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Bloodwise 15<br />
STRATEGIC REPORT<br />
Craddock and Peter Hillman and the passion of<br />
former England footballer and leukaemia survivor<br />
Geoff Thomas, we designed a solution: the Trials<br />
Acceleration Programme (TAP).<br />
The unique design of the programme enables<br />
researchers to do what they do best, which is to ask the<br />
research questions that might lead to new treatments<br />
for patients. They’re supported by a central hub in<br />
Birmingham, housed in the Cancer Research UK<br />
Clinical Trials Unit: this hub has the bureaucracy and<br />
administration of setting up trials nailed, thanks to<br />
the necessary skills in contract negotiation and ethics<br />
amongst other things. This means that everyone<br />
involved can play to their strengths and progress can<br />
be made more quickly.<br />
We’ve also provided funding for research nurses or<br />
data analysts to enable 13 centres to be networked<br />
in the TAP. This means more equal access to trials<br />
throughout the UK. And because the centres<br />
recruit patients at the same time, we accelerate the<br />
recruitment and reduce the duration of the trials.<br />
This year the two-year pilot phase of TAP was<br />
reviewed by an international panel of blood cancer<br />
and solid tumour experts from Europe and the US.<br />
It also included the director of the National Cancer<br />
Research Institute (NCRI) and representatives from<br />
pharmaceutical companies. The panel was chaired<br />
by Professor Christine Chomienne, President of the<br />
European Haematology Association.<br />
At the time of the review, 14 trials had been approved<br />
and 7 opened, with 300 patients recruited against a<br />
target accrual of 950. There are now 15 approved trials<br />
and 10 open for recruitment.<br />
The panel were unanimous in their conclusion that<br />
TAP has been a great success.<br />
The panel agreed that the pilot had tested and proven<br />
the case for a centralised hub and although the<br />
ambitious target of six months to open a trial hadn’t<br />
been met, the recruitment of patients had been on<br />
target once the trial opened.<br />
I applaud the progress you’ve<br />
made from a standing start,<br />
and I fully support you in your<br />
endeavours.<br />
A letter from Sean Duffy, National Clinical Director<br />
for Cancer, supported the panel’s conclusion.<br />
The panel especially noted innovative statistical and<br />
trial design, as well as the fact that nearly £100 million<br />
of drugs had been leveraged from pharmaceuticals<br />
during the pilot phase. One partner, Novartis, noted<br />
that TAP had enabled a 50% reduction in the cost of<br />
putting a patient through the trial.<br />
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