Dataset Information

Clinical trial representativeness and treatment intensity in a real-world sample of women with early stage breast cancer.

ABSTRACT:

Purpose

The extent to which evidence-based treatments are applied to populations not well represented in early stage breast cancer (EBC) trials remains unknown. This study evaluated treatment intensity for patients traditionally well represented, underrepresented, and unrepresented in clinical trials.

Methods

This retrospective cohort study used real-world data to evaluate the intensity (high or low) of EBC chemotherapy by patient characteristics (age, race and ethnicity, presence of comorbidity) denoting clinical trial representation status (well represented, underrepresented, unrepresented) for patients diagnosed from 2011 to 2020. Odds ratios (OR) from a logistic regression model was used to evaluate the association between receipt of high-intensity chemotherapy and clinical trial representation status characteristics adjusting for cancer stage and subtype.

Results

Of 970 patients with EBC, 41% were characterized as well represented, 45% as underrepresented, and 13% as unrepresented in clinical trials. In adjusted models, patients aged ≥ 70 versus 45-69 had lower odds of receiving a high-intensity treatment (OR 0.40, 95% CI 0.26-0.60), while those aged < 45 versus 45-69 had higher odds of receiving high-intensity treatment (OR 1.82, 95% CI 1.10-3.01). In predicted estimates, the proportion of patients receiving a high-intensity treatment was 87% for patients aged < 45, 79% for patients aged 45-69, and 60% for patients aged ≥ 70.

Conclusion

59% of the EBC population is not well represented in clinical trials. Age was associated with differential treatment intensity. Widening clinical trial eligibility criteria should be considered to better understand survival outcomes, toxicity effects, and ultimately make evidence-based treatment decisions using a more diverse sample.

SUBMITTER: Rocque GB

PROVIDER: S-EPMC8594932 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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Publications

Clinical trial representativeness and treatment intensity in a real-world sample of women with early stage breast cancer.

Rocque Gabrielle B GB Caston Nicole E NE Franks Jeffrey A JA Williams Courtney P CP Aswani Monica S MS Azuero Andres A Gidwani Risha R

Breast cancer research and treatment 20210929 3

<h4>Purpose</h4>The extent to which evidence-based treatments are applied to populations not well represented in early stage breast cancer (EBC) trials remains unknown. This study evaluated treatment intensity for patients traditionally well represented, underrepresented, and unrepresented in clinical trials.<h4>Methods</h4>This retrospective cohort study used real-world data to evaluate the intensity (high or low) of EBC chemotherapy by patient characteristics (age, race and ethnicity, presence ...[more]

PMID: 34585334

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Dataset Information

Clinical trial representativeness and treatment intensity in a real-world sample of women with early stage breast cancer.

Purpose

Methods

Results

Conclusion

Publications

Clinical trial representativeness and treatment intensity in a real-world sample of women with early stage breast cancer.

Similar Datasets

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