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What Unmet Need for the Patients?A Focus on the Social Determinants of Health in Phase 1 Clinical Trials

Toward a Patient-centered Early Drug Development in Oncology: What Unmet Need for the Patients? A Focus on the Social Determinants of Health in Phase 1 Clinical Trials

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06326242
Enrollment
100
Registered
2024-03-22
Start date
2023-03-27
Completion date
2024-12-31
Last updated
2024-03-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Solid Tumor

Brief summary

An observational prospective study of patients enrolled and treated with experimental drugs in Phase I studies.

Detailed description

The study focuses on defining the problem of geographical accessibility of patients to the Phase 1 facility of the European Institute of Oncology, based on an anonymized extraction of data from the enrolled patient database, to assess national territorial disparities in access to innovative experimental therapies, in relation to various socioeconomic determinants. Finally, information on relevant psychological factors for participation in clinical trials will also be collected.

Interventions

OTHERSolid Tumor

The study focuses on defining the problem of geographical accessibility of patients to the Phase 1 facility of the European Institute of Oncology, based on anonymized data extraction from the enrolled patient database, to evaluate national territorial disparities in access to innovative experimental therapies, in relation to various socioeconomic determinants. Finally, relevant information on psychological factors for participation in clinical trials will also be collected.

Sponsors

European Institute of Oncology
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

: * Patient with a histological or cytological diagnosis of solid or hematological tumor. * Age ≥ 18 years. * Patient enrolled in a phase 1 and early phase 2 study at our institution. * The patient has received at least 1 administration of the experimental drug under study in the early phase trial.

Exclusion criteria

: \- Patients treated in phase 1 trials at other institutions, even if referred to our division or receiving standard therapies at IEO but outside of clinical trials, are not included.

Design outcomes

Primary

MeasureTime frameDescription
The geographical accessibility of patients attending the Phase 1 facility of the European Institute of Oncology (IEO).1 yearThe primary endpoint is estimating the geographical distance from the enrolled patients' residences to the European Institute of Oncology (IEO), evaluating patients from the Lombardy region versus those from other regions with an assessment by geographical cluster: north, central, south, and islands, in order to define any preferential trajectories or recurring patterns.

Secondary

MeasureTime frameDescription
The characterization of enrolled patients involves assessing their participation in clinical trials1 yearThe enrolled patients will be characterized based on psychological factors included in the study. These factors include: patient attitudes, perceived social norms, and perceived control over participation in clinical studies; doctor-patient relationship; study awareness; evaluation of their own decision to participate in the study
The characterization of enrolled patients based on therapeutic compliance.1 yearThe evaluation of compliance with protocol procedures unrelated to the administration of the experimental drug, such as pharmacokinetic sampling and study biopsies
The protocol prescriptions in relation to socioeconomic and geographical determinants.1 yearThe correlations with metrics of geographic accessibility and income per area of origin will be explored in accordance with ISTAT (Italian National Statistics Institute) data, where applicable.

Countries

Italy

Contacts

Primary ContactTeresa Profeta
teresa.profeta@ieo.it+390294372561

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026