Randomized Clinical Trials on Breast Cancer in Nigeria and Other Developing Countries: Challenges and Constraints

Worldwide, breast cancer is the commonest cancer among women, and its incidence is rising exponentially particularly in developing countries. Compared with Caucasian women, women in developing countries experience a disproportionate burden of aggressive Triple Negative Breast Cancer for reasons that remain unknown and understudied. There is a high incidence of late stage presentation, low level of public awareness of the disease, suboptimal health infrastructure, lack of universal access to affordable interventions and poor prognosis.