ABSTRACT

I. Cancer Treatment Progress.................................................................. 115

II. Benefit to Risk Ratio ........................................................................... 116

III. Trial Endpoints .................................................................................... 117

IV. Phase I Clinical Trial........................................................................... 118

V. Phase II Clinical Trial ......................................................................... 120

VI. Phase III Clinical Trial ........................................................................ 121

A. General Consideration .................................................................. 121

B. Randomization .............................................................................. 122

C. Stratification .................................................................................. 123

D. Size of the Trial ............................................................................ 123

E. Data Analysis ................................................................................ 126

F. Interim Analyses ........................................................................... 128

VII. Trial Report.......................................................................................... 129

Acknowledgments ........................................................................................... 130

References........................................................................................................ 131

In the 1930s, less than 20% of cancer patients were alive 5 years after diagnosis.

In the 1940s, the figure was about 25%, and in the 1960s it was about 33%. Today

about 40% of cancer patients will be alive 5 years after diagnosis. If we compared

with a similar control population, then the 5 year relative survival rate was 48.9%

for patients diagnosed in 1974-1976 and 49.8% for patients diagnosed during

the period 1980-1985.