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Decentralized Clinical Trial Case Study: Five-stage Process for Recruiting and Completing a Site-less Clinical Study in Less Time and Lower Cost than Traditional Methods

Received: 25 September 2021    Accepted: 19 October 2021    Published: 28 October 2021
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Abstract

Healthcare delivery models have been thrust towards virtual care delivery, including site-less virtual clinical trial recruitment. Digital health technologies give trial participants a choice of participating from the convenience of home rather than traveling to a trial site, which can increase participant engagement and retention. In this case study, a five-stage process is illustrated in which a 1,000-patient virtual clinical trial was completed in just seven months at a cost 30% lower than traditional site-based recruitment. Participants were located, educated, and navigated through a successful multi-step virtual clinical trial for an at-home colon screening test. The locating and screening of patients were conducted via paid social media ads. Next, respondents were contacted by telephone by patient education specialists for additional screening, education, and support. Per protocol, it was confirmed that participants were scheduled for a colonoscopy with their preferred local provider. Finally, sample collection kits were sent to participants home. Overall, the trial achieved a timeline of six months from the first participant to final analysis, followed by dataset review and analysis in just five days. Among the lessons learned was that the trial was more efficiently conducted with the 83bar virtual process than relying on third-party sites and remote investigators to help with the study. Additionally, social media is the best way to find the right patients in the least amount of time.

Published in American Journal of Health Research (Volume 9, Issue 6)
DOI 10.11648/j.ajhr.20210906.11
Page(s) 213-217
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Virtual Clinical Trial, Decentralized Clinical Trial, Patient Recruitment, Patient Education, Patient Activation

References
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[4] Dewulf L. Patient engagement by pharma—why and how? A framework for compliant patient engagement. Ther Innov Regul Sci. 2015; 49 (1): 9-16.
[5] Zhu M, Sridhar S, Hollingsworth R, Chit A, Kimball T, Murmello K, Greenberg M, Gurunathan S, Chen J. Hybrid clinical trials to generate real-world evidence: design considerations from a sponsor's perspective. Contemp Clin Trials. 2020 Jul; 94: 105856. doi: 10.1016/j.cct.2019.105856.
[6] Gold M, Amatniek J, Carrillo MC, Cedarbaum JM, Hendrix JA, Miller BB, Robillard JM, Rice JJ, Soarres H, Tome MB, Tarnanas I, Vargas G, Bain LJ, Czaja SJ. Digital technologies as biomarkers, clinical outcomes assessment, and recruitment tools in Alzheimer's disease clinical trials. Alzheimer's & Dementia: Translational Research & Clinical Interventions. 2018; 4: 234–242.
[7] Raber-Johnson, M. L., Gallwitz, W. E., Sullivan, E. J. et al. Innovation in Clinical Trial Design and Product Promotion: Evolving the Patient Perspective with Regulatory and Technological Advances. Ther Innov Regul Sci 54, 519–527 (2020). doi.org/10.1007/s43441-019-00083-5.
[8] Raber-Johnson ML, Stinson M, Dillon C, Wan GJ. Key Steps Toward a Promotional Communications Strategy: Collaboration Best Practices for Teams Creating Promotional Materials and Regulatory Colleagues. Ther Innov Regul Sci. 2021 Mar 15. doi: 10.1007/s43441-021-00272-1.
[9] Baurys, B, Stinson, M. Patient Activation: The 4 Steps Proven to Move Health Care Consumers From Awareness to Activation. BSB, LLC (Boise, ID); 2019.
[10] Data on file, 83bar Inc.
[11] Dillon C, Knapp J, Stinson M. An Evolved Approach to Advisory Boards in Rare Disease Drug Development: 5-Step Model to Finding and Engaging Patient Advisors. Journal of Patient Experience. October 2020. doi: 10.1177/2374373520948441.
[12] Crawford LS, et al. Patient-centered drug development and the Learning Health System. Learn Health Sys. 2017; 1: e10027.
[13] Hoos A, et al. Partnering with Patients in the Development and Lifecycle of Medicines: A Call for Action. Ther Innov Regul Sci. 2015; 49 (6): 929-939.
[14] Perfetto EM, Burke L, Oehrlein EM, Epstein RS. Patient-focused drug development. Med Care. 2015; 53: 9-17.
[15] Hansen, M, Nørgaard, LS & Hallgreen, CE. How and Why to Involve Patients in Drug Development: Perspectives From the Pharmaceutical Industry, Regulatory Authorities, and Patient Organizations. Ther Innov Regul Sci. 2020; 54.
[16] Barnell EK, Kang Y, Barnell AR, et al. Multitarget Stool RNA Test for Noninvasive Detection of Colorectal Neoplasia in a Multicenter Prospective and Retrospective Cohort. Clinical and Translational Gastroenterology; 2021 May. doi 10.14309/ctg.0000000000000360.
Cite This Article
  • APA Style

    Alex Hilderbrand, Michael Zangrilli, Mark Stinson. (2021). Decentralized Clinical Trial Case Study: Five-stage Process for Recruiting and Completing a Site-less Clinical Study in Less Time and Lower Cost than Traditional Methods. American Journal of Health Research, 9(6), 213-217. https://doi.org/10.11648/j.ajhr.20210906.11

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    ACS Style

    Alex Hilderbrand; Michael Zangrilli; Mark Stinson. Decentralized Clinical Trial Case Study: Five-stage Process for Recruiting and Completing a Site-less Clinical Study in Less Time and Lower Cost than Traditional Methods. Am. J. Health Res. 2021, 9(6), 213-217. doi: 10.11648/j.ajhr.20210906.11

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    AMA Style

    Alex Hilderbrand, Michael Zangrilli, Mark Stinson. Decentralized Clinical Trial Case Study: Five-stage Process for Recruiting and Completing a Site-less Clinical Study in Less Time and Lower Cost than Traditional Methods. Am J Health Res. 2021;9(6):213-217. doi: 10.11648/j.ajhr.20210906.11

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  • @article{10.11648/j.ajhr.20210906.11,
      author = {Alex Hilderbrand and Michael Zangrilli and Mark Stinson},
      title = {Decentralized Clinical Trial Case Study: Five-stage Process for Recruiting and Completing a Site-less Clinical Study in Less Time and Lower Cost than Traditional Methods},
      journal = {American Journal of Health Research},
      volume = {9},
      number = {6},
      pages = {213-217},
      doi = {10.11648/j.ajhr.20210906.11},
      url = {https://doi.org/10.11648/j.ajhr.20210906.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20210906.11},
      abstract = {Healthcare delivery models have been thrust towards virtual care delivery, including site-less virtual clinical trial recruitment. Digital health technologies give trial participants a choice of participating from the convenience of home rather than traveling to a trial site, which can increase participant engagement and retention. In this case study, a five-stage process is illustrated in which a 1,000-patient virtual clinical trial was completed in just seven months at a cost 30% lower than traditional site-based recruitment. Participants were located, educated, and navigated through a successful multi-step virtual clinical trial for an at-home colon screening test. The locating and screening of patients were conducted via paid social media ads. Next, respondents were contacted by telephone by patient education specialists for additional screening, education, and support. Per protocol, it was confirmed that participants were scheduled for a colonoscopy with their preferred local provider. Finally, sample collection kits were sent to participants home. Overall, the trial achieved a timeline of six months from the first participant to final analysis, followed by dataset review and analysis in just five days. Among the lessons learned was that the trial was more efficiently conducted with the 83bar virtual process than relying on third-party sites and remote investigators to help with the study. Additionally, social media is the best way to find the right patients in the least amount of time.},
     year = {2021}
    }
    

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    VL  - 9
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Author Information
  • 83bar Inc., Austin, USA

  • 83bar Inc., Salt Lake City, USA

  • Bioscience Bridge LLC, Boise, USA

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