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Landmark Trials in Oncology

Landmark Trials in Oncology
Author: Santosh Yajnik
Publisher: Springer
Total Pages: 325
Release: 2019-05-17
Genre: Medical
ISBN: 3030144054
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This book describes the evolution of treatment in oncology through the lens of approximately 250 landmark clinical trials. The well-designed clinical trial is essential to the practice of medicine. There is no field that has embraced or been transformed more by the clinical trial than oncology. Each primary cancer site has a remarkable story that can be told through clinical trials. For example, patients who presented decades ago with soft tissue sarcoma of the extremities would invariably undergo limb amputation. The landmark National Cancer Institute study by Rosenberg et al. randomized patients to limb sparing surgery followed by adjuvant radiation therapy compared with limb amputation. This study helped change the standard of care by allowing most patients to retain their functioning limbs with an improvement in quality of life and no compromise in overall survival. Such major clinical trials for common malignancies including breast, prostate, lung, gastrointestinal, genitourinary, and gynecologic cancers are discussed. Because oncology is multidisciplinary, this book should be of interest for radiation oncologists, surgeons, medical oncologists, and other physicians interested in learning more about the landmark trials that have shaped oncology.

Clinical Trials in Oncology, Third Edition

Clinical Trials in Oncology, Third Edition
Author: Stephanie Green
Publisher: CRC Press
Total Pages: 266
Release: 2012-05-09
Genre: Mathematics
ISBN: 1439814481
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The third edition of the bestselling Clinical Trials in Oncology provides a concise, nontechnical, and thoroughly up-to-date review of methods and issues related to cancer clinical trials. The authors emphasize the importance of proper study design, analysis, and data management and identify the pitfalls inherent in these processes. In addition, the book has been restructured to have separate chapters and expanded discussions on general clinical trials issues, and issues specific to Phases I, II, and III. New sections cover innovations in Phase I designs, randomized Phase II designs, and overcoming the challenges of array data. Although this book focuses on cancer trials, the same issues and concepts are important in any clinical setting. As always, the authors use clear, lucid prose and a multitude of real-world examples to convey the principles of successful trials without the need for a strong statistics or mathematics background. Armed with Clinical Trials in Oncology, Third Edition, clinicians and statisticians can avoid the many hazards that can jeopardize the success of a trial.

Fast Facts: Clinical Trials in Oncology

Fast Facts: Clinical Trials in Oncology
Author: A. Hackshaw
Publisher: Karger Medical and Scientific Publishers
Total Pages: 120
Release: 2020-12-18
Genre: Medical
ISBN: 191277674X
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Written by leading experts, 'Fast Facts: Clinical Trials in Oncology' will enhance the reader’s ability to critically evaluate published evidence. Assuming little or no prior knowledge, the book sets out clearly the fundamental features of clinical trials. The key attributes of Phase I–III trials of pharmaceutical products are described, as are trials of surgical procedures, radiation therapy and advanced therapies. The processes and documentation required to set up and conduct a trial are outlined, and the authors describe how trial data and real-world evidence are used to improve care. Although this concise colorful book focuses on oncology, the principles apply equally to interventions in other areas of practice. It will prove invaluable to medical, pharmaceutical and allied health professionals who want, or need, an overview of how contemporary clinical trials are designed and conducted.

Oncology Clinical Trials

Oncology Clinical Trials
Author: Susan Halabi, PhD
Publisher: Demos Medical Publishing
Total Pages: 168
Release: 2009-12-22
Genre: Medical
ISBN: 9781935281764
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Clinical trials are the engine of progress in the development of new drugs and devices for the detection, monitoring, prevention and treatment of cancer. A well conceived, carefully designed and efficiently conducted clinical trial can produce results that change clinical practice overnight, deliver new oncology drugs and diagnostics to the marketplace, and expand the horizon of contemporary thinking about cancer biology. A poorly done trial does little to advance the field or guide clinical practice, consumes precious clinical and financial resources and challenges the validity of the ethical contract between investigators and the volunteers who willingly give their time and effort to benefit future patients. With chapters written by oncologists, researchers, biostatisticians, clinical research administrators, and industry and FDA representatives, Oncology Clinical Trials, provides a comprehensive guide for both early-career and senior oncology investigators into the successful design, conduct and analysis of an oncology clinical trial. Oncology Clinical Trials covers how to formulate a study question, selecting a study population, study design of Phase I, II, and III trials, toxicity monitoring, data analysis and reporting, use of genomics, cost-effectiveness analysis, systemic review and meta-analysis, and many other issues. Many examples of real-life flaws in clinical trials that have been reported in the literature are included throughout. The book discusses clinical trials from start to finish focusing on real-life examples in the development, design and analysis of clinical trials. Oncology Clinical Trials features: A systematic guide to all aspects of the design, conduct, analysis, and reporting of clinical trials in oncology Contributions from oncologists, researchers, biostatisticians, clinical research administrators, and industry and FDA representatives Hot topics in oncology trials including multi-arm trials, meta-analysis and adaptive design, use of genomics, and cost-effectiveness analysis Real-life examples from reported clinical trials included throughout

Cancer on Trial

Cancer on Trial
Author: Peter Keating
Publisher: University of Chicago Press
Total Pages: 475
Release: 2014-04-18
Genre: Medical
ISBN: 022614304X
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There were no medical oncologists until a few decades ago. In the early 1960s, not only were there no such specialists, many practitioners regarded the treatment of terminally-ill cancer patients with heroic courses of chemotherapy as highly questionable. Physicians loath to assign patients randomly to competing treatments also expressed their outright opposition to the randomized clinical trials that were then relatively rare. And yet today these trials form the basis of medical oncology. How did such a spectacular change occur? How did medical oncology move from a non-entity and in some regards a reviled practice to the central position it now occupies in modern medicine? Cancer on Trial answers these questions by exploring how practitioners established a new style of practice, at the center of which lies the cancer clinical trial.

Cancer Clinical Trials: Proactive Strategies

Cancer Clinical Trials: Proactive Strategies
Author: Stanley P. L. Leong
Publisher: Springer Science & Business Media
Total Pages: 326
Release: 2007-11-25
Genre: Medical
ISBN: 0387332251
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Clinical trials remain the most important vehicle for improving the care of cancer patients. This text presents the fundamental components and challenges involving clinical investigations. Leading experts discuss the critical issues covering the spectrum of important topics from planning to application. The book has a foreword by Samuel A. Wells, Jr., MD, Professor of Surgery, Duke University Medical Center, Durham, NC, former Director of the American College of Surgeons and Founder of the American College of Surgeons Oncology Group.

A National Cancer Clinical Trials System for the 21st Century

A National Cancer Clinical Trials System for the 21st Century
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 317
Release: 2010-07-08
Genre: Medical
ISBN: 0309157870
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The National Cancer Institute's (NCI) Clinical Trials Cooperative Group Program has played a key role in developing new and improved cancer therapies. However, the program is falling short of its potential, and the IOM recommends changes that aim to transform the Cooperative Group Program into a dynamic system that efficiently responds to emerging scientific knowledge; involves broad cooperation of stakeholders; and leverages evolving technologies to provide high-quality, practice-changing research.

Gynecologic Oncology Clinical Trials Review

Gynecologic Oncology Clinical Trials Review
Author: Rebecca Phaeton
Publisher:
Total Pages: 129
Release: 2018-02-13
Genre:
ISBN: 9781980284222
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Gynecologic Oncology Clinical Trials Review: Landmark Studies in Uterine Cancer represents a comprehensive review and synopsis of pivotal trials in uterine cancer. It is designed for ease of use and ready comprehension, with its topics divided into disease stages and studies in chronological order. Its reader-friendly format, condensation of entire clinical trials into salient highlights, discussion of limitations, areas of controversy and the clinical impact of the trial provides a succinct yet detailed synopsis of important studies. This Gynecologic Oncology Clinical Trials Book aims to serve as an indispensable resource for gynecologic oncologists, medical oncologists, and radiation oncologists, fellows and residents, as well as a study resource and reference.Gynecologic Oncology Clinical Trials Review: Landmark Studies in Uterine Cancer represents the first installment, with subsequent releases of ovarian cancer, cervix cancer, and vulvar cancer planned.

Landmark Papers in General Surgery

Landmark Papers in General Surgery
Author: Graham MacKay
Publisher: OUP Oxford
Total Pages: 416
Release: 2013-02-14
Genre: Medical
ISBN: 0191654272
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Landmark Papers in General Surgery will give surgeons, surgical trainees and other healthcare professionals an expert appraisal of key papers, and fast access to the evidence base behind current clinical practice in General Surgery. Each chapter draws together a fascinating selection of the most important clinical trials across every subspecialty within General Surgery, as selected and appraised by a panel of experts. Organized according to a common format, each discussion offers a clear structure by which to appraise the medical literature. Following a background summary of each trial, experts discuss the impact of the research and critique the methods used, giving the reader rapid understanding of the paper's place within the wider field of research. This emphasis on the tools of critical appraisal is enhanced by an introductory chapter equipping the reader with the skills required to knowledgeably appraise a research paper. For clinicians needing to keep abreast of the vast scope of medical research, this book will prove an interesting and timesaving resource, but it will also appeal to allied health professionals keen to improve the depth of their understanding of surgery. By bringing together the evidence base with expert guidance on critical appraisal, higher surgical trainees preparing for the academic and specialty sections of the FRCS exit examination will also find the text invaluable as a means of consolidating and nuancing their knowledge.

Randomized Clinical Trials in Surgical Oncology, An Issue of Surgical Oncology Clinics -- E-Book

Randomized Clinical Trials in Surgical Oncology, An Issue of Surgical Oncology Clinics -- E-Book
Author: Adam C. Yopp
Publisher: Elsevier Health Sciences
Total Pages: 249
Release: 2009-12-14
Genre: Medical
ISBN: 145570069X
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This issue of the Surgical Oncology Clinics will review the important clinical trials from the past eight years in following topics: breast cancer, soft tissue sarcoma, rectal and anal carcinoma, pancreatic adenocarcinoma, hepatocellular carcinoma, gastric cancer, esophageal cancer, colon cancer, advanced and metastatic colorectal carcinoma, gastrointestinal stromal tumors, and melanoma.