Table 3.
Factors associated with clinical trial accrual in randomised and non-randomised studies supporting oncology US Food and Drug Administration approvals, Poisson regression results
| Variable | Study cohorts | |||||
| Randomised | Non-randomised* | |||||
| Rate ratio | 95% CI | P value | Rate ratio | 95% CI | P value | |
| Blinding | ||||||
| Less than double blind | Reference | Reference | Reference | Not included | ||
| Double blind | 1.21 | 0.97 to 1.50 | 0.07 | |||
| Endpoint | ||||||
| Response rate | Reference | Reference | Reference | Reference | Reference | Reference |
| PFS | 0.82 | 0.62 to 1.08 | 0.15 | 1.97 | 0.57 to 9.03 | 0.32 |
| OS | 0.94 | 0.68 to 1.29 | 0.68 | 2.51 | 0.71 to 19.14 | 0.25 |
| Crossover | ||||||
| No | Reference | Reference | Reference | Reference | Reference | Reference |
| Yes | 1.18 | 0.96 to 1.45 | 0.1 | 1.69 | 0.35 to 14.67 | 0.55 |
| Phase | ||||||
| Phase 1/2 | Reference | Reference | Reference | Reference | Reference | Reference |
| Phase 3 | 2.13 | 1.48 to 2.99 | <0.01 | 0.94 | 0.43 to 2.32 | 0.89 |
| Line | ||||||
| Third line or beyond | Reference | Reference | Reference | Reference | Reference | Reference |
| First and second line | 1.55 | 1.15 to 2.04 | 0.01 | 1.09 | 0.62 to 1.84 | 0.75 |
| Single agent response rate | 1.09 | 0.74 to 1.64 | 0.64 | 0.7 | 0.25 to 1.98 | 0.54 |
| Sites | 1 | 0.99 to 1.00 | 0.52 | 1 | 0.99 to 1.01 | 0.11 |
| Manufacturer | ||||||
| Other | Reference | Reference | Reference | Reference | Reference | Reference |
| Pfizer | 0.76 | 0.53 to 1.07 | 0.12 | 0.18 | 0.05 to 0.75 | 0.01 |
| Roche | 1.02 | 0.76 to 1.37 | 0.91 | 1.13 | 0.45 to 3.49 | 0.8 |
| Novartis | 0.9 | 0.59 to 1.43 | 0.63 | 1.22 | 0.57 to 2.90 | 0.61 |
| Merck | 1.47 | 1.18 to 2.37 | 0.03 | 2.03 | 1.10 to 3.92 | 0.03 |
| Disease burden† | 0.99 | 0.99 to 1.00 | 0.13 | 1 | 0.99 to 1.00 | 0.12 |
| Randomisation ratio | ||||||
| Equal | Reference | Reference | Reference | Not included | ||
| Skewed | 0.87 | 0.69 to 1.09 | 0.21 | |||
*Certain variables were excluded in the regression model of non-randomised studies if they were deemed collinear.
†Disease burden: number of deaths in 1 year per tumour type using data from Surveillance, Epidemiology and End Results.16
OS, overall survival; PFS, progression-free survival.