12 September 2022 - We reviewed US FDA initial approvals (2019-2021) of small molecules and antibody-drug conjugates for oncologic indications.
We set out to determine the proportion with a recommended dosage at the maximum tolerated dose or the maximal administered dose, to characterise the use of randomised evaluations of multiple dosages in dose selection, to describe the frequency of dose modifications at the recommended dosage, and to identify case examples that highlight key principles for premarket dose optimisation during drug development.