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Integrating Systematic Reviews into Supportive Care Trial Design: The Rethinking Clinical Trials (REaCT) Program
Bader Alshamsan1,2, Brian Hutton3, Michelle Liu4
1Department of Medicine, Division of Medical Oncology, The Ottawa Hospital, The University of Ottawa, Ottawa, ON K1H 8L6, Canada.
Systematic reviews (SRs) integrated into the Rethinking Clinical Trials (REaCT) Program confirmed clinical uncertainty and guided trial design. These reviews offer valuable research opportunities for trainees.
Area of Science:
- Oncology
- Clinical Trials
- Evidence Synthesis
Background:
- The Rethinking Clinical Trials (REaCT) Program aims to improve clinical trial design.
- Systematic reviews (SRs) are crucial for synthesizing existing evidence.
Purpose of the Study:
- To evaluate the integration of systematic reviews within the REaCT Program.
- To identify successes and challenges in this integration process.
Main Methods:
- Conducted a comprehensive evaluation of all SRs performed under the REaCT Program.
- Presented descriptive summaries of the SRs and their outcomes.
Main Results:
- Twenty-two SRs were completed, focusing primarily on breast and prostate cancer interventions, particularly supportive care and survivorship.
- 86% of SRs identified clinical uncertainty, and 68% recommended future studies.
- SR findings informed 6 grant applications and 12 clinical trial designs; trainees authored 12 SRs.
Conclusions:
- Systematic reviews are vital for establishing clinical equipoise and informing the design of new clinical trials.
- SRs offer significant opportunities for trainee involvement in research.
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