PMID- 33225207 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 2515-5091 (Electronic) IS - 2515-5091 (Linking) VI - 4 IP - 5 DP - 2020 Oct TI - Racial and Ethnic Disparities Among Participants in US-Based Phase 3 Randomized Cancer Clinical Trials. PG - pkaa060 LID - 10.1093/jncics/pkaa060 [doi] LID - pkaa060 AB - Although improving representation of racial and ethnic groups in United States clinical trials has been a focus of federal initiatives for nearly 3 decades, the status of racial and ethnic minority enrollment on cancer trials is largely unknown. We used a broad collection of phase 3 cancer trials derived from ClinicalTrials.gov to evaluate racial and ethnic enrollment among US cancer trials. The difference in incidence by race and ethnicity was the median absolute difference between trial and corresponding Surveillance, Epidemiology, and End Results data. All statistical tests were 2-sided. Using a cohort of 168 eligible trials, median difference in incidence by race and ethnicity was +6.8% for Whites (interquartile range [IQR] = +1.8% to +10.1%; P < .001 by Wilcoxon signed-rank test comparing median difference in incidence by race and ethnicity to a value of 0), -2.6% for Blacks (IQR = -5.1% to +1.2%; P = .004), -4.7% for Hispanics (IQR = -7.5% to -0.3%; P < .001), and -4.7% for Asians (IQR = -5.7% to -3.3%; P < .001). These data demonstrate overrepresentation of Whites, with continued underrepresentation of racial and ethnic minority subgroups. CI - (c) The Author(s) 2020. Published by Oxford University Press. FAU - Grant, Stephen R AU - Grant SR AD - The University of Texas MD Anderson Cancer Center, Houston, TX, USA. FAU - Lin, Timothy A AU - Lin TA AD - The Johns Hopkins University School of Medicine, Baltimore, MD, USA. FAU - Miller, Austin B AU - Miller AB AD - The University of Texas Health Science Center McGovern Medical School, Houston, TX, USA. FAU - Mainwaring, Walker AU - Mainwaring W AD - Baylor College of Medicine, Houston, TX, USA. FAU - Espinoza, Andres F AU - Espinoza AF AD - Baylor College of Medicine, Houston, TX, USA. FAU - Jethanandani, Amit AU - Jethanandani A AD - The University of Tennessee Health Science Center College of Medicine, Memphis, TN, USA. FAU - Walker, Gary V AU - Walker GV AD - Banner MD Anderson Cancer Center, Gilbert, AZ, USA. FAU - Smith, Benjamin D AU - Smith BD AD - The University of Texas MD Anderson Cancer Center, Houston, TX, USA. FAU - Ashleigh Guadagnolo, B AU - Ashleigh Guadagnolo B AD - The University of Texas MD Anderson Cancer Center, Houston, TX, USA. FAU - Jagsi, Reshma AU - Jagsi R AD - The University of Michigan, Ann Arbor, MI, USA. FAU - David Fuller, C AU - David Fuller C AD - The University of Texas MD Anderson Cancer Center, Houston, TX, USA. AD - Oregon Health & Science University, Portland, OR, USA. FAU - Thomas, Charles R Jr AU - Thomas CR Jr AD - Oregon Health & Science University, Portland, OR, USA. FAU - Ludmir, Ethan B AU - Ludmir EB AD - The University of Texas MD Anderson Cancer Center, Houston, TX, USA. LA - eng PT - Comment PT - Journal Article DEP - 20200707 PL - England TA - JNCI Cancer Spectr JT - JNCI cancer spectrum JID - 101721827 CON - JNCI Cancer Spectr. 2020 Jul 07;4(5):pkaa059. PMID: 33134834 PMC - PMC7667997 EDAT- 2020/11/24 06:00 MHDA- 2020/11/24 06:01 PMCR- 2020/07/07 CRDT- 2020/11/23 05:42 PHST- 2020/03/27 00:00 [received] PHST- 2020/06/18 00:00 [revised] PHST- 2020/06/26 00:00 [accepted] PHST- 2020/11/23 05:42 [entrez] PHST- 2020/11/24 06:00 [pubmed] PHST- 2020/11/24 06:01 [medline] PHST- 2020/07/07 00:00 [pmc-release] AID - pkaa060 [pii] AID - 10.1093/jncics/pkaa060 [doi] PST - epublish SO - JNCI Cancer Spectr. 2020 Jul 7;4(5):pkaa060. doi: 10.1093/jncics/pkaa060. eCollection 2020 Oct.