Ethics of Clinical Trials in Low-Resource Settings: Lessons From Recent Trials in Cancer Medicine

نویسندگان

  • Vinay Prasad
  • Hemanth Kumar
  • Sham Mailankody
چکیده

Randomized clinical trials in cancer medicine are increasingly conducted in lowandmiddle-income countries (LMICs). Theproperway to conduct such studies is complex and the subject of much debate. Two key questions outline the debate. First, what is the appropriate control arm for such studies? For example, when can trials use placebo or some control less than global best practice? Second, what obligations do trial sponsors have toward host nations and communities?

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Chloroquine/Hydroxychloroquine AND SARS-CoV 2; lessons from case-control studies

Chloroquine has several disadvantages consisting hypoglycemia, diarrhea, prolong QTc interval, and AV block (21-22). In addition, Gendelman et al., recently published an article about inefficacy of continuous Hydroxychloroquine or colchicine therapy for prevention of SARS-CoV 2 infection (23). According to recent RCTs, HCQ has no therapeutic effects on prevention or improvment of major outcomes...

متن کامل

Potential use of Dental Pulp Stem Cell in Laboratory Studies and Clinical Trials

Stem cell-based therapy has great potential in treating health conditions including cardiovascular, autoimmune, type I diabetes, neurodegenerative and bone and cartilage diseases also in spinal cord injuries, malformations and cancer. In addition to their potential use to treat systemic diseases, stem cell-based therapy also provides a powerful tool to treat oral and dental diseases such as cra...

متن کامل

Evidence Based Medicine and Herbal Medicine

  Evidence based medicine (EBM) can be found as far back as the 1940s. However, it was in 1972 that the concept first came into play, originated by Professor Archie Cochrane, in his book, Effectiveness & Efficiency: Random Reflections on Health Services. This was the foundation for evidence based research, and in 1992 a facility was funded by the UK government, with the aim of performing r...

متن کامل

Characteristics of Clinical Trials in Iran: A Sample of 5000 Trials Registered in IRCT

Background and Objectives: A considerable number of clinical trials are conducted in Iran each year. Not much is known about the characteristics of them, this study aimed to investigate key characteristics of Iranian clinical trials.   Methods: All clinical trial protocols registered in IRCT until November 2013 were selected. Text mining techniques were used to extract information from data t...

متن کامل

Evidence Based Medicine: Clinical Trials

Evidence based medicine is very important for success of modern medicine. It is the ongoing process of using the most reliable evidence from clinical studies, scientific understanding and medical practice to make the best possible medical choice for patients. Evidence based medicine is how medicine advances and how we get improvements in life expectancy and quality of life. It not only identifi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 2  شماره 

صفحات  -

تاریخ انتشار 2016