Perspectives on Patient-Reported Outcome Data After Treatment Discontinuation in Cancer Clinical Trials

Bellinda L. King-Kallimanis*, David Cella, Melanie Calvert, Kim Cocks, Corneel Coens, Diane Fairclough, Lynn Howie, Pall Jonsson, Nirosha Mahendraratnam, Julia Maues, Sinan Sarac, Maxime Sasseville, Jim Shaw, Nichelle Stigger, Peter Trask, Beate Wieseler

*Corresponding author for this work

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Abstract

Patient-reported outcome (PRO) data are critical in understanding treatments from the patient perspective in cancer clinical trials. The potential benefits and methodological approaches to the collection of PRO data following treatment discontinuation (e.g., due to progressive disease or unacceptable drug toxicity) are less clear. In 2020, the FDA’s Oncology Center of Excellence (OCE) and the Critical Path Institute (C-Path) co-sponsored a 2-hour virtual roundtable session to discuss this specific issue. In this article, we summarize key points from this discussion with 16 stakeholders representing academia, clinical practice, patients, international regulatory agencies, health technology assessment bodies/payers, industry, and PRO instrument development. Stakeholders recognized that any PRO data collection after treatment discontinuation should have clearly defined objectives to ensure that data can be analyzed and reported. Data collection following discontinuation without a justification for its use wastes patients’ time and effort and is unethical.
Original languageEnglish
JournalValue in Health
Early online date6 Jul 2023
DOIs
Publication statusE-pub ahead of print - 6 Jul 2023

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