Subsequent anticancer therapy in patients randomized to placebo alone or best supportive care

Nearly half of patients in control arms of trials using inert comparators received subsequent active therapy, calling into question the appropriateness of these control designs. Inappropriate use of inactive controls may inflate treatment effects. Regulators and ethics committees should ensure justified comparator selection in vulnerable populations.

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Publication Details

Journal
European Journal of Cancer
Published
2025-12-03
DOI
https://doi.org/10.1016/j.ejca.2025.116148
Primary Topic
Statistical Methods in Clinical Trials
Type
article
Field-Weighted Citation Impact
0.00

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article

Subsequent anticancer therapy in patients randomized to placebo alone or best supportive care

Timothée Olivier, Christopher Rios, Alyson Haslam
European Journal of Cancer
Statistical Methods in Clinical Trials
article

Subsequent anticancer therapy in patients randomized to placebo alone or best supportive care

Timothée Olivier, Christopher Rios, Alyson Haslam
article en

Abstract

Nearly half of patients in control arms of trials using inert comparators received subsequent active therapy, calling into question the appropriateness of these control designs. Inappropriate use of inactive controls may inflate treatment effects. Regulators and ethics committees should ensure justified comparator selection in vulnerable populations.

European Journal of CancerVol. 233
University of California, San Francisco (US), University Hospital of Geneva (CH)
Arnold Ventures, University of California, San Francisco
Openalex Percentile: Top 65%
Statistical Methods in Clinical Trials
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