature and structure of the database and the data collection processes allow updates, expansions, and adaption for a continuous meta-epidemiological analysis of novel drugs. The database allows us to systematically evaluate benefits and harms of novel drugs and therapeutic biologics. It provides a useful basis for meta-epidemiological research on the comparative effects of innovative cancer treatments and continuous evaluations of regulatory developments.http://link.springer.com/article/10.1186/s13063-018-2877-zUS Food and Drug Administration (FDA)Drug regulationMarketing authorizationApproval packageDrugs and biologicsClinical trials
spellingShingle Aviv Ladanie
Benjamin Speich
Florian Naudet
Arnav Agarwal
Tiago V. Pereira
Francesco Sclafani
Juan Martin-Liberal
Thomas Schmid
Hannah Ewald
John P. A. Ioannidis
Heiner C. Bucher
Benjamin Kasenda
Lars G. Hemkens
The Comparative Effectiveness of Innovative Treatments for Cancer (CEIT-Cancer) project: Rationale and design of the database and the collection of evidence available at approval of novel drugs
Trials
US Food and Drug Administration (FDA)
Drug regulation
Marketing authorization
Approval package
Drugs and biologics
Clinical trials
title The Comparative Effectiveness of Innovative Treatments for Cancer (CEIT-Cancer) project: Rationale and design of the database and the collection of evidence available at approval of novel drugs
title_full The Comparative Effectiveness of Innovative Treatments for Cancer (CEIT-Cancer) project: Rationale and design of the database and the collection of evidence available at approval of novel drugs
title_fullStr The Comparative Effectiveness of Innovative Treatments for Cancer (CEIT-Cancer) project: Rationale and design of the database and the collection of evidence available at approval of novel drugs
title_full_unstemmed The Comparative Effectiveness of Innovative Treatments for Cancer (CEIT-Cancer) project: Rationale and design of the database and the collection of evidence available at approval of novel drugs
title_short The Comparative Effectiveness of Innovative Treatments for Cancer (CEIT-Cancer) project: Rationale and design of the database and the collection of evidence available at approval of novel drugs
title_sort comparative effectiveness of innovative treatments for cancer ceit cancer project rationale and design of the database and the collection of evidence available at approval of novel drugs
topic US Food and Drug Administration (FDA)
Drug regulation
Marketing authorization
Approval package
Drugs and biologics
Clinical trials
url http://link.springer.com/article/10.1186/s13063-018-2877-z
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