Enhancing the analytic utility of clinical trial data to inform health disparities research

Contemp Clin Trials Commun. 2020 Nov 25:20:100677. doi: 10.1016/j.conctc.2020.100677. eCollection 2020 Dec.

Abstract

Clinical trials are often conducted among younger, healthier, and less racially diverse patient populations than the population at large. Health disparities for individuals with cancer are most apparent when there are notable differences in the occurrence, frequency, burden of cancer and mortality rates among specific population groups. Enhancing the diversity of participants in clinical trials to reflect the characteristics of cancer survivors in the U.S. population is of growing interest to better insure the safety and efficacy of resultant treatments. The Project Data Sphere ® (PDS) cancer research platform is a first-of-its kind research environment that provides the research community with broad access to both de-identified patient-level clinical trial data and advanced analytic tools to enable big data-driven research. To address these analytic constraints, the data profiles in selected PDS patient-level cancer phase III clinical datasets have been augmented by linking the social, economic, and health-related characteristics of like cancer survivors from nationally representative health and health care-related survey data from the Medical Expenditure Panel Survey (MEPS). Our article shines a spotlight on this ongoing initiative to improve access to clinical trial data in support of health care disparities research initiatives.

Keywords: Clinical trials; Data integration; Health disparities; MEPS; Project data sphere.