Oncology patients were found to understand and accept the Trials within Cohorts design

BACKGROUND AND OBJECTIVE

The Trials within Cohorts design aims to reduce recruitment difficulties and disappointment bias in pragmatic trials. On cohort enrollment, broad informed consent for randomization is asked, after which cohort participants can be randomized to interventions or serve as controls without further notification. We evaluated patients' recollection, understanding, and acceptance of broad consent in a clinical oncology setting.

METHODS

We surveyed 610 patients with cancer participating in ongoing TwiCs; 482 patients (79%) responded, of which 312 patients shortly after cohort enrollment, 108 patients after randomization to an intervention (12-18 months after cohort enrollment), and a random sample of 62 cohort participants who had not been selected for interventions (1-6 months after cohort enrollment).

RESULTS

Shortly after providing cohort consent, 76% of patients (238/312) adequately remembered whether they had given broad consent for randomization. Of patients randomly offered interventions, 76% (82/108) remembered giving broad consent for randomization; 41% (44/108) understood they were randomly selected, 44% (48/108) were not interested in selection procedures, and 10% (11/108) did not understand selection was random. Among patients not selected for interventions, 42% (26/62) understood selection was random; 89% felt neutral regarding the scenario of "not being selected for an intervention while your data were being used in comparison with patients receiving interventions," 10% felt reassured (6/62) and 2% scared/insecure (2/62).

CONCLUSION

Patients adequately remember giving broad consent for randomization shortly after cohort enrollment and after being offered an intervention, but recollection is lower in those never selected for interventions. Patients are acceptant of serving as control without further notifications.

Benchmarking Maximum-Likelihood State Estimation with an Entangled Two-Cavity State

The efficient quantum state reconstruction algorithm described by Six et al. [Phys. Rev. A 93, 012109 (2016)PLRAAN2469-992610.1103/PhysRevA.93.012109] is experimentally implemented on the nonlocal state of two microwave cavities entangled by a circular Rydberg atom. We use information provided by long sequences of measurements performed by resonant and dispersive probe atoms over timescales involving the system decoherence. Moreover, we benefit from the consolidation, in the same reconstruction, of different measurement protocols providing complementary information. Finally, we obtain realistic error bars for the matrix elements of the reconstructed density operator. These results demonstrate the pertinence and precision of the method, directly applicable to any complex quantum system.