Enhancing vaccine clinical trials participation among elderly: challenges and strategies

Abstract As the fastest growing demographic worldwide, the elderly population is projected to reach nearly 1 billion by 2030 and double the 2022 number by 2050. Despite being the largest consumers of medications, they have been historically underrepresented in clinical trials. However, we are witnes...

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Main Authors: Paul Gillard, Samer Nakhle, Darin Brimhall, Ouzama Henry, Narcisa Mesaros
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Trials
Online Access:https://doi.org/10.1186/s13063-025-08754-5
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author Paul Gillard
Samer Nakhle
Darin Brimhall
Ouzama Henry
Narcisa Mesaros
author_facet Paul Gillard
Samer Nakhle
Darin Brimhall
Ouzama Henry
Narcisa Mesaros
author_sort Paul Gillard
collection DOAJ
description Abstract As the fastest growing demographic worldwide, the elderly population is projected to reach nearly 1 billion by 2030 and double the 2022 number by 2050. Despite being the largest consumers of medications, they have been historically underrepresented in clinical trials. However, we are witnessing a promising shift as their participation in trials is on the rise. In fact, recent megatrials enrolling more than 30,000 elderly participants demonstrated the feasibility of large-scale clinical trials involving this very specific population. However, unique challenges, including multi-morbidities, frailty, and ethically sound informed consent in those with cognitive deficits, require continuous careful reassessments and flexibility. Creative and tailored strategies are of paramount importance to bolster elderly trial participation. This paper highlights challenges and shares our experiences on novel methods and success stories associated with the enrollment and retention of elderly individuals in clinical trials. Successful tactics to balance the burden of clinical trial participation with its benefits encompass regular contact, family and friends’ engagement, making travel easier or unnecessary, use of digital tools, and building relationships with community organizations. Through innovative strategies that consider the unique needs and limitations of this population, we can achieve successful participation in clinical trials. This will lead to more effective treatments and interventions for our growing elderly population.
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spelling doaj-art-4dee619ec6b94506aafcf4f704b661f22025-02-09T12:53:20ZengBMCTrials1745-62152025-02-012611510.1186/s13063-025-08754-5Enhancing vaccine clinical trials participation among elderly: challenges and strategiesPaul Gillard0Samer Nakhle1Darin Brimhall2Ouzama HenryNarcisa Mesaros3PPD Clinical Research Business of Thermo Fisher ScientificPalm Medical GroupPPD Clinical Research Business of Thermo Fisher ScientificPPD Clinical Research Business of Thermo Fisher ScientificAbstract As the fastest growing demographic worldwide, the elderly population is projected to reach nearly 1 billion by 2030 and double the 2022 number by 2050. Despite being the largest consumers of medications, they have been historically underrepresented in clinical trials. However, we are witnessing a promising shift as their participation in trials is on the rise. In fact, recent megatrials enrolling more than 30,000 elderly participants demonstrated the feasibility of large-scale clinical trials involving this very specific population. However, unique challenges, including multi-morbidities, frailty, and ethically sound informed consent in those with cognitive deficits, require continuous careful reassessments and flexibility. Creative and tailored strategies are of paramount importance to bolster elderly trial participation. This paper highlights challenges and shares our experiences on novel methods and success stories associated with the enrollment and retention of elderly individuals in clinical trials. Successful tactics to balance the burden of clinical trial participation with its benefits encompass regular contact, family and friends’ engagement, making travel easier or unnecessary, use of digital tools, and building relationships with community organizations. Through innovative strategies that consider the unique needs and limitations of this population, we can achieve successful participation in clinical trials. This will lead to more effective treatments and interventions for our growing elderly population.https://doi.org/10.1186/s13063-025-08754-5
spellingShingle Paul Gillard
Samer Nakhle
Darin Brimhall
Ouzama Henry
Narcisa Mesaros
Enhancing vaccine clinical trials participation among elderly: challenges and strategies
Trials
title Enhancing vaccine clinical trials participation among elderly: challenges and strategies
title_full Enhancing vaccine clinical trials participation among elderly: challenges and strategies
title_fullStr Enhancing vaccine clinical trials participation among elderly: challenges and strategies
title_full_unstemmed Enhancing vaccine clinical trials participation among elderly: challenges and strategies
title_short Enhancing vaccine clinical trials participation among elderly: challenges and strategies
title_sort enhancing vaccine clinical trials participation among elderly challenges and strategies
url https://doi.org/10.1186/s13063-025-08754-5
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AT darinbrimhall enhancingvaccineclinicaltrialsparticipationamongelderlychallengesandstrategies
AT ouzamahenry enhancingvaccineclinicaltrialsparticipationamongelderlychallengesandstrategies
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