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. 2023 Jul 20;9(9):1238–1244. doi: 10.1001/jamaoncol.2023.2306

Table. Descriptive Characteristics of 22 Oral Anticancer Drugs Analyzed for Drug Wastage.

Characteristic Drugs analyzed, No. (%)
Total No. of clinical trials analyzed 35
Drug target
KIT plus PDGFRA 3 (9)
EGFR 4 (12)
FGFR 3 (9)
PARP 7 (21)
Other 17 (50)
Indication
Breast cancer 4 (12)
NSCLC 9 (26)
Ovarian cancer 3 (9)
Prostate cancer 3 (9)
Other 15 (44)
Patients exposed to drug, median (IQR), No. 204 (106-320)
Level of dose reduction
None, not allowed 2 (5.9)
1 9 (28)
2 19 (59)
3 4 (12)
Drugs divisible at each dose level 8 (24)
Duration of treatment, median (IQR), mo 9 (6-19)
Dose modification
Received dose reduction, median (IQR), % 24 (11-32)
Permanently discontinued drug, median (IQR), % 10 (7-16)
Cost
Dose reduction, median (IQR), $ 654 291 (231 486-1 403 392)
Permanent discontinuation, median (IQR), $ 184 452 (121 840-281 407)
Wastage per patient, median (IQR), $ 1751 (1096-5195)
Drug wastage in trial, median (IQR), % 1.04 (0.55-1.89)

Abbreviations: EGFR, epidermal growth factor receptor; FGFR, fibroblast growth factor receptor; KIT, V-Kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog; NSCLC, non–small cell lung cancer; PARP, poly (ADP-ribose) polymerase; PDGFRA, platelet-derived growth factor receptor alpha.