Cancer Clinical Trial
Official title:
Randomized Trial Evaluating Intervention of the Cancéropôle Nord-Ouest in the Development of Clinical Research in Non-Academic Health Institutions (ERNU)
This study evaluates the interventions of the Cancéropôle Nord-Ouest in the development of clinical research in non-academic health institution. The randomization, in open label,determines the duration of the interventions. Half of participants will receive the interventions during 2 years, while the other half during 1 year.
French National recommendations ask to increase the accessibility of patients to clinical
trials. But this accessibility is far from the optimal care in non-university healthcare
institutions (public and private hospital). These non-academic healthcare facilities support
at national level about 60% of chemotherapy and 70% of radiotherapy, but only 17% of the
inclusions in trials.
A dissociation exist between a care package guaranteed on quality criteria (criteria to
obtain the capacity to treat the cancers in healthcare institution) distributed all over the
country, and the research, mainly concentrated in few referral centers (University hospital
and French Comprehensive Cancer Centers).
Clinical trials allow patients to have early access to new treatments, optimal and formalized
information, and supported by physicians in connection with a strict protocol for patients
included.
Several studies have shown the existence of geographical and socio-economic determinants for
access to reference centers and for the duration of survival of cancer patients. In France,
it was found that for patients with gastrointestinal cancer, the remoteness of the place of
residence compared to the nearest referral center and a higher level of deprivation decreased
the probability of being supported in a reference center.
The hypothesis of the ERNU study is that aid from the Cancéropole Nord-Ouest facilitates
clinical research activity resulting in a significant development of inclusions in
non-university centers of the french north-west inter-region with an influence on the social
and geographical inequalities recruitment.
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