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Puma Biotechnology is a biopharmaceutical company dedicated to the acquisition, development, and commercialization of novel therapeutics for the treatment of cancer.

Clinical Trials
ALISCA™: ALISertib in CAncer
Real-Life Barriers to Clinical Trials & How to Get Help

Doctors look to clinical trials to learn more about cancer and how to treat it. People join clinical trials to help test potential new treatments, like new cancer drugs or ways to reduce side effects. While you may be interested in considering a clinical trial, you may also have some questions or concerns. Many people face challenges that make it hard to join a clinical trial or to stay in once it begins.1
Here are five common barriers and along with some ways to get help:
1. Clinical Trial Costs
Even though the treatment in a clinical trial is usually covered, other costs may add up.2 This might include:
- Gas, parking, or subway/bus fare
- Meals during long clinic days
- Travel to a hospital that’s far away3
What can help: Ask your clinical trial team if there is help available to reduce these costs. Some clinical trials may be able to reimburse you for things like travel, meals, or parking.3 It’s okay to ask. You could ask a question such as, “Are there any reimbursements or support programs to cover some of the costs related to this clinical trial?”
2. Daily Responsibilities
Life doesn’t stop for treatment. Some people worry about:
What can help: Talk to the clinical trial coordinator before signing up. If childcare is a concern, you can ask whether the hospital or local organizations have resources that might help. You can also ask whether anyone on your care team can point you toward local support resources for other needs or information about taking time off work.
3. Lack of Trust in the Healthcare System
It’s normal for people to have questions or feel unsure about joining a clinical trial, sometimes because of personal experiences they have had in healthcare or things they’ve heard.7
What can help: It’s always okay to ask questions and expect clear answers. You have rights as a participant, and you are in control of your decision. Every clinical trial has an Informed Consent form that explains what’s involved.8 Take your time reading it, and don’t be afraid to ask about anything that feels unclear.
4. Lack of Easy-to-Understand Information
Clinical trial information may sometimes be written in complicated medical terms.
What can help: Ask the clinical trial team to explain things in plain language.
You can also check out trusted sources such as the National Cancer Institute or the National Institutes of Health. Nonprofits like the American Cancer Society, BreastCancer.org, or GO2 for Lung Cancer also provide information about clinical trials.
5. Fear of Being a “Test Subject”
Some people worry they’ll be treated like an experiment.7
What can help: You have rights in a clinical trial. You will never be treated without your permission. You can say no or stop at any time.8 You will still receive care even if you leave the clinical trial.9
Final Thoughts
If you’re thinking about a clinical trial but feel unsure, you’re not alone. Many people have questions. There are often resources to help, like gas cards, meal support, or someone to answer your questions.
If you’re thinking about a clinical trial but feel unsure, you’re not alone. Many people have questions. There are often resources to help, like gas cards, meal support, or someone to answer your questions.
It’s important to understand your options so don’t be afraid to talk to your doctor.
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1
National Library of Medicine, Chaudhari, Nayan et al., “Recruitment and retention of the participants in clinical trials: Challenges and solutions,” Perspectives in clinical research vol. 11,2 (2020): 64-69. doi:10.4103/picr.PICR_206_19, https://pmc.ncbi.nlm.nih.gov/articles/PMC7342338/ Accessed September 17, 2025.
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2
Center for Information & Study on Clinical Research Participation, “A Guide to Costs and Payments in Clinical Trials,” Published 2021, Version 1.0 2021_08_19, https://www.ciscrp.org/wp-content/uploads/2021/09/2021_004_AguidetocostsandpaymentsinCT_v1.0_EdCtr_2021_08_19-pages.pdf Accessed September 17, 2025.
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3
National Cancer Institute, “Who Pays for Clinical Trials?,” Updated: November 7, 2024, https://www.cancer.gov/research/participate/clinical-trials/paying Accessed September 17, 2025.
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4
Journal of American Medical Association, Ganguly AP, Martin R, Barnett E, et al., “Childcare Barriers and Appointment Nonadherence Among Women in a Safety-Net Health System,” JAMA Netw Open. 2025;8(4):e254715. doi:10.1001/jamanetworkopen.2025.4715. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2832470 Accessed September 17, 2025.
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5
Sage Journals, Polick CS, Applebaum JW, Hanna C, et al., “The Impact of Pet Care Needs on Medical Decision-Making among Hospitalized Patients: A Cross-Sectional Analysis of Patient Experience,” Journal of Patient Experience. 2021;8. doi:10.1177/23743735211046089. https://journals.sagepub.com/doi/full/10.1177/23743735211046089 Accessed September 17, 2025.
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6
ASCO Publications, Ryan D. Nipp et al., “Overcoming Barriers to Clinical Trial Enrollment. Am Soc Clin Oncol Educ Book 39,” 105-114(2019). DOI:10.1200/EDBK_243729 https://ascopubs.org/doi/10.1200/EDBK_243729 Accessed September 17, 2025.
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7
National Institutes of Health, Quinn, Gwendolyn P et al. “Cancer patients' fears related to clinical trial participation: a qualitative study,” Journal of cancer education: the official journal of the American Association for Cancer Education vol. 27,2 (2012): 257-62. doi:10.1007/s13187-012-0310-y, https://pmc.ncbi.nlm.nih.gov/articles/PMC4095872/pdf/nihms594038.pdf Accessed September 17, 2025.
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8
National Institutes of Health, Shah P, Thornton I, Kopitnik NL, et al. Informed Consent. [Updated 2024 Nov 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430827/ Accessed September 17, 2025.
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9
Clinical Trials Ontario, “Learning About Clinical Trials”, https://ctontario.ca/learn-about-trials/#:~:text=Now%20that%20I'm%20finished,related%20to%20this%20follow%20up Accessed October 2, 2025.
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