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Executive Summary
Pages 1-4

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From page 1...
... For example, companies may have less incentive to • conduct clinical trials to compare the effectiveness of different treatment options that are already approved for clinical use, • combine novel therapies developed by different sponsors, • develop therapies for rare diseases, • determine optimal duration and dose of treatment with drugs in clinical use, • test multimodality therapies, such as radiation therapy, surgery, or devices in combination with drugs, • study screening and prevention strategies, or • focus on rehabilitation and quality of life following therapy. The National Cancer Institute (NCI)
From page 2...
... The committee concluded that a robust, standing cancer clinical trials network is essential to effectively translate discoveries into clinical benefits for patients. There are hundreds of cancer therapies in development and a continuous need for design and implementation of new clinical trials, so it would be highly inefficient to fund and develop infrastructures and research teams separately for each new trial.
From page 3...
... focused on four broad goals to enhance the value of national Cooperative Group clinical trials in cancer: Consolidation and Efficiency. Improve the efficiency and reduce the average time for the design and launch of innovative clinical trials by consolidating functions, committees, and Cooperative Groups; streamlining oversight processes; facilitating collaboration; and streamlining and standardizing data collection and analysis.
From page 4...
... Incorporate innovative science and trial design into cancer clinical trials   5. Support and use biorepositories   6. Develop and evaluate novel trial designs   7. Develop standards for new technologies Goal III. Improve the means of prioritization, selection, support, and comple tion of cancer clinical trials   8. Reevaluate the role of NCI in the clinical trials system   9. Increase the accrual volume, diversity, and speed of clinical trials 10. Increase funding for the Cooperative Group Program Goal IV.


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