Evidence map›Paper›PMID 41128790›Full record

ReviewDrugs & aging2025

Inclusion of Older Adults in Early-Phase Cancer Clinical Trials: Safety, Efficacy and a Way Forward.

Jessie Nguyen, Nicolò Matteo Luca Battisti, Danielle Ní Chróinín, Martin Hong, Udit Nindra, Jun Hee Hong, Walid Zwieky, Kate Wilkinson, Robert Yoon, Adam Cooper and 4 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Drugs & aging, 2025. 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. 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

14 authors.

Jessie NguyenDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.ORCID 0009-0001-3270-0170
Nicolò Matteo Luca BattistiRoyal Marsden Hospital, London, UK.
Danielle Ní ChróinínDepartment of Geriatric Medicine, Liverpool Hospital, Liverpool, NSW, Australia.
Martin HongDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Udit NindraDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Jun Hee HongDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Walid ZwiekyDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Kate WilkinsonDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Robert YoonDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Adam CooperDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Aflah RoohullahDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Weng NgDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Wei ChuaDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia.
Abhijit PalDepartment of Medical Oncology, Liverpool Hospital, Liverpool, NSW, Australia. Abhijit.Pal@health.nsw.gov.au.ORCID 0000-0002-4600-6569

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early-phase clinical trials (EPCTs) are critical for evaluating the safety, tolerability, efficacy and pharmacokinetics of novel oncology therapies. However, older adults are underrepresented in all phases of oncology clinical trials, including early-phase trials, creating a significant gap in evidence-based cancer management in this population, which translates into clinical practice. This is despite cancer incidence increasing with age, and a substantial proportion of cancer diagnoses occurring in individuals aged ≥ 65 years. Ageing is associated with physiological, physical and psychosocial changes which could underlie the hesitancy to include older adults in early-phase clinical trials, due to concerns of excessively compromising their safety and quality of life. However, the landscape of EPCTs has changed with higher safety and efficacy data. This review explores the current landscape of older adults in early-phase clinical trials, including the participation rate, the outcomes, and the multifaceted challenges contributing to the underrepresentation of older adults, and examines the potential strategies to enhance the inclusivity of older adults for treating older adults with cancer.

Indexed as

Antineoplastic AgentsClinical Trials as TopicNeoplasmsPatient SelectionAgedAged, 80 and overHumansQuality of LifeAntineoplastic Agents

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.