Evidence map›Paper›PMID 28314597›Full record

ReviewClinical oncology (Royal College of Radiologists (Great Britain))2017

Co-enrolment of Participants into Multiple Cancer Trials: Benefits and Challenges.

F H Cafferty, C Coyle, S Rowley, L Berkman, M MacKensie, R E Langley

Abstract readReview
In one paragraph

Review in Clinical oncology (Royal College of Radiologists (Great Britain)), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Co-enrolment to UK Critical Care Studies - A 2019 update.Journal of the Intensive Care Society · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

F H CaffertyMRC Clinical Trials Unit at UCL, London, UK. Electronic address: f.cafferty@ucl.ac.uk.
C CoyleMRC Clinical Trials Unit at UCL, London, UK.
S RowleyMRC Clinical Trials Unit at UCL, London, UK.
L BerkmanNCRI Consumer Liaison Group, London, UK.
M MacKensieIndependent Cancer Patient Voices, London, UK.
R E LangleyMRC Clinical Trials Unit at UCL, London, UK.

Funding

Cancer Research UK 15015Department of Health 12/01/38Medical Research Council MC_UU_12023/28
6 · The paper itself

Abstract

Opportunities to enter patients into more than one clinical trial are not routinely considered in cancer research and experiences with co-enrolment are rarely reported. Potential benefits of allowing appropriate co-enrolment have been identified in other settings but there is a lack of evidence base or guidance to inform these decisions in oncology. Here, we discuss the benefits and challenges associated with co-enrolment based on experiences in the Add-Aspirin trial - a large, multicentre trial recruiting across a number of tumour types, where opportunities to co-enrol patients have been proactively explored and managed. The potential benefits of co-enrolment include: improving recruitment feasibility; increased opportunities for patients to participate in trials; and collection of robust data on combinations of interventions, which will ensure the ongoing relevance of individual trials and provide more cohesive evidence to guide the management of future patients. There are a number of perceived barriers to co-enrolment in terms of scientific, safety and ethical issues, which warrant consideration on a trial-by-trial basis. In many cases, any potential effect on the results of the trials will be negligible - limited by a number of factors, including the overlap in trial cohorts. Participant representatives stress the importance of autonomy to decide about trial enrolment, providing a compelling argument for offering co-enrolment where there are multiple trials that are relevant to a patient and no concerns regarding safety or the integrity of the trials. A number of measures are proposed for managing and monitoring co-enrolment. Ensuring acceptability to (potential) participants is paramount. Opportunities to enter patients into more than one cancer trial should be considered more routinely. Where planned and managed appropriately, co-enrolment can offer a number of benefits in terms of both scientific value and efficiency of study conduct, and will increase the opportunities for patients to participate in, and benefit from, clinical research.

Indexed as

Patient SelectionAdultBiomedical ResearchClinical Trials as TopicFemaleHumansMaleNeoplasmsAdjuvantaspirincancerco-enrolmentrandomised controlled trial

Identifiers

PMID28314597
PMCPMC5479364

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.