Campaign Needed to Boost Trial Enrollment: Coalition
The Coalition for Clinical Trial Awareness (CCTA) says Congress should include in the PDUFA reauthorization process “an effort to address a pressing public health challenge: lack of public awareness of the benefits of clinical trials leading to under-enrollment.” The request is in a 4/11 letter to leadership of the Senate HELP and House Energy and Commerce committees.
The letter notes that 37% of clinical trials don’t meet their enrollment goals and says that according to the Tufts Center for the Study of Drug Development, 11% of trials fail to enroll even a single patient. “Low participation can delay drug development and increase discovery costs, hindering patient access to life-saving treatments,” the coalition says. “Further, low enrollment of women and minorities in clinical trials makes it difficult to determine the efficacy of a medicine, and can lead to a lack of information about demographic-specific aspects of disease, outcomes, and responses to a therapy.”
The coalition suggests three steps:
- form an interagency task force on clinical trial awareness;
- create a roadmap based on the task force’s findings; and
- implement an information campaign based on the roadmap.
“In past years, federally directed task forces, strategic plans, and information campaigns have successfully addressed important public health challenges, including drug shortages, a regulatory framework for health information technology, and the accessibility of prescription drug container information for Americans with disabilities,” the letter concludes. “CCTA urges members of Congress to use the precedent set by these efforts to launch a similarly structured and equally successful initiative to improve clinical trial awareness and enrollment.”