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Cited by 485

The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.

Broadening Eligibility Criteria to Make Clinical Trials More Representative: American Society of Clinical Oncology and Friends of Cancer Research Joint Research Statement

Open access
Kim, Edward S., Bruinooge, Suanna S., Roberts, Samantha, Ison, Gwynn, Lin, Nancy U., Gore, Lia, Uldrick, Thomas S., Lichtman, Stuart M., Roach, Nancy, Beaver, Julia A., Sridhara, Rajeshwari, Hesketh, Paul J., Denicoff, Andrea M., Garrett-Mayer, Elizabeth, Rubin, Eric, Multani, Pratik, Prowell, Tatiana M., Schenkel, Caroline, Kozak, Marina, Allen, Jeff, Sigal, Ellen, Schilsky, Richard L.·2017·Journal of Clinical Oncology

Abstract

Purpose: The primary purposes of eligibility criteria are to protect the safety of trial participants and define the trial population. Excessive or overly restrictive eligibility criteria can slow trial accrual, jeopardize the generalizability of results, and limit understanding of the intervention’s benefit-risk profile. Methods: ASCO, Friends of Cancer Research, and the US Food and Drug Administration examined specific eligibility criteria (ie, brain metastases, minimum age, HIV infection, and organ dysfunction and prior and concurrent malignancies) to determine whether to modify definitions to extend trials to a broader population. Working groups developed consensus recommendations based on review of evidence, consideration of the patient population, and consultation with the research community. Results: Patients with treated or clinically stable brain metastases should be routinely included in trials and only excluded if there is compelling rationale. In initial dose-finding trials, pediatric-specific cohorts should be included based on strong scientific rationale for benefit. Later phase trials in diseases that span adult and pediatric populations should include patients older than age 12 years. HIV-infected patients who are healthy and have low risk of AIDS-related outcomes should be included absent specific rationale for exclusion. Renal function criteria should enable liberal creatinine clearance, unless the investigational agent involves renal excretion. Patients with prior or concurrent malignancies should be included, especially when the risk of the malignancy interfering with either safety or efficacy endpoints is very low. Conclusion: To maximize generalizability of results, trial enrollment criteria should strive for inclusiveness. Rationale for excluding patients should be clearly articulated and reflect expected toxicities associated with the therapy under investigation.

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Metadata

Authors
Kim, E. S., Bruinooge, S. S., Roberts, S., Ison, G., Lin, N. U., Gore, L., Uldrick, T. S., Lichtman, S. M., Roach, N., Beaver, J. A., Sridhara, R., Hesketh, P. J., Denicoff, A. M., Garrett-Mayer, E., Rubin, E., Multani, P., Prowell, T. M., Schenkel, C., Kozak, M., Allen, J., Sigal, E., & Schilsky, R. L.
Venue
Journal of Clinical Oncology
Published
2017-11-20
Volume
35
Issue
33
Pages
3737-3744
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2763133656
Cited by
485
References
22
FWCI
38.18
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Broadening Eligibility Criteria to Make Clinical Trials More Representative: American Society of Clinical Oncology and Friends of Cancer Research Joint Research Statement. https://app.cochat.ai/papers/10.1200/jco.2017.73.7916
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Kim, E. S., Bruinooge, S. S., Roberts, S., Ison, G., Lin, N. U., Gore, L., Uldrick, T. S., Lichtman, S. M., Roach, N., Beaver, J. A., Sridhara, R., Hesketh, P. J., Denicoff, A. M., Garrett-Mayer, E., Rubin, E., Multani, P., Prowell, T. M., Schenkel, C., Kozak, M., . . . Schilsky, R. L. (2017). Broadening Eligibility Criteria to Make Clinical Trials More Representative: American Society of Clinical Oncology and Friends of Cancer Research Joint Research Statement. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2017.73.7916

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.