FDA Working on Patient-Friendly Cancer Terms

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Five FDAers working in various CDER positions involving cancer drugs and treatment say the agency is working to help resolve a problem that occurs when patients and their families don’t understand information they are given about a cancer diagnosis and treatment options. Writing in an open-source article in The Oncologist, the FDAers say a “complete understanding of the risks and benefits of cancer therapies would allow patients and their families to make informed choices in their treatments. It is also important to be mindful of the patient as an individual and consider what specific terms need to be used when speaking with patients, as well as how and when to disseminate literature to patients.”

Examples of oncology terminology that may be unclear or not explained to patients, the authors say, are progression-free survival, overall survival, disease-free survival, and overall response rate. They say such terms are ubiquitous in cancer drug development, but are nuanced and can be associated with complicated clinical trial designs.

The first step in developing more explanatory materials, they say, is to work with patients and advocacy groups toward a better understanding of the problem. Definitions of common terms can then be generated in an iterative dialog between patients, healthcare providers, and drug development scientists. “Once an agreed-upon set of patient-friendly definitions is generated by various stakeholders,” the article says, “these definitions can be communicated in multiple ways, including Web resources, provider education (including pharmacists and clinicians), and patient advocacy groups. The use of multiple sources of information for patients may help to mitigate the challenge of increasing time pressures at the point of care.”

The FDAers say the agency has generated a draft patient-friendly definition of progression-free survival as a starting point for further work.

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