Abstract

Complex survival patterns commonly arise in randomized clinical trial (RCT) data, for example in immuno-oncology therapies, which typically lead to heterogeneity in patient response and hence long-term survivorship in a proportion of the study population. Such effects are often poorly represented by standard parametric models (SPMs), which consequently tend to yield unreliable short- and long-term extrapolations that are used in clinical- and cost-effectiveness analyses for health technology assessment (HTA) submissions, especially when RCT event data is limited.

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