cancer clinical trials a quality cancer care option © 2014 enacct, inc. all rights reserved

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Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

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Page 1: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Cancer Clinical TrialsA Quality Cancer Care Option

© 2014 ENACCT, Inc. All Rights Reserved

Page 2: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Key Tips About Cancer Clinical Trials

Cancer clinical trials are an option in quality cancer treatment

All patients should ask their doctor about cancer clinical trials

Rights are protected of everyone who participates in research

Everyone is affected by cancer

© 2014 ENACCT, Inc. All Rights Reserved

Page 3: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Cancer in Underserved CommunitiesMore likely to receive either:

No treatment, orTreatment that does not meet current standards of

careDie from cancers that are preventableHave died with cancers that could have been detected

earlier

© 2014 ENACCT, Inc. All Rights Reserved

Shavers VL. J Natl Cancer Inst (2002); Tammemagi CM. Curr Opin Obstet Gynecol (2007); Edwards BK et al. J Natl Cancer Inst (2005); Clegg LX. Arch Intern Med (2002); Bach PB. N Engl J Med (2004); Jemal A et al. CA Cancer J Clin (2004); Gross C. Cancer (2008)

Page 4: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Cancer Clinical Trials…

Are research studies to find better ways to prevent, detect, or treat cancerHelp doctors find ways to improve cancer careAre a quality cancer care option

© 2014 ENACCT, Inc. All Rights Reserved

Page 5: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Why Should We Care About Cancer Clinical Trials?

We all benefit from finding better ways to treat or prevent cancer

Rhonda Baer, NCI, 2005

© 2014 ENACCT, Inc. All Rights Reserved

Page 6: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Who Benefits?

The results of many trials help change the way cancer care is provided for everyone. BUT…

– Less than 3% of all adults with cancer take part

– Even fewer patients from racial and ethnic minority groups, who are over 65, or who are low income

RESULT: Low participation=slower progress

© 2014 ENACCT, Inc. All Rights Reserved

Page 7: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

All Communities Should Take Part in Cancer Clinical

Trials

© 2014 ENACCT, Inc. All Rights Reserved

Page 8: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

How Do Cancer Clinical Trials Work?

© 2014 ENACCT, Inc. All Rights Reserved

Page 9: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

People Participate in Many Types of Cancer Clinical Trials

For people who have cancer Treatment Genetics Quality-of-life/supportive care

For people at high risk for getting cancer Prevention Genetics

For people being screened for cancer

© 2014 ENACCT, Inc. All Rights Reserved

Page 10: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Patients Can’t Choose Their Treatment in a Cancer Clinical Trial

All have an equal chance to be assigned to groups:

One group gets the most widely accepted treatment

The other group gets the new treatment being tested, which doctors hope will be better

Patients cannot choose their group, and neither can the doctors

© 2014 ENACCT, Inc. All Rights Reserved

Page 11: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Patients Are Always Treated for Their Cancer

No one gets a placebo (sugar pill) instead of appropriate treatment

Placebos may be used in prevention trials

© 2012 ENACCT, Inc. All Rights Reserved

Page 12: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

We Have Protections Today Because of Abuses in the Past

20th century abuses of human rights….◦ In German

concentration camps◦ In the Tuskegee Syphilis

Study◦ With children and with

the elderly◦ Among prisoners and

the poor in Guatemala

© 2014 ENACCT, Inc. All Rights Reserved

Page 13: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Protections Today: Informed Consent Process

The purpose of the trial What will happen during the trial

The risks and potential benefits Their individual rights

Participants must be told about…

© 2014 ENACCT, Inc. All Rights Reserved

Page 14: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

What Patients Should Think About Before Deciding to Join a Trial

© 2014 ENACCT, Inc. All Rights Reserved

Page 15: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

There Are Benefits… Patients are closely

followed by doctors and nurses

If the new treatment being tested is proven to work, patients may be among the first to benefit

© 2014 ENACCT, Inc. All Rights Reserved

Page 16: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

And There Are Risks New treatments are not

always better than what is already used to treat cancer

Even if a new treatment has benefits, it may not work for everyone

May involve additional testing

© 2014 ENACCT, Inc. All Rights Reserved

NCI, 2005

Page 17: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Will There Be Extra Costs?

Clinical trial participants must be told what the research costs will be and who will pay them during

the consent process

Clinical trials may have added costs– Research Costs– Patient Care Costs

© 2014 ENACCT, Inc. All Rights Reserved

Page 18: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Key Facts About Cancer Clinical Trials

Cancer clinical trials are an option in quality cancer treatment

All patients should ask their doctor about cancer clinical trials

Rights are protected of everyone who participates in research

Everyone is affected by cancer

© 2014 ENACCT, Inc. All Rights Reserved

Page 19: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Spreading the Word in Our Community

Family Friends Co-Workers Church Members Neighbors Community Leaders

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Page 20: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

There are Easy Ways to Find Available Trials in The Community

Cancer Information Service1-800-4-CANCERwww.cancer.gov

American Cancer Society1-800-ACS-2345www.cancer.org

© 2014 ENACCT, Inc. All Rights Reserved

Page 21: Cancer Clinical Trials A Quality Cancer Care Option © 2014 ENACCT, Inc. All Rights Reserved

Thank you!

© 2014 ENACCT, Inc. All Rights Reserved