Alexander – Interview 55

Soon after diagnosis Alexander was invited to take part in a clinical trial by the consultant at the hospital. The trial is a randomised placebo controlled drugs trial and is double blind. Alexander is hoping that by taking part his health will improve.

Alexander is 18 years of age, White British and lives with his mum. Due to missing so much education through illness, and taking part in the trial Alexander is going to re-sit his A levels as soon as possible.

At the age of 16, Alexander was diagnosed with systemic juvenile polyarthritis. It was after the diagnosis that he was invited to take part in a drugs trial by a consultant at the hospital. At first Alexander was a bit worried about taking part in a trial testing a drug. He was also concerned about some of the potential side effects that included cancer. He also felt that the information he received was limited and used a lot of medical terms he did not understand. Alexander had the opportunity to ask questions about taking part in the trial. He wanted to know how taking part might affect him long term including going to university and having children. Although Alexander felt the research team was keen for him to take part, he discussed the trial with his mum and a few close friends before making a decision. He decided to take part and signed a consent form. He hopes that taking part will help improve his health and to regain some normality; in his life and be more active.

Before entering the trial, Alexander had to meet criteria to ensure he was eligible to take part. This included having five or more joints affected by arthritis, high temperatures, and a skin rash. Because he met all the criteria he was able to start the trial. He was randomised to receive the drug or the placebo. However, since being in the trial, Alexander has experienced some side effects. He has to report any side effects to the research team and has to keep records at home of his health including any headaches and medication taken.

He says that taking part can sometimes interfere with life in that he may have to miss social events or going out with friends if he has a hospital appointment. There have been times when Alexander has considered withdrawing from the trial when things have got difficult. For example, there were times when he felt frustrated with some of the side effects such as lack of sleep and skin problems. However, he then feels that if he comes out he may get worse. He says you really have to think carefully before withdrawing from a trial it isn’t a decision that can be made in a split-second;. However, he is unsure if he would take part in any future drugs trials because they can be quite restricting and he now has his career and future to think about.

Alexander would like to know if being in a trial has helped other young people with arthritis.

Age at interview 18

Gender Male

Age at diagnosis 16

Taking part in a trial can mean extra hospital appointments, missing social activities, and…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander says if you are going to take part in a trial make sure you understand the jargon that…

Age at interview 18

Gender Male

Age at diagnosis 16

Having a quiet area for young people to study Alexander feels would be really helpful when they…

Age at interview 18

Gender Male

Age at diagnosis 16

At the end of the trial Alexander thinks he will be taken off the trial drug, but if his health…

Age at interview 18

Gender Male

Age at diagnosis 16

Even though his health is closely monitored, Alexander sometimes feels that personal feedback is…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander sometimes thinks about dropping out because of unpleasant side effects of the trial…

Age at interview 18

Gender Male

Age at diagnosis 16

Soon after taking the medication Alexander felt poorly, and he sometimes found it hard to cope,…

Age at interview 18

Gender Male

Age at diagnosis 16

Soon after starting one stage of the trial Alexander noticed his arthritis symptoms getting worse…

Age at interview 18

Gender Male

Age at diagnosis 16

Doctors and patients need to exchange information about any new side effects and you may need to…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander was studying for his A levels at the time of the trial and had to organise his study…

Age at interview 18

Gender Male

Age at diagnosis 16

Payment for taking part in trials can be a good thing, but it can also attract people to take…

Age at interview 18

Gender Male

Age at diagnosis 16

The costs of travelling back and forth to hospitals in trials can mount up, but Alexander feels…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander was given a booklet to keep a daily record of his health including his temperature as…

Age at interview 18

Gender Male

Age at diagnosis 16

Taking part in double-blinded trials and not knowing which drug you are taking can feel a little…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander had to have a certain number of symptoms before he was eligible to take part.

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander took part in the trial because he wanted to do anything that might make him feel normal…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander feels it really matters how health professionals communicate to young people at a time…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander had some unanswered questions, including how the trial drug might affect his fertility,…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander also feels that Information about trial drugs can be confusing and also worrying,…

Age at interview 18

Gender Male

Age at diagnosis 16

Even though researchers do their best to make trial information easy to read, Alexander feels…

Age at interview 18

Gender Male

Age at diagnosis 16

Even though everything is explained and you are given plenty of information, Alexander feels that…

Age at interview 18

Gender Male

Age at diagnosis 16

Alexander understands that the trial was to find out any side effects of the drug. He has…

Age at interview 18

Gender Male

Age at diagnosis 16