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. 2022 Oct 7;12(10):e064458. doi: 10.1136/bmjopen-2022-064458

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.