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Clinical Trials Should Be Viewed as Standard Care Option, Not Last Resort, Experts Emphasize

• Leading oncologists at Northwell Health advocate for integrating clinical trials into standard care pathways, emphasizing their role as crucial treatment options rather than last resorts.

• Dr. Richard Carvajal, Deputy Physician-in-Chief at Northwell Health Cancer Institute, stresses that clinical trials access is essential for advancing cancer treatment until cure rates improve significantly.

• Healthcare experts call for enhanced education among medical providers and patients to normalize clinical trials as part of routine treatment discussions and decision-making processes.

The medical community is witnessing a significant shift in how clinical trials are perceived and integrated into patient care, with leading healthcare institutions pushing for clinical research to be viewed as a standard care option rather than a last resort for treatment.

Transforming Clinical Trial Integration in Patient Care

Dr. Richard Carvajal, Deputy Physician-in-Chief at the Northwell Health Cancer Institute, emphasizes that clinical trials should be considered an integral part of standard care, particularly in oncology. "Clinical trials, although we consider this research, is really part of standard of care. Access to these new treatments is what we have to provide all our patients with cancer until we're curing everybody," states Dr. Carvajal.
This perspective aligns with a growing industry movement known as CRAACO (Clinical Research as a Care Option), which aims to reshape how healthcare providers and patients view clinical trials in the treatment landscape.

Educational Initiatives and Implementation Strategies

Dr. Christina Brennan, Senior Vice President for Northwell's Clinical Research Program, highlights the importance of changing the prevalent mindset that views clinical trials as a last resort. The solution, according to experts, requires a comprehensive educational approach targeting multiple stakeholders:
  • Healthcare providers and faculty
  • Clinical team members
  • Patients and their families
"The clinical trial options, or 'investigational' options, should be a part of every single decision-making discussion," Dr. Carvajal explains. He advocates for presenting patients with both current standard treatment options and potential clinical trial opportunities during treatment planning.

Future-Focused Treatment Approach

The initiative represents a forward-thinking approach to patient care, particularly in oncology. By incorporating clinical trials into standard treatment discussions, healthcare providers aim to offer patients access to potentially superior future treatments today. This strategy not only benefits individual patients but also contributes to the broader advancement of medical science and treatment options.
Healthcare leaders emphasize that this integration requires systematic changes in how clinical trials are presented and discussed with patients, moving away from viewing them as experimental last resorts and toward seeing them as viable, cutting-edge treatment options.
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Reference News

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A Close Look at Clinical Trials in Oncology and Beyond: State of Affairs and Industry Progress
onclive.com · Jan 30, 2025

Dr. Richard D. Carvajal highlights significant progress in cancer clinical trials, with nearly 20,000 trials globally an...

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