与早期临床试验参与相关的时间毒性
U Nindra1, G Shivasabesan2, S Childs2
1Department of Medical Oncology, Liverpool Hospital, Liverpool; Ingham Institute for Applied Medical Research, Liverpool; School of Medicine, Western Sydney University, Sydney.
ESMO open
|November 18, 2023
概括
早期癌症临床试验 (EPCT) 的患者花费大量时间与医疗保健系统互动. 需要努力简化访问,以减少这种负担,称为"时间毒性" (TT).
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 患者报告的结果
背景情况:
- 早期癌症临床试验 (EPCT) 对于开发新的癌症疗法至关重要.
- 这些试验涉及实验性药物,重点是剂量确定和安全性.
- 对于临床医生和患者来说,EPCT是非常耗时的.
研究的目的:
- 量化参与早期癌症临床试验的患者所耗费的时间.
- 定义和测量"时间毒性" (TT) 作为一个复合度量.
主要方法:
- 利物浦医院EPCT部门患者的回顾性审计 (2013-2023年).
- 定义的"时间毒性" (TT) 是与医疗保健系统接触的任何天 (访问,输注,手术,血液检查).
主要成果:
- 分析了36个EPCT中的219名患者.
- 患者在医疗保健系统中平均花费了29%的时间.
- 协议访问是TT的主要原因,但由于不良事件而导致的非计划访问在7%的患者中是显著的.
- 随着完成治疗周期的增加,TT减少;完成> 10 个周期的患者在接触中度过了14%的天数,而完成≤2 个周期的患者则占35%.
结论:
- 这项研究是首次报告在EPCT中具有延长后续的TT.
- 临床医生在讨论试验风险/益处时应该考虑TT.
- 建议在EPCT中简化医疗保健访问,以尽量减少患者的时间负担.
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