Why might crossover occur in some clinical trials


Question 1: Does primary outcomes used in Choueiri 2021 and Sax 2012 meet the requirements of an ideal primary endpoint or are they representative of a surrogate endpoint?

Question 2: Review the Kaplan-Meier overall survival and progression free survival plots for the IMDC intermediate and poor-risk patients as provided in Choueiri 2021 for the comparison of Nivolumab & Cabozanitinib vs Sunitinib.  Provide a description of the characteristics of these plots based on visual inspection supported by estimates from the plots (e.g. 12 month survival).

Question 3: What statistical analyses are reported in Choueiri 2021 with regards to the outcomes of overall survival for the comparison of Nivolumab & Cabozantinib vs Sunitinib (IMDC intermediate and poor risk subjects; primary analysis).  How would you interpret these results?

Question 4: Why might crossover occur in some clinical trials?

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Biology: Why might crossover occur in some clinical trials
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