Evidence map›Paper›PMID 33129040›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2020

Impact of COVID-19 in paediatric early-phase cancer clinical trials in Europe: A report from the Innovative Therapies for Children with Cancer (ITCC) consortium.

Alba Rubio-San-Simón, Nicolas André, Maria Giuseppina Cefalo, Isabelle Aerts, Alicia Castañeda, Sarah Benezech, Guy Makin, Natasha van Eijkelenburg, Karsten Nysom, Lynley Marshall and 27 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of cancer (Oxford, England : 1990), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 16% of its field
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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Research staff's experiences of how the COVID-19 pandemic impacted recruitment for a paediatric network study.International journal of qualitative studies on health and well-being · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Incidence of childhood cancer in Canada during the COVID-19 pandemic.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Managing children with brain tumors during the COVID-19 era: Don't stop the care!Computational and structural biotechnology journal · 2021
    Review
  11. 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

37 authors at 20 institutions in 11 countries.

Alba Rubio-San-SimónPaediatric Haematology-Oncology Department, Children's University Hospital Niño Jesús, Madrid, Spain.
Nicolas AndréPaediatric Haematology-Oncology Department, Hôpital pour enfant de La Timone, AP-HM, Marseille, France.
Maria Giuseppina CefaloOnco-Hematology, Cell and Gene Therapy Department, Bambino Gesù Childrens Hospital, Rome, Italy.
Isabelle AertsPaediatric Haematology-Oncology Department, Institut Curie, Paris, France.
Alicia CastañedaPaediatric Haematology-Oncology Department, Hospital Sant Joan de Déu, Barcelona, Spain.
Sarah BenezechPaediatric Haematology-Oncology Department, Institut d'Hematologie et Oncologie Pédiatrique IHOPe, Lyon, France.
Guy MakinPaediatric Haematology-Oncology Department, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Natasha van EijkelenburgPrincess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Karsten NysomDepartment of Paediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark.
Lynley MarshallPaediatric Haematology-Oncology Department, Oak Centre for Children & Young People, The Royal Marsden Hospital & the Institute of Cancer Research, London, United Kingdom.
Marion GambartPaediatric Haematology-Oncology Department, Hôpital des enfants CHU, Toulouse, France.
Raquel HladunDivision of Paediatric Haematology and Oncology, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Claudia RossigPaediatric Haematology-Oncology Department, University Children´s Hospital, Muenster, Germany.
Luca BergamaschiPaediatric Haematology-Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Franca FagioliPaediatric Haematology-Oncology Department, Regina Margherita Children's Hospital, A.O.U. Citta della Salute di Torino, Torino, Italy.
Ben CarpenterPaediatric Haematology-Oncology Department, University College London Hospitals, London, United Kingdom.
Stephane DucassouPaediatric Haematology-Oncology Department, Centre Hospitalier Universitaire (CHU), Bordeaux, France.
Cormac OwensPaediatric Haematology-Oncology Department, Children's Health Ireland, Crumlin, Dublin, Ireland.
Ingrid ØraDepartment of Paediatric Haematology-Oncology, University Hospital, Stockholm, Sweden.
Antonio Juan RibellesPaediatric Haematology-Oncology Department, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Bram De WildePaediatric Haematology-Oncology Department, Ghent University Hospital, Ghent, Belgium.
Pilar Guerra-GarcíaPaediatric Haematology-Oncology Department, Hospital Universitario La Paz, Madrid, Spain.
Marion StrulluPaediatric Haematology-Oncology Department, Hôpital Robert-Debré Ap-Hp, Paris, France.
Carmelo RizzariPaediatric Haematology-Oncology Department, Clinica Pediatrica Fondazione MBBM, Monza, Italy.
Torben EkPaediatric Haematology-Oncology Department, Childhood Cancer Centre, Gothenburg, Sweden.
Simone HettmerDivision of Paediatric Haematology-Oncology Department, Department of Paediatric and Adolescent Medicine, Faculty of Medicine, University of Freiburg, Germany.
Nicolas U GerberDepartment of Paediatric Oncology, University Children's Hospital, Zurich, Switzerland.
Christine RawlingsPaediatric Haematology-Oncology Department, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom.
Manuel DieziPediatric Hematology-Oncology Unit, Division of Paediatrics, Department "Woman-Mother-Child", Lausanne University Hospital and University of Lausanne, Switzerland.
Sauli PalmuCenter for Child Health Research, Tampere University and Department of Pediatrics, Tampere University Hospital, Tampere, Finland, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Antonio RuggieroPaediatric Haematology-Oncology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS -Universita' Cattolica Sacro Cuore, Rome Italy.
Jaime VerdúPaediatric Haematology-Oncology Department, Children's University Hospital Niño Jesús, Madrid, Spain.
Teresa de RojasPaediatric Haematology-Oncology Department, Children's University Hospital Niño Jesús, Madrid, Spain.
Gilles VassalPaediatric and Adolescent Oncology Department Gustave Roussy Cancer Campus, INSERM U1015, Université Paris-Saclay, Villejuif, France.
Birgit GeoergerPaediatric and Adolescent Oncology Department Gustave Roussy Cancer Campus, INSERM U1015, Université Paris-Saclay, Villejuif, France.
Lucas MorenoDivision of Paediatric Haematology and Oncology, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Francisco BautistaPaediatric Haematology-Oncology Department, Children's University Hospital Niño Jesús, Madrid, Spain. Electronic address: franciscojose.bautista@salud.madrid.org.
Hospital Infantil Universitario Niño Jesús · ESInserm · FRVall d'Hebron Institut de Recerca · ESBambino Gesù Children's Hospital · ITCentre Hospitalier Universitaire de Bordeaux · FRChildren's Health Ireland at Crumlin · IEFondazione IRCCS Istituto Nazionale dei Tumori · ITFondazione Lanza · ITGhent University Hospital · BEHôpital de la Timone · FRHôpital des Enfants · FRHôpital Robert-Debré · FRHospital Sant Joan de Déu Barcelona · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario La Paz · ESInstitut Curie · FRInstitut d’Hématologie et d’Oncologie Pédiatrique · FRInstitute of Cancer Research · GBOspedale Regina Margherita · ITPrincess Máxima Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionData regarding real-world impact on cancer clinical research during COVID-19 are scarce. We analysed the impact of the COVID-19 pandemic on the conduct of paediatric cancer phase I-II trials in Europe through the experience of the Innovative Therapies for Children with Cancer (ITCC).

methodsA survey was sent to all ITCC-accredited early-phase clinical trial hospitals including questions about impact on staff activities, recruitment, patient care, supply of investigational products and legal aspects, between 1st March and 30th April 2020.

resultsThirty-one of 53 hospitals from 12 countries participated. Challenges reported included staff constraints (30% drop), reduction in planned monitoring activity (67% drop of site initiation visits and 64% of monitoring visits) and patient recruitment (61% drop compared with that in 2019). The percentage of phase I, phase II trials and molecular platforms closing to recruitment in at least one site was 48.5%, 61.3% and 64.3%, respectively. In addition, 26% of sites had restrictions on performing trial assessments because of local contingency plans. Almost half of the units suffered impact upon pending contracts. Most hospitals (65%) are planning on improving organisational and structural changes.

conclusionThe study reveals a profound disruption of paediatric cancer early-phase clinical research due to the COVID-19 pandemic across Europe. Reported difficulties affected both patient care and monitoring activity. Efforts should be made to reallocate resources to avoid lost opportunities for patients and to allow the continued advancement of oncology research. Identified adaptations to clinical trial procedures may be integrated to increase preparedness of clinical research to futures crises.

Indexed as

ChildClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicCOVID-19Drug DevelopmentEuropeFemaleHealth PolicyHumansMaleNeoplasmsPandemicsSARS-CoV-2Surveys and QuestionnairesClinical trialsCOVID-19Drug developmentHealthcare policyPaediatric haematology and oncology

Identifiers

PMID33129040
PMCPMC7546235
OpenAlexW3092547844

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.