Šw‰ο”­•\
9.23`9.26 2004 in Montreal
Clinical trial patient recruitment and evaluation in National Center for Global Health and Medicine.
Mari Shirotani,CCRP,  Meiko Yoshida,RN,  Nobutsugu Yoshino,RPh,  Osamu Okazaki,MD,  Naomi Uemura,MD
Clinical Trial Management Office, National Center for Global Health and Medicine,Japan
Šw‰ο”­•\Index‚Ι–ί‚ι
Background

In Japan,either almost people don't know about clinical trial,or if they do know, they have a bad image of them.For this reason,it can be hard to obtain informed consent. Therefore,we are making efforts to help patients learn about clinical trial and Clinical Research Coordinators(CRCs).

Aims

We introduce our activities which we help patients create a better understanding and patient recruitment by CRCs.We also evaluated the result of patient recruitment for a year since August 2003.

Methods

Our Activities

ŸThe booklet entitled "Medicine and Clinical Trials"
ŸThe booklet entitled "Clinical Trial News"

ŸPlasma displays
ŸHomepage
ŸPoster

We have displayed the booklets on the rack.

We have displayed
the booklets on the rack.

Each addresses these frequently questions :

"What are clinical trials?"
"What is a CRC?"
"What is informed consent?"

Poster & Homepage Clinical Trial News

Poster

Homepage

Clinical Trial News



part of an explanation

Plasma displays are connected with the computer by LAN.

Plasma displays are connected with the computer by LAN.
Our Recruitment

First of all, CRCs list up the appointment of outpatients, and then check the age, medicines,complications of outpatients.
CRCs check clinicat trial criteria.
Finally, CRCs asked the investigators the check whether we can enroll the recruitment patient.
Evaluation criteria
ŸThe number of patients whom CRCs recruited.
ŸThe number of patients whom CRCs listed up.
ŸThe number of patients whom we obtained informed consent.
ŸThe number of enrollment patients after CRCs recruit.
ŸTotal of enrollment patients in each clinical trial.
We evaluated whether CRCs contributed the enrollment.




Result

Under our activities,we have many calls or visits of patients who want to participate the clinical trial.Since CRCs started recruiting, patient enrolled the clinical trial which no one enrolled till then. We understand that the recruit by CRCs is not efficient. But the rate of obtaining informed consent of patients to whom CRCs recruited was high.
In protocol A and B, the period from the protocol start to the first enrollment were 4months,19months, and both of the first enrollment were the patients which CRCs recruited.

In protocol D,when it started, CRCs and the investigator were talking about the recruitment at the start up meeting. The investigator recruited the patients from the beginning,so the first enrollment was speedy. In protocol C, it was for the orphan drug. The investigator asked CRCs the recruitment, but CRCs checked severely and the number of patients whom CRCs listed up was zero.As CRCs sometimes made contact with the investigator about the list of the patients,recruitment by the investigator increased.

Table
Table



Conclusion

We think that patient recruitment by CRCs contributed to the increase of the enrollment. Furthermore,
CRCs should promote recruitment and enrollment in clinical trials with the investigators and all staffs of our hospital.








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