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Peer-Reviewed Publication
J Comp Eff Res2026;15(6):e250143.June 1, 2026Journal Article

Directly comparing randomized and real-world controls in adjuvant breast cancer.

Brigham Walker1, Marley Boyd2, Michelle Silver3, Junxin Shi4, Purva Bulsara4, Nino Balanchivadze5, Nicholas J Robert4
1Department of Health Policy and Management, Tulane University Celia Scott Weatherhead School of Public Health, LA 70112, USA.
2TriNetX, MA 02140, USA.
3Genesis Research, NJ 07030, USA.
4Ontada, MA 02109, USA.
5Virginia Oncology Associates, US Oncology Network, VA 23502, USA.

Abstract

Aim: We sought to directly compare contemporaneous real-world (RW) and randomized controlled trial (RCT) control arms to assess the feasibility of utilizing RW controls in early breast cancer treatment. Materials & methods: Women with human epidermal growth factor receptor 2-negative high-risk breast cancer receiving adjuvant docetaxel, doxorubicin and cyclophosphamide for six cycles between 29 Ma…

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