Inclusion of women in clinical trials
<p>Abstract</p> <p>There is increasing concern among many in the medical arena about the extent to which the effects of treatment, either good or bad, apply to specific subgroups of individuals. Women comprise one of the most frequently considered 'subgroups' of patients....
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2009-10-01
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| Series: | BMC Medicine |
| Online Access: | http://www.biomedcentral.com/1741-7015/7/56 |
| _version_ | 1819122387798458368 |
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| author | Ellenberg Susan S Berlin Jesse A |
| author_facet | Ellenberg Susan S Berlin Jesse A |
| author_sort | Ellenberg Susan S |
| collection | DOAJ |
| description | <p>Abstract</p> <p>There is increasing concern among many in the medical arena about the extent to which the effects of treatment, either good or bad, apply to specific subgroups of individuals. Women comprise one of the most frequently considered 'subgroups' of patients. In the 1980s, much political attention was focused on concerns about equity in the research enterprise. In this paper, we briefly describe the statutory approaches to achieving equity in research, beginning with The NIH Revitalization Act of 1993. We go on to describe clinical, methodological and political factors affecting these discussions. We conclude that the controversy over the inclusion of women in clinical trials probably stems, in part, from theoretical concerns about gender differences in treatment effects and, in part, by legitimate fears of exposing fetuses to investigational drugs. However, we believe that the broader issue centres on biological factors, possibly defined by genes or gene expression, that may directly or indirectly modify the effect of specific treatments on specific individuals.</p> <p>A growing concern of physicians, regulators, healthcare policy makers and patients is the extent to which the effects of treatment, both good and bad, apply to specific subgroups. Do results of clinical trials apply consistently and equally across all clinically meaningful subclasses of patients enrolled in the studies? Can the results of those studies be extrapolated to patients or types of patients who did not participate in the original research? Reliable data on these issues are rarely available at the time of drug approval and are more difficult to generate once the drug is on the market and readily available.</p> |
| first_indexed | 2024-12-22T06:51:39Z |
| format | Article |
| id | doaj.art-8cfbb3bb74bc482596e042a39899111f |
| institution | Directory Open Access Journal |
| issn | 1741-7015 |
| language | English |
| last_indexed | 2024-12-22T06:51:39Z |
| publishDate | 2009-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medicine |
| spelling | doaj.art-8cfbb3bb74bc482596e042a39899111f2022-12-21T18:35:08ZengBMCBMC Medicine1741-70152009-10-01715610.1186/1741-7015-7-56Inclusion of women in clinical trialsEllenberg Susan SBerlin Jesse A<p>Abstract</p> <p>There is increasing concern among many in the medical arena about the extent to which the effects of treatment, either good or bad, apply to specific subgroups of individuals. Women comprise one of the most frequently considered 'subgroups' of patients. In the 1980s, much political attention was focused on concerns about equity in the research enterprise. In this paper, we briefly describe the statutory approaches to achieving equity in research, beginning with The NIH Revitalization Act of 1993. We go on to describe clinical, methodological and political factors affecting these discussions. We conclude that the controversy over the inclusion of women in clinical trials probably stems, in part, from theoretical concerns about gender differences in treatment effects and, in part, by legitimate fears of exposing fetuses to investigational drugs. However, we believe that the broader issue centres on biological factors, possibly defined by genes or gene expression, that may directly or indirectly modify the effect of specific treatments on specific individuals.</p> <p>A growing concern of physicians, regulators, healthcare policy makers and patients is the extent to which the effects of treatment, both good and bad, apply to specific subgroups. Do results of clinical trials apply consistently and equally across all clinically meaningful subclasses of patients enrolled in the studies? Can the results of those studies be extrapolated to patients or types of patients who did not participate in the original research? Reliable data on these issues are rarely available at the time of drug approval and are more difficult to generate once the drug is on the market and readily available.</p>http://www.biomedcentral.com/1741-7015/7/56 |
| spellingShingle | Ellenberg Susan S Berlin Jesse A Inclusion of women in clinical trials BMC Medicine |
| title | Inclusion of women in clinical trials |
| title_full | Inclusion of women in clinical trials |
| title_fullStr | Inclusion of women in clinical trials |
| title_full_unstemmed | Inclusion of women in clinical trials |
| title_short | Inclusion of women in clinical trials |
| title_sort | inclusion of women in clinical trials |
| url | http://www.biomedcentral.com/1741-7015/7/56 |
| work_keys_str_mv | AT ellenbergsusans inclusionofwomeninclinicaltrials AT berlinjessea inclusionofwomeninclinicaltrials |