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Table 1 Characteristics of oncology drug studies reporting rank preserving structural failure time analysis

From: Cross-sectional analysis characterizing the use of rank preserving structural failure time in oncology studies: changes to hazard ratio and frequency of inappropriate use

 

All studies (N=65)

Fundamental, no SOC

(N=12)

Fundamental with SOC

(N=34)

Sequential

(N=19)

p-value1

Tumor type, n (%)

    

<0.001

Breast

7 (10.8)

0

7 (20.6)

0

 

Colorectal

3 (4.6)

0

0

3 (15.8)

 

GIST

4 (6.2)

4 (33.3)

0

0

 

CLL/SLL

4 (6.2)

0

4 (11.8)

0

 

Melanoma

5 (7.7)

1 (8.3)

4 (11.8)

0

 

Myelofibrosis

2 (3.1)

2 (16.7)

0

0

 

Multiple myeloma

5 (7.7)

0

3 (8.8)

2 (10.5)

 

Neuroendocrine

3 (4.6)

3 (25.0)

0

0

 

Non-small cell lung cancer

13 (20.0)

0

6 (17.6)

7 (36.8)

 

Ovarian

2 (3.1)

0

0

2 (10.5)

 

Prostate

5 (7.7)

0

3 (8.8)

2 (10.5)

 

Renal cell carcinoma

4 (6.2)

1 (8.3)

2 (6.1)

1 (5.3)

 

Thyroid

3 (4.6)

1 (8.3)

2 (5.9)

0

 

Other

5 (7.7)

0

3 (8.8)

2 (10.5)

 

Randomization ratio, n (%)

    

0.18

1:1

37 (56.9)

5 (41.7)

17 (50.0)

15 (78.9)

 

2:1

27 (41.5)

7 (58.3)

16 (47.1)

4 (21.1)

 

3:1

1 (1.5)

0

1 (2.9)

0

 

Open label, n (%)

29 (44.6)

2 (16.7)

17 (50.0)

10 (52.6)

0.08

FDA approved for indication (yes), n (%)

54 (83.1)

11 (91.7)

26 (76.5)

17 (98.5)

0.33

Medical writers, n (%)

    

0.33

Yes

44 (67.7)

7 (58.3)

26 (76.5)

11 (57.9)

 

No

3 (4.6)

0

1 (2.9)

2 (10.5)

 

Not indicated

18 (27.7)

5 (41.7)

7 (20.6)

6 (31.6)

 

Author as employee of company (yes), n (%)

58 (89.2)

10 (82.3)

31 (91.2)

17 (89.5)

0.26

Age of participants, median (Q1, Q3)

61 (58 to 64)

62 (58 to 64)

62 (55 to 64)

60 (58 to 62)

0.82

Total number of participants, median (Q1, Q3)

361 (233 to 512)

311 (214 to 373)

392 (259 to 519)

359 (242 to 690)

0.20

Difference in adjusted and unadjusted overall survival hazard ratio, median (Q1, Q3)

-0.1 (-0.3 to -0.6)

-0.3 (-0.3 to -0.02)

-0.1 (-0.2 to -0.3)

-0.09 (-0.2 to -0.4)

0.02

% Trials with numerically higher unadjusted overall survival hazard ratio, n (%)

60 (92.3)

12 (100)

31 (91.2)

17 (89.5)

0.39

% Crossover, median (Q1, Q3)

55.7 (36.5 to 71.6)

75.3 (59.3 to 84.2)

53.0 (38.0 to 67.4)

46.6 (33.2 to 67.4)

0.02

Median overall survival for intervention arm, median (Q1, Q3)

23.9 (17.8 to 36.8)

18.4 (17.6 to 33.6)

24.7 (16.2 to 42.6)

24.0 (22.9 to 32.8)

0.74

Median overall survival for control arm (uncorrected), median (Q1, Q3)

20.5 (14.5 to 36.3)

17.4 (16.2 to 36.3)

19.4 (12.0 to 22.3)

30.3 (21.5 to 36.7)

0.11

Median overall survival for control arm (corrected), median (Q1, Q3)

15.9 (9.8 to 27.4)

10.9 (9.6 to 17.6)

12.3 (7.8 to 18.3)

26.6 (17.1 to 35.1)

0.04

Change in significance of overall survival hazard ratio (corrected vs. uncorrected), yes n (%)

41 (64.1)

3 (25.0)

22 (66.7)

16 (84.2)

0.003

RPSFT analysis stipulated in protocol

    

0.36

Yes

22 (33.8)

2 (16.7)

13 (38.2)

7 (36.8)

 

No

29 (44.6)

5 (41.7)

16 (47.1)

8 (42.1)

 

No protocol available

14 (21.5)

5 (41.7)

5 (14.7)

4 (21.1)

 

Year of study publication, n (%)

    

0.07

2008

1 (1.5)

1 (8.3)

0

0

 

2011

1 (1.5)

0

0

1 (5.3)

 

2012

3 (4.6)

2 (16.7)

1 (2.9)

0

 

2013

2 (3.1)

0

2 (5.9)

0

 

2015

4 (6.2)

1 (8.3)

3 (8.8)

0

 

2016

11 (16.9)

4 (33.3)

4 (11.8)

3 (15.8)

 

2017

6 (9.2)

2 (16.7)

0

4 (21.1)

 

2018

5 (7.7)

0

4 (11.8)

1 (5.3)

 

2019

5 (7.7)

0

3 (8.8)

2 (10.5)

 

2020

7 (10.8)

0

5 (14.7)

2 (10.5)

 

 2021

11 (16.9)

2 (16.7)

7 (20.6)

2 (10.5)

 

2022

9 (13.8)

0

5 (14.7)

4 (21.1.)

 
  1. GIST Gastrointestinal stromal tumors, CLL Chronic lymphocytic leukemia, SLL Small lymphocytic lymphoma, SOC Standard of care, Q1, Q3 Quartile 1, quartile 3, RPSFT Rank preserving structural failure time
  2. 1P-values are derived from chi-square and Kruskal–Wallis tests, for categorical and continuous variables, respectively