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Optimizing Clinical Trials Using Technology

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(@alexandrabuga)
Posts: 149
Estimable Member
Topic starter
 

Going over the PM processes for clinical trial management in lecture, I started thinking about technology used to optimize clinical trials. From enrollment and patient consents, to monitoring, I know a lot of hospitals still use paper. So what should clinical trials in the 21st century look like? I personally think that hospitals should move away from paper and use technology for all aspects of clinical trials: Initiating, Planning, Executing, Closing, and of course, Monitoring and Controlling.

There was a press release in the New York Times in March that Covance entered into a strategic technology agreement with GSK in which GSK will use Covance’s Xcellerate® Monitoring, Xcellerate Insights, and Xcellerate Clinical Data Hub solutions in a software-as-a-service (SaaS) model. I think this just shows how technology and big data aren’t just a focus in silicon valley but could be a big market and potential revenue steam for products designed to optimize clinical trials.

What are your thoughts on clinical trials and technology?

nytimes/research/stocks/news/press_release.asp?docTag=201802281640BIZWIRE_USPRX____BW6539&feedID=600&press_symbol=183244

 
Posted : 22/04/2018 3:25 pm
(@rjs84)
Posts: 25
Eminent Member
 

The medical field has seen great advancement in creating digital networks for patient information. I think a similar system can be put in place for project management. Many components of a project are now outsorced including clinical trials. Keeping digital documentation would be easier to transfer each part of the project from one source to the next the same way you can have your medical history transferred electronically to any doctor you see. This would also provide an advantage within a company that assigns different portions of the project to different departments.

 
Posted : 22/04/2018 5:52 pm
(@amin-sadig)
Posts: 37
Eminent Member
 

I don't believe any information is transferable from 1 trial to another and patient data protection laws make using it without consent impossible. Technology can be used however to expedite patient selection using digital filtering based on responses similar to job recruiting sites and resumes. Certain psychological tests can be done to reduce for patient infidelity when using the device.(not following direction when not in the hospital etc). Digital surveys outside of the ones done in person can be conducted to learn more about the patient experience with the device outside of the functionality and compatibility of the device in or on the person.
I do agree that the monitoring phase is the most likely phase for technology to help since you can access logs irt as opposed to when a notebook is handed in or ensure that all questions that they need to answer in each log are answered as well as have automated reminders. The biggest challenge in actually incorporating technology in monitoring is the safety of information and the use of that information.

 
Posted : 22/04/2018 7:58 pm
 sn64
(@sn64)
Posts: 78
Trusted Member
 

I really like the points raised so far about digitization and its potential in clinical trial management. Expanding on that, eClinical platforms (such as electronic data capture (EDC) systems, electronic trial master files (eTMF), etc) are becoming essential for modernizing trials. Not only can these technologies improve operational efficiency, but they can also help in real-time risk-based monitoring (RBM), where sites showing issues can be flagged faster, reducing delays and protocol deviations.
Another important area is electronic informed consent (eConsent). It enhances the patient experience by allowing participants to review materials at their own pace, ask questions digitally, and maintain a complete audit trail for regulatory purposes. Additionally, wearable technologies and apps could continuously collect patient health data (e.g., blood pressure, heart rate), providing more granular and accurate monitoring without increasing the patient's burden. However, data privacy and cybersecurity remain critical hurdles. Following HIPAA compliance, adopting blockchain for audit trails, and encrypting sensitive patient data could be key solutions.

 
Posted : 28/04/2025 12:03 am
(@magstiff)
Posts: 79
Trusted Member
 

@sn64 I completely agree with your points! eClinical platforms and eConsent are growing and modernizing clinical trials. Real-time risk-based monitoring (RBM) could be a real game-changer for identifying issues early and improving overall study quality. I also like how you brought up wearable technologies. In my experience in neurorehabilitation studies with the Veterans Affairs Research Center, continuous data collection could provide a much richer as well as more accurate dataset without increasing any patient burden. In addition to blockchain and encryption for data privacy, I want to add that I think artificial intelligence (AI) could play a huge role in analyzing the large volumes of data generated. AI could help predict site performance, patient dropout risks, or even flag protocol deviations before they become serious problems. Of course, it’s important that as we integrate these advanced technologies, we also prioritize transparency. This is a huge topic brought on by the ethical use of patient data regarding AI. It’s exciting to see how AI and digital tools could make trials faster and more patient centered.

 
Posted : 28/04/2025 3:54 pm
 ri62
(@ri62)
Posts: 39
Eminent Member
 

Optimizing clinical trials using technology is crucial for accelerating medical device development. Electronic data capture (EDC) systems streamline data collection, reducing errors and improving data quality. Wearable devices and remote monitoring tools allow for real-time patient data gathering outside clinical sites. Artificial intelligence (AI) and machine learning can help identify patterns and predict outcomes, enhancing trial design and patient selection. Cloud-based platforms facilitate better collaboration among researchers, sponsors, and regulatory bodies. Blockchain technology ensures data integrity and transparency throughout the trial process. eConsent platforms improve patient understanding and engagement, leading to higher enrollment and retention rates. Using data analytics tools enables faster analysis and identification of trends during trials. Telemedicine technologies expand access to a broader, more diverse patient population, improving trial validity. Automated scheduling and patient management systems optimize resource allocation and trial timelines. By integrating these technologies, clinical trials become more efficient, cost-effective, and capable of meeting regulatory requirements faster.

 
Posted : 28/04/2025 9:57 pm
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