Table 2. Process indicators in multicentre oncology clinical trials conducted in primary health care in Villa Clara province. Comparison of primary health care versus secondary health care
Secondary heath carePrimary health care (clinical trial programme implementation)
2006–2011 period(phase III, EC IIC-RD-EC081)n = 292010–2015 period(phase IV, EC IIC RD-EC120)n = 1832016–2020 period(phase IV, EC IIC RD-EC-157)n = 1272010–2020 periodn = 310
Study details Histological confirmation of NSCLC stage III or IV, Objective Clinical Response after oncospecific treatment, performance status ≤2, life expectancy ≥3 monthsHistological confirmation of NSCLC stage III or IV, patients classified as non-tributary of any oncospecific treatment or who have received first line of chemotherapy for the advanced disease and do not have not any therapeutic alternatives, performance status ≤3, life expectancy ≥3 monthsHistological confirmation of NSCLC stage III or IV, patients classified as non-tributary of any oncospecific treatment or who have received first line of chemotherapy for the advanced disease and do not have not any therapeutic alternatives, performance status ≤3, life expectancy ≥3 months. Biomarker determination
Ethical approval
7. Time for protocol and protocol modifications ethical approvalProtocol ethical approval:18 daysModification 03: 7 daysModification 04: 16 daysProtocol ethical approval: 28 daysaModification 01: 29 daysa Protocol Ethical aproval: 22 daysaModification 01: 4 daysaModification 04: 12 daysa
Recruitment and retention
8. Province recruitment versus total trial recruitment5.8%(29/497)17.3%a(183/1058)17.1%a(127/741)17.2%a(310/1799)
9. Proportion of patients recruited or incidence of disease2.3%29/121427.8%a183/6588.6%b127/146314.6%a310/2121
10. Inclusion rate (patients included per month)0.36(29/79)6.5a(183/28)2.6b(127/48)4.0a(310/76)
11. Percentage of randomised participants who have withdrawn consent to continue in the study10.3%(3/29)9.2%a(17/183)10.2%a13/127)9.6%a30/310
Protocol compliance (adherence)
12. Percentage of protocol deviations (non-compliance with treatment scheme)6.8%(2/29)4.3%a(8/183)7.0%a(9/127)5.4%a(17/310)
Management of adverse events
13. Number of grade 3–4 related adverse events per number of enrolled participants6.8%(2/29)2.1%a(4/183)1.5%a(2/127)1.9%a6/310
14. Number of serious related adverse events reported per number of enrolled participants6.8%(2/29)3.8%a(7/183)0.7%a(1/127)2.5%a8/310