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Talbot A, Connor SG, Austin K, Hannon T, Gabbay E, Clay TD. The impact of the 2022 Ukraine/Russian conflict on cancer clinical trials. J Int Med Res 2022; 50:3000605221143284. [PMID: 36510451 DOI: 10.1177/03000605221143284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Since the invasion of Ukraine in February 2022, clinical trial conduct has become extremely challenging due to damage to the healthcare infrastructure and patient displacement. This current study aimed to estimate the number of cancer clinical trials at risk of impact from the conflict. A descriptive analysis and narrative review were completed using data from cancer clinical trials with sites in Russia or Ukraine using the 'clinical trials.gov' online database between February 2022 and May 2022. There were 508 clinical trials involving sites in Ukraine or Russia. Most were multinational studies (470 of 508; 93%). The majority of studies were phase 3 (344 of 508; 68%) and these also had the largest sample sizes (median 624, range 12-5637). The most common tumour types were lung (128 of 508; 25%), urogenital (94 of 508; 19%) and breast (78 of 508; 15%). A meaningful number of trials had curative intent (129 of 508; 25%). The most common intervention was immunotherapy-related (218 of 508; 43%), followed by other targeted therapy (185 of 508; 36%). Ukraine and Russia are both large centres for global clinical trial activity. The invasion of Ukraine may result in underpowering of international clinical trial results with loss of future recruitment sites for both countries.
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Affiliation(s)
- Alice Talbot
- Clinical Trials Unit, St John of God Hospital, Subiaco, Western Australia.,Bendat Respiratory Research and Development Fund, St John of God Hospital, Subiaco, Western Australia
| | - Sophia G Connor
- Clinical Trials Unit, St John of God Hospital, Subiaco, Western Australia.,Bendat Respiratory Research and Development Fund, St John of God Hospital, Subiaco, Western Australia
| | - Kate Austin
- Clinical Trials Unit, St John of God Hospital, Subiaco, Western Australia.,Bendat Respiratory Research and Development Fund, St John of God Hospital, Subiaco, Western Australia
| | - Tara Hannon
- Bendat Respiratory Research and Development Fund, St John of God Hospital, Subiaco, Western Australia
| | - Eli Gabbay
- Clinical Trials Unit, St John of God Hospital, Subiaco, Western Australia.,Bendat Respiratory Research and Development Fund, St John of God Hospital, Subiaco, Western Australia.,Department of Medicine, University of Notre Dame, Perth, Western Australia
| | - Timothy D Clay
- Clinical Trials Unit, St John of God Hospital, Subiaco, Western Australia.,Bendat Respiratory Research and Development Fund, St John of God Hospital, Subiaco, Western Australia.,Department of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia
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Richard Cowling W. Nurses in War and Peace. J Holist Nurs 2022; 40:80-83. [PMID: 35538893 DOI: 10.1177/08980101221100181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Affiliation(s)
- Martin McKee
- Department of Health Systems Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
| | - Adrianna Murphy
- Department of Health Systems Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
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Iacobucci G. Ukraine invasion: Russian doctors urge Putin to cease hostilities. BMJ : BRITISH MEDICAL JOURNAL 2022. [DOI: 10.1136/bmj.o531] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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