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What is the expected benefit of patient-centric clinical development in oncology?

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<mark>Journal publication date</mark>31/07/2022
<mark>Journal</mark>Journal of Biopharmaceutical Statistics
Issue number3
Volume32
Number of pages13
Pages (from-to)414-426
Publication StatusPublished
Early online date18/07/22
<mark>Original language</mark>English

Abstract

The identification and quantification of predictive biomarkers characterize personalized medicine approaches and patient-centric clinical development. In practice, the sponsor needs evaluating whether biomarker-informed clinical development strategies are more likely to benefit current and future patients. To this end, a simple metric is proposed and assessed here quantifying the expected clinical benefit (ECB) of clinical development programmes. Using simulation scenarios and endpoints relevant to oncology, the ECB of a simple biomarker-informed strategy is shown to be specific and sensitive. Also, the ECB difference is shown to increase in the biomarker-driven incremental efficacy and with the population prevalence of biomarker-positive study participants.