Mitigating the Challenges of Clinical Trial Monitoring: A Technology- | Page 2

Mitigating the Challenges of Clinical Trial Monitoring: A Technology-Amplified Approach The accelerated number, pace, and globalization of clinical trials today have made trial management and monitoring far more complex and costly. On-site clinical trial monitoring alone is estimated to account for up to 30 percent of study costs.1 As the life science industry faces unprecedented challenges to develop new products at a faster pace and lower costs, sponsors and clinical research organizations (CROs) have been increasingly embracing Internet-enabled technologies, such as electronic data capture (EDC) and fully integrated clinical trial management systems, to ensure quality and gain needed efficiencies. EDC is used in approximately half of all clinical trials today, and 32 percent of trial sites use Internet-based EDC.2 Given the significant investment in time, resources, and money spent on monitoring activities, trial sponsors must make sure their CROs are using the best, most efficient methods for study oversight and quality assurance. Today, many companies continue to utilize a traditional 100 percent source data verification (SDV) on-site monitoring model. Sometimes a reduced SDV approach and targeted monitoring techniques are used, but not in the context of a robust, risk-based monitoring approach with a risk assessment/mitigation plan. Small and mid-sized life sciences companies and CROs typically lack the technological advances for such an approach. Without real-time, In a recent trial where Clinipace implemented a risk-based, just-in-time monitoring approach, the sponsor estimated a % savings in the cost of monitoring the trial —more than $1M in operational costs. 30 fully integrated data, the ability to assess and analyze risk is limited. In this challenging environment, trial sponsors of all sizes have been increasingly turning to digital CROs (dCRO) with advanced clinical trial management and monitoring systems, and leveraging these technologies more fully to oversee trial performance in real time. Increased adoption of technology and improved clinical operations processes have redefined the role of clinical monitoring while increasing efficiencies and improving the quality of data and clinical trial conduct. clinipace.com 1