Trial Design Stage
Published Date: April 29, 2025
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Helpful Terms and Definitions
Draft Protocol
Questions To Ask
- Why is this study appealing to the patient community?
- Is the flow burdensome for patients?
- Are the inclusion/exclusion criteria accurate to the current patient population?
- Are these the endpoints and outcomes that matter most to the patients?
- How is patient health information being protected and used?
- What does the risk to benefit analysis look like?
- What types of control groups and treatments are being used?
- What are the options for patients whose disease worsens during treatment?
- What is the long-term strategy - is there an open label extension period?
- How and when are patients diagnosed?
- What type of providers are giving care?
- What are barriers to accessing treatment? Are there solutions?
Why involve Tech, Device, and Data Companies now?
Stakeholders can collaborate closely with technology, device, and data companies to create more adaptive, data-driven, and patient-centric protocols while they are in draft stage. This not only improves the trial's feasibility but also accelerates its overall success, reducing the risk for future protocol amendments.
What aspects of the draft protocol should they inform?
- Patient Population Identification: Having access to large EHR data networks allows Sponsors to identify and characterize patient populations. Using real-world data, Sponsors can use these findings to simulate a clinical trial's patient pool before the trial begins.
- Diversity Action Planning: Leverage technology to assess the epidemiology of indications and define the diversity benchmarks for target populations. With these insights, sponsors can establish clear, measurable targets, ensuring that their trials are as diverse as the patient populations they aim to help.
- Optimize Inclusion and Exclusion Criteria: Data and technology allow sponsors to assess the impact of their clinical trial protocol inclusion and exclusion criteria on patient cohorts. As they draft their protocol, they’ll be able to see how each criterion affects the overall size and makeup of the patient population they're considering. This is a vital step in identifying any overly restrictive criteria that may unintentionally exclude certain groups—especially underrepresented or hard-to-reach populations.
- Predictive Modeling and Analytics: Sponsors can use predictive modeling to estimate trial outcomes and refine protocol parameters, such as optimal sample sizes, dosing schedules, and tailored patient populations based on age, disease state, and other protocol specified criteria.
- Retrospective Data Analysis: Researchers can examine data from past clinical trials or real-world outcomes to understand how the protocol design might impact the trial's success. For example, by analyzing patient adherence or safety data from similar trials or healthcare settings, researchers can anticipate potential challenges, such as high dropout rates, adverse events, or unanticipated side effects.
Potential When and How to Engage with These Technologies
Participant Recruitment and Retention
Data Collection and Management
Patient Monitoring and Compliance
Data Analysis and Interpretation
Trial Management and Coordination
Regulatory Compliance and Reporting
Patient Engagement and Communication
Tech, Device, and Data Company Resources
A Smarter Approach to Clinical Trial Design and Delivery
Using digital technologies in clinical trials: current and future applications
Embracing Hybrid Trial Design - How, When, & Why To Use It
Artificial Intelligence for Clinical Trial Design
Clinical Trial Management Systems
Patient and Caregiver
Investigator
Regulator
IRB
Tech, Device,
Payer