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Incorporating transgender and nonbinary participants in phase 1 clinical drug trials: Current knowledge gaps and considerations

Title: Incorporating transgender and nonbinary participants in phase 1 clinical drug trials: Current knowledge gaps and considerations
Authors: Walker, Lauren E.; Stackpoole, Michael; Hodge, Daryl; FitzGerald, Richard
Source: British Journal of Clinical Pharmacology ; volume 90, issue 10, page 2343-2348 ; ISSN 0306-5251 1365-2125
Publisher Information: Wiley
Publication Year: 2024
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Phase 1 clinical drug trials critically depend on the participation of healthy volunteers to evaluate the safety and pharmacokinetics of new medicinal products. Current selection criteria and health definitions often overlook the unique health profiles of transgender and nonbinary individuals, potentially excluding them from participating in these essential early‐stage studies. This review aims to identify and discuss current knowledge gaps and considerations regarding the inclusion of transgender and nonbinary participants in phase 1 clinical drug trials. We highlight the need for research on how gender‐affirming hormone therapy may affect drug pharmacokinetics and call for the development of inclusive biological reference ranges that account for the physiological effects of hormone therapies.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1111/bcp.16073
Availability: https://doi.org/10.1111/bcp.16073; https://bpspubs.onlinelibrary.wiley.com/doi/pdf/10.1111/bcp.16073
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.314F680
Database: BASE