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Loucks TL, Lee-Chavarria D, Harvey J, Paranal R, Denmark S, Flume PA, Chimowitz M, Turan TN. Preparing clinicians to be site investigators in multicenter clinical trials: A training program at an academic medical center. J Clin Transl Sci 2023; 7:e167. [PMID: 37588676 PMCID: PMC10425868 DOI: 10.1017/cts.2023.587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 06/16/2023] [Accepted: 06/28/2023] [Indexed: 08/18/2023] Open
Abstract
Clinical trials are essential in the translation of biomedical discoveries to new clinical interventions and therapeutics. Successful multisite clinical trials require qualified site investigators with an understanding of the full spectrum of processes and requirements from trial identification through closeout. New site investigators may be deterred by competing demands on their time, the complexity of administrative and regulatory processes for trial initiation and conduct, and limited access to experienced mentor networks. We established a Clinical Trialist Training Program (CTTP) and complimentary Clinical Trials Bootcamp at our institution to address these barriers and increase the number of local site investigators enabled to lead successful clinical trials. An initial cohort of four CTTP scholars received salary support with protected time, didactic training, assistance with study identification and start-up navigation, and quarterly progress meetings. By the end of the 12-month program, this initial cohort identified 33 new trials, utilized feasibility assessments, and reported being on target to sustain their protected time from new clinical trials. Bootcamp attendees demonstrated increased knowledge of resources, offices, and processes associated with clinical trial conduct. Our results support providing compensated protected time, training, and access to experienced clinical research professionals to enable clinicians to become successful site investigators.
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Affiliation(s)
- Tammy L. Loucks
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Academic Affairs Faculty and Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA
| | - Diana Lee-Chavarria
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
| | - Jillian Harvey
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Department of Health Care Leadership and Management, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA
| | - Rechelle Paranal
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
| | - Signe Denmark
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Office of Clinical Research, Medical University of South Carolina, Charleston, SC, USA
| | - Patrick A. Flume
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, College of Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Marc Chimowitz
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Department of Neurology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Tanya N. Turan
- South Carolina Clinical and Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Department of Neurology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA
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Wood EA, Campion TR. Design and implementation of an integrated data model to support clinical and translational research administration. J Am Med Inform Assoc 2022; 29:1559-1566. [PMID: 35713633 DOI: 10.1093/jamia/ocac100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 05/17/2022] [Accepted: 06/06/2022] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE Both academic medical centers and biomedical research sponsors need to understand impact of scientific funding to determine value. For the National Institutes of Health (NIH) Clinical and Translational Science Award (CTSA) hubs, tracking research activities can be complex, often involving multiple institutions and continually changing federal reporting requirements. Existing research administrative systems are institution-specific and tend to focus only on parts of a greater whole. The goal of this case report is to describe a comprehensive data model that addresses this gap. MATERIALS AND METHODS Web-based Center Administrative Management Program (WebCAMP) has been developed over a period of over 15 years in the context of CTSA hubs, with the recent addition of T32 programs. Its data model centers around the key concepts of people, projects, resources (inputs), and outcomes (outputs). RESULTS The WebCAMP data model and associated toolset for biomedical research administration integrates multiple components of the research enterprise, has been used by our CTSA hub for over 15 years and has been adopted by more than 20 other CTSA hubs. DISCUSSION To the best of our knowledge, this study is among the first to describe a comprehensive data model for biomedical research administration. Opportunities for future work include improved grant tracking through the development of a universal identifier that spans public and private funders, and a more generic outcomes tracking model able to rapidly incorporate new outcome types. CONCLUSION We propose that the WebCAMP data model, or a derivative of it, could serve as a future standard for research administrative data warehousing.
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Affiliation(s)
- Elizabeth A Wood
- Clinical and Translational Science Center, Weill Cornell Medical College, New York, New York, USA
| | - Thomas R Campion
- Clinical and Translational Science Center, Weill Cornell Medical College, New York, New York, USA.,Department of Population Health Sciences, Weill Cornell Medical College, New York, New York, USA
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Sampson R, Shapiro S, He W, Denmark S, Kirchoff K, Hutson K, Paranal R, Forney L, McGhee K, Harvey J. An integrated approach to improve clinical trial efficiency: Linking a clinical trial management system into the Research Integrated Network of Systems. J Clin Transl Sci 2022; 6:e63. [PMID: 35720964 PMCID: PMC9161043 DOI: 10.1017/cts.2022.382] [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: 12/08/2021] [Revised: 03/25/2022] [Accepted: 03/28/2022] [Indexed: 12/04/2022] Open
Abstract
Low-accruing clinical trials delay translation of research breakthroughs into the clinic, expose participants to risk without providing meaningful clinical insight, increase the cost of therapies, and waste limited resources. By tracking patient accrual, Clinical and Translational Science Awards hubs can identify at-risk studies and provide them the support needed to reach recruitment goals and maintain financial solvency. However, tracking accrual has proved challenging because relevant patient- and protocol-level data often reside in siloed systems. To address this fragmentation, in September 2020 the South Carolina Clinical and Translational Research Institute, with an academic home at the Medical University of South Carolina, implemented a clinical trial management system (CTMS), with its access to patient-level data, and incorporated it into its Research Integrated Network of Systems (RINS), which links study-level data across disparate systems relevant to clinical research. Within the first year of CTMS implementation, 324 protocols were funneled through CTMS/RINS, with more than 2600 participants enrolled. Integrated data from CTMS/RINS have enabled near-real-time assessment of patient accrual and accelerated reimbursement from industry sponsors. For institutions with bioinformatics or programming capacity, the CTMS/RINS integration provides a powerful model for tracking and improving clinical trial efficiency, compliance, and cost-effectiveness.
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Affiliation(s)
- Royce Sampson
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Office of Clinical Research, Office of the Vice President for Research, Medical University of South Carolina, Charleston, SC, USA
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
| | - Steve Shapiro
- Office of Clinical Research, Office of the Vice President for Research, Medical University of South Carolina, Charleston, SC, USA
| | - Wenjun He
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
| | - Signe Denmark
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Office of Clinical Research, Office of the Vice President for Research, Medical University of South Carolina, Charleston, SC, USA
| | - Katie Kirchoff
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Biomedical Informatics Center, Medical University of South Carolina, Charleston, SC, USA
| | - Kyle Hutson
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Office of Clinical Research, Office of the Vice President for Research, Medical University of South Carolina, Charleston, SC, USA
| | - Rechelle Paranal
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
| | - Leila Forney
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Office of Clinical Research, Office of the Vice President for Research, Medical University of South Carolina, Charleston, SC, USA
| | - Kimberly McGhee
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Academic Affairs Faculty, Medical University of South Carolina, Charleston, SC, USA
| | - Jillian Harvey
- South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, SC, USA
- Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, SC, USA
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