It’s not ORR per se that’s a problem, but rather the use of a subjective primary endpoint in an open-label trial, which creates a large window of opportunity for fudging. PFS in an open-label trial has the same problem to a slightly lesser degree.
The above problem is typically addressed by having progression events adjucated by blinded evaluators, but that wasn’t done in the PPHM trial.
“The efficient-market hypothesis may be the foremost piece of B.S. ever promulgated in any area of human knowledge!”
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