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.

Collaborative Engagement in Clinical Trial Design

Topics Included: Ensuring Quality, Patient Engagement

Engaging all collaborative partners from the earliest stages of trial design is increasingly recognized as fundamental to planning and conducting high quality clinical trials. CTTI’s project, Collaborative Engagement in Clinical Trial Design, will create an engagement roadmap with supporting resources that will enable clinical trial designers to efficiently and effectively engage all partners across the trial design process, in alignment with CTTI’s vision for clinical trials by 2030.

Resources

Patient Engagement | CTTI News

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...

Patient Engagement

Collaborative Engagement in Clinical Trial Design

Engaging the broad range of stakeholders from the earliest stages of trial design is increasingly recognized as fundamental to planning and conducting high quality clinical trials.

Patient Engagement | CTTI News

Patient Engagement Collaborative Announces Eight New Members

Today, the U.S. Food and Drug Administration (FDA) and the Clinical Trials Transformation Initiative (CTTI) announced eight newly selected representatives for the Patient Engagement Collaborative (PEC). The group of 16...

Site Planning | CTTI News

CTTI Holds Meeting to Refresh and Enhance Decentralized Clinical Trials Recommendations

The Clinical Trials Transformation Initiative (CTTI) held a two-day multi-stakeholder expert meeting on Aug. 25-26 to discuss best practices on conducting research in remote and virtual settings, including lessons learned...

Patient Engagement | Case Studies

Can Patients Moderate Research Panels as Effectively as Clinicians? Yes – And They Might Be Better

Can Patients Moderate Research Panels as Effectively as Clinicians? Yes - And They Might Be Better

Site Planning | Case Studies

Long Shot COVID-19 Treatment Yields Fast, Promising Results Using Decentralized Trial Approach

Long Shot COVID-19 Treatment Yields Fast, Promising Results Using Decentralized Trial Approach

Patient Engagement | Resources

Advancing the Landscape: Increasing Diversity in Clinical Trials

Advancing the Landscape: Increasing Diversity in Clinical Trials

Patient Engagement | CTTI News

FDA, CTTI Accepting Applications for Patient Engagement Collaborative (PEC)

The FDA and CTTI are currently accepting applications from patient advocates interested in becoming members of the Patient Engagement Collaborative (PEC). The PEC is an ongoing, collaborative forum that brings the patient...

Patient Engagement | Resources

PEC Meeting Summary – July 2021

PEC Meeting Summary - July 2021

Patient Engagement | Resources

Prioritization Tool for Sponsors and Patient Groups

Prioritization Tool for Sponsors and Patient Groups

Formats

Stage of Trial

Patient Engagement Collaborative Announces Eight New Members

Today, the U.S. Food and Drug Administration (FDA) and the Clinical Trials Transformation Initiative (CTTI) announced eight newly selected representatives for the Patient Engagement Collaborative (PEC). The group of 16 patients, caregivers, and patient group representatives will meet with the FDA several times a year to discuss topics such as communication, transparency, and the best ways for patients to participate in the FDA’s regulatory discussions about medical products. Those selected to the PEC are expected to serve for two years.

The eight new representatives are:

  • Carol Abraham
  • Julie Breneiser
  • Sneha Dave
  • Maria De Leon
  • Sharon Lagas
  • John Linnell
  • James Pantelas
  • Traceann Rose

The representatives were selected from more than 100 applications received in response to a Federal Register notice published in July 2021. These new members of the PEC include patients who have personal disease experience, caregivers who have personal experience supporting someone with a health condition, and representatives from patient groups who have direct or indirect disease experience. The selection committee, which included patient advocates, FDA staff from multiple centers, CTTI staff and several outgoing PEC members, worked to identify individuals with diverse perspectives and experiences who could meaningfully contribute and express the patient voice.

“CTTI is delighted to welcome the new members to the PEC and we extend our deepest thanks to those outgoing members for their important service and contributions,” said Sally Okun, CTTI’s executive director. “As CTTI works to advance our vision of Transforming Trials 2030, we anticipate that discussions with the PEC can help us identify opportunities to achieve our first pillar, in particular: ‘to make clinical trials patient-centric and easily accessible’. We can only accomplish this if we are on the journey together with patients.”

The PEC, a collaboration established by FDA and CTTI in 2018, is a group of patient organizations and individual representatives who discuss ways to enhance patient engagement. FDA and CTTI collaborate to involve representatives with a variety of perspectives including patients, caregivers and representatives from diverse patient organizations and communities. The PEC is run by the FDA’s Office of Patient Affairs, which is dedicated to providing an inviting, welcoming and meaningful experience for patient communities to engage with the FDA.

“Understanding patients’ experiences is critical to informing medical product regulation and helping ensure that safe, effective and innovative medical products are available and meet the needs of patients as best as possible for improved quality of life. Learning from patients through the PEC helps the agency uphold its public health mission,” said Andrea Furia-Helms, M.P.H., Director of Patient Affairs, Office of Clinical Policy and Programs, FDA.

Going forward, the PEC will continue the dialogue around how patient perspectives can inform and enhance the clinical trials enterprise. The next cohort of PEC members will identify topics to focus on. Previous topics have included: creating new ways to collaborate with patient communities; making patient engagement more systematic; improving transparency through education and outreach; and enhancing communication between the FDA and patient communities.

The FDA and CTTI wish to thank the outgoing members for their service to the PEC over the past several years:

  • Dawn Aldrich
  • Christine Brown
  • Jeffrey Goldstein
  • Melissa Hogan
  • Nancy Lenfestey
  • Stephanie Monroe
  • Theresa Strong
  • Dave White

The PEC has worked tirelessly to incorporate the patient voice in the FDA’s medical product regulatory programs. For example, the PEC has:

Since 2008, CTTI has included patient advocates on its Executive Committee, Steering Committee, and project teams and, today, nearly all of its more than 30 sets of evidence-based recommendations and associated frameworks and tools mention inclusion of patients as a critical part of the clinical trials process.

CTTI Holds Meeting to Refresh and Enhance Decentralized Clinical Trials Recommendations

The Clinical Trials Transformation Initiative (CTTI) held a two-day multi-stakeholder expert meeting on Aug. 25-26 to discuss best practices on conducting research in remote and virtual settings, including lessons learned from the COVID-19 pandemic. The insights gathered will be used to refresh CTTI’s 2018 Decentralized Clinical Trials (DCT) recommendations and ensure that they offer the most current information for planning and operationalizing DCT solutions (i.e., remote and virtual visits, using local labs and healthcare providers, and direct-to-participant shipping).

During the meeting, relevant experts and key stakeholders—including investigators, patients, regulators, technology experts, sponsor representatives, and other groups—CTTI and attendees exchanged knowledge, insights, and current solutions for using DCT solutions in clinical trials.

They also identified some important themes and identified opportunities to increase adoption of DCT solutions moving forward:

  • Design with Purpose. The design of DCTs must prioritize patient safety and data quality. DCT elements should only be incorporated into study design where they are appropriate to the purpose of the study.
  • Engage Everyone. It’s important to engage all stakeholders in DCT protocol design and implementation.
  • Think Ahead, Early On. Careful planning and consideration from the earliest stages of study and program design is essential.
  • Invest in Quality. DCTs are often not the cheapest or easiest solution, but they can be the most impactful in terms of making trials more patient-centered and getting the best data.
  • Where to Focus Next. Communication, collaboration, and regulatory guidance are critical for broader adoption of DCT solutions.

CTTI is now updating its recommendations and will make them available by early 2022 to help accelerate the adoption of DCT solutions in clinical trials going forward.

FDA, CTTI Accepting Applications for Patient Engagement Collaborative (PEC)

The FDA and CTTI are currently accepting applications from patient advocates interested in becoming members of the Patient Engagement Collaborative (PEC). The PEC is an ongoing, collaborative forum that brings the patient community and regulators together to discuss ways to increase patient engagement in medical product development and regulatory discussions at the FDA.

Applicants will be selected based on their ability to meaningfully contribute to the PEC, represent and express the patient voice for their constituency, work in a constructive manner with involved stakeholders, and understand and navigate the clinical research ecosystem.

Successful applicants will include:

 

  • Patients who have personal disease experience
  • Caregivers who support patients, such as a family member or friend, and who have personal disease experience through this caregiver role
  • Representatives from patient groups who, through their role in the patient group, have direct or indirect disease experience

PEC members will be expected to participate in working meetings two to four times per year, either in-person (in the Washington D.C. area) or virtually. Given the ongoing COVID-19 pandemic, meetings will be conducted virtually and may resume in-person when it is safe to do so. Additional meetings may be organized as needed, and currently include monthly, one-hour teleconferences.

Interested applicants are encouraged to complete and submit the online form no later than 11:59 p.m. ET on August 23, 2021. Those who are unable to submit an application electronically are encouraged to call the FDA’s Office of Patient Affairs at 301-796-8460 to arrange for a mail submission.

Please review the related Federal Register notice for important information about the application process.