Improving Trial Representation Book

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The National Academies of Science, Engineering, and Medicine has published Improving Representation in Clinical Trials, with recommendations for building research equity for women and underrepresented groups. The report (free PDF or purchase) says there is no doubt that past investments in clinical research to improve the health and well-being of the nation have contributed significantly to treating and preventing disease and extending human life

“While progress has been made with representation of white women in clinical trials and clinical research, there has been little progress in the last three decades to increase participation of racial and ethnic minority population groups,” the report says. “This underrepresentation is compounding health disparities, with serious consequences for underrepresented groups and for the nation.”

The report says that by failing to achieve a more diverse clinical trial and clinical research enterprise, the nation suffers these serious costs and consequences: 

  •          lack of representation compromises generalizability of clinical research findings to the whole U.S. population;
  •          lack of representation costs hundreds of billions of dollars;
  •          lack of representation may hinder innovation and new discoveries;
  •          lack of representation may compound low accrual that causes many trials to fail;
  •          lack of representation may lead to lack of access to effective medical interventions;
  •          lack of representation may undermine trust in the clinical research enterprise and the medical establishment; and
  •          lack of representation compounds health disparities in the populations currently underrepresented and excluded in clinical trials and clinical research.

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