Evidence map›Paper›PMID 41585327›Full record

ArticleJCO oncology advances2025

Enrollment Patterns and Site-Level Predictors of Black Participant Recruitment to a Multisite Randomized Cancer Clinical Trial.

Joannie M Ivory, Heather J Gunn, Stephanie B Wheeler, Sarah Drier, Electra Paskett, Michelle Naughton, Shaylene McCue, Rachel Wills, Kayla Williams, Selina Chow and 2 more

Abstract read
In one paragraph

Article in JCO oncology advances, 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. Review
  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

12 authors.

Joannie M IvoryUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Heather J GunnAlliance Statistics and Data Management Center, Mayo Clinic, Scottsdale, AZ.
Stephanie B WheelerUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Sarah DrierUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Electra PaskettThe Ohio State University, Columbus, OH.
Michelle NaughtonThe Ohio State University, Columbus, OH.
Shaylene McCueAlliance Statistics and Data Management Center, Mayo Clinic, Rochester, MN.
Rachel WillsUniversity of Chicago, Chicago, IL.
Kayla WilliamsThe Ohio State University, Columbus, OH.
Selina ChowUniversity of Chicago, Chicago, IL.
Marjory CharlotUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Katherine Elizabeth Reeder-HayesUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Collaborations and NCORP Collective ManagementUG1CA189823 · NCI · MAYO CLINIC ROCHESTER · PI Evanthia Galanis, Olwen Hahn · 2014 to 2026
$120.6M
OSU as a Network Lead Academic Participating Site for the NCI NCTNUG1CA233331 · NCI · OHIO STATE UNIVERSITY · PI John L. Hays, Dwight H. Owen · 2019 to 2026
$8.9M
UNC Lead Academic Participating SiteUG1CA233373 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CAREY, LISA A, DEES, ELIZABETH CLAIRE · 2019 to 2025
$3.5M
Optimizing Endocrine Therapy Adherence through Motivational Interviewing and Text InterventionsR01CA237357 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI REEDER-HAYES, KATHERINE E, WHEELER, STEPHANIE BROOKE · 2019 to 2023
$3.0M
NCI NIH HHS R01 CA237357NCI NIH HHS U10 CA180821NCI NIH HHS UG1 CA189823NCI NIH HHS UG1 CA233331NCI NIH HHS UG1 CA233373
6 · The paper itself

Abstract

purposeLack of race- and age-diversity in clinical trials adversely affects generalizability of trial results and equity of trial access. Research on barriers to representative accrual has focused on patient-level factors. We aimed to define site-level factors affecting the diversity of accrual to a multicenter clinical trial.

methodsAlliance 191901 (GETSET) is a national randomized controlled trial testing interventions to promote breast cancer endocrine therapy adherence, which oversamples Black women and those under age 50 years at 30% thresholds. A secondary study objective is to examine site-level factors associated with accrual of Black and younger participants. At 50% accrual to the parent study, we performed prespecified analyses of association between site characteristics (region, neighborhood racial composition, Alliance membership type, number of recent accruals to cooperative research group trials) and the proportion of Black patients and younger patients accrued. We also examined trajectories of accrual over time for race- and age-specified subgroups.

resultsThe analysis included 124 sites. Among 590 participants, 9.7% were Black, and 22.4% were age <50 years. Neither site type nor historical accrual volume was associated with Black participant recruitment. Southern sites recruited higher proportions of Black participants (19.0%

conclusionNeighborhood composition and geographic region were predictors of proportions of Black participants accrued to A191901 sites, but site type and historical accrual volume were not. When trials must limit site selection, identifying sites based on neighborhood composition and geography may be an appropriate tool for increasing trial diversity.

Identifiers

PMID41585327
PMCPMC12830052

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LicenceCC BY-NC-ND
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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.