Despite the FDA's five-year plan, Black patients remain inadequately represented in clinical trials for drugs Journal Article


Authors: Green, A. K.; Trivedi, N.; Hsu, J. J.; Yu, N. L.; Bach, P. B.; Chimonas, S.
Article Title: Despite the FDA's five-year plan, Black patients remain inadequately represented in clinical trials for drugs
Abstract: For decades Black patients have been underrepresented in clinical trials of new treatments. In response, in 2015 the Food and Drug Administration (FDA) launched a five-year action plan aimed at improving diversity in and transparency of pivotal clinical trials for newly approved drugs. The plan contained many action steps that were aimed at improving the racial representativeness of clinical trials and enhancing the reporting of new drug side effects and benefits across diverse populations. Yet, relying on the FDA's Drug Trials Snapshots website, we failed to find evidence that the action plan improved representation of Black trial participants. Black patients remained inadequately represented in clinical trials for drugs, with a median of one-third the enrollment that would be required, whether the trials were started before, during, or after the action plan. Fewer than 20 percent of drugs had data regarding treatment benefits or side effects reported for Black patients; neither measure improved during the action plan period.
Journal Title: Health Affairs
Volume: 41
Issue: 3
ISSN: 0278-2715
Publisher: Project HOPE  
Date Published: 2022-03-01
Start Page: 368
End Page: 374
Language: English
DOI: 10.1377/hlthaff.2021.01432
PUBMED: 35254926
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 April 2022 -- Source: Scopus
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  1. Peter Bach
    255 Bach
  2. Nancy Lynn Yu
    2 Yu
  3. Angela Kellen Green
    42 Green
  4. Jennifer J. Hsu
    1 Hsu