为多发性骨髓瘤创建公平包容的临床试验
Monique Hartley-Brown1, Craig E Cole2, Pamela Price3
1Dana-Farber Cancer Institute, Boston, MA.
Clinical lymphoma, myeloma & leukemia
|October 2, 2023
概括
黑人和西班牙裔人口面临更高的多发性骨髓瘤 (MM) 负担,并且在临床试验中代表性不足. 专家们召开会议讨论可行的策略,以提高试验多样性和患者包容性.
科学领域:
- 在瘤学瘤学.
- 临床试验管理 临床试验管理
- 健康差异 在健康上的差异
背景情况:
- 多发性骨髓瘤 (MM) 在美国不成比例地影响黑人和西班牙裔/拉丁裔人口.
- 在MM的临床试验中,这些人口群体的代表性明显不足.
- 解决这些差异对于公平的癌症护理至关重要.
研究的目的:
- 在多发性骨髓瘤临床试验中确定和讨论可行的策略,以改善多样性和包容性.
- 将来自多发性骨髓瘤研究和护理生态系统的关键利益相关者聚集在一起.
- 克服记录下来的阻碍代表性不足的人群参与的障碍.
主要方法:
- 由多发性骨髓瘤研究基金会赞助的为期1天的研讨会.
- 召集了来自政府,学术界,非营利组织,工业界,社区组织和零售药房的46名专家.
- 专注于确定具体的,有形的步骤,以提高临床试验的多样性.
主要成果:
- 讨论集中在改善试验多样性和包容性的实际解决方案上.
- 提出的关键战略包括扩大资格标准和减少参与者的负担 (财务,物流).
- 建议还包括选择多样化的研究地点,实施隐性偏见培训,并赋予患者权力.
结论:
- 多发性骨髓瘤临床试验的多样性需要多方面的合作方法.
- 可以采取切实的措施来减少障碍,增加代表性不足的群体的参与.
- 赋予患者权力和解决系统性问题对于公平的MM研究和护理至关重要.
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