Patient Information
Clinical trials are scientific research studies designed to find better ways to treat or prevent diseases. The goal of these research studies is to learn whether a potential new medication, treatment or medical device is safe and effective in treating a particular disease or condition.
Unite Clinical Research Consortium could help your community make an educated decision about participating in a clinical trial and to help you understand the clinical trial process. Clinical research is impossible without the volunteer participation of patients. Unite Clinical Research Consortium is dedicated to safe, ethical and professional behavior when conducting a clinical trial. Therefore, it is very important that our patient community understand their rights and what to expect if they decide to participate in a clinical research study.
There are a few things to take into account before participating in a research study:
Check with your personal doctor. Your doctor can inform you about how to participate in clinical research and the risks and benefits of participating in a clinical trial.
Have a good understanding about your current state of health. You will be told about the known side effects and other health risks of the treatment(s), but not all of the risks can be known when you decide to participate in a trial as a volunteer. Also, be sure you report all the normal medications you are taking, including vitamins and herbals.
Ask lots of questions. Before you make a decision whether or not to participate in a clinical trial, ask lots of questions. If possible, read the information given to you about the study. Ask if you can take it home to read if you need more time. Sometimes it is helpful to make a list of questions in advance to ask the study coordinator or doctor.
Before you decide to participate in a clinical trial, a clinical research coordinator or physician will discuss the research study with you. This discussion will include a detailed explanation of the purpose of the trial and the type(s) of treatment to be studied, your chances of receiving a given treatment, the known risks and benefits of each treatment. You will always be given a chance to ask any questions you may have and enough time to make an informed decision. If you decide to participate in a clinical research study, you will be required to review and sign an Informed Consent document, which will also let you know whom to contact for more information and fully explains your rights during the trial. Regardless, you will always have the right to withdraw from the study at any time.
Frequently Asked Questions (FAQ)
We
understand that many people consider participating in clinical research, for
many different reasons. It may be that you are seeking the latest advances in
medical research. It may be that you just want to be part of advancing medical
science. In any case, we understand that it takes effort and commitment to be a
study participant. We want to make the process as easy, interesting and
pleasant as possible.
First and
most important, we want to strengthen the partnership that you have formed with
your doctor to protect and improve your health and quality of life. We believe
that the better informed you are, the safer and healthier you are. It is in our
interest as well as in your interest for us to do our utmost to protect your
rights and safety.
What is a
clinical trial?
A clinical trial is a research study to answer specific questions about
vaccines, new therapies, new ways of using known treatments or diagnostic
methods. Clinical trials (also called medical research and research studies)
are used to determine whether new drugs or treatments are both safe and
effective. Carefully conducted clinical trials are the fastest and safest way
to find treatments that work.
Once
researchers test new therapies or procedures in the laboratory and get
promising results, they begin planning Phase I Clinical Trials. New therapies
are tested on people only after laboratory and animal studies show promising
results.
What is a protocol?
All clinical trials are based on a set of rules called a protocol. A protocol
describes what types of people may participate in the trial, the schedule of
tests, procedures, medications, and dosages and the length of the study. While
in a clinical trial, participants are seen regularly by the trial’s research
staff to monitor their health and to determine the safety and effectiveness of
the treatment.
What are
clinical trial phases?
Clinical trials of experimental drugs proceed through four phases:
- In Phase I
Clinical Trials researchers test a study drug or treatment in a small group
of healthy volunteers (20-80) for the first time to evaluate its safety,
determine a safe dosage range, and identify side effects.
- In Phase II
Clinical Trials the study drug or treatment is given to a larger group of
patients (40-100) to see if it is effective and to further evaluate its
safety.
- In Phase III
Clinical Trials the study drug or treatment is given to large groups of
patients (more than 200) to further determine its effectiveness, monitor
side effects, compare it to commonly used treatments, and collect
information that will allow the drug or treatment to be used safely.
- In Phase IV
Clinical Trials studies are done after the drug or treatment has been
marketed. These studies continue testing the study drug or treatment to
collect information about their effect in various populations and any side
effects associated with long-term use.
What
protections are there for people who participate in clinical trials?
Local government has strict guidelines and safeguards to protect people who
choose to participate in clinical trials. Every clinical trial must be approved
and monitored by an Ethics Committee or Institutional Review Board (IRB) to
make sure the risks are as low as possible and are worth any potential
benefits. Unite Clinical Research Consortium studies are reviewed by an
independent IRB group that ensures that a clinical trial is ethical, and the
rights of study participants are protected. By federal regulation, all
institutions that conduct or support biomedical research involving people must
have an Ethics Committee that initially approves and periodically reviews the
research.
What is
informed consent?
Informed consent is the process of learning the key facts about a clinical
trial before you decide whether to participate. These facts include:
- Why the research
is being done
- What the
researchers want to accomplish
- What will be
done during the trial and for how long
- What risks are
involved in the trial
- What benefits
can be expected from the trial
- What other
treatments are available to patients?
- The fact that
you have the right to leave the trial at any time
If you
are considering joining a clinical trial, the research staff will give you
informed consent documents that include the details about the study. Because
joining a clinical trial is an important decision, you should ask the research
team any questions you may have about the study and/or the informed consent
form.
If you
decide to join the clinical trial, you will receive a copy of the informed
consent documents. It is also a good idea to discuss your decision (s) with
your primary care physician, family, home care provider or friends.
Who can
participate in a clinical trial?
All clinical trials have guidelines about who can get into the study.
Guidelines are based on such factors as age, type of disease, medical history
and current medical condition. Before you join a clinical trial, you must
qualify for the study. Some research studies seek volunteers with illnesses or
conditions to be studied in the clinical trial, while others need healthy
volunteers. Healthy volunteers participate in Phase I trials, some vaccine
studies and trials on research on preventive care for children or adults.
The factors that allow you to participate in a clinical trial are called
inclusion criteria and the factors that keep you from participating are called
exclusion criteria. It is important to note that inclusion and exclusion
criteria are not used to reject people personally. Instead, the criteria are
used to identify appropriate participants and keep them safe. The criteria help
ensure that researchers will be able to answer the questions they plan to
study.
Who
sponsors clinical trials?
Clinical trials are sponsored by pharmaceutical, biopharmaceutical, biotechnology
and medical device companies, individual physician-investigators, research institutions,
universities, contract research organizations, and government research
institutions. These clinical trials can take place in a variety of locations
such as: hospitals, universities, doctor’s offices and community clinics.
What happens during a clinical trial?
The
clinical trial process depends on the kind of trial in which you participate.
The team will include doctors and nurses as well as social workers and other
health care professionals. They will check your health at the beginning of the
trial, give you specific instructions for participating in the trial, monitor
you carefully during the trial, and stay in touch with you after the study.
Some
clinical trials involve more tests and doctor visits than you would normally
have for your illness or condition. For all types of trials, you will work with
a research team. Your participation will be most successful if you follow the
protocol carefully and stay in contact with the research staff.
What is a
placebo?
A placebo is an inactive substance that has no treatment value. In clinical
trials, experimental treatments are often compared with placebos to assess the
treatments effectiveness. In some studies, the participants in the control
group will receive a placebo instead of an active drug or treatment.
What is a
control or control group?
A control is the standard by which experimental observations are evaluated. In
many clinical trials, one group of patients will be given an experimental drug
or treatment, and the control group is given either a standard treatment for
the illness or a placebo.
What is a
blinded or masked study?
A blinded or masked study is one in which participants do not know whether they
are in the experimental or control group in a research study. Those in the
experimental group get the medications or treatments being tested, and those in
the control group get a standard treatment or no treatment.
What is a
double-blind or double-masked study?
A double-blind or double-masked study is one in which neither the participants
nor the study staff know which participants are receiving the experimental
treatment and which ones are receiving either a standard treatment or a
placebo. These studies are performed so that neither the patient’s nor the
doctor’s expectations about the experimental drug can influence the outcome.
What are
side effects and adverse reactions?
Side effects are any undesired actions or effects of the drug or treatment. Experimental
treatments must be evaluated for both immediate and long-term side effects.
What are
the benefits and risks associated with clinical trials?
There are both benefits and risks associated with clinical trials. By
participating in a clinical trial, you can:
∙Take an active role in your own health care
∙Gain
access to new treatments that are not available to the public
∙Obtain
expert medical care at leading health care facilities during the trial
∙Help
others by contributing to medical research
Clinical
trials have risks:
∙There may
be side effects or adverse reactions to medications or treatments
∙The
treatment may not be effective for you
∙The
protocol may require a lot of your time for trips to the study site,
treatments, hospital stays or complex dosage requirements
Can I
leave a clinical trial after it has begun?
Yes, you can leave a clinical trial
at any time. If you plan to stop participating, let the research team know why
you are leaving the study.
What
Happens During a Typical Research Study?
Preliminary Screen
The study coordinator will ask you a series of questions over the
telephone to make sure that you qualify for the study and if so, will schedule
your first appointment.
First
Visit
You will meet the study coordinator at the research site who will track your
progress through the study.
- Potential
benefits of the medication being tested as well as any known risks of the
medication and any alternative treatments for your condition will be
explained to you. Any questions you may have regarding this information
will be answered. A written version of this information, the informed
consent form, is signed by the participant and witnesses prior to any
study-related procedures being performed.
- You will provide
some background information regarding your medical history and current
medications.
- The physician
will give you a physical examination and other specialized tests such as blood
work, urinalysis, blood pressure, x-rays, electrocardiograms, etc. as may
be required for the study. You will not be charged for medical care
relating to your study participation.
Scheduled
Visits (as per protocol or principal investigator)
- During the study
you will come in for scheduled appointments and will be asked questions as
to how you are doing, if any changes in your condition have occurred, and
about any medications you have taken since the last visit.
- Depending on the
study, a physical exam, additional blood work or specialized tests may be
required at certain visits during the study.
- Your unused
medication and used packaging will be collected and you will be asked
about your compliance in taking the study medication. Your next
appointment will be scheduled.
Final
Study Visit
This visit usually proceeds very much like the previous visits. If necessary,
the physician may make recommendations for follow-up treatment for your
condition. Also, if you are interested, the coordinator will discuss with you
any other clinical trials for which you may be qualified if you are interested.
For more information on your participation on our future clinical trials please contact us at Unite Clinical Research
Consortium at 1-866-434-0005 Ext. 220