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Plenary Session

5.39 - Sotorasib and Codebreak 200

Plenary Session

Vinay Prasad, MD MPH

Health, Medicine, Policy, Oncology, Science & Medicine

4.7789 Ratings

🗓️ 10 February 2023

⏱️ 45 minutes

🧾️ Download transcript

Summary

I destroy the trial. Bad control arm. Informative Censoring. No OS gain. Authors DOWNPOWERED TRIAL. Fishy PFS. Fishy HRQoL. This trial should be in trash can.

Transcript

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0:00.0

Welcome back to Plenary Session. This is the podcast at the intersection of medicine,

0:04.5

oncology, and health policy. Today we're back with Code Break 200's been published in The Lancet.

0:10.3

People are praising it. Somebody said, don't throw the baby out with the bathwater. Well,

0:14.7

it turns out it's all getting thrown out. This is a god-awful study. It's piss poor. It's

0:19.9

derelict. It's horrific.

0:22.8

I've seen so many problems in studies.

0:25.0

It's rare that you get them all lined up at once.

0:27.4

Code Break 200.

0:28.7

We're going to break it down.

0:30.5

I don't know how long this video is.

0:31.4

It's probably going to be pretty long because I found so much junk in this study. And by the end of it, I think you will feel like me that this

0:40.0

represents the follow oncology. I mean, it's emblematic of how our profession is rotting.

0:44.9

We're rotting from the inside. We're debuting drugs that cost $15,000 per month, and we don't

0:52.4

have any good data for what we're doing. We're running

0:54.4

horrific trials that squander the participation of patients. Anyway, I'm getting ahead of myself.

0:59.3

Let me get into this one step at a time. So ToraSib versus dosataxil, second line and beyond,

1:05.8

non-small lung cancer with KRAS G12C. You know it. I hope that we know a lot of things that KRASG12C use

1:13.0

tends to be mutually exclusive with other driving mutations. I hope we know that. I hope we know

1:16.5

that this is one of the few that's already secured a ladder line approval. This is the

1:20.4

randomized confirmatory trial to Code Break 100 where they had some response rate. This is an

1:25.0

important study. We talked about it in press release.

1:27.6

I've already published an article on it, but yet the saga continues.

...

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