Ten years of marketing approvals of anticancer drugs in Europe: regulatory policy and guidance documents need to find a balance between different pressures
2005

Marketing Approvals of Anticancer Drugs in Europe

Sample size: 48 publication Evidence: moderate

Author Information

Author(s): Apolone G, Joppi R, Bertele' V, Garattini S

Primary Institution: Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy

Hypothesis

The study evaluates the performance of regulatory agencies in approving new anticancer drugs and suggests improvements.

Conclusion

The current regulatory guidance for anticancer drugs needs revising to ensure better evaluation of their real benefits.

Supporting Evidence

  • 48 clinical studies were used as the basis for approval of 27 different indications.
  • Phase III randomised comparative trials are generally required for marketing authorisation.
  • Most new anticancer agents are approved based on small single-arm trials.

Takeaway

This study looks at how new cancer drugs are approved in Europe and says we need to be more careful to make sure they really help patients.

Methodology

The study analyzed regulatory documents and approval data for anticancer drugs from January 1995 to December 2004.

Potential Biases

The data used came from non-standardized documents, which may introduce bias.

Limitations

The evaluation only pertains to anticancer drugs approved by EMEA and does not include drugs approved through other procedures.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602750

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