Patient-Reported Outcomes: Open-Label Trials Can Be Designed To Minimize Bias, US FDA Says

With the expectation for increasing amounts of patient experience data comes the need for the FDA and sponsors to consider, and account for, the degree to which open-label bias influences oncology trial PROs; agency staff suggest trial design elements and analytic approaches for dealing with bias at a meeting on cancer clinical outcomes assessments.

Patient experience data
Even in an open-label trials, patients should be asked about their experience with a cancer drug. • Source: Shutterstock

Open-label studies may carry a risk of potential bias in patient-reported outcomes. However, this should not preclude PRO data collection in open-label cancer drug studies, and there are designs and analytic approaches to identify and minimize bias in such data, US Food and Drug Administration staff and other experts said at a 29 June meeting.

The agency’s seventh annual clinical outcomes assessment in cancer clinical trials workshop focused on use of PROs in open-label trials....

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