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Disparate inclusion of older adults in clinical trials: priorities and opportunities for policy and practice change

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  • Herrera, A.P.
  • Snipes, S.A.
  • King, D.W.
  • Torres-Vigil, I.
  • Goldberg, D.S.
  • Wenberg, A.D.

Abstract

Older adults are vastly underrepresented in clinical trials in spite of shouldering a disproportionate burden of disease and consumption of prescription drugs and therapies, restricting treatments' generalizability, efficacy, and safety. Eliminating Disparities in Clinical Trials, a national initiative comprising a stakeholder network of researchers, community advocates, policymakers, and federal representatives, undertook, a critical analysis of older adults' structural barriers to clinical trial participation. We present practice and policy change recommendations emerging from this process and their rationale, which spanned multiple themes: (1) decision making with cognitively impaired patients; (2) pharmacokinetic differences and physiological age; (3) health literacy, communication, and aging; (4) geriatric training; (5) federal monitoring and accountability; (6) clinical trial costs; and (7) cumulative effects of aging and ethnicity. Chronic Disease Revention and Control Research.

Suggested Citation

  • Herrera, A.P. & Snipes, S.A. & King, D.W. & Torres-Vigil, I. & Goldberg, D.S. & Wenberg, A.D., 2010. "Disparate inclusion of older adults in clinical trials: priorities and opportunities for policy and practice change," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 105-112.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.162982_5
    DOI: 10.2105/AJPH.2009.162982
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    Cited by:

    1. Valentyn Litvin, 2020. "When ignorance is bliss: Intentional agnosticism in drug approval," Health Economics, John Wiley & Sons, Ltd., vol. 29(2), pages 185-194, February.
    2. Lorraine Greaves & Andreea C. Brabete & Mira Maximos & Ella Huber & Alice Li & Mê-Linh Lê & Sherif Eltonsy & Madeline Boscoe, 2023. "Sex, Gender, and the Regulation of Prescription Drugs: Omissions and Opportunities," IJERPH, MDPI, vol. 20(4), pages 1-19, February.
    3. Jesse M. Bell & Tina M. Mason & Harleah G. Buck & Cindy S. Tofthagen & Allyson R. Duffy & Maureen W. Groër & James P. McHale & Kevin E. Kip, 2021. "Challenges in Obtaining and Assessing Salivary Cortisol and α-Amylase in an Over 60 Population Undergoing Psychotherapeutic Treatment for Complicated Grief: Lessons Learned," Clinical Nursing Research, , vol. 30(5), pages 680-689, June.
    4. Valérie Seegers & Ludovic Trinquart & Isabelle Boutron & Philippe Ravaud, 2013. "Comparison of Treatment Effect Estimates for Pharmacological Randomized Controlled Trials Enrolling Older Adults Only and Those including Adults: A Meta-Epidemiological Study," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-5, May.
    5. Divyanshu Raheja & Evelyn P. Davila & Eric T. Johnson & Rijalda Deović & Michele Paine & Nadine Rouphael, 2018. "Willingness to Participate in Vaccine-Related Clinical Trials among Older Adults," IJERPH, MDPI, vol. 15(8), pages 1-12, August.

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