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Improving access to clinical trial participation among underrepresented kidney cancer patients

K. Costello, C. Lambert, Kristin Virag, R. Kokate, B. Egleston, Susan Rux

Journal of Clinical Oncology, 2026

8 participants

Abstract

430

Background:

It is well-studied that multiple barriers exist to oncology clinical trial participation. Patient (pt)-related barriers include lack of education about clinical trials and increased financial burden. Literature is saturated with studies identifying barriers to oncology trial enrollment, but limited randomized studies exist addressing possible solutions. Our study addresses this educational gap, with an overall goal of increasing access to clinical trial participation.

Methods:

A clinical trial education program targeting kidney cancer patients was developed. By partnering with kidney cancer pts (N = 8) and using semi-structured interviews, information about their clinical trial knowledge was gathered. An in-person educational program and animated video covering varied topics pertaining to clinical trials were created. Pre/post program surveys captured participant demographics and current knowledge/perceptions about clinical trials. Wilcoxon signed-ranked test was used to compare the pre/post responses.

Results:

To date, 77 pts completed both surveys. Demographics included: Male (73.7%), Female (26.3%), < 60 years (23.7%), ≥ 60 years (76.3%), White (89.6%), Black (3.9%), American Indian (1.3%), Asian (2.6%), Other (1.3%), Hispanic/Latino (5.3%). Statistically significant improvements were observed in several domains between pre/post responses. Pts demonstrated increased understanding of placebo use in clinical trials (P = 0.0003), randomization (P = 0.0002),…

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