Trial-level factors affecting accrual and completion of oncology clinical trials: A systematic review

Background: Cancer is the second-leading cause of death in the United States. Clinical trials translate basic science discoveries into treatments needed by cancer patients. Inadequate accrual of trial participants is one of the most significant barriers to the completion of oncology clinical trials....

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Cherie L. Hauck, Teresa J. Kelechi, Kathleen B. Cartmell, Martina Mueller
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://doaj.org/article/f41cc4ebcfb94631a01491f5ddab614d
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:f41cc4ebcfb94631a01491f5ddab614d
record_format dspace
spelling oai:doaj.org-article:f41cc4ebcfb94631a01491f5ddab614d2021-11-04T04:34:30ZTrial-level factors affecting accrual and completion of oncology clinical trials: A systematic review2451-865410.1016/j.conctc.2021.100843https://doaj.org/article/f41cc4ebcfb94631a01491f5ddab614d2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2451865421001435https://doaj.org/toc/2451-8654Background: Cancer is the second-leading cause of death in the United States. Clinical trials translate basic science discoveries into treatments needed by cancer patients. Inadequate accrual of trial participants is one of the most significant barriers to the completion of oncology clinical trials. Objective: The purpose of this study was to investigate trial-level factors that affect accrual and/or completion of oncology clinical trials, identify gaps in the literature, and indicate opportunities for future research. Design: A systematic review of the literature on trial-level factors that affect accrual and/or completion of oncology clinical trials was performed. Searches in PubMed and Scopus identified 6582 studies. Based on eligibility criteria, 16 studies were selected for the review. Results were analyzed according to the following: a) background factors, b) disease-related, c) treatment-related, and d) trial design. Results: Background factors that were investigated in relation to oncology clinical trial accrual and/or completion included sponsor, number and location of participating institutions, competing trials, time of trial opening, and fast-track status. Disease-related factors included the annual incidence and type(s) of targeted cancer. Several types of treatment such as drugs, radiation and surgery were examined in the studies. Trial design factors included trial development time, eligibility criteria, randomization, sample size, trial phase, placebo use, and required protocol procedures and their timing. Conclusion: With low patient participation rates in oncology clinical trials that hold promise for future treatments, it is imperative that trial-level factors affecting accrual be identified and addressed to facilitate the completion of trials.Cherie L. HauckTeresa J. KelechiKathleen B. CartmellMartina MuellerElsevierarticleClinical trialOncologyCancerEnrollmentAccrualMedicine (General)R5-920ENContemporary Clinical Trials Communications, Vol 24, Iss , Pp 100843- (2021)
institution DOAJ
collection DOAJ
language EN
topic Clinical trial
Oncology
Cancer
Enrollment
Accrual
Medicine (General)
R5-920
spellingShingle Clinical trial
Oncology
Cancer
Enrollment
Accrual
Medicine (General)
R5-920
Cherie L. Hauck
Teresa J. Kelechi
Kathleen B. Cartmell
Martina Mueller
Trial-level factors affecting accrual and completion of oncology clinical trials: A systematic review
description Background: Cancer is the second-leading cause of death in the United States. Clinical trials translate basic science discoveries into treatments needed by cancer patients. Inadequate accrual of trial participants is one of the most significant barriers to the completion of oncology clinical trials. Objective: The purpose of this study was to investigate trial-level factors that affect accrual and/or completion of oncology clinical trials, identify gaps in the literature, and indicate opportunities for future research. Design: A systematic review of the literature on trial-level factors that affect accrual and/or completion of oncology clinical trials was performed. Searches in PubMed and Scopus identified 6582 studies. Based on eligibility criteria, 16 studies were selected for the review. Results were analyzed according to the following: a) background factors, b) disease-related, c) treatment-related, and d) trial design. Results: Background factors that were investigated in relation to oncology clinical trial accrual and/or completion included sponsor, number and location of participating institutions, competing trials, time of trial opening, and fast-track status. Disease-related factors included the annual incidence and type(s) of targeted cancer. Several types of treatment such as drugs, radiation and surgery were examined in the studies. Trial design factors included trial development time, eligibility criteria, randomization, sample size, trial phase, placebo use, and required protocol procedures and their timing. Conclusion: With low patient participation rates in oncology clinical trials that hold promise for future treatments, it is imperative that trial-level factors affecting accrual be identified and addressed to facilitate the completion of trials.
format article
author Cherie L. Hauck
Teresa J. Kelechi
Kathleen B. Cartmell
Martina Mueller
author_facet Cherie L. Hauck
Teresa J. Kelechi
Kathleen B. Cartmell
Martina Mueller
author_sort Cherie L. Hauck
title Trial-level factors affecting accrual and completion of oncology clinical trials: A systematic review
title_short Trial-level factors affecting accrual and completion of oncology clinical trials: A systematic review
title_full Trial-level factors affecting accrual and completion of oncology clinical trials: A systematic review
title_fullStr Trial-level factors affecting accrual and completion of oncology clinical trials: A systematic review
title_full_unstemmed Trial-level factors affecting accrual and completion of oncology clinical trials: A systematic review
title_sort trial-level factors affecting accrual and completion of oncology clinical trials: a systematic review
publisher Elsevier
publishDate 2021
url https://doaj.org/article/f41cc4ebcfb94631a01491f5ddab614d
work_keys_str_mv AT cherielhauck triallevelfactorsaffectingaccrualandcompletionofoncologyclinicaltrialsasystematicreview
AT teresajkelechi triallevelfactorsaffectingaccrualandcompletionofoncologyclinicaltrialsasystematicreview
AT kathleenbcartmell triallevelfactorsaffectingaccrualandcompletionofoncologyclinicaltrialsasystematicreview
AT martinamueller triallevelfactorsaffectingaccrualandcompletionofoncologyclinicaltrialsasystematicreview
_version_ 1718445308217655296