AEGiS-GMHC: New York AIDS Trial Sites Cancelled Gay Men's Health CrisisImportant note: Information in this article was accurate in 1994. The state of the art may have changed since the publication date.
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New York AIDS Trial Sites Cancelled

Gay Men's Health Crisis: Treatment Issues, Volume 8 no. 9 - October 1994
Saundra Johnson


The Terry Beirn Community Programs for Clinical Research on AIDS (CPCRA) has defunded three of its four New York City sites. This action puts in jeopardy New York's ability to offer HIV/AIDS clinical trials to underserved populations, a goal included in the CPCRA mission statement. The CPCRA, which is sponsored by the National Institute of Allergy and Infectious Diseases (NIAID), is a network of sixteen community-based organizations that is supposed to carry out studies of new treatments within the context of ordinary medical care.

The decision is the result of a "recompetition" in which participating groups and proposed new groups were evaluated to find which can best fulfill the CPCRA's mission. In all, four organizations lost their funding. The defunded New York City groups are: the Addiction Research and Treatment Corporation in Brooklyn, Bronx Lebanon Hospital Center, and Clinical Directors Network of Region II, which is based in Manhattan and also has sites in Newark.

The canceled New York sites account for 59.6 percent of the total number of Latinos, 26.7 percent of the total number of African Americans, 39.7 percent of the total number of women, and 47.2 percent of the total number of injection drug users enrolled in CPCRA trials nationally. Moreover, achieving the planned enrollment in the tuberculosis prophylaxis and treatment trials will be impossible without further accrual at the New York sites.

NIAID has convened a task force to determine the effect the defunding will have on TB trials in New York and nationally. In addition, state and local officials have questioned the fairness of the peer selection process that reviewed the performance of CPCRA units and are demanding an investigation of how this process was conducted.

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