Why Would I Participate in a Clinical Trial?
There are many reasons why you might choose to join an LBD clinical trial.
You may want to:
- Help others, including future family members, who may be at risk for LBD
- Receive regular monitoring by medical professionals
- Learn about LBD and your health
- Test new treatments that might work better than those currently available
What else should I consider?
While there are benefits to participating in a clinical trial or study, there are some risks and other issues to consider as well.
Risk: Researchers make every effort to ensure participants’ safety (see below). But, all clinical trials have some risk. Before joining a clinical trial, the research team will explain what you can expect, including possible side effects or other risks. That way, you can make an informed decision about joining the trial.
Expectations and motivations: Single clinical trials and studies generally do not have miraculous results, and participants may not benefit directly. With a complex disease like LBD, it is unlikely that one drug will cure or prevent the disease.
Uncertainty: Some people are concerned that they are not permitted to know whether they are getting the experimental treatment or a placebo (inactive treatment), or may not know the results right away. Open communication with study staff can help you understand why the study is set up this way and what you can expect.
Time commitment and location: Clinical trials and studies last days to years. They usually require multiple visits to study sites, such as private research facilities, teaching hospitals, research centers, or doctors’ offices. Some studies pay participants a fee and/or reimburse travel expenses.
Study partner requirement. Many LBD trials require a caregiver or family member who has regular contact with the person to accompany the participant to study appointments. This study partner can give insight into changes in the person over time.
What happens when a person joins a clinical trial or study?
Once you identify a trial or study you are interested in, contact the study site or coordinator. You can usually find this contact information in the description of the study. Study staff will ask a few questions on the phone to determine if you meet basic qualifications for the study. If so, they will invite you to come to the study site. If you do not meet the criteria for the study, don’t give up! You may qualify for a future study.
What is informed consent?
After the research is explained and you decide to participate, you will be asked to sign an informed consent form, which states that you understand and agree to participate. This document is not a contract. You are free to withdraw from the study at any time if you change your mind or your health status changes.
Researchers must consider whether the person with LBD is able to understand and consent to participate in research. If the person cannot provide informed consent because of problems with memory and thinking, an authorized legal representative, or proxy (usually a family member), may give permission for the person to participate, particularly if the person’s durable power of attorney gives the proxy that authority. If possible, the person with LBD should also agree to participate.
Steps in Clinical Trial Participation
Here’s what happens in a trial.
- Study staff explain the trial in detail and gather more information about you.
- Once you have had all your questions answered and agree to participate, you sign an informed consent form.
- You are screened to make sure you qualify for the trial.
- If accepted into the trial, you schedule a first visit (called the “baseline” visit). The researchers conduct cognitive and/or physical tests during this visit.
- You are randomly assigned to a treatment or control group.
- You and your family members follow the trial procedures and report any issues or concerns to researchers.
- You may visit the research site at regularly scheduled times for new cognitive, physical, or other evaluations and discussions with staff. At these visits, the research team collects information about effects of the intervention and your safety and well-being.
- You continue to see your regular physician for usual health care throughout the study.
How do researchers decide who will participate?
After you consent, you will be screened by clinical staff to see if you meet the criteria to participate in the trial or if anything would exclude you. The screening may involve cognitive and physical tests.
Inclusion criteria for a trial might include age, stage of dementia, gender, genetic profile, family history, and whether or not you have a study partner who can accompany you to future visits. Exclusion criteria might include factors such as specific health conditions or medications that could interfere with the treatment being tested.
Many volunteers must be screened to find enough people for a study. Generally, you can participate in only one trial or study at a time. Different trials have different criteria, so being excluded from one trial does not necessarily mean exclusion from another.
How will my safety be protected?
Congress has passed laws to protect study participants. Today, researchers are required to follow strict rules to make sure that every participant is safe and information remains confidential. These rules are enforced by the federal government. Here are some of the safeguards in place:
Institutional Review Board (IRB): Every study site must have IRB oversight to ensure participants are not exposed to unnecessary risk. The IRB must include at least one public member.
Data and Safety Monitoring (DSM) committee: In addition to the IRB, clinical trials with potential safety concerns are monitored by a DSM committee. If the committee finds that the experimental treatment is not working or is harming participants, it will stop the trial right away.
Informed consent: Before a volunteer agrees to participate, researchers must explain the details of the study: purpose, duration, required procedures, risks, and potential benefits.
Right to withdraw: Even if volunteers sign up to participate in a research study, they can decide to withdraw at any time during the study.
Privacy: Researchers must keep health and personal information private.
Source: National Institute on Aging/National Institutes of Health, Participating in Alzheimer’s Research