Journal of the National Cancer Institute Advance Access originally published online on June 10, 2008
JNCI Journal of the National Cancer Institute 2008 100(12):842-844; doi:10.1093/jnci/djn197
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© Oxford University Press 2008.
NEWS |
Better Prioritization May Speed Approval of Adjuvant Therapies in Breast Cancer
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Improvements in detection and treatment have reduced the risk of relapse for women diagnosed with early-stage breast cancer over the last several decades. As a consequence of that success, clinical trials that aim to test new therapies in adjuvant breast cancer must include more patients and monitor them longer to detect meaningful differences. With some trials expanding to 10,000 patients, researchers are concerned that the system is at a breaking point and will not be able to test all the new agents in development—or at least not in a timely manner.
"I worry about it all the time," said Eric Winer, M.D., director of the breast oncology center at Dana-Farber Cancer Institute in Boston and cochair of the Cancer and Leukemia Group B breast cancer committee. "It takes too long. Herceptin was approved for metastatic breast cancer in 1998. It took us until 2005 before we had a result in
Tempered Reaction
Neoadjuvant Trials
Better Coordination