cancer trial methods Flashcards

1
Q

what are the steps to cancer formation

A

accelerated growth division rates, deregulation of apoptosis, by damaging a Apoptic control cancer cells survive for Longer→ m utations
accumulate→ tumour progression, around 1mm is detectable at diagnosis

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2
Q

what are the main two parts of tumour growth

A
  1. undetectable

2. detectable

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3
Q

what is the undetectable part of tumour growth

A

when cells are growing over a period of years

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4
Q

what is the dectable part of tumour growth

A

small window between death and cure, treatment only works effectively early

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5
Q

what are the current cancer treatment

A

surgery, chemotherapy, radiotherapy, hormone therapy, immunotherapy , biological therapies, bone m arrow transplants,

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6
Q

how to achieve a cure

A

destroy/kill all cancer cells

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7
Q

what is prolonging survival

A

destroy/kill most of the cancer cella

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8
Q

what is the point of destorying/killing some cancer cells

A

eliminates systems preserves QoL

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9
Q

what is a complete response

A

disappearance of all signs of the disease

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10
Q

what is partial response

A

a reduction in tumour volume by at least 30%

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11
Q

what is a stable disease tumour response

A

no significant change

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12
Q

what happens during disease progression In tumour response

A

on increase of tumour volume by at least 20% of new metastasis

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13
Q

what is the overall treatment ‘survival time’

A

survival time from start of treatment

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14
Q

what is disease-free survival treatment efficacy

A

survival time prior to tumour relapse after radical treatment

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15
Q

what is progression-free survival treatment efficacy

A

survival time prior to tumour progression

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16
Q

what is anecdotal evidence

A

one patient evidence

17
Q

what are concurrent controls

A

comparing for example >75 and those <75

18
Q

how do we know whether a treatment is successful

A
  1. measures of efficacy
  2. efficacy of new treatment needs to be compared to ‘standard’ treatment
  3. sample data from clinical trials will give 95% CL