The State of Intermediate Clinical Endpoints as Surrogates for Overall Survival in Prostate Cancer in 2024
Language English Country Netherlands Media print-electronic
Document type Journal Article, Review
PubMed
38664138
DOI
10.1016/j.euo.2024.04.004
PII: S2588-9311(24)00093-2
Knihovny.cz E-resources
- Keywords
- Biochemical failure, Clinical failure, Disease-free survival, Event-free survival, Local failure,
- MeSH
- Humans MeSH
- Survival Rate MeSH
- Prostatic Neoplasms * mortality therapy pathology MeSH
- Endpoint Determination MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
In the past, selection of intermediate clinical endpoints (ICEs) in prostate cancer (PCa) trials largely depended on qualitative assessments; however, the advancing quality of research necessitates a robust correlation with overall survival (OS). This review summarises the results from several high-quality meta-analyses that explored the validity of ICEs as surrogates for OS. We found strong evidence that metastasis-free survival can serve as an ICE in localized PCa. In advanced disease, valid ICEs were identified only within the context of metastatic hormone-sensitive PCa, including radiological and clinical progression-free survival; however, concerns remain regarding their use owing to the limited generalisability of the data used to validate their surrogacy. PATIENT SUMMARY: Intermediate clinical endpoints can reduce the costs of trials and allow earlier introduction of new treatment methods. This article summarises results from studies verifying the validity of these endpoints as surrogates for overall survival.
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