Eliminating the Financial Burden for Patients

The Equitable Access to Clinical Trials (EACT) project provides a forum for sharing best practices and fosters collaborative action to advance financial neutrality for patients participating in clinical trials.

  • By “financial neutrality,” we mean reducing or removing non-medical, out-of-pocket costs to clinical trial participants through financial support programs offered by the trial sponsor (or other entity). These may be costs associated with travel, lodging, meals, lost wages, and care of children, elders, and pets for patients and/or caregivers.

    Patients cite cost as a top reason for declining clinical trial participation​. The role that financial considerations play in influencing someone’s decision to join and/or stay in a study differs according to a range of factors: geography, personal support network, employment and/or government assistance status, and more. Without comprehensive, explicit regulatory guidance on the acceptability of financial support for trial participants, sponsor and IRB interpretations of what is fair, compliant, and achievable will continue to vary​.

    The initiative, hosted by LUNGevity Foundation, consists of a steering group and three working groups tasked with:

    —Identifying best practices and defining industry consensus standards for reimbursement programs

    —Defining and clarifying tax and legal issues with reimbursement programs

    —Expanding efforts to educate patients and healthcare providers about the availability of reimbursement.

Resources

Participant Needs Assessment and Discussion Guide

A tool to aid clinical trial site personnel in determining patients’ assistance needs and directing them to resources

LEARN MORE


Advancing Equitable Access to Clinical Trials: Eliminating the Financial Burden for Patients

Best practice considerations and recommended approaches for sponsors

LEARN MORE

Engaging with Sponsors About Financial Support Programs for Participants

A checklist to help clinical trial staff ensure that study participants get the support they need

LEARN MORE


Tax and Legal Considerations for Compensation Programs for Clinical Trial Participants

Policy solutions for mitigating both perceived and actual risks

LEARN MORE

We’ve been cited!

Read the article here from STAT.

Steering Group

Wendy Selig, WSCollaborative

Chelsea Backler, Oncology Nursing Society

Elizabeth Barksdale, LUNGevity Foundation

Barbara Bierer, Multi-Regional Clinical Trials Center

Colleen Cook, Mirati/Bristol Myers Squibb

Willyanne Decormier Plosky, Multi-Regional Clinical Trials Center

Gissoo Decotiis, Daiichi Sankyo

Elizabeth George, LabCorp

David Gerber, UT Southwestern Comprehensive Cancer Center

Cecile Gonzalez-Cerimele, Lilly

Keri McDonough

Erin Miller, Lazarex Cancer Foundation

Diana Pankevich, Pfizer

Sandra Shaw, Mirati/Bristol Myers Squibb

Marc Taylor, Pfizer

Participating Organizations