Informing the Tolerability of Cancer Treatments Using Patient-Reported Outcome Measures- Summary of an FDA and Critical Path Institute Workshop

Abstract

The US Food and Drug Administration and the Critical Path Institute’s Patient-Reported Outcome (PRO) Consortium convened a cosponsored workshop on the use of PRO measures to inform the assessment of safety and tolerability in cancer clinical trials. A broad array of international stakeholders involved in oncology drug development and PRO measurement science provided perspectives on the role of PRO measures to provide complementary clinical data on the symptomatic side effects of anticancer agents. Speakers and panelists explored the utility of information derived from existing and emerging PRO measures, focusing on the PRO version of the National Cancer Institute’s Common Terminology Criteria for Adverse Events. Panelists and speakers discussed potential ways to improve the collection, analysis, and presentation of PRO data describing symptomatic adverse events to support drug development and better inform regulatory and treatment decisions. Workshop participants concluded the day with a discussion of possible approaches to the patient-reported assessment of an investigational drug’s overall side effect burden as a potential clinical trial end point. The Food and Drug Administration reiterated its commitment to collaborate with international drug development stakeholders to identify rigorous methods to incorporate the patient perspective into the development of cancer therapeutics.

Authors

Paul G. Kluetz Bindu Kanapuru Steven Lemery Laura Lee Johnson Mallorie H. Fiero Karen Arscott Yolanda Barbachano Ethan Basch Michelle Campbell Joseph C. Cappelleri David Cella Charles Cleeland Corneel Coens Selena Daniels Crystal S. Denlinger Dianne L. Fairclough James R. Hillard Lori Minasian Sandra A. Mitchell Daniel O’Connor Sheetal Patel Eric H. Rubin Anna Ryden Katherine Soltys Rajeshwari Sridhara Gita Thanarajasingam Galina Velikova Stephen Joel Coons

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