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Trial design


Come together


Until relatively recently, patient engagement involved very few conversations with patients themselves. Good practice was anecdotal rather than the norm. Elly Earls talks to Nicholas Brooke, founder and executive director of The Synergist, and Kenneth Getz, deputy director and research professor at The Tufts Center for the Study of Drug Development (CSDD), to fi nd out why sponsors and regulators are fi nally putting the processes, tools and relationships in place to get patients involved across the life cycle of drug development.


ompared with the meticulous processes and state-of-the-art technology that goes into much of the drug development process, talking to patients is hardly rocket science. One might be forgiven for assuming that it is, however, given the scant focus that engaging the very people for whom drugs are being developed for has received, until very recent years.


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The argument for patient involvement in clinical trials is simple. If sponsors understand what the people who are living with the burden of a particular disease need, clinical trials will run more smoothly, have better outcomes and the treatments that are ultimately developed will be more relevant and meaningful to patients’ lives. Historically, though, sponsors have engaged with clinicians to determine


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what protocols would be most suitable for clinical trials, rather than getting the information straight from the horse’s mouth. It’s hardly surprising then that around one in five trials is terminated because of under- recruitment, an average of 30% of participants drop out before the end of their trial and, even when they do see the process through to the end, only 46% of patients would encourage their peers to do the same, according to a whitepaper by Clinical Leader. “What we see in practice is that every single time patients are involved – I’m talking about the right set of patients – I have yet to come across someone who is not happy about it,” says Nicholas Brooke, founder and executive director of The Synergist, an incubator that brings public and private players together to build programmes that solve societal


Clinical Trials Insight / www.worldpharmaceuticals.net


Iconic Bestiary/Shutterstock.com


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