Development of a clinical trial knowledge management application for community oncology.

Journal: JAMIA open
Published Date:

Abstract

INTRODUCTION: Participation in cancer clinical trials is low in community oncology settings, partly because institution-specific trial information is fragmented. We evaluated feasibility of embedding curated trial content in an AI-enabled knowledge management application. MATERIALS AND METHODS: At a regional community oncology network, coordinators and disease teams compiled actively recruiting trials. Core elements (title, conditions, biomarkers, stage/line, and recruiting status) were structured for point-of-care display and uploaded. AI-assisted extraction generated protocol summaries and eligibility elements, which underwent systematic human validation. RESULTS: Fifty-three trials across 10 disease groups were embedded and validated; 91% were recruiting. Trials covered 28 cancer types; 30% were biomarker-specific and most enrolled advanced/metastatic disease. Initial configuration took 2-4 weeks per disease group using existing personnel, without added staffing or electronic health record (EHR) build. DISCUSSION: Embedding institution-specific trial content within an AI-enabled knowledge application is feasible in community oncology using existing clinical and research infrastructure, establishing a prerequisite for future usability and implementation studies.

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