Clinical Trials in the Tropical Area


Geographic location

Areas of interest


International Network for Cancer Treatment and Research (INCTR)

HQ in Brussels

Offices worldwide

Build capacity for cancer research and treatment in developing countries

Cancer Therapeutics Research Group (CTRG)

Singapore, Australia, Korea, Hong Kong, Taiwan

Drug development

African Organisation for Research and Training in Cancer (AORTIC)


Promotion of cancer control in Africa

American Society of Clinical Oncology (ASCO) International

Based in Virginia, USA

Wide range of initiatives to promote new research and cancer awareness

International Agency for Research on Cancer (IARC)

Based in Lyon, France (part of the World Health Organisation)

To conduct research on causes of human cancer and mechanisms of carcinogenesis and to develop scientific strategies for cancer prevention and control

Union for International Cancer Control (UICC)

Based in Geneva

To reduce the global cancer burden, to promote greater equity and to integrate cancer control into the world health and development agenda

6 How to Stimulate Clinical Trials in Tropical Countries

There is a pressing need for clinical trials to address cancer prevention, diagnosis and treatment in tropical countries with limited resources. While Pharma might be attracted to recruiting patients from tropical countries to trials that address new treatments for common cancers, they are likely to profit from marketing new drugs only in wealthy developed countries and have, in general, refused to make any concessions in drug pricing to allow patients in poor countries to receive them, even in the face of strong evidence that they enhance survival, and regardless of whether some of that evidence came from participation of patients in tropical countries. That is unlikely to change, and governments of such countries are either unable or unwilling to support cancer clinical trials. So how can oncologists in tropical countries engage in clinical research to support the well-being of their patients?

There are no simple answers to the above questions, but some strategies are suggested below.


Education about the nature and requirements for clinical research is now easier to disseminate, both because of ready access to the internet and the educational outreach of organisations such as those listed in Table 1. Funding is available (although competitive) to allow young oncologists to participate in courses such as ACORD and other clinical trials workshops. This type of education should be encouraged.

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Sep 20, 2016 | Posted by in HEMATOLOGY | Comments Off on Clinical Trials in the Tropical Area
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