Absolute neutrophil count–based eligibility criteria in cancer trials disproportionately exclude Black patients with the Duffy null phenotype, suggesting the need for Duffy status–specific thresholds to improve trial equity.
https://t.co/3zfb0xfzFK
Andrew Hantel, MD, discusses a source of discrimination against some patients in cancer research and care practices. Full interview with NEJM Executive Managing Editor Stephen Morrissey (@srm128): https://t.co/2ROyFN7tx4
Hantel et al. write that cancer research and care practices that adversely affect people with the Duffy null phenotype are an underrecognized and widespread source of discrimination against people of African or Arab ancestry. Read the Perspective: https://t.co/aIvSTyYN4X
There should be Duffy null specific values for:
-Dose modifications on and off trial
-CTCAE toxicities
-Remission criteria
-Clinical trial inclusion
>50% of trials require dose reductions within the Duffy null reference range.
@LaurenMerzMD@ahantel
https://t.co/kG8qZJw6QU
Our new article in @JAMANetworkOpen describes cancer trial eligibility and dose-modifications for individuals with Duffy null (DN) phenotype. 77% of trials & 54% of regimens excluded or modified doses for neutrophil counts within the DN reference range.
https://t.co/JTEpeIad7E
Excited to share our study on the environmental and downstream human health effects of tele-oncology and decentralized cancer care as an oral abstract @ASCO 2024 and simultaneously published in @JAMAOnc : https://t.co/T2eE3XxKnn @DFCIPopSci@DanaFarber
A new study in @BloodAdvances highlights the need to address racial and ethnic #clinicaltrial enrollment disparities. Researchers say findings underscore need to create targeted diversification strategies to ensure representation. Read more: https://t.co/HcaL6xqD7K
55% and 26% of US states' crisis standards of care guidelines deprioritized or excluded some patients with cancer during scarce resource allocation, respectively. States with NCI CCCs had higher odds of palliative care provisions & lower odds of exclusions https://t.co/xy5LZJTFEi