Patterns of participation of patients in cancer clinical trials in Ireland

Ir J Med Sci. 2007 Sep;176(3):153-6. doi: 10.1007/s11845-007-0058-2. Epub 2007 Jul 6.

Abstract

Background: In the United States the overall participation in cancer clinical trials (CCT) is less than 3% [Avis et al. in J Clin Oncol 24:1860-1867 (2006); Lara et al. in J Clin Oncol 19:1728-1733 (2001)]. In Europe there is little data on participation in such trials.

Aim: We aim to gather information on factors influencing CCT enrolment in Ireland.

Methods: From November 2005 to 28 February 2006 all consecutive patients considered for systemic therapy were assessed for eligibility re participation in available CCTs.

Results: A total of 290 patients were included. Overall 2.4% of patients were recruited to one of the available CCTs. The main reasons for failure of trial recruit were: no trial for cancer type (60%), no trial for stage (21%), ineligible by trial criteria (16.1%), patient declined (0.3%), and physician discretion (2.6%). Only one patient, who was otherwise eligible, declined entry into a clinical trial.

Conclusions: Irish patients with cancer are very willing to participate in CCTs. Current levels of recruitment compare favourably with international levels.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Clinical Trials as Topic / statistics & numerical data*
  • Female
  • Humans
  • Ireland
  • Male
  • Middle Aged
  • Neoplasms*
  • Patient Participation
  • Patient Selection
  • Referral and Consultation
  • Research Subjects*