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Record W4415901170 · doi:10.1016/j.eclinm.2025.103555

Landscape of paediatric oncology clinical trials in Asia

2025· review· en· W4415901170 on OpenAlexaff
Muhammad Saghir Khan, Daisuke Tomizawa, Vaskar Saha, Hany Ariffin, Hiroki Hori, Ramandeep Singh Arora, Gevorg Tamamyan, Mururul Aisyi, Purna Kurkure, Bharat Agarwal, Alice L. Yu, Rashmi Dalvi, К. И. Киргизов, Bow Wen Chen, Panya Seksarn, Akira Nakagawara, Gcf Chan, Ayumu Arakawa, Yijin Gao, Shekhar Krishnan, Allen Eng Juh Yeoh, Xue-Qun Luo, Xiaofan Zhu, Atsushi Manabe, Chi Kong Li

Bibliographic record

VenueEClinicalMedicine · 2025
Typereview
Languageen
FieldMedicine
TopicPharmaceutical studies and practices
Canadian institutionsPediatric Oncology Group
Fundersnot available
KeywordsClinical trialDeveloping countryPopulationChildhood cancerSocioeconomic statusClinical researchAlternative medicineMEDLINE

Abstract

fetched live from OpenAlex

In this second paper of a Series on childhood cancer in Asia, we provide an overview on the Paediatric Oncology Clinical Trials in Asia. Asia with a population of 4.7 billion constitutes about 60% of the world's population. The continent accounts for about half of the global paediatric cancer burden. Many Asian countries have consequently formed national professional societies in childhood cancer. Multicentre clinical trials are pivotal in advancing survival outcomes in paediatric oncology. The continent's diverse socioeconomic conditions may account for significant disparities in the development of such trials. However some countries with good financial resources are relatively deficient in developing clinical trials. In general, the countries show three distinct levels of clinical trials development: established, emerging and nascent. This article reports the landscape of multicentre clinical trials in Asia and the hurdles that clinicians face to actively engage in quality research and clinical trials. Although a ‘one-size-fits-all' approach is not feasible, the successful development of clinical trials systems in some countries can offer valuable lessons and insights for others. This is the second in a Series of three papers on childhood cancer in Asia (Paper 3 appears in The Lancet Child and Adolescence Health).

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.041
metaresearch head score (Gemma)0.140
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow), Meta-epidemiology (broad), Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesMetaresearch, Research integrity
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.939
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0410.140
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0160.002
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.003
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.558
GPT teacher head0.670
Teacher spread0.112 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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