TBH, the more I look at the data and specially the OS (Kaplan-Meier) curves, even for overall population, the more I am convinced a PhIII, with weekly and continuing with paxi all the way is so very obvious, but only now that the whole 42 month data (graph) is available. If you look at any of the survival curves it is black and white that at 24 weeks mark when paxi was discontinued Efti's optimal role (push the gas) was hard to be supported. Of course the graph for the subgroups is just yelling out the same but a lot more lively.
When the initial data came out in March 2020 I wrote here that they would look into sub-groups. They obviously did (would do) that as it is just a standard practice. At the time I had hoped they would look at the molecular level (micro) as well as macro (e.g. age group), which they have obviously done too in monoclonal and luminals. But as future studies since then have revealed, we are now much better equipped to hopefully ensure better outcome in PhIII.
I posted a link this year on a ncbi (as I recall) 2021 publication that retrospectively analysed samples from cancer patients collected over a long number of years to analyse for lag-3 involvement, with suggestions for prospective studies, which would have had an impact on the trial design for PhIIb, which i am sure the scientific team are considering in design of Ph III, I believe leading to better outcome.
Can anyone please find that post? (Problem with sending any old topic under any thread- makes searching past posts near impossible. SO, PLEASE PEOPLE, consider posting under relevant tread that also already exists, including and specially SP discussions as they contribute to a large number of posts. So, it is very beneficial to have them under IMM Chart/SP thread, to make searching back easier in other threads PLEASE.
Nevertheless here is a simar publication to the above:
https://www.nature.com/articles/s41467-021-25865-0
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- Ann: Final Phase IIb AIPAC clinical trial results for Efti in MBC
Ann: Final Phase IIb AIPAC clinical trial results for Efti in MBC, page-83
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