Time-to-event endpoints in operable non-small-cell lung cancer randomized clinical trials

Expert Rev Anticancer Ther. 2017 Feb;17(2):167-173. doi: 10.1080/14737140.2016.1271718. Epub 2016 Dec 23.

Abstract

No guideline for time-to-event endpoints (TTEE) definitions in lung cancer trials exists. Areas covered: The aim of the study was to evaluate the reporting of TTEE in operable non-small-cell lung cancer randomized clinical trials. Expert commentary: Sixty-two TTEE were recorded. In the Methods section, using four key points to define TTEE we observed that the 'starting point', 'events', 'information on censoring', 'assessment of events' were clearly defined for 43 (69.4%), 34 (54.8%), 6 (9.7%), 33 (53.2%) endpoints respectively. In the results section, using five key points, we observed that the 'Kaplan-Meier estimation', 'estimation of effect size', 'precision (confidence interval)', 'number of events', 'number of patients at risk', 'multivariate analysis' were clearly identified for 46 (74.2%), 31 (50%), 30 (48.4%), 37 (59.7%), 28 (45.2%), and 17 (27.4%) endpoints, respectively. A majority of articles failed to provide a complete reporting of TTEE. Guidelines for TTEE is warranted.

Keywords: Endpoint; clinical trial; guideline; lung cancer; methodology.

Publication types

  • Review

MeSH terms

  • Carcinoma, Non-Small-Cell Lung / pathology
  • Carcinoma, Non-Small-Cell Lung / surgery*
  • Endpoint Determination / methods*
  • Endpoint Determination / standards
  • Guidelines as Topic
  • Humans
  • Kaplan-Meier Estimate
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery*
  • Multivariate Analysis
  • Randomized Controlled Trials as Topic / methods
  • Time Factors