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. 2021 Sep 9;374:n1959. doi: 10.1136/bmj.n1959

Table 1.

Characteristics of accelerated approval trials that have failed post-approval trials and had indication withdrawn/revoked

Characteristics Failed confirmatory trials (n=18) Indication withdrawn or revoked* (n=10)
Primary endpoint for accelerated approval Response rate (15); progression-free survival (2); overall survival in phase II trial (1) Response rate (8); progression-free survival (1); overall survival in phase II trial (1)
Primary endpoint for post-approval trial Overall survival, as primary or co-primary endpoint (16); trials not completed (2) Overall survival, as primary or co-primary endpoint (8); trials not completed (2)
Tumour type Urothelial (4); haematological (3); lung (3); breast (2); hepatocellular (2); glioblastoma (1); melanoma (1); sarcoma (1); gastrointestinal (1) Haematological (3); lung (3); urothelial (2); breast (1); sarcoma (1)
Drug type Checkpoint inhibitor (11); monoclonal antibody (4); targeted therapy (1); chemotherapy (1); antibody drug conjugate (1) Checkpoint inhibitor (4); monoclonal antibody (3); targeted therapy (1); chemotherapy (1); antibody drug conjugate (1)
*

10 trials that led to withdrawal or revoking of approvals are subset of overall 18 failed confirmatory trials.