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(1)Clinical Trials. Introduction A clinical trial is a research study that is done to evaluate new medical treatments. Carefully conducted clinical trials are the fastest way to find new treatments for medical conditions. You may be interested in or asked to participate in a clinical trial. This reference summary explains clinical trials. It covers some of the most common questions that clinical trial participants may have. What Is a Clinical Trial? A clinical trial is a research study. It is done to evaluate new treatments for people. Each clinical trial study answers scientific questions and tries to find better ways to prevent, screen for, diagnose or treat a disease. Clinical trials may also compare a new treatment to a treatment that is already available. Before a new treatment is tried in people, it is carefully studied in laboratories by medical researchers, scientists and health care specialists. Treatments with the most promising laboratory results are moved into clinical trials. Clinical trials help find out if a promising new treatment is safe and effective. During a trial, information is gained about a new treatment, its risks and how well it may or may not work. New treatments used in clinical trials may have some risks that are not yet known.. This document is for informational purposes and is not intended to be a substitute for the advice of a doctor or healthcare professional or a recommendation for any particular treatment plan. Like any printed material, it may become out of date over time. It is important that you rely on the advice of a doctor or a healthcare professional for your specific condition. ©1995-2019, The Patient Education Institute, Inc. www.X-Plain.com Last reviewed: 01/24/2019. hc010105 1.

(2) Why Are Clinical Trials Important? Researchers use clinical trials to help find new and better treatments. Researchers must prove that new treatments are safe and effective before the treatments can be made widely available to many patients. Carefully conducted clinical trials are the fastest way to find new and better treatments that work. Why Should You Be Interested in a Clinical Trial? People volunteer to take part in clinical trials for many reasons. Their health may benefit in some way from participating. There is always a chance that a new treatment will be disappointing. But based on laboratory results, the researchers have reasons to believe that the new treatment will be as good as, or better than, current treatments. Participants in clinical trials may be the first to benefit from a new treatment. People also volunteer because they want to contribute to a research effort that may help others. How Are Clinical Trials Conducted? Every clinical trial is designed to answer a set of research questions. The health care providers who conduct a clinical trial follow an action plan called a protocol. The protocol plans out what will be done during the study and why. Studies are carefully designed to safeguard the health of the participants as well as to answer specific research questions. The protocol describes what will be done in the study, how it will be conducted and why each part of the study is needed. Each study has its own rules about who can take part. Some studies need volunteers with a certain disease. Some need healthy people. Others want just men or just women. Some clinical trials test one new treatment in one group of participants. Other trials compare 2 or more groups. Researchers make sure that participants in different groups are similar in certain ways, such as the nature and stage of their disease. This document is for informational purposes and is not intended to be a substitute for the advice of a doctor or healthcare professional or a recommendation for any particular treatment plan. Like any printed material, it may become out of date over time. It is important that you rely on the advice of a doctor or a healthcare professional for your specific condition. ©1995-2019, The Patient Education Institute, Inc. www.X-Plain.com Last reviewed: 01/24/2019. hc010105 2.

(3) Which treatment each trial participant in a group receives is often decided by a process called randomization. Participants are randomly chosen to receive certain treatments. One of the groups may receive standard treatment and the other group may receive the new treatment. The group receiving the standard treatment is called the control group. Sometimes, no standard treatment exists yet. For example, one group may receive a new drug and the control group may receive nothing. But no one is placed in a control group without treatment if there is any known treatment that would benefit the participant. The control group is studied as often and as carefully as the treatment group. If there is strong evidence that one method is better than the others in a study, the trial is stopped and all of the participants in the trial are offered the benefit of the better treatment. People should consider taking part in a study only after they understand the possible risks and benefits. Informed Consent Informed consent is a process of learning key facts about a clinical trial before deciding whether or not to volunteer for the study. First, the health care providers involved in the trial explain the details of the study. The participants will then be given an informed consent form to read and consider carefully. If you agree to take part, you can sign the form. You may also refuse. If you participate in a clinical trial, you will continue to receive any new information about the study that may affect your willingness to stay in the trial. Signing a consent form does not bind you to the study. You can still leave at any time. If you have questions at any time about any part of the study, be sure to ask your health care provider or other members of the research team. What Protection Do You Have as a Participant in a Clinical Trial? The ethical and legal codes that are used to guide medical practice apply to clinical trials. Most clinical research is federally regulated. This means that safeguards to protect participants are built into the protocol. This document is for informational purposes and is not intended to be a substitute for the advice of a doctor or healthcare professional or a recommendation for any particular treatment plan. Like any printed material, it may become out of date over time. It is important that you rely on the advice of a doctor or a healthcare professional for your specific condition. ©1995-2019, The Patient Education Institute, Inc. www.X-Plain.com Last reviewed: 01/24/2019. hc010105 3.

(4) Any well run clinical trial is reviewed for patient safety and scientific merit by the research institution. The data and safety of patients should be monitored on an ongoing basis during the study. As a clinical trial progresses, researchers report the results of the trial at scientific meetings, to medical journals and to various government agencies. Participant names will remain secret. They will not be mentioned in these reports. How to Find Trials Using ClinicalTrials.gov For more information about clinical trials, talk to your health care provider and visit the ClinicalTrials.gov website at http://www.clinicaltrials.gov. ClinicalTrials.gov provides patients, families and members of the public with information about: • The location of clinical trials. • Clinical trial design and purpose. • Criteria for participation. • Links to further information about diseases and treatments under study. Summary A clinical trial is a research study that is done to evaluate new medical treatments. Each clinical trial study answers scientific questions and tries to find better ways to prevent, screen for, diagnose or treat a disease. Clinical trials may also compare a new treatment to an available treatment. Researchers use clinical trials to help find new and better treatments. Researchers must prove that new treatments are safe and effective before the treatments can be made widely available to many patients. People volunteer to take part in clinical trials for many reasons. Their health may benefit in some way from participating. People also volunteer because they want to contribute to a research effort that may help others. There is always a chance that a new treatment will be disappointing. But based on laboratory results, the researchers have reasons to believe that the new treatment will be as good as, or better than, current treatments. This document is for informational purposes and is not intended to be a substitute for the advice of a doctor or healthcare professional or a recommendation for any particular treatment plan. Like any printed material, it may become out of date over time. It is important that you rely on the advice of a doctor or a healthcare professional for your specific condition. ©1995-2019, The Patient Education Institute, Inc. www.X-Plain.com Last reviewed: 01/24/2019. hc010105 4.

(5) Every clinical trial is designed to answer a set of research questions. The health care providers who conduct a clinical trial follow an action plan called a protocol. The protocol plans out what will be done during the study and why. Informed consent is a process of learning key facts about a clinical trial before deciding whether or not to volunteer for the study. Informed consent helps to ensure that no one participates in a clinical study without being adequately informed and without agreeing to enter the trial. The ethical and legal codes that are used to guide medical practice apply to clinical trials. Most clinical research is federally regulated. This means that safeguards to protect participants are built into the protocol. For more information about clinical trials, talk to your health care provider and visit the ClinicalTrials.gov website at http://www.clinicaltrials.gov.. This document is for informational purposes and is not intended to be a substitute for the advice of a doctor or healthcare professional or a recommendation for any particular treatment plan. Like any printed material, it may become out of date over time. It is important that you rely on the advice of a doctor or a healthcare professional for your specific condition. ©1995-2019, The Patient Education Institute, Inc. www.X-Plain.com Last reviewed: 01/24/2019. hc010105 5.

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