Kuehne (2022)

Ovarian cancer

Oncology • Other Data • US

Study Metrics
Total Sample 3164
Treatment Group 1582
Control Group 1582
Covariates 4
PICO Comparisons 1
Quality Indicators
Transparency High
DAG Usage Yes
QBA Performed No

Study Information

First Author: Kuehne
Publication Year: 2022
DOI: https://doi.org/10.1016/j.jclinepi.2022.10.005
Preprint: No preprint

Institution & Funding

Institutions: Academia (UMIT TIROL University, Technical University Dresden, Innsbruck Medical University, Harvard T.H. Chan School of Public Health, Massachusetts General Hospital), Industry (Eli Lilly and Company), and Health Services (Cancer Registry Tyrol)
Funding: Declared: Public, private
Funding Institutions: This work was supported by independent research grant by Lilly Research Award Program (LRAP) and partly funded by the state Tyrol (grant number F.16731/5-2019).

Study Context

Disease: Ovarian cancer
Disease Category: Oncology
Data Type: Other
Number of Data Sources: 1
Geography: US
Eligible Sample: 1582.0
Number of Treatments: 2

Analytical Methods

Analysis Method: Cox PH
Estimand: PP

Quality Methods

Directed Acyclic Graph (DAG) Used
Quantitative Bias Analysis (QBA) Not Performed
Good Practice: This study employed advanced methodological approaches including DAG methodology.

Target Trial Information

Target Trial Name: MRC OV05/EORTC 55955
Registration Number: ISRCTN87786644
Target Trial DOI: https://doi.org/10.1016/S0140-6736(10)61268-8

TTE vs RCT Comparisons

Detailed comparison between Target Trial Emulation results and corresponding Randomized Controlled Trial outcomes.

Overall survival
MRC OV05/EORTC 55955
HR Efficacy
Population

Female patients aged ≥18 years with ovarian, fallopian tube, or primary peritoneal cancer who had disease progression after first-line chemotherapy (LOT1)

Intervention

Second-line chemotherapy (LOT2): KRd regimen (carfilzomib, lenalidomide, and dexamethasone)

Comparison

Delayed LOT2 (started >6 weeks after progression)

Outcome

Overall survival

RCT Result

1.01

95% CI: [0.82, 1.25]


vs
TTE Result

1.12

95% CI: [0.96, 1.28]

Concordance Assessment
Confidence Interval Overlap: Yes
CIs overlap, suggesting concordance
Direction Agreement: Same Direction
Both point to similar conclusion

Transparency Indicators

Protocol Registration Available
Data Sharing Not Available
Code Sharing Not Available
Overall Transparency Score:
High Transparency - This study meets good transparency standards.

Conflicts & Funding

Conflicts of Interest: Declared: Financial
COI Institutions: Eli Lilly and Company
Funding Source: Declared: Public, private
Funding Institutions: This work was supported by independent research grant by Lilly Research Award Program (LRAP) and partly funded by the state Tyrol (grant number F.16731/5-2019).