临床试验登记的差异-重点是CAR-T和双特异性抗体治疗。

IF 2.7 3区 医学 Q2 HEMATOLOGY
Nadia Islam, Laura Budvytyte, Nandita Khera, Talal Hilal
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引用次数: 0

摘要

综述目的:最近的研究表明,未解决的差异阻碍了临床试验的入组、治疗的公平分配,并影响了试验的可推广性,影响了不同人群的健康结果。本综述旨在研究临床试验入组中持续存在的差异,特别关注淋巴细胞恶性肿瘤、CAR-T细胞和双特异性抗体治疗。最近的发现:有针对性的干预措施可以加强临床试验中代表性不足群体的招募,并解决阻碍参与的复杂障碍,这对于实现医疗保健公平和治疗结果至关重要。改善必须是多方面的,解决导致代表性不足的社会经济、地理和生物因素。这包括更宽松的资格标准,改善外联和教育,以及利用技术使试验参与多样化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disparities in Clinical Trial Enrollment- Focus on CAR-T and Bispecific Antibody Therapies.

Purpose of review: Recent studies show that unresolved disparities hinder enrollment to clinical trials, equitable distribution of treatments, and impact the generalizability of trials, compromising health outcomes across different populations. This review aims to examine the persistent disparities noted in clinical trial enrollment, with particular focus on lymphoid malignancies, CAR-T cell and bispecific antibody therapies.

Recent findings: Targeted interventions can enhance recruitment of underrepresented groups in clinical trials and address the complex barriers hindering participation, which are essential for achieving healthcare access equity and treatment outcomes. Improvement must be multifaceted, addressing socioeconomic, geographic, and biologic factors contributing to underrepresentation. This includes more lenient eligibility criteria, improving outreach and education, as well as using technology to diversify trial participation.

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来源期刊
CiteScore
6.00
自引率
0.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: his journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hematologic malignancy. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as leukemia, lymphoma, myeloma, and T-cell and other lymphoproliferative malignancies. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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