Introduction to Evidence-Based Medicine

William J. Powers, M.D.-- Departments of Neurology, Neurosurgery and Radiology
Washington University School of Medicine -- Presented July 11, 2006

 

Validation of a Biomarker as a
Surrogate Endpoint requires

               • Strong, consistent and independent demonstration of an
                  association between the biomarker and the clinical outcome for
                 all therapeutic mechanisms/drug classes

               • Evidence that biomarker accurately predicts both efficacy
                  and toxicity

               • The criterion for a positive result based on a biomarker must
                  be of sufficient magnitude to produce a clinically significant
                  chan
ge in outcome

 
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