CTTI to Launch New Online Digital Health Trials Hub

CTTI will host a public webinar on Wed., Apr. 6 to introduce a new online Digital Health Trials Hub featuring enhanced recommendations and additional resources. 

“This updated and expanded resource drives CTTI’s bold Transforming Trials 2030 vision by helping sponsors, investigators, CROs and technology providers design and run clinical trials that are patient-centered, easily accessible, and designed with a quality approach,” said CTTI Executive Director Sally Okun. 

The new Hub combines resources that have been restructured from CTTI’s four existing Digital Health Trials projects, completed from 2017 to 2019, along with improvements and new work from two project teams, Decentralized Clinical Trials Updates and Novel Endpoints Acceptance. By creating the Hub, CTTI’s aim is to make the most relevant information more useful and accessible for those in the clinical trials enterprise who are designing and running patient-centered trials. 

Key enhancements and additions made to the Hub include significantly updated recommendations, revised reference documents, and two new resources – the Question Bank for Identifying Meaningful Outcome Measures and a Process Map for use of a digitally-derived endpoint in an individual drug development pathway. These enhancements are the culmination of CTTI’s 2021 Digital Health Trials work that highlighted the importance of early stakeholder engagement, flexibility and tailored approaches to trial design and conduct, and flexible support of sites. 

The free one-hour webinar, which includes presentations from Megan Doyle of Amgen and Jörg Goldhahn of ETH Zurich, will begin at 11:00am EDT and registration is available online on CTTI’s website. 

New CTTI Project Aims to Promote the Use of Disease Progression Modeling to Advance Trial Design and Decision Making

Modeling and simulations are powerful tools that can be leveraged to inform clinical trial design, support regulatory decision making, and accelerate the process of bringing treatments to patients. Despite the benefits of these methods, their use is still not widely accepted among sponsors, investigators, and regulators. Recently, there has been growing interest across the clinical trials ecosystem in advancing the use of disease progression modeling to improve clinical trial quality and efficiency and inform regulatory decision making. Disease progression modeling leverages data from a variety of sources, improving trial diversity and combining many different models to help inform decision making. 

To promote these methods, CTTI has started a new project engaging a variety of stakeholders and experts in the development of recommendations and resources for the application of disease progression modeling in clinical trials. Through this project, CTTI will generate case studies detailing successful applications of disease progression modeling, a framework for the execution of disease progression modeling in clinical trials, a set of recommendations for the implementation of disease progression modeling in clinical trials, and a review paper detailing relevant disease progression modeling applications. This project aims to improve trial and clinical development efficiency by increasing the recognition, value, and consistent use of disease progression modeling. CTTI’s work in this area will also help to advance the broader application of modeling and simulation for trial design and regulatory decision making. 

To generate recommendations and resources supporting the application of disease progression modeling in clinical trials, CTTI will utilize a variety of iterative evidence generating strategies—including a scoping review assessing the landscape of disease progression modeling applications and an expert meeting discussing the barriers to disease progression modeling application and avenues for advancement. 

Through this work, CTTI will create recommendations and resources for designing clinical trials with a quality approach that maximally leverages available data—in alignment with CTTI’s Transforming Trials 2030 vision.

 

CTTI Announces Leadership Appointments & Promotions

Today CTTI announced the appointments and promotions of a new leadership team including Sara Calvert as Director of Projects, Morgan Hanger as Director of Strategic Programs and Zachary Hallinan as Director of Strategic Engagement & Communications. In addition, team members Rae Holliday, Strategic Communications Manager, and Karisa Merrill, Strategic Engagement Manager, were promoted to management positions; Lindsay Kehoe was promoted to Senior Project Manager; and Erin Bland was promoted to Engagement & Communications Specialist. 

“In announcing these leadership appointments, I am proud that CTTI is able to tap into the talent, experience and passion inside CTTI and promote from within our organization,” said Sally Okun, CTTI’s Executive Director. “As we continue to drive positive change across the clinical trials enterprise, consistent performance will require a strong, diverse and talented team. These leaders, as well as our entire staff, are well prepared to lead CTTI’s most ambitious project to date, the bold Transforming Trials 2030 vision. I am confident that these appointments and promotions better position us to achieve our strategic priorities in the months and years ahead.” 

The following promotions and appointments, which collectively represent more than 25 years of service to CTTI, have gone into effect between December 2021 – March 2022: 

  • Erin Bland, Engagement & Communications Specialist, provides design and management of the engagement team’s communication strategies. She participates in providing input for all new and ongoing projects to contribute to the growth and support of CTTI’s goals. She also manages logistics for CTTI member events and member communications. 
  • Sara Calvert, Director of Projects, is currently responsible for senior operational leadership and oversight for the core activities of the CTTI projects group. She collaboratively develops and implements strategies to support CTTI’s project managers and multistakeholder project teams as they develop solutions to improve clinical trials, and ensures the alignment of project objectives with CTTI’s mission, vision, and goals. 
  • Zachary Hallinan, Director of Strategic Engagement & Communications, provides senior operational leadership and oversight for CTTI’s strategic communications and engagement group, including collaboratively developing and implementing strategies and operational plans to support effective external communication and engagement with CTTI’s approximately 80 member organizations and the broader clinical trials enterprise. 
  • Morgan Hanger, Director of Strategic Programs is leading a new initiative to develop a parsimonious set of metrics to assess, monitor, and analyze the progress of the clinical trial enterprise towards CTTI’s Transforming Trials 2030 vision, as well as advising on CTTI strategy and operations. 
  • Rae Holliday, Strategic Communications Manager, is currently responsible for cultivating CTTI’s public profile through brand strategy, content development, events, media relations, and thought leadership. She is leading the development of the communications strategy for CTTI’s Transforming Trials 2030 vision in collaboration with CTTI’s communications team, DCRI writers and designers and CTTI’s agency of record. 
  • Lindsay Kehoe, Senior Project Manager, manages the development and implementation of CTTI projects, as well as represents CTTI activities to internal and external audiences. She is reminded daily of the power of collaboration and innovative thinking as she convenes stakeholders around Disease Progression Modeling, Embedding Trials into Health Care Settings, advancing Digital Health Trials, and accelerates progress towards the Transforming Trials 2030 vision. 
  • Karisa Merrill, Strategic Engagement Manager, currently manages CTTI’s membership and engagement team. She also plans, develops, and implements strategic initiatives that support the implementation of systematic improvement processes, drive adoption of CTTI’s recommendations and resources, and demonstrate the impact of CTTI’s work on the transformation of clinical trials.

New CTTI Project Aims to Engage All Stakeholders in Clinical Trial Design

Engaging patients and all stakeholders from the earliest stages of trial design is increasingly recognized as fundamental to planning and conducting high quality clinical trials. Yet important gaps remain, including a lack of comprehensive resources for engaging all stakeholders and a unifying framework, especially one tied to regulatory guidance.

To address these gaps, CTTI is starting work on a new project that will result in an engagement roadmap, multi-stakeholder recommendations, and supporting resources for effectively and efficiently engaging all stakeholders in the design of clinical trials. This project aims to identify:

  • Specific opportunities and high-value approaches/methods/tools for study designers to engage with internal and external stakeholders across the clinical trial design and planning process.
  • Situation-specific considerations for ensuring engagement is appropriately equitable, effective, and feasible.

In carrying out this work, CTTI will conduct iterative design and evidence gathering activities, including a landscape scan, user-testing and formal research aimed at reaching consensus across stakeholders on suggested engagement, and one or more multi-stakeholder expert meetings to review and synthesize findings.

By taking a multifaceted approach, CTTI will create resources that will enable clinical trial designers to collectively and coherently use various existing methods to engage all stakeholders across the trial design process – leading to more efficient, higher quality research in alignment with CTTI’s vision for clinical trials by 2030.

Happy Holidays from the Clinical Trials Transformation Initiative

Happy Holidays from CTTICTTI ushered in 2021 with a new vision for Transforming Trials 2030 – one that requires cross-system collaboration from the entire research and healthcare community to create true and lasting change for better clinical trials by 2030.

On behalf of everyone at CTTI, thank you for joining us on this ambitious journey this year. Your contributions to pushing the boundaries for what can be done in clinical research and your dedication to creating improvements across the clinical trials community are truly making an impact. We are grateful for the opportunity to work with you and are proud to have your support.

Some of the accomplishments you have made possible in 2021 include:

  • Sharing best practices and learnings from across the clinical trials community by:
    • Launching our new Building Better Trials: Case Study Exchange, featuring more than 40 case studies on best practices and examples of CTTI’s work in action;
    • Collaborating with the Duke-Margolis Center for Health Policy and FasterCures on a public summit on using master protocols in COVID-19 trials, and with the Digital Medicine Society (DiMe) and TransCelerate on a three-part webinar series on novel digital endpoints and;
    • Hosting a public webinar on COVID-19 treatment trials with clinical research experts.

As we look to 2022 under the leadership of our passionate new leader, Executive Director Sally Okun, we are excited to celebrate 15 years of increasing the quality and efficiency of clinical trials through the future-facing lens of our 2030 vision. This ambitious pursuit is the ultimate challenge, but also presents the biggest opportunity and reward.

As Socrates said, “The secret of change is to focus all of your energy, not on fighting the old, but on building the new.”

We look forward to “building the new” with you in 2022 and to making great strides toward achieving the audacious goal of transforming trials by 2030.

Best wishes for health and happiness to you and your families over this festive season and in the new year!

 

CTTI Holds Meeting to Discuss the Systemic Changes Needed to Increase Diversity in Clinical Trials

The Clinical Trials Transformation Initiative (CTTI) held a two-day multi-stakeholder expert meeting on Oct. 12 & 21 to discuss the systemic changes needed to ensure that U.S. clinical trials better meet the needs of diverse populations, including racial minorities, ethnic minorities, and women. At the meeting, leaders and key stakeholders from across the clinical trials ecosystem participated in an engaging forum, informative discussions, and lively breakout sessions that shed more light on new solutions for sharing information and ensuring sufficient resource allocation to diversity, equity, and inclusion initiatives.

Meeting attendees also identified some important themes and identified opportunities to increase diversity in clinical trials:

  • The benefits are indisputable. Including a diverse population in clinical trials improves the quality of science, enhances patient trust, increases patient recruitment and retention, and improves clinical care for all patients.
  • A culture shift is needed. Organizations need to ingrain diversity, equity, and inclusion initiatives into their portfolio-level strategy and within their overall mission. They should foster bi-directional community partnerships and directly engage patients in the design and planning of clinical trials and diversity efforts from the very beginning.
  • This is a full group effort. Increasing diversity in clinical trials is a multi-stakeholder effort that will take all groups working together to achieve goals of clinical trial populations representing the populations who are affected by disease.
  • There is important work ahead of us. Meeting attendees provided feedback on CTTI’s draft maturity model, helping to create a better public resource. Suggested additions included a focus on values and guidelines that are generalizable to a wide variety of stakeholders, not just industry stakeholders, and more guidance on how organizations can measure their progress through the maturity model.

CTTI is now using these findings – along with other research results and multi-stakeholder discussions – to develop recommendations and resources for release in early 2022. The project team may host additional webinars focusing on case studies and implementation of resources.