Bevacizumab in renal-cell cancer

G Sonpavde - New England Journal of Medicine, 2003 - Mass Medical Soc
G Sonpavde
New England Journal of Medicine, 2003Mass Medical Soc
To the Editor: In the report on their randomized, placebo-controlled, phase 2 trial evaluating
bevacizumab, Yang et al.(July 31 issue) 1 conclude that bevacizumab significantly prolongs
the time to progression of metastatic renal-cell cancer. I believe this conclusion is
inappropriate. Although the patients are randomly assigned to the treatment groups in a
randomized phase 2 study, it is not equivalent to a phase 3 study. The purpose of a
randomized phase 2 trial is to select one of several novel regimens for the next phase of …
To the Editor: In the report on their randomized, placebo-controlled, phase 2 trial evaluating bevacizumab, Yang et al. (July 31 issue)1 conclude that bevacizumab significantly prolongs the time to progression of metastatic renal-cell cancer. I believe this conclusion is inappropriate. Although the patients are randomly assigned to the treatment groups in a randomized phase 2 study, it is not equivalent to a phase 3 study. The purpose of a randomized phase 2 trial is to select one of several novel regimens for the next phase of testing. One can only be reassured that the selected regimen is probably not significantly . . .
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