The exclusion of people living with HIV (PLWH) from clinical trials in lymphoma.
Br J Cancer
; 113(6): 861-3, 2015 Sep 15.
Article
en En
| MEDLINE
| ID: mdl-26313666
ABSTRACT
BACKGROUND:
The prognosis of non-Hodgkin lymphoma and Hodgkin lymphoma is not affected by HIV serostatus, yet people living with HIV (PLWH) are frequently excluded from clinical trials in lymphoma.METHODS:
The UK NIHR Clinical Research Network Study Portfolio website was used to identify all the open clinical trials in lymphoma in the United Kingdom in January 2015. Trials that excluded PLWH were further investigated to evaluate if the exclusion was justified by scientific evidence.RESULTS:
We identified 56 multicentre open clinical trials in lymphoma including 46 interventional trials. People living with HIV were excluded from 32 interventional trials (70%). We identified a biologically valid reason (a potential increased risk of greater immunosuppression) for excluding PLWH from one trial and possibly for one optional arm in another study.CONCLUSIONS:
There was no scientific or safety justification for excluding PLWH from most lymphoma clinical trials included on the NIHR portfolio. A clear justification for excluding PLWH was not offered in the available protocols. The exclusion of PLWH should be explicitly justified on scientific grounds in protocols to minimise stigmatisation.
Texto completo:
1
Ejes tematicos:
Pesquisa_clinica
Banco de datos:
MEDLINE
Asunto principal:
Infecciones por VIH
/
Ensayos Clínicos como Asunto
/
Estudios Multicéntricos como Asunto
/
Negativa al Tratamiento
/
Selección de Paciente
/
Linfoma
Tipo de estudio:
Clinical_trials
/
Guideline
/
Observational_studies
/
Prognostic_studies
Límite:
Humans
País como asunto:
Europa
Idioma:
En
Año:
2015
Tipo del documento:
Article