招生模式和黑人参与者招募的现场级预测器,用于多站点随机癌症临床试验
Joannie M Ivory1, Heather J Gunn2, Stephanie B Wheeler1
1University of North Carolina at Chapel Hill, Chapel Hill, NC.
JCO oncology advances
|January 26, 2026
概括
场地层面的因素,如邻居的种族组成和地理区域影响黑人参与者在临床试验中的积累. 识别多样化的地点是改善试验代表性和概括性的关键.
科学领域:
- 临床试验 临床试验
- 健康 公平 卫生 公平
- 瘤学研究研究
背景情况:
- 临床试验的多样性对于通用性和公平获取至关重要.
- 患者层面的因素往往是研究试验积累障碍的重点.
- 影响试验多样性的现场层面因素仍未得到充分研究.
研究的目的:
- 确定与多中心临床试验中黑人和年轻参与者的积累相关的现场级特征.
- 解决临床试验中缺乏种族和年龄多样性的问题.
主要方法:
- 对联盟191901 (GETSET) 试验数据的分析,该试验对黑人妇女和50岁以下的女性进行了过量抽样.
- 检查了地点特征 (地区,社区种族组成,地点类型,积累量) 和参与者种族/年龄之间的关联.
- 对不同的人口分组的时间积累轨迹进行评估.
主要成果:
- 南方网站和那些黑人构成较高的社区的网站招募了更高比例的黑人参与者.
- 场地类型和历史积累量与黑人参与者招聘无关.
- 招募黑人参与者落后于目标,而招募非黑人参与者超过了目标.
结论:
- 邻里组成和地理区域是黑人参与者积累的重要预测因素.
- 场地类型和历史积累量并不能预测黑人参与者的招聘.
- 基于社区人口统计和地理位置的有针对性的地点选择可以增强临床试验的多样性.
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