The Care-Integrated Clinical Trials Initiative

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The Care-Integrated Clinical Trials Act

Every patient's treatment can help the next patient. This proposed state law lets any patient get a screened, promising treatment through their own doctor, lets clinics charge enough to offer it, and publishes every result.

Millions of patients are waiting

  • 7.4M

    Americans with Alzheimer's

  • 30M

    Americans with a rare disease

  • 2.1M

    Americans diagnosed with cancer each year

  • 95%

    of rare diseases have no FDA-approved treatment

Why promising treatments go untested

  • No one pays to test old drugs

    573

    drugs proposed for Alzheimer's are mostly untested, because no company can profit from testing a drug it can't patent.

  • No one learns from patients

    99.8%

    of Alzheimer's patients are in no study, so nothing is learned from their treatment.

  • Right to Try gives makers no incentive

    $0

    profit allowed under Right to Try: makers may charge only their costs, so few offer their drugs.

What the act does

  • Review: An independent board approves each treatment, clinic and consent form.

  • Access: A treating doctor's documented recommendation and written consent are all a patient needs.

  • Payment: Clinics may charge for treatment. No insurer or state program has to pay.

  • Safety: Serious side effects are reported within five days, and an unresolved safety finding stops new patients.

  • Results: Every outcome is reported in one open format and published, de-identified.

A trial built into everyday care saved a million lives

In 2020, any UK hospital could enroll patients in RECOVERY during normal care, and outcomes came from routine records.

  • 89 days

    to show that a cheap steroid cuts deaths among the sickest COVID patients by up to a third. Typical trials take years.

  • 4

    treatments found that save lives, out of more than a dozen tested side by side.

  • $500

    per patient, 82 times less than the $41,000 of a typical trial.

The Care-Integrated Clinical Trials Act (One-Page Overview)