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Oronsky B, Burbano E, Stirn M, Brechlin J, Abrouk N, Caroen S, Coyle A, Williams J, Cabrales P, Reid TR. Data Management 101 for drug developers: A peek behind the curtain. Clin Transl Sci 2023; 16:1497-1509. [PMID: 37382299 PMCID: PMC10499417 DOI: 10.1111/cts.13582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 06/11/2023] [Accepted: 06/20/2023] [Indexed: 06/30/2023] Open
Abstract
In drug development a frequently used phrase is "data-driven". Just as high-test gas fuels a car, so drug development "runs on" high-quality data; hence, good data management practices, which involve case report form design, data entry, data capture, data validation, medical coding, database closure, and database locking, are critically important. This review covers the essentials of clinical data management (CDM) for the United States. It is intended to demystify CDM, which means nothing more esoteric than the collection, organization, maintenance, and analysis of data for clinical trials. The review is written with those who are new to drug development in mind and assumes only a passing familiarity with the terms and concepts that are introduced. However, its relevance may also extend to experienced professionals that feel the need to brush up on the basics. For added color and context, the review includes real-world examples with RRx-001, a new molecular entity in phase III and with fast-track status in head and neck cancer, and AdAPT-001, an oncolytic adenovirus armed with a transforming growth factor-beta (TGF-β) trap in a phase I/II clinical trial with which the authors, as employees of the biopharmaceutical company, EpicentRx, are closely involved. An alphabetized glossary of key terms and acronyms used throughout this review is also included for easy reference.
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Affiliation(s)
| | | | | | | | - Nacer Abrouk
- Clinical Trial InnovationsMountain ViewCaliforniaUSA
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Wang B, Lai J, Liao X, Jin F, Yao C. Challenges and Solutions in Implementing eSource Technology for Real-World Studies in China: Qualitative Study Among Different Stakeholders. JMIR Form Res 2023; 7:e48363. [PMID: 37561551 PMCID: PMC10450541 DOI: 10.2196/48363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 07/07/2023] [Accepted: 07/17/2023] [Indexed: 08/11/2023] Open
Abstract
BACKGROUND eSources consist of data that were initially documented in an electronic structure. Typically, an eSource encompasses the direct acquisition, compilation, and retention of electronic information (such as electronic health records [EHRs] or wearable devices), which serves to streamline clinical research. eSources have the potential to enhance the accuracy of data, promote patient safety, and minimize expenses associated with clinical trials. An opinion study published in September 2020 by TransCelerate outlined a road map for the future application of eSource technology and identified 5 key areas of challenges. The background of this study concerns the use of eSource technology in clinical research. OBJECTIVE The aim of this study was to present challenges and possible solutions for the implementation of eSource technology in real-world studies by summarizing team experiences and lessons learned from an eSource record (ESR) project. METHODS After initially developing a simple prototype of the ESR software that can be demonstrated systematically, the researchers conducted in-depth interviews and interacted with different stakeholders to obtain guidance and suggestions. The researchers selected 5 different roles for interviewees: regulatory authorities, pharmaceutical company representatives, hospital information department employees, medical system providers, and clinicians. RESULTS After screening all consultants, the researchers concluded that there were 25 representative consultants. The hospital information department needs to implement many demands from various stakeholders, which makes the existing EHR system unable to meet all the demands of eSources. The emergence of an ESR is intended to divert the burden of the hospital information department from the enormous functional requirements of the outdated EHR system. The entire research process emphasizes multidisciplinary and multibackground expert opinions and considers the complexity of the knowledge backgrounds of personnel involved in the chain of clinical source data collection, processing, quality control, and application in real-world scenarios. To increase the readability of the results, the researchers classified the main results in accordance with the paragraph titles in "Use of Electronic Health Record Data in Clinical Investigations," a guide released by the US Food and Drug Administration. CONCLUSIONS This study introduces the requirement dependencies of different stakeholders and the challenges and recommendations for designing ESR software when implementing eSource technology in China. Experiences based on ESR projects will provide new insights into the disciplines that advance the eSource research field. Future studies should engage patients directly to understand their experiences, concerns, and preferences regarding the implementation of eSource technology. Moreover, involving additional stakeholders, including community health care providers and social workers, will provide valuable insights into the challenges and potential solutions across various health care settings.
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Affiliation(s)
- Bin Wang
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China
| | - Junkai Lai
- Institute of Automation, Chinese Academy of Sciences, Beijing, China
- Hangzhou LionMed Medical Information Technology Co., Ltd, Hangzhou, China
| | - Xiwen Liao
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China
| | - Feifei Jin
- Trauma Medicine Center, Peking University People's Hospital, Beijing, China
- Key Laboratory of Trauma Treatment and Neural Regeneration, Peking University, Ministry of Education, Beijing, China
- National Center for Trauma Medicine of China, Beijing, China
| | - Chen Yao
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China
- Hainan Institute of Real World Data, Qionghai, China
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Eisenstein EL, Zozus MN, Garza MY, Lanham HJ, Adagarla B, Walden A, Benjamin DK, Zimmerman KO, Kumar KR. Assessing clinical site readiness for electronic health record (EHR)-to-electronic data capture (EDC) automated data collection. Contemp Clin Trials 2023; 128:107144. [PMID: 36898625 PMCID: PMC10164080 DOI: 10.1016/j.cct.2023.107144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 02/13/2023] [Accepted: 03/05/2023] [Indexed: 03/11/2023]
Abstract
BACKGROUND eSource software is used to automatically copy a patient's electronic health record data into a clinical study's electronic case report form. However, there is little evidence to assist sponsors in identifying the best sites for multi-center eSource studies. METHODS We developed an eSource site readiness survey. The survey was administered to principal investigators, clinical research coordinators, and chief research information officers at Pediatric Trial Network sites. RESULTS A total of 61 respondents were included in this study (clinical research coordinator, 22; principal investigator, 20; and chief research information officer, 19). Clinical research coordinators and principal investigators ranked medication administration, medication orders, laboratory, medical history, and vital signs data as having the highest priority for automation. While most organizations used some electronic health record research functions (clinical research coordinator, 77%; principal investigator, 75%; and chief research information officer, 89%), only 21% of sites were using Fast Healthcare Interoperability Resources standards to exchange patient data with other institutions. Respondents generally gave lower readiness for change ratings to organizations that did not have a separate research information technology group and where researchers practiced in hospitals not operated by their medical schools. CONCLUSIONS Site readiness to participate in eSource studies is not merely a technical problem. While technical capabilities are important, organizational priorities, structure, and the site's support of clinical research functions are equally important considerations.
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Affiliation(s)
| | - Meredith N Zozus
- University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
| | - Maryam Y Garza
- University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
| | - Holly J Lanham
- University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
| | | | - Anita Walden
- Oregon Health & Science University, Portland, OR 97239, USA..
| | | | | | - Karan R Kumar
- Duke Clinical Research Institute, Durham, NC 27701, USA.
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Mavragani A, Lai J, Jin F, Liao X, Zhu H, Yao C. Clinical Source Data Production and Quality Control in Real-world Studies: Proposal for Development of the eSource Record System. JMIR Res Protoc 2022; 11:e42754. [PMID: 36563036 PMCID: PMC9823571 DOI: 10.2196/42754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 11/18/2022] [Accepted: 11/21/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND An eSource generally includes the direct capture, collection, and storage of electronic data to simplify clinical research. It can improve data quality and patient safety and reduce clinical trial costs. There has been some eSource-related research progress in relatively large projects. However, most of these studies focused on technical explorations to improve interoperability among systems to reuse retrospective data for research. Few studies have explored source data collection and quality control during prospective data collection from a methodological perspective. OBJECTIVE This study aimed to design a clinical source data collection method that is suitable for real-world studies and meets the data quality standards for clinical research and to improve efficiency when writing electronic medical records (EMRs). METHODS On the basis of our group's previous research experience, TransCelerate BioPharm Inc eSource logical architecture, and relevant regulations and guidelines, we designed a source data collection method and invited relevant stakeholders to optimize it. On the basis of this method, we proposed the eSource record (ESR) system as a solution and invited experts with different roles in the contract research organization company to discuss and design a flowchart for data connection between the ESR and electronic data capture (EDC). RESULTS The ESR method included 5 steps: research project preparation, initial survey collection, in-hospital medical record writing, out-of-hospital follow-up, and electronic case report form (eCRF) traceability. The data connection between the ESR and EDC covered the clinical research process from creating the eCRF to collecting data for the analysis. The intelligent data acquisition function of the ESR will automatically complete the empty eCRF to create an eCRF with values. When the clinical research associate and data manager conduct data verification, they can query the certified copy database through interface traceability and send data queries. The data queries are transmitted to the ESR through the EDC interface. The EDC and EMR systems interoperate through the ESR. The EMR and EDC systems transmit data to the ESR system through the data standards of the Health Level Seven Clinical Document Architecture and the Clinical Data Interchange Standards Consortium operational data model, respectively. When the implemented data standards for a given system are not consistent, the ESR will approach the problem by first automating mappings between standards and then handling extensions or corrections to a given data format through human evaluation. CONCLUSIONS The source data collection method proposed in this study will help to realize eSource's new strategy. The ESR solution is standardized and sustainable. It aims to ensure that research data meet the attributable, legible, contemporaneous, original, accurate, complete, consistent, enduring, and available standards for clinical research data quality and to provide a new model for prospective data collection in real-world studies.
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Affiliation(s)
| | - Junkai Lai
- Institute of Automation, Chinese Academy of Sciences, Beijing, China
| | - Feifei Jin
- Trauma Medicine Center, Peking University People's Hospital, Beijing, China.,Key Laboratory of Trauma treatment and Neural Regeneration, Peking University, Ministry of Education, Beijing, China.,National Center for Trauma Medicine of China, Beijing, China
| | - Xiwen Liao
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China
| | - Huan Zhu
- Hangzhou LionMed Medical Information Technology Co, Ltd, Hangzhou, China
| | - Chen Yao
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China.,Hainan Institute of Real World Data, Qionghai, China
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Mavragani A, Lai J, Liu M, Jin F, Peng Y, Yao C. Electronic Source Data Transcription for Electronic Case Report Forms in China: Validation of the Electronic Source Record Tool in a Real-world Ophthalmology Study. JMIR Form Res 2022; 6:e43229. [PMID: 36525285 PMCID: PMC9804087 DOI: 10.2196/43229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 11/09/2022] [Accepted: 11/23/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND As researchers are increasingly interested in real-world studies (RWSs), improving data collection efficiency and data quality has become an important challenge. An electronic source (eSource) generally includes direct capture, collection, and storage of electronic data to simplify clinical research. It can improve data quality and patient safety and reduce clinical trial costs. Although there are already large projects on eSource technology, there is a lack of experience in using eSource technology to implement RWSs. Our team designed and developed an eSource record (ESR) system in China. In a preliminary prospective study, we selected a cosmetic medical device project to evaluate ESR software's effect on data collection and transcription. As the previous case verification was simple, we plan to choose more complicated ophthalmology projects to further evaluate the ESR. OBJECTIVE We aimed to evaluate the data transcription efficiency and quality of ESR software in retrospective studies to verify the feasibility of using eSource as an alternative to traditional manual transcription of data in RWS projects. METHODS The approved ophthalmic femtosecond laser project was used for ESR case validation. This study compared the efficiency and quality of data transcription between the eSource method using ESR software and the traditional clinical research model of manually transcribing the data. Usability refers to the quality of a user's experience when interacting with products or systems including websites, software, devices, or applications. To evaluate the system availability of ESR, we used the System Usability Scale (SUS). The questionnaire consisted of the following 2 parts: participant information and SUS evaluation of the electronic medical record (EMR), electronic data capture (EDC), and ESR systems. By accessing log data from the EDC system previously used by the research project, all the time spent from the beginning to the end of the study could be counted. RESULTS In terms of transcription time cost per field, the eSource method can reduce the time cost by 81.8% (11.2/13.7). Compared with traditional manual data transcription, the eSource method has higher data transcription quality (correct entry rate of 2356/2400, 98.17% vs 47,991/51,424, 93.32%). A total of 15 questionnaires were received with a response rate of 100%. In terms of usability, the average overall SUS scores of the EMR, EDC, and ESR systems were 50.3 (SD 21.9), 51.5 (SD 14.2), and 63.0 (SD 11.3; contract research organization experts: 69.5, SD 11.5; clinicians: 59.8, SD 10.2), respectively. The Cronbach α for the SUS items of the EMR, EDC, and ESR systems were 0.591 (95% CI -0.012 to 0.903), 0.588 (95% CI -0.288 to 0.951), and 0.785 (95% CI 0.576-0.916), respectively. CONCLUSIONS In real-world ophthalmology studies, the eSource approach based on the ESR system can replace the traditional clinical research model that relies on the manual transcription of data.
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Affiliation(s)
| | - Junkai Lai
- Institute of Automation, Chinese Academy of Sciences, Beijing, China
| | - Mimi Liu
- School of Ophthalmology and Optometry, Eye Hospital of Wenzhou Medical University, Wenzhou, China
| | - Feifei Jin
- Trauma Medicine Center, Peking University People's Hospital, Beijing, China.,Key Laboratory of Trauma treatment and Neural Regeneration, Peking University, Ministry of Education, Beijing, China.,National Center for Trauma Medicine of China, Beijing, China
| | - Yifei Peng
- Hangzhou Tigermed Consulting Co, Ltd, Hangzhou, China
| | - Chen Yao
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China.,Hainan Institute of Real World Data, Qionghai, China
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Wang B, Hao X, Yan X, Lai J, Jin F, Liao X, Xie H, Yao C. Evaluation of the clinical application effect of eSource record tools for clinical research. BMC Med Inform Decis Mak 2022; 22:98. [PMID: 35410214 PMCID: PMC9004184 DOI: 10.1186/s12911-022-01824-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 03/23/2022] [Indexed: 11/10/2022] Open
Abstract
Background Electronic sources (eSources) can improve data quality and reduce clinical trial costs. Our team has developed an innovative eSource record (ESR) system in China. This study aims to evaluate the efficiency, quality, and system performance of the ESR system in data collection and data transcription. Methods The study used time efficiency and data transcription accuracy indicators to compare the eSource and non-eSource data collection workflows in a real-world study (RWS). The two processes are traditional data collection and manual transcription (the non-eSource method) and the ESR-based source data collection and electronic transmission (the eSource method). Through the system usability scale (SUS) and other characteristic evaluation scales (system security, system compatibility, record quality), the participants’ experience of using ESR was evaluated. Results In terms of the source data collection (the total time required for writing electronic medical records (EMRs)), the ESR system can reduce the time required by 39% on average compared to the EMR system. In terms of data transcription (electronic case report form (eCRF) filling and verification), the ESR can reduce the time required by 80% compared to the non-eSource method (difference: 223 ± 21 s). The ESR accuracy in filling the eCRF field is 96.92%. The SUS score of ESR is 66.9 ± 16.7, which is at the D level and thus very close to the acceptable margin, indicating that optimization work is needed. Conclusions This preliminary evaluation shows that in the clinical medical environment, the ESR-based eSource method can improve the efficiency of source data collection and reduce the workload required to complete data transcription. Supplementary Information The online version contains supplementary material available at 10.1186/s12911-022-01824-7.
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Affiliation(s)
- Bin Wang
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China
| | - Xinbao Hao
- Department of Hematology, First Affiliated Hospital of Hainan Medical College, Haikou, China.,Boao Lecheng Tigermed Clinical Research Center, Qionghai, China
| | - Xiaoyan Yan
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China
| | - Junkai Lai
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China
| | - Feifei Jin
- National Center for Trauma Medicine, Peking University People's Hospital, Beijing, China
| | - Xiwen Liao
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China
| | - Hongju Xie
- Department of Plastic and Cosmetic Surgery, The Second Affiliated Hospital of Hainan Medical University, Haikou, China
| | - Chen Yao
- Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China. .,Hainan Institute of Real World Data, Qionghai, China.
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Development of a Mobile Application for Smart Clinical Trial Subject Data Collection and Management. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12073343] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Wearable devices and digital health technologies have enabled the exchange of urgent clinical trial information. We developed an application to improve the functioning of decentralized clinical trials and performed a heuristic evaluation to reflect the user demands of existing clinical trial workers. The waterfall model of the software life cycle was used to guide the development. Focus group interviews (N = 7) were conducted to reflect the needs of clinical research professionals, and Wizard of Oz prototyping was performed to ensure high usability and completeness. Unit tests and heuristic evaluation (N = 11) were used. Thematic analysis was performed using the focus group interview data. Based on this analysis, the main menu was designed to include health management, laboratory test results, medications, concomitant medications, adverse reactions, questionnaires, meals, and My Alarm. Through role-playing, the functions and configuration of the prototype were adjusted and enhanced, and a heuristic evaluation was performed. None of the heuristic evaluation items indicated critical usability errors, suggesting that the revised prototype application can be practically applied to clinical trials. The application is expected to increase the efficiency of clinical trial management, and the development process introduced in this study will be helpful for researchers developing similar applications in the future.
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Manabe S, Takeda T, Hattori A, Yamamoto M, Shimai Y, Namiuchi Y, Yamaguchi J, Yamada T, Konishi S, Matsumura Y. Practical use of a multicenter clinical research support system connected to electronic medical records. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2021; 210:106362. [PMID: 34482127 DOI: 10.1016/j.cmpb.2021.106362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 08/15/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Electronic medical records (EMRs) are widely used, but in many cases, they are used within a network physically separated from the Internet. Multicenter clinical studies use Internet-connected electronic data capture (EDC) systems to collect data, where data entered into the EMR are manually transcribed into the EDC system. In addition, medical images for clinical research are also collected manually. Variations in EMRs and differing data structures among vendors hamper the use of data for clinical research. METHODS We solved this problem by developing a network infrastructure for clinical research between Osaka University Hospital and affiliated hospitals in the Osaka area and introducing a clinical data collection system (CDCS). In each hospital's EMR network, we implemented a CRF reporter that accumulated data for clinical research using a template and then sent the data to a management server in the Osaka University Hospital Data Center. To organize the patient profile data and clinical laboratory data stored in each EMR for use in clinical research, the data are retrieved from the template by an interface module developed by each vendor, according to our common data output interface specification. The data entered into the CRF reporter template for clinical research are also recorded in the EMR progress notes and sent to the data management server. This network infrastructure can also be used as a medical image collection system that automatically collects images for research from PACS at each hospital. These systems are managed under common subject numbers issued by the CDCS. RESULTS A network infrastructure was established among 19 hospitals, and a CRF reporter was incorporated into the EMR. A medical image transfer system was introduced in 13 hospitals. Since 2013, 28 clinical studies have been conducted using this system, and data for 9,987 cases have been collected as of December 31, 2020. CONCLUSION Incorporating a CRF reporter with medical image transfer system into the EMR has proven useful for collecting research data.
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Affiliation(s)
- Shirou Manabe
- Medical Informatics, Osaka University Graduate School of Medicine, 2-2, Yamada-Oka, Suita, Osaka 565-0871, Japan.
| | - Toshihiro Takeda
- Medical Informatics, Osaka University Graduate School of Medicine, 2-2, Yamada-Oka, Suita, Osaka 565-0871, Japan
| | | | - Masashi Yamamoto
- Division of Medical Informatics, Osaka University Hospital, 2-15, Yamada-Oka, Suita, Osaka 565-0871, Japan
| | - Yoshie Shimai
- Division of Medical Informatics, Osaka University Hospital, 2-15, Yamada-Oka, Suita, Osaka 565-0871, Japan
| | | | | | - Tomomi Yamada
- Division of Data Coordinating Center, Osaka University Hospital, 2-15, Yamada-Oka, Suita, Osaka 565-0871, Japan
| | - Shozo Konishi
- Medical Informatics, Osaka University Graduate School of Medicine, 2-2, Yamada-Oka, Suita, Osaka 565-0871, Japan
| | - Yasushi Matsumura
- Medical Informatics, Osaka University Graduate School of Medicine, 2-2, Yamada-Oka, Suita, Osaka 565-0871, Japan; MKS Ltd., 9-14A, Muromachi, Ikeda, Osaka 563-0047, Japan
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Loucks TL, Tyson C, Dorr D, Garovic VD, Hill J, McSwain SD, Radovick S, Sonnenberg FA, Weis JA, Brady KT. Clinical research during the COVID-19 pandemic: The role of virtual visits and digital approaches. J Clin Transl Sci 2021; 5:e102. [PMID: 34192057 PMCID: PMC8185429 DOI: 10.1017/cts.2021.19] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 02/26/2021] [Accepted: 02/26/2021] [Indexed: 01/10/2023] Open
Abstract
Clinical trials are a fundamental tool in evaluating the safety and efficacy of new drugs, medical devices, and health system interventions. Clinical trial visits generally involve eligibility assessment, enrollment, intervention administration, data collection, and follow-up, with many of these steps performed during face-to-face visits between participants and the investigative team. Social distancing, which emerged as one of the mainstay strategies for reducing the spread of SARS-CoV-2, has presented a challenge to the traditional model of clinical trial conduct, causing many research teams to halt all in-person contacts except for life-saving research. Nonetheless, clinical research has continued during the pandemic because study teams adapted quickly, turning to virtual visits and other similar methods to complete critical research activities. The purpose of this special communication is to document this rapid transition to virtual methodologies at Clinical and Translational Science Awards hubs and highlight important considerations for future development. Looking beyond the pandemic, we envision that a hybrid approach, which implements remote activities when feasible but also maintains in-person activities as necessary, will be adopted more widely for clinical trials. There will always be a need for in-person aspects of clinical research, but future study designs will need to incorporate remote capabilities.
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Affiliation(s)
- Tammy L. Loucks
- South Carolina Clinical and Translational Research (SCTR) Institute, Medical University of South Carolina, Charleston, SC, USA
| | - Clare Tyson
- South Carolina Clinical and Translational Research (SCTR) Institute, Medical University of South Carolina, Charleston, SC, USA
| | - David Dorr
- Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA
| | - Vesna D. Garovic
- Department of Internal Medicine, Division of Nephrology and Hypertension and Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, MN, USA
- Center for Clinical and Translational Science (CCATS), Mayo Clinic, Rochester, MN, USA
| | - James Hill
- Department of Nutrition Sciences, University of Alabama Birmingham, Birmingham, AL, USA
| | - S. David McSwain
- Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA
| | - Sally Radovick
- Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA
| | - Frank A. Sonnenberg
- Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA
| | - Jennifer A. Weis
- Center for Clinical and Translational Science (CCATS), Mayo Clinic, Rochester, MN, USA
| | - Kathleen T. Brady
- South Carolina Clinical and Translational Research (SCTR) Institute, Medical University of South Carolina, Charleston, SC, USA
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
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Cagnazzo C, Besse MG, Manfellotto D, Minghetti P, Cazzaniga S, Cottini L, Fontanella A, Maruti I, Stabile S, Testoni S, Trogu P, Sinno V, Gussoni G. Lessons learned from COVID-19 for clinical research operations in Italy: what have we learned and what can we apply in the future? TUMORI JOURNAL 2020; 107:6-11. [PMID: 33297885 PMCID: PMC7726625 DOI: 10.1177/0300891620977916] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has stressed the
importance of health research as never before. In the specific domain
of clinical research, the effort to rapidly find responses to health
challenges and therapeutic hypotheses has highlighted the need for
efficient, timely, ethically correct research. The guidelines
published by the Agenzia Italiana del Farmaco have shown that some
useful changes are feasible: simple and rapid methods have been
implemented to conduct clinical research in the emergency conditions
of the pandemic, maintaining high levels of quality. In this
perspective, four Italian scientific associations operating in
clinical research have worked together to evaluate which measures,
among the ones implemented during the pandemic, have been particularly
significant and potentially effective under normal conditions or in
case of emergencies, and that therefore will be useful in the future
as well.
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Affiliation(s)
- Celeste Cagnazzo
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
| | | | - Dario Manfellotto
- Department of Internal Medicine, Hospital Fatebenefratelli-AFaR, Rome, Italy
| | - Paola Minghetti
- Department of Pharmaceutical Sciences, University of Milan, Milan, Italy
| | | | | | - Andrea Fontanella
- Department of Internal Medicine, Madonna del Buonconsiglio Fatebenefratelli Hospital, Naples, Italy
| | | | - Stefano Stabile
- Oncology Department, Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy
| | - Sara Testoni
- Biostatistics and Clinical Trials Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola (FC), Italy
| | | | - Valentina Sinno
- Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
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Jennings DG, Nordo A, Vattikola A, Kjaer J. Technology Considerations for Enabling eSource in Clinical Research: Industry Perspective. Ther Innov Regul Sci 2020; 54:1166-1174. [PMID: 32865798 PMCID: PMC7458892 DOI: 10.1007/s43441-020-00132-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Accepted: 02/10/2020] [Indexed: 11/28/2022]
Abstract
Background The technological complexities and broad operational scope of eSource impede coordinated, inter-organizational action on advancing at-scale solutions. Methods We introduce an architectural framework for articulating technological considerations across organizations. The architecture neither implies nor endorses solution implementations; rather, it proposes solution functionality based upon principles and good clinical practices. Results Key technology considerations include patterns of anticipated use, implications to the current state of clinical trial operations, and the need for new technologies (i.e., IoT, Big Data, Predictive Analytics). Conclusion Technology considerations drive implications beyond technology—influencing regulatory, process, and ethical realms of clinical research. Electronic supplementary material The online version of this article (10.1007/s43441-020-00132-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Donald G Jennings
- Digital Health, Eli Lilly and Company, MC/525/02, Indianapolis, IN, 46285, USA.
| | - Amy Nordo
- Clinical Trials Solutions Pfizer, Inc., Groton, CT, USA
| | - Aruna Vattikola
- Novartis Business Technology Services, East Hanover, NJ, USA
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