Table 5:
Reporting element results and association with trial phase and size
Odds ratio (95% CI)* | |||
---|---|---|---|
Reporting element | Yes/Total trial number (%) |
Phase II vs I | Trial size ≥40 vs <40 |
Were treatment-related toxicities reported?** | 139/209 (67%) | 0.5 (0.3-1.1); p=0.08 | 0.8 (0.4-1.6); p=0.49 |
Were treatment-emergent toxicities reported?** | 70/209 (33%) | 0.3 (0.2-0.6); p<0.01 | 1.0 (0.5-1.8); p=0.94 |
Was a dose-escalation component included? | 99/209 (47%) | N/A† | 0.4 (0.2-0.7); p<0.01 |
Were adverse events combined across dose levels if dose-escalation was included? (n=99) | 46/99 (46%) | N/A† | 1.9 (0.8-4.5); p=0.12 |
Were dose-limiting toxicities reported if the trial included a dose-escalation component? (n=99) | 67/99 (68%) | N/A† | 0.7 (0.3-1.7); p=0.45 |
Were key dose-limiting toxicity criteria described? | 21/67 (31%) | N/A† | 1 (0.3-3.1); p=0.95 |
Were serious adverse events reported? | 68/209 (33%) | 0.4 (0.2-0.7); p<0.01 | 0.9 (0.5-1.6); p=0.65 |
Were key serious adverse event criteria described? | 0/68 (0%) | - | - |
Were adverse events leading to treatment change reported? | 89/209 (43%) | 0.9 (0.5-1.5); p=0.59 | 2.5 (1.4-4.4); p=<0.01 |
Were standardized terminology (CTCAE or MedDRA) utilized? | 180/209 (86%) | 1.1 (0.5-2.3); p=0.89 | 1 (0.4-2.1); p=0.96 |
Were grouped adverse event terms utilized? | 48/209 (23%) | 1.6 (0.9-3.2); p=0.13 | 1.9 (1-3.7); p=0.05 |
Was overall incidence of adverse events at organ system level reported? | 7/209 (3%) | 1.8 (0.4-8.4); p=0.43 | 2.8 (0.5-14.9); p=0.20 |
Was the total number of patients with any adverse event any grade reported? | 92/209 (44%) | 0.8 (0.5-1.5); p=0.54 | 1.7 (1-3); p=0.05 |
Was the total number of patients with any adverse event grade ≥3 reported? | 92/209 (44%) | 1 (0.6-1.7); p=0.96 | 2.6 (1.5-4.5); p<0.01 |
Using unadjusted logistic regression. Bold indicates p-values less than 0.05.
27 studies did not specify if AE were treatment-related or treatment-emergent; these 27 studies were excluded from logistic regression.
Dose-escalation by definition includes only phase I trials.