BackTable Urology
Ep. 207 Integrating Clinical Trials into Routine Urology Practice with Dr. Behfar Ehdaie
Tue, 31 Dec 2024
How can urologists run clinical trials efficiently while improving enrollment and reducing costs? In this episode of the BackTable Urology Podcast, Dr. Behfar Ehdaie, a urologic oncologist at Memorial Sloan Kettering Cancer Center, joins host Dr. Aditya Bagrodia to discuss methods and practical implementation strategies for clinical trials in urology. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS First, Dr. Ehdaie shares personal experiences from starting pilot trials, engaging stakeholders, and integrating trial processes into clinical practice. He also discusses mechanisms to reduce cost and improve enrollment while explaining the concept of two-stage consent to minimize patient anxiety. This episode aims to provide valuable pearls for young investigators and experienced practitioners alike on conducting successful clinical trials. --- TIMESTAMPS 00:00 - Introduction 04:39 - Challenges in Clinical Trials 06:21 - Case Study: Focal Therapy Trial 16:45 - Case Study: Hernia Trial 20:17 - Innovation in Clinical Trials 26:25 - Two-Stage Consent 36:11 - Final Thoughts --- RESOURCES Photocure https://www.photocure.com/
Full Episode
This week on the Backtable Podcast.
I had a fellow once who was really interested in kidney cancer and he goes, how do I become a kidney cancer expert in my institution when I'm going and there's five, six other people doing kidney cancer surgery? Well, I said, go to the cooperative group, bring a high-risk kidney cancer protocol to your institution. You don't need to be the one who wrote the protocol.
You just have to be the site PI, which the overall PI would love for you to do that. The protocol is written. You just need to enroll patients and now you can talk about your trial at your institution. You'll have patients directed to you who are eligible for that trial.
Hello, everyone, and welcome back to the Backtable podcast, your source for all things urology. You can find all previous episodes of our podcast on iTunes, Spotify, and at backtable.com. This is Aditya Bagrodia as your host this week, and I'm very excited to introduce our guest today, Bifar Adai from Memorial Sloan Kettering, Department of Urology. Bifar, how's it going today?
It's great to see you again, Aditya. Yeah, pleasure's all mine. You know, I had the good fortune of training under Bafar when I was a fellow there. Very, very thoughtful clinician, exquisite surgeon, and, you know, my opinion has... properly, methodically moved our field forward substantially, particularly with prostate cancer.
So today we're going to talk about, you know, the technical title is Novel Methods in Clinical Trials. And maybe I'll just extend that a bit into...
practical implementation strategies to study new ideas in a way that's safe effective and perhaps not overly onerous as well so before maybe if you don't mind share a little bit about you know how your interest in clinical trials and moving the needle kind of began
Well, thank you for that. And, you know, my interest in both research and clinical trials is very similar to, I'm sure, many urology residents and fellows who start their career. We want to make a big difference. We understand that retrospective papers and studies are important.
But ultimately, to understand the impact of any of our either decisions, interventions, we need to do randomized controlled trials. And those trials still remain the landmarks of our education when we look back at what we've learned. So our goal and many goals like mine was to just be able to contribute to the field in a small way. And the experience happened, you know, very early on in my career.
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