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Abstract
"Progression-free survival (PFS) is
increasingly used as an important and even a primary endpoint in
randomized cancer clinical
trials in the evaluation of patients with solid
tumors for both practical and clinical considerations. Although in its
simplest
form, PFS is the time from randomization to a
predefined endpoint, there are many factors that can influence the exact
moment
of when disease progression is recorded. In this
overview, we review the circumstances that can devalue the use of PFS as
a primary endpoint and attempt to provide a pathway
for a future desired state when PFS will become not just a secondary
alternative
to overall survival but rather an endpoint of
choice."
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