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. 2018 Aug 21;29(9):1895–1902. doi: 10.1093/annonc/mdy263

Table 1.

Comparison of previous classification schemas that assign clinical utility to molecular alterations used to select targeted therapies in cancer

Data type and classification variable Andre et al., Ann Oncol 2014 Van Allen et al., Nat Med 2014 Meric-Bernstam et al., JNCI 2015 Chakravarty et al., JCOPO 2017 (OncoKB)
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 Considers predictive versus prognostics versus diagnostic value evidence Considers data coming from case reports as level 3A Includes grading of evidence for resistance biomarkers