On April 24, 2023 European Commission reported that it has approved the funding of three new research projects coordinated by EORTC (Press release, EORTC, APR 24, 2023, View Source [SID1234630416]). Thanks to these grants, EORTC will perform three innovative pragmatic clinical trials optimising treatments for patients with refractory cancers starting summer of 2023. Public funding is essential to address clinically relevant questions with no commercial interest that can only be performed by independent organisations.
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Today, many drugs enter the market without evidence of their true clinical benefit for patients. There is a need to conduct independent pragmatic clinical trials studying the optimal way to use the drugs in a real-life setting thus improving patients’ quality of life but also the sustainability of healthcare systems.
To this end, EORTC submitted three proposals (DE-ESCALATE, LEGATO and STREXIT2) to the Horizon Europe call for pragmatic clinical trials. Under the leadership of EORTC key opinion leaders, the three funded projects will investigate intermittent treatment or treatments combination in three different cancers such as glioblastoma (M. Preusser, AT), prostate (B. Tombal, BE) and retroperitoneal sarcoma (A Gronchi, IT).
The pragmatic clinical trials will be under EORTC legal sponsorship, supported by EORTC infrastructure and network. Patient representatives are contributing to all clinical trials since study conceptualisation. Health economics research will be implemented across the three clinical trials in a standardised manner.
These projects are expected to reduce the so-called efficacy-efficiency gap, defined as the problematic difference between the outcomes generated from trials targeting strictly a selected patient population in highly controlled environments, and those observed in real-world clinical practice. Importantly, these projects will show the value of independent clinical research and the need for more treatment optimisation research in Europe.