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introduction
title
ClinicalTrials.gov+Plus
short description
Enhanced mobile app that uses patient input to push-down trial information with mapping functions and published crowd-sourced reviews.
Eligibility
Barriers
Clinical trials are critical to advancing health, saving millions of lives by delivering state-of-the-art programs in screening, detection, and treatment, providing the means to rigorously evaluate cutting edge science, and forging a path toward a cure for many of the most devastating illnesses, including cancer. ClinicalTrials.gov, the registry and results database supported by the National Institutes of Health, currently lists 189,473 studies with locations in all 50 states and in 190 countries. However, low patient participation in the U.S. is widespread despite the benefits and opportunities afforded by clinical trial participation. Lack of awareness is the largest contributing factor (85%) to low participation (Crookes et al., 2015). Other factors include perceptions of geographic inaccessibility, language barriers, and mistrust (Byrne et al., 2014). Of particular concern is the low participation of minority and low socioeconomic (SES) populations (Ghebre et al., 2014). All of these barriers point to a lack of easily accessible, comprehensible, and usable information about clinical trials among cancer patients.
Provide link to a source describing the barrier
http://www.ncbi.nlm.nih.gov/pubmed/24643650
Provide link to a source describing the barrier
http://www.ncbi.nlm.nih.gov/pubmed/23897588
What is your proposed solution to addressing the barriers?
Clinical Trial Innovation Proposal Draft 3.docx
What are potential obstacles to your solution? How will you work around these roadblocks?
Obstacle #1: How to receive and update the information. Government sites like Clinicaltrials.gov make all their data publically available, and therefore we will be able to pull data from the site directly into the mobile application. However, when there are changes made to the site, the mobile application needs to be updated accordingly. Obstacle #2: Not all Americans have a smart phone: However, 64% of American adults DO own a smartphone, and the numbers are on the rise. Obstacle #3: Getting users to the application. Social media tools (e.g. Twitter and Facebook) will be critical to getting users to the mobile application. For example, by creating a Twitter handle (e.g. @stopcancernow or @getinvolvedincancertrial), we will be able to generate tweets that highlight a particular trial that may be ‘hot’ or ‘interesting’ to a particularly group, and then link to other organizations that likely have interested followers. For example, Susan G. Komen Foundation (#Komen), has over 100,000 followers; American Cancer Society (#AmericanCancer) has over 590,000 followers.
What % increase in accrual rates do you anticipate?
We anticipate that accrual in cancer clinical trials associated with the University of California (10 Universities across California, 5 with active Medical School enrolling patients in cancer clinical trials) will increase by 50%, and we will be able to track this change by partnering with our sister campuses.
How do you anticipate maintaining the % increase in accrual rates over time?
Continue to upgrade the app and develop relationships with community-based organizations and national organizations to promote the app.
How will you overcome legal/regulatory hurdles, if any?
There are none.
Why hasn’t your proposed solution been tried before? If it has, what prevented it from succeeding?
It hasn’t been tried before because private companies do not see the market value of developing such an application (because it is a U.S. government site), and the U.S. government has already fulfilled their obligation to provide this information (through the website). However, individual users may be willing to pay the $0.99 for access to this up-graded information.

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