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Hennequin C, Azria D, Blanchard P, Créhange G, Deutsch É, Lisbona A, Moyal É, Pasquier D, Roca L, Supiot S, Giraud P. Specificities of clinical research in radiotherapy. Cancer Radiother 2021; 26:104-107. [PMID: 34953712 DOI: 10.1016/j.canrad.2021.11.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The aim of this review is to present the specificities of clinical research in radiation oncology. Objectives are similar to all research in oncology: to improve the efficacy and to decrease toxic effects. Phase III trials remain the main methodology to demonstrate an improvement in efficiency, but phase I-II and registers are also important tools to validate an improvement in the therapeutic index with new technologies. In this article we discuss the special features of end-points, selection of population, and design for radiation oncology clinical trials. Quality control of delivered treatments is an important component of these protocols. Financial issues are also discussed, in the particular context of France.
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Affiliation(s)
- C Hennequin
- Service de cancérologie-radiothérapie, hôpital Saint-Louis, université de Paris, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - D Azria
- IRCM Inserm U1194, Fédération universitaire d'oncologie radiothérapie Montpellier-Nîmes (Forom), Institut du cancer de Montpellier (ICM), université de Montpellier, 34000 Montpellier, France
| | - P Blanchard
- Institut Gustave-Roussy, 94800 Villejuif, France
| | - G Créhange
- Institut Curie, 26, rue d'Ulm, 75005 Paris, France
| | - É Deutsch
- Institut Gustave-Roussy, 94800 Villejuif, France
| | - A Lisbona
- Institut de cancérologie de l'Ouest, centre René-Gauducheau, boulevard Jacques-Monod, 44800 Saint-Herblain, France
| | - É Moyal
- Inserm UMR1037, CRCT, Institut universitaire du cancer, Oncopôle, 31000 Toulouse, France
| | - D Pasquier
- Cristal UMR 9189, département universitaire de radiothérapie, centre Oscar-Lambret, Lille, université de Lille, 59000 Lille, France
| | - L Roca
- Institut du cancer Montpellier (ICM), 34000 Montpellier, France
| | - S Supiot
- Institut de cancérologie de l'Ouest, centre René-Gauducheau, boulevard Jacques-Monod, 44800 Saint-Herblain, France
| | - P Giraud
- Service d'oncologie radiothérapie, hôpital européen Georges-Pompidou, université de Paris, 20, rue Leblanc, 75015 Paris, France
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