在退伍军人卫生管理局进行癌症分散的临床试验
Daphne R Friedman1,2,3, Shannon L Elam2, Sarah Bloemers4
1National Oncology Program, US Department of Veterans Affairs, Washington, DC, United States.
Journal of the National Cancer Institute
|September 24, 2025
概括
在癌症护理中的分散的临床试验可以克服入学障碍. 分享退伍军人健康管理局 (VA) 的经验可以帮助更广泛地实施这些创新的癌症试验.
科学领域:
- 在瘤学瘤学.
- 临床试验设计 临床试验设计
- 医疗保健创新 医疗保健创新
背景情况:
- 招生障碍阻碍了癌症临床试验的进展.
- 分散临床试验 (DCT) 通过远程进行研究提供解决方案,解决患者和特定场所的挑战.
研究的目的:
- 描述退伍军人卫生管理局 (VA) 内的以癌症为重点的去中心化临床试验计划的实施和结果.
主要方法:
- 退伍军人局建立了一个专门的癌症DCT计划,采用标准化的协议.
- 与VA研究办公室和机构审查委员会的合作确保了合规性.
- 实施了10项试验 (2项观察性,5项非治疗性,3项治疗性),使用8种完全远程和2种混合模型.
主要成果:
- 在47个退伍军人医疗中心注册了134名退伍军人.
- 参与者的人口统计反映了更广泛的VA癌症患者群体,包括农村 (31%) 和少数民族 (19%) 个人.
- 成功地采用了远程研究的方法.
结论:
- 癌症DCT可以有效地缓解招生障碍.
- 并非所有试验都适合去中心化.
- 分享VA的DCT经验有助于赞助商和研究人员更广泛地采用.
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