Data have been generated in randomised clinical trials |
Yes, but allow into the same level of evidence targets supported by multiple non-randomised trials |
Does not discriminate between clinical data generated by randomised versus non-randomised trials |
Does not discriminate between clinical data generated by randomised versus non-randomised trials |
Does not discriminate between clinical data generated by randomised versus non-randomised trials |
Data come from prospective clinical trials |
Does not discriminate prospective versus retrospective clinical studies |
Not specifically considered |
Data from prospective versus retrospective study are assigned different levels of evidence |
Not specified, refers to ‘compelling clinical data’ |
Regulatory approval (FDA/EMA) for the drug |
Not specifically considered |
FDA approval is the principal variable to assign category |
FDA approval is the criteria for top evidence level (1A) assignment |
FDA approval is the principal variable to assign category |
Validation of the assay used for biomarker detection |
Not specifically considered |
Not specifically considered |
Not specifically considered |
Accounts for FDA recognition of the biomarker under consideration |
Clinical data have been generated in same or different tumour types |
Includes specific category IC for level I supportive data generated in a different tumour type, recommending treatment different tumour type in the context of clinical trials |
Use different categories depending on supportive data generated in the same or different tumour types |
Use different categories based on data generated in the same or different tumour types |
Categories 2 and 3 are subdivided based on whether data were generated in same or different tumour types |
Considers magnitude of benefit (OS, PFS, RR) |
Not specifically considered |
Not specifically considered |
Not specifically considered |
Not specifically considered |
Considers preclinical data |
Includes specific category for predictions of actionability based on preclinical data |
Includes specific category for predictions of actionability based on preclinical data |
Includes specific category for predictions of actionability based on preclinical data |
Includes specific category for predictions of actionability based on preclinical data |
Considers if clinical efficacy is known for the biomarker negative population |
Yes, but effect in marker-negative group does not impact clinical recommendation |
Not specifically considered |
Not specifically considered |
Not specifically considered |
Other comments |
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Considers predictive versus prognostics versus diagnostic value evidence |
Considers data coming from case reports as level 3A |
Includes grading of evidence for resistance biomarkers |