Friday, June 26, 2015

Clinical Trials



There are many great opportunities to get involved in clinical research trials for cancer, and specifically for adenocarcinoma of the lung.  Clinical trials are research studies involving people. These are studies that originally began in a lab, and have taken the proper steps to be passed from animal subjects to human ones.  Cancer clinical trials are designed to use new drugs and/or surgery or radiation techniques to test ways to treat, diagnose, prevent and manage or prevent symptoms of the certain cancer under investigation.1  Many current treatments today were past clinical trials that had been successful.  A professional in the research field will run the clinical trial very strictly.  These usually are doctors, and they are referred to as the Principle Investigator.1  Before you get involved in a study you will be given the trial’s protocols along with a detailed outline of the plans revolving this trial.  This includes the reason the study is being done, who can join the study, how many people are needed for the study at this time, the drugs, dosage and frequency of treatments you will receive, the medical tests you will get and frequency of these tests and what information will be observed and gathered about you personally.In order to be picked to be part of a clinical trial you must meet the strict criteria for the study.  In addition, the Principle Investigator will use randomization to pick his subjects, so there is an equal opportunity to be chosen to participate for all who want to enter the study. 1 There typically are two groups involved in a clinical study, a control group, or the people receiving the new treatment and the placebo group, or the group that does not receive the new treatment.1 There are four main phases of clinical trials, however most participants are not involved in every phase.  In addition, a participant may wait until the clinical trial has reached a certain stage before wanting to be involved. 
1.     Phase One
a.    This phase requires 15-30 people in order to get started.  The goal of this phase is to find a safe dosage and to see how the treatment should be given. In addition, this phase is used to see how the new treatment affects the human body.3
2.     Phase Two
a.    Phase two will be looking for less than 100 people to be involved in the trials.  This phase is designed to determine if the treatment has an affect on the cancer being studied.  It also will help doctors see how the treatment affects the human body. 3
3.     Phase Three
a.    The third phase of a clinical trial will need 100 to several thousand participants.  It is mainly used to compare the new treatment to the standard treatment currently used. 3
4.     Phase Four
a.    The final phase of a clinical trial requires several hundred to several thousand people.  Phase four further assesses the long-term safety and effectiveness of the new treatment. 3
There are many pros to being involved in a cancer clinical trial.  First, clinical trials offer. Clinical trials offer high-quality cancer care. If you are in a randomized
study and do not receive the new treatment being tested, you will receive the best-known standard treatment. This may be as good as, or better than, the new approach. Next, if a new treatment is proven to work and you are receiving it, you may be among the first to benefit.1  By looking at all your treatment choices, including clinical trials, you know that are taking an active role in your care. Finally, even if you do not physically benefit from the study you will have been involved in the most crucial part of cancer research and will have helped those in the future who suffer from your same disease. 2
Of course, there are also cons to clinical trials, which I would like to discuss with you as well. New treatments under study are not always better than, or even as good as, the standard care. If you are part of the placebo group that receives the standard care instead of the new treatment being tested, it may not be as effective as the new approach.1  Also, new treatments could have side effects that doctors do not expect or that are worse than those of the current treatments. Finally, health insurance may not cover all patient care costs in a study. The coverage varies by plan and by study. To find out
in advance what costs are likely to be covered, check with your insurance company and the billing staff at the hospital or doctor’s office. 2
Here are some links to help you find clinical studies that you may or may not want to be a part of!


Works Cited
1. Finding a Clinical Trial. (2015, April). Retrieved June 26, 2015, from Cancer.Net website:
     http://www.cancer.net/navigating-cancer-care/how-cancer-treated/clinical-trials/
     finding-clinical-trial
2. Deciding to participate in a clinical trial. (2013, November). Retrieved June 26, 2015, from
     Cancer.Net website: http://www.cancer.net/navigating-cancer-care/how-cancer-treated/
     clinical-trials/deciding-participate-clinical-trial
3. Clinical Trial Phases. (2008, April 18). Retrieved June 26, 2015, from ClinicalTrials.gov website:
     http://www.nlm.nih.gov/services/ctphases.html
4. Clinical Trial [Image]. (n.d.). Retrieved from http://gpdfoundation.com/research/ 

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