Treatment Success in CancerNew Cancer Treatment Successes Identified in Phase 3 Randomized Controlled Trials Conducted by the National Cancer Institute–Sponsored Cooperative Oncology Groups, 1955 to 2006

Abstract
Although cancer remains the second leading cause of deaths in the United States,1 there have been continuous improvements in survival and other outcomes in patients with cancer over time.1 To a large extent, this has occurred through the introduction of new treatments tested in clinical trials,2 with randomized controlled trials (RCTs) widely considered to be the most reliable method of assessing differences between the effects of health care interventions.3,4 Cancer is the only disease for which the National Institutes of Health has consistently funded a cooperative clinical trial infrastructure.4 Despite this investment,5 little is known about the proportion of clinical trials that have led to the discovery of successful new treatments.6