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Zaren HA, Nair S, Go RS, Enos RA, Lanier KS, Thompson MA, Zhao J, Fleming DL, Leighton JC, Gribbin TE, Bryant DM, Carrigan A, Corpening JC, Csapo KA, Dimond EP, Ellison C, Gonzalez MM, Harr JL, Wilkinson K, Denicoff AM. Early-phase clinical trials in the community: results from the national cancer institute community cancer centers program early-phase working group baseline assessment. J Oncol Pract 2013; 9:e55-61. [PMID: 23814525 PMCID: PMC3595451 DOI: 10.1200/jop.2012.000695] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
PURPOSE The National Cancer Institute (NCI) Community Cancer Centers Program (NCCCP) formed an Early-Phase Working Group to facilitate site participation in early-phase (EP) trials. The Working Group conducted a baseline assessment (BA) to describe the sites' EP trial infrastructure and its association with accrual. METHODS EP accrual and infrastructure data for the sites were obtained for July 2010-June 2011 and 2010, respectively. Sites with EP accrual rates at or above the median were considered high-accruing sites. Analyses were performed to identify site characteristics associated with higher accrual onto EP trials. RESULTS Twenty-seven of the 30 NCCCP sites participated. The median number of EP trials open per site over the course of July 2010-June 2011 was 19. Median EP accrual per site was 14 patients in 1 year. Approximately half of the EP trials were Cooperative Group; most were phase II. Except for having a higher number of EP trials open (P = .04), high-accruing sites (n = 14) did not differ significantly from low-accruing sites (n = 13) in terms of any single site characteristic. High-accruing sites did have shorter institutional review board (IRB) turnaround time by 20 days, and were almost three times as likely to be a lead Community Clinical Oncology Program site (small sample size may have prevented statistical significance). Most sites had at least basic EP trial infrastructure. CONCLUSION Community cancer centers are capable of conducting EP trials. Infrastructure and collaborations are critical components of success. This assessment provides useful information for implementing EP trials in the community.
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Affiliation(s)
- Howard A. Zaren
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Suresh Nair
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Ronald S. Go
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Rebecca A. Enos
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Keith S. Lanier
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Michael A. Thompson
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Jinxiu Zhao
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Deborah L. Fleming
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - John C. Leighton
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Thomas E. Gribbin
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Donna M. Bryant
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Angela Carrigan
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Jennifer C. Corpening
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Kimberly A. Csapo
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Eileen P. Dimond
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Christie Ellison
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Maria M. Gonzalez
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Jodi L. Harr
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Kathy Wilkinson
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
| | - Andrea M. Denicoff
- Nancy N. and J.C. Lewis Cancer & Research Pavilion, St Joseph's/Candler Hospital, Savannah, GA; Lehigh Valley Health Network, Allentown; Albert Einstein Cancer Center, Philadelphia, PA; Gundersen Lutheran Health System, La Crosse; ProHealth Care Regional Cancer Center, Waukesha, WI; The EMMES Corporation, Rockville; SAIC-Frederick; Clinical Monitoring Research Program, National Cancer Institute at Frederick, Frederick; St Joseph Medical Center, Towson; National Cancer Institute, Bethesda, MD; Providence Cancer Center, Portland, OR; Lacks Cancer Center, Saint Mary's Health Care, Grand Rapids, MI; The Cancer Program of Our Lady of the Lake and Mary Bird Perkins Cancer Center, Baton Rouge, LA; Spartanburg Regional Healthcare System, Spartanburg, SC; Sanford Cancer Center, Sioux Falls, SD; St Joseph Hospital of Orange, Orange, CA; Penrose-St Francis Health Services, Colorado Springs, CO; and Billings Clinic Cancer Center, Billings, MT
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