Table 2.
Variable | No. of Drugs (Total = 381) | No. of Successful Phase 2 Trials (Total = 130) | OR (95% CI)
|
|||
---|---|---|---|---|---|---|
Univariate Analysis | p | Multivariate Analysis | p | |||
| ||||||
Total no. of patients in expansion cohorts | ||||||
0 | 269 | 74 | 1 (reference) | 1 (reference) | ||
2–20 | 62 | 30 | 2.47 (1.40–4.35) | 0.002 | 2.13 (1.14–3.98) | 0.019 |
≥20 | 50 | 26 | 2.85 (1.54–5.29) | 0.001 | 1.91 (0.97–3.753) | 0.063 |
Disease-specific | ||||||
No | 242 | 70 | 1 (reference) | 1 (reference) | ||
Yes | 139 | 60 | 1.87 (1.21–2.89) | 0.0050 | 1.72 (1.04–2.85) | 0.037 |
Cytotoxic drug class | ||||||
Yes | 82 | 25 | 0.81 (0.48–1.37) | 0.43 | ||
No | 299 | 105 | 1 (reference) | |||
Publication year of first phase 1 trial | ||||||
2006–2008 | 177 | 59 | 1 (reference) | |||
2009–2011 | 204 | 71 | 1.07 (0.70–1.63) | 0.77 | ||
Malignancy | ||||||
Hematologic | 56 | 26 | 1.59 (0.89–2.85) | 0.12 | ||
Mixed | 37 | 13 | 0.44 (0.29–0.85) | 0.015 | ||
Solid tumor | 258 | 91 | 1 (reference) | |||
Industry sponsorship | ||||||
Yes | 295 | 111 | 2.13 (1.21–3.73) | 0.009 | 2.88 (1.46–5.66) | 0.0024 |
No | 86 | 19 | 1 (reference) | 1 (reference) | ||
Involvement of multiple centers in a phase 1 trial | ||||||
Yes | 263 | 91 | 1.07 (0.68–1.70) | 0.77 | 0.63 (0.36–1.09) | 0.098 |
No | 118 | 39 | 1 (reference) | 1 (reference) | ||
Total no. of patients in phase 1 trials | ||||||
5–24 | 129 | 29 | 1 (reference) | |||
25–46 | 127 | 45 | 1.89 (1.09–3.28) | 0.024 | ||
47–289 | 125 | 56 | 2.80 (1.63–4.82) | 0.002 | ||
Pooled phase 1 response rate | ||||||
0% | 165 | 35 | 1 (reference) | 1 (reference) | ||
>0% and <6% | 74 | 29 | 2.39 (1.32–4.35) | 0.0045 | 1.92 (1.02–3.62) | 0.043 |
≥6% and <20% | 85 | 39 | 3.15 (1.79–5.55) | <0.001 | 2.87 (1.57–5.24) | 0.0007 |
≥20% | 37 | 19 | 3.92 (1.86–8.26) | <0.001 | 2.46 (1.07–5.64) | 0.035 |
Pooled rate of grade 3–4 toxic effects in phase 1 trials | ||||||
≥0% and <10% | 198 | 65 | 1 (reference) | |||
≥10% and <30% | 95 | 29 | 0.90 (0.53–1.52) | 0.69 | ||
≥30% | 64 | 28 | 1.59 (0.89–2.83) | 0.11 | ||
MTD reached | ||||||
No | 166 | 49 | 1 (reference) | |||
Yes | 215 | 81 | 1.44 (0.94–2.22) | 0.097 | ||
Any grade 5 toxic effect | ||||||
Yes | 44 | 14 | 0.89 (0.45–1.74) | 0.73 | ||
No | 337 | 116 | 1 (reference) |
Abbreviations: OR, odds ratio; CI, 95% confidence interval; MTD, maximum tolerated dose.