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What exactly is a clinical trial?

contributed by Anna Megdell

How to better understand this vital part of cancer research and clinical care.

artistic representation of test tubes

Credit: Michigan Medicine

The world of clinical trials is complicated, with nuanced parameters, guidelines and outcomes. Here, we break down key facts you need to know:

1. Safety Is the Top Priority

To protect your safety, researchers must go through many steps to prove the treatment or intervention being studied is as safe as possible and might be better than standard treatments. This starts with many years of research in the lab, looking at how the treatment works in cells and animals.

For all clinical trials, the study team develops a detailed plan called a protocol, which explains how the study will work and the possible risks and benefits. The team also must get approval from an Institutional Review Board, or IRB. This group is tasked with protecting people who join studies.

2. Everyone in a Clinical Trial Gets Quality Health Care

There’s no guarantee that a study treatment or intervention will benefit the participant. But researchers will offer a study treatment only if they believe the outcome will be at least as good as the standard treatment.

Phase 1 and 2 trials test only the new treatment, which researchers believe might work better or have fewer side effects than standard treatments.

Phase 3 trials often assign people randomly to receive the new treatment or the usual treatment. The study is designed to compare how effective the treatments are.

3. Clinical Trials Help Future Patients

When you join a clinical trial, you help add to our knowledge of the best way to prevent, find and treat cancer.

Many people join clinical trials because they hope the study treatment will help them more than the usual treatment, but it’s not guaranteed.

Every clinical trial helps us make progress. Even though researchers expect the treatment they are testing will be better, clinical trials are necessary to prove that.

4. Being in a Clinical Trial Is Your Choice

Only you can decide if you want to participate in a clinical trial. Your doctor and research team can help you understand your options and answer questions about the study.

What happens if I join a clinical trial?

You will be asked to sign an informed consent, stating that you agree to participate and understand the possible risks, benefits and costs. You can and should ask as many questions as you want and take the time you need to decide.

What if I later decide I want out of the study?

You can withdraw from a clinical trial at any time for any reason. If you decide to withdraw, you can continue to be treated at the Rogel Cancer Center with the best standard therapies available for your type of cancer.

What happens if I choose not to be in a clinical trial?

You will still receive the best possible care for your cancer using standard treatments. You will not disappoint your doctor, even if they encouraged you to join.

    5. Clinical Trials Should Not Cost You More

    Clinical trials are sponsored by federal agencies like the National Institutes of Health or by private pharmaceutical or biotechnology firms. The costs of the clinical trial and the experimental therapy are covered by that sponsor.

    Your insurance plan will usually cover the cost of tests and procedures that are part of standard medical care.

    Before deciding to participate in a clinical trial, it is important to know exactly what will be covered by the trial's sponsor. Ask your doctor or the research team and check with your insurance company before you agree to volunteer.

    6. Diversity Makes Clinical Trials Better

    We need all types of people to enroll in clinical trials: young, old, all races and ethnicities. This is the only way we can make progress for all patients.

    Anyone can develop cancer. Having a diverse group of participants helps us learn whether something works for all patients or just some. This is how we improve care for everyone.

    Resources: Learn more about clinical trials at rogelcancercenter.org/clinical-trials.

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