Recruiting
patients for clinical trials has been a controversial practice from the start, whether establishing the target audience or deciding how to present the
information in an honest yet appealing way. The main issue clinical trials face
when taking off is the lack of volunteers: according to a recent study
conducted by Cutting Edge Information, 80% of the trials are delayed due to
insufficient enrollment. IRBs (Institutional Review Boards), which are
responsible for reviewing the entire case before allowing a trial to go forth,
are also in charge of reviewing active recruitment advertisements to make sure
they are honest and not excessively coercive. The FDA (Food and Drug
Administration) has also published detailed guidelines about advertisements to
recruit volunteers prohibiting active encouragement.
The
rise of social media over the past few years has led to a whole new venue for
pharmaceutical and academic institutions to recruit patients for clinical
studies. Suddenly, advertisements are popping up on the side of your Facebook
page offering you $1,000 to participate in an iron deficiency drug trial after
you googled “anemia symptoms and treatment” last week when you were feeling
light-headed. The online presence of clinical trials has immensely increased
their exposure over the past few years: websites such as ClinicalResearch.com
and clinicaltrials.gov provide information to hundreds of thousands of
prospective volunteers, and online forums allow patients to communicate with
each other.
Although
this new form of mass communication has broadened and neutralized the
demographic that has access to clinical trials, it is concerning to think that more
vulnerable subjects, such as teenagers or patients who are afflicted with a
disease that has no cure, could be more eaily persuaded to put themselves at risk since
their web pages are now flooded with enticing advertisements for clinical
trials. We just have to wait for the FDA and IRBs to issue specific regulations
about advertising online and using social media as a means of communication.
Sources:
http://www.ihealthbeat.org/features/2012/social-media-offers-new-recruitment-strategy-for-clinical-trials.aspx
http://www.ask-cato.com/2011/03/social-media-in-clinical-trials-increasing-patient-recruitment/
http://www.thedailybeast.com/newsweek/2009/03/10/pharma-s-facebook.html
http://www.clinicaltrials.gov/ct2/search/browse?brwse=diet_alpha_all
http://www.epa.gov/oppfead1/guidance/human-test.htm
http://www.nature.com/scitable/topicpage/human-subjects-and-diagnostic-genetic-testing-720
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