Project SignifiCanT: Statistics in Cancer Trials
Promoting collaboration in design and analysis of cancer clinical trials
Project SignifiCanT (Statistics in Cancer Trials) established by the FDA Oncology Center of Excellence, promotes collaboration and engagement among diverse stake holders to further the design and analysis of cancer clinical trials with the goal to advance cancer therapies.
Project SignifiCanT objectives:
- Provides a platform to participate, discuss, and advance the science of oncology trial designs.
- Promotes non-product specific scientific discussions on design and analysis of cancer clinical trials.
- Fosters collaboration among regulators (US and international), professional organizations, industry, academicians, and patients to advance cancer therapies with improved design of cancer clinical trials.
In October 2020, Project SignifiCanT began a collaboration with the Biopharmaceutical Section (BIOP) of American Statistical Association (ASA) to hold scientific discussions with diverse stakeholders who understand the unique aspects of oncology clinical trials. These discussion forums, held approximately once a month, inform and educate on the design and analysis of future oncology clinical trials. These virtual forums are organized jointly by the ASA BIOP Statistical Methods in Oncology Scientific Working Group, the LUNGevity Foundation, and the FDA Oncology Center of Excellence, and hosted by ASA.
Project SignifiCanT collaborates not only among academia and industry but among international regulators. This informal academic collaboration paves a path for cancer patients to receive earlier access to products through more efficient clinical trial designs, conduct, and analyses. Pivotal clinical trials in oncology are commonly conducted internationally and these global trials are important for investigating the safety and effectiveness of cancer therapies. Future cancer therapy developments can be speeded by understanding the complex issues in conducting cancer trials and bringing common understanding among all the stakeholders involved in the development of cancer therapies through improved clinical trial designs.
The Team
- Rajeshwari Sridhara, PhD, Oncology Center for Excellence
- Richard Pazdur, Director, OCE
- Marc Theoret, Deputy Director, OCE
Project Management: Joan Ferlo Todd, RN, Senior Regulatory Health Scientist, OCE
2024 Forums
- Feb 13, 2024. Interpretation of Results from Hierarchical Testing of Multiple Endpoints, Subgroups, Analyses Across Disease Settings in Cancer Clinical Trials. Publication pending
- Apr 23, 2024. Statistical Design Considerations in Estimating Contribution of Each Sequential Treatment Effect to the Overall Effect of a Sequence of Treatments in Randomized Cancer Clinical Trials. Publication pending
- Jun 11, 2024. Trial Considerations in Indolent Cancers with Overall Survival as a Safety Endpoint. Publication pending
- Jul 16, 2024. Statistical Considerations in the Design of Randomized Pragmatic Cancer Trials. Publication pending
- Sep 10, 2024. Tolerability Endpoint Considerations to Guide Dosage Optimization in Oncology Clinical Trials. Publication pending.
2023 Forums
- January 12, 2023. Non-inferiority Cancer Clinical Trial Design Considerations when Data from a Single Foreign Country is Available–Part 2. Biopharmaceutical Report (2023), Summer Issue, Volume 30, Number 2, pp. 60-61.
- March 9, 2023. Statistical Considerations in the Early Interim Overall Survival Analysis in Indolent Cancers for Evaluation of Risk–Part 2. Biopharmaceutical Report (2023), Summer Issue, Volume 30, Number 2, pp. 57-59.
- April 13, 2023. Consideration of Criteria for Evaluation of Surrogate Endpoints. Biopharmaceutical Report (2023), Winter Issue, Volume 30, Number 3, pp 58-60.
- May 11, 2023. Considerations in Evaluating Treatment Effect in Marker Negative Population–Part 2. Biopharmaceutical Report (2023), Winter Issue, Volume 30, Number 3, pp. 61-63.
- August 10, 2023. Design Considerations in the Evaluation of Contribution of Effect of Combination of Two New Investigational Drugs in Randomized Cancer Clinical Trials. Biopharmaceutical Report (2024), Spring Issue, Volume 31, Number 1, pp. 58-60.
- October 12, 2023. Impact of Cross-over in the Evaluation of Overall Survival in Randomized Cancer Clinical Trials. Biopharmaceutical Report (2024). Summer Issue. Volume 31, Number 2, pp.56-59.
- December 12, 2023. Considerations in Requiring Blinded Independent Central Review of Radiological Scans in Randomized Cancer Clinical Trials when Progression-free Survival is the Primary Endpoint. Biopharmaceutical Report (2024). Summer Issue. Volume 31, Number 2, pp. 60-63.
2022 Forums
- January 13, 2022. Consideration of Bayesian Approaches in Pediatric Cancer Trials. Biopharmaceutical Report (2022), Fall Issue, Volume 29, Number 3, pp. 45-46. Also published in: Statistics in Biopharmaceutical Research 2023, Volume 15, Number 4, pp. 845-851.
- March 17, 2022. Time-to-Event Endpoints in Cancer Trials in the Presence of Non-proportional Hazards. Biopharmaceutical Report (2022), Summer Issue, Volume. 29, Number 2, pp. 42-44.
- April 7, 2022. Impact on Type I error with Unplanned Analyses in Cancer Clinical Trials. Biopharmaceutical Report (2023), Spring Issue, Volume 30, Number 1, pp. 46-48.
- May 12, 2022. Evaluation and Interpretation of Interim Overall Survival Results in Patients with Chronic Diseases from Randomized Cancer Clinical Trials – Part 1. Biopharmaceutical Report (2023), Spring Issue, Volume 30, Number 1, pp. 49-51.
- July 14, 2022. Considerations for Data Monitoring Committee and Regulator Direct Interactions in Ongoing Randomized Cancer Clinical Trials. Biopharmaceutical Report (2022), Fall Issue, Volume 29, Number 3, pp. 47-49.
- September 8, 2022. Considerations in the Evaluation of Progression Free Survival with Informative Censoring in Cancer Clinical Trials. Biopharmaceutical Report (2023), Spring Issue, Volume 30, Number 1, pp. 52-54.
- October 13, 2022. Assessing Bias in Cancer Studies with Real World Data Elements. Biopharmaceutical Report (2023), Summer Issue, Volume 30, Number 2, pp. 55-56.
- November 10, 2022. Considerations of Innovative Cancer Clinical Trial Designs for Post-market Dose-optimization Studies. Biopharmaceutical Report (2023), Summer Issue, Volume 30, Number 2, pp. 62-64.
2021 Forums
- January 14, 2021. Statistical Considerations in Oncology Clinical Trials in the COVID-19 Era – Part 1. Biopharmaceutical Report (2021), Summer Issue, Volume 28, Number 3, pp. 23-25. Also published (combined forums January 14, 2021, and February 11, 2021) in: Statistics in Biopharmaceutical Research, 2023, Volume 15, Issue 4, pp. 444-449.
- February 11, 2021. Statistical Considerations in Oncology Clinical Trials in the COVID-19 Era – Part 2. Biopharmaceutical Report (2021), Summer Issue, Volume 28, Number 3, pp. 23-25. Also published (combined forums January 14, 2021, and February 11, 2021) in: Statistics in Biopharmaceutical Research, 2023, Volume 15, Issue 2, pp. 444-449.
- March 18, 2021. Designing Dose-optimization Studies in Cancer Drug Development. Biopharmaceutical Report, (2021) Summer Issue, Volume 28, Number 3, pp. 26-27. Also published (combined forums March 18, June 10, July 8, 2021) in: Statistics in Biopharmaceutical Research, 2023, Volume 15, Issue 3, pp. 679-703.
- April 8, 2021. Evaluation of Treatment Effect in Underrepresented Population in Oncology Clinical Trials – Part I. Biopharmaceutical Report (2021), Summer Issue, Volume 28, Number 3, pp. 28-30. Also published (combined forums April 8, 2021, and May 13, 2021) in: Statistics in Biopharmaceutical Research, 2023, Volume 15, Issue 2, pp. 450-456.
- May 13, 2021. Evaluation of Treatment Effect in Underrepresented Population in Oncology Clinical Trials – Part 2. Biopharmaceutical Report (2021), Summer Issue, Volume 28, Number 3, pp. 28-30. Also published (combined forums April 8, 2021, and May 13, 2021) in: Statistics in Biopharmaceutical Research, 2023, Volume 15, Issue 2, pp. 450-456.
- June 10, 2021. Designing Post-market Dose-optimization Studies in Cancer Drug Development- Part 1. Biopharmaceutical Report (2021), Winter Issue, Volume 28, Number 4, pp. 16-20. Also published (combined forums March 18, June 10, July 8, 2021) in: Statistics in Biopharmaceutical Research, 2023, Volume 15, Issue 3, pp. 679-703.
- June 24, 2021. Statistical Considerations in Clinical Trials for Rare Pediatric Cancers. Biopharmaceutical Report (2022), Spring Issue, Volume 29, Number 1, pp. 30-32. Also published (combined forums June 24, 2021, and January 13, 2022) in: Statistics in Biopharmaceutical Research, 2023, Volume 15, Number 4, pp. 845-851.
- July 8, 2021. Designing Post-market Dose-optimization Studies in Cancer Drug Development- Part 2. Biopharmaceutical Report (2021), Winter Issue, Volume 28, Number 4, pp. 16-20. Also published (combined forums March 18, June 10, July 8, 2021) in: Statistics in Biopharmaceutical Research, 2023, Volume 15, Issue 3, pp. 679-703.
- September 16, 2021. Time-to-event Endpoints in Cancer Clinical Trials in the Presence of Non-proportional Hazards. Biopharmaceutical Report (2022), Summer Issue, Volume 29, Number 2, pp. 42-44.
- October 14, 2021. Cancer Clinical Trial Design Considerations when Accepting Foreign Data from a Single Country. Biopharmaceutical Report (2023), Spring Issue, Volume 30, Number 1, pp. 40-42.
- December 9, 2021. Cancer Clinical Trial Design Considerations in Evaluating Treatment Effect in Marker Negative Population. Biopharmaceutical Report (2023), Spring Issue, Volume 30, Number 1, pp. 43-45.
2020 Forums
- October 8, 2020. Type I Error Considerations in Master Protocols with Common Control in Oncology Clinical Trials. Biopharmaceutical Report (2020), Fall Issue, Volume 27, Number 3, pp. 39-40. Also published online in Statistics in Biopharmaceutical Research, 2022, Volume 14, Issue 3, pp. 349-352.
- December 10, 2020. Use of Non-concurrent Common Control for Treatment Comparisons in Master Protocols. Biopharmaceutical Report (2021), Winter Issue, Volume 28 (1), pp. 12-14. Also published online in: Statistics in Biopharmaceutical Research, 2022, Volume 14, Issue 3, pp. 353-357.
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