Search Results - "Del Paggio, Joseph C"
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The fragility of phase 3 trials supporting FDA-approved anticancer medicines: a retrospective analysis
Published in The lancet oncology (01-08-2019)“…SummaryBackgroundThe fragility index of trial results—ie, the minimum number of changes from non-events to events resulting in loss of statistical…”
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Delivery of meaningful cancer care: a retrospective cohort study assessing cost and benefit with the ASCO and ESMO frameworks
Published in The lancet oncology (01-07-2017)“…Summary Background The American Society of Clinical Oncology (ASCO) and the European Society for Medical Oncology (ESMO) have developed frameworks that…”
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Large numbers of patients are needed to obtain additional approvals for new cancer drugs: A retrospective cohort study
Published in Scientific reports (26-09-2023)“…Patients endure risk and uncertainty when they participate in clinical trials. We previously estimated that 12,217 patient-participants are required to bring a…”
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Immunotherapy: Cancer immunotherapy and the value of cure
Published in Nature reviews. Clinical oncology (01-05-2018)Get full text
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Targeting the value of targeted therapy
Published in Oncotarget (31-10-2017)Get full text
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Randomized Controlled Trials in Lung, Gastrointestinal, and Breast Cancers: An Overview of Global Research Activity
Published in Current oncology (Toronto) (07-04-2022)“…Background: In this study, we compared and contrasted design characteristics, results, and publications of randomized controlled trials (RCTs) in…”
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Cancer, Clinical Trials, and Canada: Our Contribution to Worldwide Randomized Controlled Trials
Published in Current oncology (Toronto) (13-04-2021)“…Canada has a long tradition of leading practice-changing clinical trials in oncology. Here, we describe methodology, results, and interpretation of oncology…”
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Evolution of the Randomized Clinical Trial in the Era of Precision Oncology
Published in JAMA oncology (01-05-2021)“…The randomized clinical trial (RCT) in oncology has evolved since its widespread adoption in the 1970s. In recent years, concerns have emerged regarding the…”
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Approvals in 2016: questioning the clinical benefit of anticancer therapies
Published in Nature reviews. Clinical oncology (01-03-2017)“…Patients with cancer expect to derive a meaningful clinical benefit from anticancer treatments, especially considering that such therapies are associated with…”
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Bypassing phase 2 in cancer drug development erodes the risk/benefit balance in phase 3 trials
Published in Journal of clinical epidemiology (01-06-2023)“…Drug developers sometimes launch phase 3 (P3) trials without supporting evidence from phase 2 (P2) trials. We call this practice “P2 bypass.” The aims of this…”
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A critique of the fragility index – Authors' reply
Published in The lancet oncology (01-10-2019)Get full text
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Cost and value of cancer medicines in a single-payer public health system in Ontario, Canada: a cross-sectional study
Published in The lancet oncology (01-04-2024)“…The financial impact of cancer medicines on health systems is not well known. We describe temporal trends in expenditure on cancer medicines within the…”
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An Analysis of Contemporary Oncology Randomized Clinical Trials From Low/Middle-Income vs High-Income Countries
Published in JAMA oncology (01-03-2021)“…The burden of cancer falls disproportionally on low-middle-income countries (LMICs). It is not well known how novel therapies are tested in current clinical…”
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Magnitude of Clinical Benefit of Cancer Drugs Approved by the US Food and Drug Administration
Published in JNCI : Journal of the National Cancer Institute (01-05-2018)“…It is uncertain whether drugs approved by the US Food and Drug Administration (FDA) have clinically meaningful benefit as determined by validated scales such…”
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Application of Value Frameworks to the Design of Clinical Trials: The Canadian Cancer Trials Group Experience
Published in JNCI : Journal of the National Cancer Institute (01-10-2021)“…Use of value framework thresholds in the design of clinical trials may increase the proportion of randomized controlled trials that identify clinically…”
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Randomized Clinical Trials in the Era of Precision Oncology-The Role of End Points, Industry Funding, and Medical Writing Integrity-Reply
Published in JAMA oncology (01-10-2021)Get more information
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Magnitude of Clinical Benefit of Cancer Drugs Approved by the US Food and Drug Administration Based on Single-Arm Trials
Published in JAMA oncology (01-11-2018)Get more information
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A mitochondrial redox oxygen sensor in the pulmonary vasculature and ductus arteriosus
Published in Pflügers Archiv (01-01-2016)“…The mammalian homeostatic oxygen sensing system (HOSS) initiates changes in vascular tone, respiration, and neurosecretion that optimize oxygen uptake and…”
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Deconstructing Clinical Trials-Help From Oncology Value Frameworks
Published in JAMA oncology (01-10-2017)Get more information
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Disturbances in blood flow and ‘medicine's greatest imitator’
Published in Internal medicine journal (01-05-2017)“…First described in 1959, intravascular lymphoma (IVL) remains one of the most clinically challenging diagnoses due to its diverse and non‐specific clinical…”
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