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Clinical Trials for the Surgical Oncologist: Opportunities and Hurdles
Ko Un Park1, Eleftherios P Mamounas2, Matthew H G Katz3
1Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Abstract:
Advancements in clinical practice usually require level one evidence from clinical trials that directly compare new approaches to standard of care. While clinical trials have provided data to guide advances in practices across surgical oncology, all too often accrual to clinical trials is slower than anticipated, and once results are presented and published, adoption in clinical practice is slow. Why and how can surgeons be successfully involved with clinical trials? An expert panel discusses the basic infrastructure of clinical trials, investigator-initiated trials, the National Clinical Trials Network, and opportunities for surgeon involvement. Two national clinical trials, NSABP B-51/RTOG 1304 and PROSPECT N1048, are discussed to highlight the role of the surgical oncologist.
Insights
Surgeons play a vital role in advancing surgical oncology through clinical trials. This expert panel explores how surgeons can effectively participate in clinical trials to improve patient care and treatment outcomes.
Area of Science:
- Oncology
- Clinical Trials
- Surgical Oncology
Background:
- Clinical practice advancements rely on high-level evidence from comparative clinical trials.
- Slow accrual and adoption of clinical trial results hinder progress in surgical oncology.
Purpose of the Study:
- To explore the reasons for slow accrual and adoption of clinical trial findings in surgical oncology.
- To discuss how surgeons can become successfully involved in clinical trials.
- To highlight the role of surgical oncologists in advancing cancer care through research.
Main Methods:
- Expert panel discussion on clinical trial infrastructure.
- Review of investigator-initiated trials and national clinical trial networks.
- Case studies of two national clinical trials (NSABP B-51/RTOG 1304 and PROSPECT N1048).
Main Results:
- Discussion of the fundamental infrastructure of clinical trials.
- Exploration of investigator-initiated trials and the National Clinical Trials Network.
- Highlighting specific opportunities for surgeon involvement in clinical research.
Conclusions:
- Successful surgeon involvement is crucial for efficient clinical trial accrual and adoption.
- Understanding clinical trial infrastructure and networks empowers surgeons to contribute effectively.
- Participation in trials like NSABP B-51/RTOG 1304 and PROSPECT N1048 demonstrates the impact of surgical oncologists in advancing evidence-based practice.
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