Skip to main content

Cancer: Primary, Translational Research and Clinical Trials in Sub-Saharan Africa

  • Chapter
  • First Online:
Cancer in Sub-Saharan Africa

Abstract

Primary and translational research and clinical trials in health-related issues in sub-Saharan Africa (SSA) is low but rising. They help to generate evidence which is useful for physician and patient decision making. They inform practice guidelines, quality measurement and service improvement, and they provide baseline information for product approval, organization and management decisions, program financing and priority setting. SSA is limited in conducting primary and translational research and clinical trials due to funding, logistical, and ethical barriers. Multimodal approach is necessary to scale up these forms of research in SSA. This should include rebranding and repositioning of the academic and research centers in SSA to enable researchers and scientists that work in these institutions engage in world-class research without having to emigrate. Similarly, platforms should be created for formation of partnerships and networks. The partnership can be by North to South, South to South collaboration or Public private partnership. A number of such thriving partnership exist in SSA. While more of such should be encouraged, efforts must be made to discourage extractive partner with no intention to build the system. Scaling up primary, translational and clinical research in SSA is not only vital in addressing the cancer burden in SSA, it may help to move the frontier of science to a greater height in the world.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ad Hoc Committee on Health Research. Investing in health research and development. Geneva: World Health Organisation; 1996.

    Google Scholar 

  • Adewole I, Martin DN, Williams MJ, Adebamowo C, Bhatia K, et al. Building capacity for sustainable research programmes for cancer in Africa. Nat Rev Clin Oncol. 2014;11(5):251–9.

    Article  PubMed Central  PubMed  Google Scholar 

  • Akinkugbe OO. Epidemiology of cardiovascular disease in developing countries. J Hypertens Suppl. 1990;8(7):S233–8.

    CAS  PubMed  Google Scholar 

  • Chen SM, Chou WC, Hu LY, Hsiung CN, Chu HW, Huang YL, Hsu HM, Yu JC, Shen CY. The effect of MicroRNA-124 overexpression on anti-tumor drug sensitivity. PLoS One. 2015;10(6):e0128472. doi:10.1371/journal.pone.0128472. eCollection 2015

    Article  PubMed Central  PubMed  Google Scholar 

  • Chu KM, Jayaraman S, Kyamanywa P, Ntakiyiruta G. Building research capacity in Africa: equity and global health collaborations. PLoS Med. 2014;11(3):e1001612. doi:10.1371/journal.pmed.1001612. eCollection 2014.

    Article  PubMed Central  PubMed  Google Scholar 

  • Der EM, Gyasi RK, Tettey Y, Edusei L, Bayor MT, Jiagge E, Gyakobo M, Merajver SD, Newman LA. Triple-negative breast cancer in Ghanaian women: the Korle Bu teaching hospital experience. Breast J. 2015;21(6):627–33. doi:10.1111/tbj.12527.

    Article  CAS  PubMed  Google Scholar 

  • Edejer TT. North-south research partnerships: the ethics of carrying out research in developing countries. BMJ. 1999;319(7207):438–41.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Elzawawy AM. Could African and low- and middle-income countries contribute scientifically to global cancer care? J Glob Oncol. 2015;1:49–53.

    Article  Google Scholar 

  • Emanuel EJ, Wendler D, Killen J, Grady C. What makes clinical research in developing countries ethical? The benchmarks of ethical research. J Infect Dis. 2004;189(5):930–7.

    Article  PubMed  Google Scholar 

  • Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136:E359–86. doi:10.1002/ijc.29210. PMID: 25220842

    Article  CAS  PubMed  Google Scholar 

  • Gilles HM, Lucas AO. Tropical medicine: 100 years of progress. Br Med Bull. 1998;54(2):269–80.

    Article  CAS  PubMed  Google Scholar 

  • Glasgow RE, Vinson C, Chambers D, Khoury MJ, Kaplan RM, Hunter C. National Institutes of Health approaches to dissemination and implementation science: current and future directions. Am J Public Health. 2012;102(7):1274–81. doi:10.2105/AJPH.2012.300755. Epub 2012 May 17

    Article  PubMed Central  PubMed  Google Scholar 

  • Hannan A. Could African and low- and middle-income countries contribute scientifically to global cancer care? The answer is yes. J Glob Oncol. 2016;2:97–8.

    Article  Google Scholar 

  • Isaakidis P, Swingler GH, Pienaar E, Volmink J, Ioannidis JPA. Relation between burden of disease and randomised evidence in sub-Saharan Africa: survey of research. BMJ. 2002;324:702.

    Article  PubMed Central  PubMed  Google Scholar 

  • Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA Cancer J Clin. 2011;61:69–90.

    Article  PubMed  Google Scholar 

  • Joffe S, Miller FG. Equipoise: asking the right questions for clinical trial design. Nat Rev Clin Oncol. 2012;9:230–5.

    Article  CAS  PubMed  Google Scholar 

  • Joffe S, Miller FG. Ethics of cancer clinical trials in low-resource settings. J Clin Oncol. 2014;32(28):3192–6. doi:10.1200/JCO.2014.56.9780.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS, Shackelford KA, Steiner C, Heuton KR. Global, regional, and national levels and causes of maternal mortality during 1990–2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384(9947):980–1004.

    Article  PubMed Central  PubMed  Google Scholar 

  • Khoury MJ, Gwinn M, Ioannidis JP. The emergence of translational epidemiology: from scientific discovery to population health impact. Am J Epidemiol. 2010;172(5):517–24.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kingham TP, Alatise OI. Establishing translational and clinical cancer research collaborations between high- and low-income countries. Ann Surg Oncol. 2015;22(3):741–6.

    Article  PubMed  Google Scholar 

  • Morhason-Bello IO, et al. Challenges and opportunities in cancer control in Africa: a perspective from the African organisation for research and training in cancer. Lancet Oncol. 2013;14:e142–51. S13–22

    Article  PubMed  Google Scholar 

  • Olurin EO. Surgical techniques in giant goitres. Br J Surg. 1971;58(10):739–46.

    Article  CAS  PubMed  Google Scholar 

  • Osuntokun BO, Monekosso GL, Wilson J. Relationship of a degenerative tropical neuropathy to diet: report of a field survey. BMJ. 1969;643:547–50.

    Article  Google Scholar 

  • Pallangyo K, Debas HT, Lyamuya E, Loeser H, Mkony CA, et al. Partnering on education for health: Muhimbili University of Health and Allied Sciences and the University of California San Francisco. J Public Health Policy. 2012; 33: Suppl 1:S13–22.

    Google Scholar 

  • Rahman M, Fukui T. Biomedical publication – global profile and trend. Public Health. 2003;117:274–80.

    Article  PubMed  Google Scholar 

  • Ravishankar N, Gubbins P, Cooley RJ, et al. Financing of global health: tracking development assistance for health from 1990 to 2007. Lancet. 2009;373:2113–24.

    Article  PubMed  Google Scholar 

  • Ribband CR. Camp-siting in malarious districts of West Africa. J R Army Med Corps. 1944;82:157–64.

    Google Scholar 

  • Runyon MS, Sawe HR, Levine AC, Pousson A, House DR, Agrawal P, Osei-Ampofo M, Weiner SG, Douglass K. Clinical and translational research in global health and emergency care: a research agenda. Acad Emerg Med. 2013;20(12):1272–7. doi:10.1111/acem.12268.

    Article  PubMed  Google Scholar 

  • Stewart BW, Wild CP, editors. World cancer report 2014. Lyon: International Agency for Research on Cancer; 2014.

    Google Scholar 

  • Sylla BS, Wild CP. A million Africans a year dying from cancer by 2030: what can cancer research and control offer to the continent? Int J Cancer. 2012;130(2):245–50.

    Article  CAS  PubMed  Google Scholar 

  • Tinto H, Noor RA, Wanga CL, et al. Good clinical practice in resource-limited settings: translating theory into practice. Am J Trop Med Hyg. 2013;88:608–13.

    Article  PubMed Central  PubMed  Google Scholar 

  • Trostle J. Research capacity building in international health: definitions, evaluations and strategies for success. Soc Sci Med. 1992;35:1321–4.

    Article  CAS  PubMed  Google Scholar 

  • Tunis SR, Stryer DB, Clancy CM. Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy. JAMA. 2003;290(12):1624–32.

    Article  CAS  PubMed  Google Scholar 

  • UNESCO. UNESCO science report: current status of science around the world. unesdoc.unesco.org/images/0018/001899/189958e.pdf (2010).

  • United Nations. General Assembly. Political declaration of the high-level meeting of the general assembly on the prevention and control of noncommunicable diseases. Sixty–sixth session, agenda item 117. Doc. A/66/L.1. September 16, 2011.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Olusegun Isaac Alatise MBChB, MSc, FWACS, FMCS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Alatise, O.I., Kingham, T.P. (2017). Cancer: Primary, Translational Research and Clinical Trials in Sub-Saharan Africa. In: Adedeji, O. (eds) Cancer in Sub-Saharan Africa. Springer, Cham. https://doi.org/10.1007/978-3-319-52554-9_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-52554-9_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52553-2

  • Online ISBN: 978-3-319-52554-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics