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From the editor On the web...


Keep up with the latest developments in the pharmaceutical industry by visiting www.worldpharmaceuticals.net


Clinical Trials Insight Volume 1 2021


Editorial


Editor Tim Gunn Managing editor Lucy Vann Sub-editor Phoebe Galbraith Group art director Henrik Williams Designer Martin Faulkner Production manager Dave Stanford Head of content Jake Sharp


Commercial Sales manager Nathan Park


nathan.park@progressivemediainternational.com Client services executive Derek Deschamps Managing director William Crocker


Clinical Trials Insight is published by Progressive Media International.


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www.ns-healthcare.com www.worldpharmaceuticals.net ISSN 2050-3067 © 2021


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Patients first C


ovid-19 has impacted all of our lives and, with the Delta variant gaining traction worldwide, it seems to be something that we may have adapt to, with booster jabs on the agenda as well. As we look to the future, it is clear that there are lessons to be learned and a ‘new normal’ ahead, with words such as ‘agility’, ‘adaptability’ and ‘resilience’ often a key part of the conversation. For pharma and clinical trials, the landscape is ever-changing, but Covid-19 has undoubtedly brought about rapid change, such as the lightning fast development of vaccines and conducting studies while patients are locked down.


Patients are arguably one of the biggest stakeholders in the development of new drugs and, while not a new term, patient centricity is a growing movement. Clinical research centred around the patient might seem like an obvious choice, but challenges thrown up by the pandemic and advances in technology have highlighted that more can be done – and with benefits for the industry too.


Recruiting and then retaining patients in trials can be challenging, with heavy costs incurred for making replacements. Remote trials, with benefits such as the home delivery of medication and cutting travel, can reduce the burden on patients and, in turn, boost trial recruitment and retention. Changes in the set-up of trials and new technologies make patient centricity a running theme in this issue. On page 33, we look at decentralisation and the challenges of operating trials in a virtual setting, and how far this may go. As has been suggested for the future of conferences, will a hybrid model be the way ahead, offering the best of both worlds? Engaging patients in clinical trial design is another consideration on page 14, as it has the potential to help make studies patient, rather than product, centric. Increasing diversity in clinical trials also comes into play in our cover story on page 8. Having participants who closely mirror the intended patient population means successful studies are more likely to indicate that a new drug will effectively treat everyone with the particular disease or condition. Decentralised trials offer the opportunity to increase diversity, building sites around the participants – again, putting the patients first.


UK £58 EU €92 US $119 RoW $120 UK £93 EU €144 US $190 RoW $191


Lucy Vann, managing editor


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