New Benchmarks on Protocol Amendment Practices, Trends and their Impact on Clinical Trial Performance.

The Tufts Center for the Study of Drug Development (Tufts CSDD) conducted a follow-up study in 2022 to assess trends in protocol amendment experiences and the impact amendments have had on clinical trial performance, particularly during the COVID-19 pandemic. Sixteen pharmaceutical companies and con...

Descripción completa

Detalles Bibliográficos
Publicado en:Therapeutic Innovation & Regulatory Science Vol. 58; no. 3; pp. 539 - 549
Autores principales: Getz, Kenneth, Smith, Zachary, Botto, Emily, Murphy, Elisabeth, Dauchy, Arnaud
Formato: research tables/charts Journal Article
Publicado: Springer Nature May2024
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176842507&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 176842507
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        21684790
        FUHO
      jtl: Therapeutic Innovation & Regulatory Science
      issn: 21684790
      maglogo: N
    pubinfo:
      dt: May2024
      vid: 58
      iid: 3
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        176842507
        175817608
        176842507
        176842507
        10.1007/s43441-024-00622-9
        176842507
      ppf: 539
      ppct: 10
      formats:
      tig:
        atl: New Benchmarks on Protocol Amendment Practices, Trends and their Impact on Clinical Trial Performance.
      aug:
        au:
          Getz, Kenneth
          Smith, Zachary
          Botto, Emily
          Murphy, Elisabeth
          Dauchy, Arnaud
        affil: https://ror.org/05wvpxv85 Tufts Center for the Study of Drug Development, Tufts University School of Medicine, Boston, USA
      sug:
        subj:
          Clinical Trials
          Task Performance and Analysis
          Practice Guidelines
          Human
          Pharmaceutical Companies
          COVID-19 Pandemic
          Prospective Studies
          Drug Development
      ab: The Tufts Center for the Study of Drug Development (Tufts CSDD) conducted a follow-up study in 2022 to assess trends in protocol amendment experiences and the impact amendments have had on clinical trial performance, particularly during the COVID-19 pandemic. Sixteen pharmaceutical companies and contract research organizations provided data on 950 protocols and 2188 amendments. The results show that, since 2015, the prevalence of protocols with at least one amendment in phases I–IV has increased substantially (from 57 to 76%) and the mean number of amendments per protocol has increased 60% to 3.3, up from 2.1. Phase I and III protocols saw the highest increases in the mean number of amendments implemented per protocol. A much higher percentage of amendments—77%—were deemed unavoidable with regulatory agency requests and changes to the study strategy as the top reasons cited for amending a protocol. The total average duration to implement an amendment has nearly tripled during the past decade. The time from identifying the need-to-amend to last oversight approval now takes an average of 260 days and the mean duration during which investigative sites operate with different versions of the clinical trial protocol spans 215 days. Protocols that implemented at least one amendment were more effective at increasing patient screening volume and reducing the actual number of patients enrolled relative to plan. Lastly, the prevalence of protocols with at least one amendment and mean number of amendments was significantly higher for protocols conducted during the pandemic.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N