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Patients' Perceptions of Research Biopsies in Phase I Oncology Trials

Charlotte Lemech, Divyanshu Dua, Joshua Newmark, Matilde Saggese, Emily Simmons, Paulina Spiliopoulou · Oncology · 2014

<b><i>Objective:</i></b> Research biopsies are increasingly incorporated into phase I oncology trials resulting in ethical and logistical challenges for patients and clinicians. Patients' understanding and willingness to undergo these biopsies are crucial. <b><i>Methods:</i></b> Over 12 months, we administered a questionnaire comprising three sections: demographics and previous cancer therapy, understanding of phase I trials and personalized medicine, and understanding of biopsies and associated risks. <b><i>Results:</i></b> Out of 56 patients approached, 47 patients completed the questionnaire. Overall, the patients were well informed about the concepts of personalized medicine and 89% (n = 42) were aware that early phase clinical trials aim to define a dose and explore side effects of new drugs. Interestingly, 76% (n = 36) expected early phase trials to improve symptoms, quality of life and survival. Offering hope and feeling in control of their treatment were important components for 80% (n = 38) and 57% (n = 27), respectively. The majority of this highly selective patient cohort understood the concept of re

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