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Table 2 Effect of surrogate outcomes on options for designing pivotal clinical trials

From: Surrogate endpoints in oncology: when are they acceptable for regulatory and clinical decisions, and are they currently overused?

 

Traditional

Scenario 1: speed up drug approval

Scenario 2: increased market share

TDM-1

Pertuzumab

Population

Relapsed

Relapsed

Newly Diagnosed

2nd line

1st Line

Market share of population

Small

Small

Large

  

Outcome

Hard

Surrogate

Surrogate

OS

PFS

Event rate

100% experience event in 1 year

100% experience event in 6 months

100% experience event in 1 year

OS benefit demonstrated after 16 months of follow-up

PFS benefit not demonstrated until 19.3 months

Time to complete study

1 year

6 months

1 year

42 months between enrollment and results

40 months between enrollment and results

  1. OS overall survival, PFS progression-free survival