Evidence map›Paper›PMID 38207249›Full record

ArticleJCO global oncology2024

Understanding the Termination of Urologic Cancer Clinical Trials: Insights and Challenges.

Abdulrahman Alhajahjeh, Majedah Hmeidan, Mus'ab Elatrsh, Faris Al-Abbadi, Diala Kakish, Razan Sukerji, Mohammad Salah, Bashir Al Hussein Al Awamlh, David I Lee, Mohammed Shahait

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Article in JCO global oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

10 authors.

Abdulrahman AlhajahjehCenter for Anesthesia Research Excellence (CARE), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.ORCID 0000-0001-5264-8990
Majedah HmeidanJordan Red Crescent Hospital, Amman, Jordan.ORCID 0000-0002-4322-9863
Mus'ab ElatrshJordan Red Crescent Hospital, Amman, Jordan.ORCID 0009-0009-8137-0911
Faris Al-AbbadiJordan Red Crescent Hospital, Amman, Jordan.
Diala KakishSchool of Medicine, University of Debrecen, Debrecen, Hungary.ORCID 0009-0006-4133-7883
Razan SukerjiKindi Hospital, Manama, Bahrain.ORCID 0009-0002-5070-1086
Mohammad SalahAl Bashir Hospital, Internship, Amman, Jordan.ORCID 0009-0002-8793-8845
Bashir Al Hussein Al AwamlhDepartment of Urology, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-8552-4951
David I LeeDepartment of Urology, University of California, Irvine, CA.ORCID 0000-0003-2133-9284
Mohammed ShahaitDepartment of Urology, Clemenceau Medical Center, Dubai, UAE.ORCID 0000-0003-2609-5629

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeClinical trials are valuable evidence for managing urologic malignancies. Early termination of clinical trials is associated with a waste of resources and may substantially affect patient care. We sought to study the termination rate of urologic cancer clinical trials and identify factors associated with trial termination.

methodsA cross-sectional search of ClinicalTrials.gov identified completed and terminated kidney, prostate, and bladder cancer clinical trials started. Trials were assessed for reasons for termination. Multivariable analyses were conducted to determine the significant factors associated with the termination.

resultsBetween 2000 and 2020, 9,145 oncology clinical trials were conducted, of which 11.30% (n = 1,033) were urologic cancer clinical trials. Of the urologic cancer clinical trials, 25.38% (n = 265) were terminated, with low patient accrual being the most common reason for termination, 52.9% (n = 127). Multivariable analysis showed that only the university funding source odds ratio (OR) of 2.20 (95% CI, 1.45 to 3.32), single-center studies OR of 2.11 (95% CI, 1.59 to 2.81), and sample size of <50 were significant predictors of clinical trial termination OR of 5.26 (95% CI, 3.85 to 7.69); all

conclusionThe termination rate of urologic cancer clinical trials was 25%, with low accrual being the most frequently reported reason. Trials funded by a university, single-center trials, and small trials (sample size <50) were associated with early termination. A better understanding of these factors might help researchers, funding agencies, and other stakeholders prioritize resource allocations for multicenter trials that aim to recruit a sufficient number of patients.

Indexed as

Urologic NeoplasmsCross-Sectional StudiesHumansMalePatient Selection

Identifiers

PMID38207249
PMCPMC10793983

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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.