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TECHNOLOGY & DATA MANAGEMENT


higher-risk critical elements essential for topline study reporting, while deferring reviews of lower-risk data to a later stage.


Addressing Low-Detectability Risks Identifying the impact and probability of errors is often more straightforward than assessing their detectability, making detectability a critical area for innovation. Key challenges include errors during patient screening and eligibility determination, which can lead to wrongful enrollment; misreported adverse events caused by diagnostic inaccuracies; undetected deviations in sample collection and processing; and intentional data fabrication or manipulation. These high-risk events are particularly prevalent in decentralized trials lacking rigorous monitoring or validation technologies, but they also pose significant threats to the integrity of any study design with inadequate safeguards and risk mitigation strategies. In the future, clinical trialists should prioritize developing new approaches and technologies that effectively address low-detectability events using data-validated methods to enhance risk mitigation.


Conclusion This model serves as a hypothetical framework designed to address the needs of all stakeholders, balancing cost-efficiency, data quality, and regulatory compliance in clinical trials. It emphasizes a risk-focused approach to demonstrate cost-effectiveness. By aligning with FDA guidance and adopting risk-based principles, sponsors can optimize resource allocation, lower monitoring costs, and produce high-quality data to support critical funding milestones, thereby enhancing the feasibility of clinical research for start-ups navigating the competitive biotech industry.


About the Author: For 20 years, Peter Gompper has delivered consulting services to biopharma organizations, specializing in clinical R&D and operational optimization. Currently, he focuses on developing advanced sensor technologies that enhance data validation, improve patient outcomes, and drive cost efficiencies in healthcare.


Correspondence: pgo@att.net


By combining base cost analysis with data variable prioritization, sponsors can develop an optimal portfolio of actions to reduce uncertainty and enhance efficiency


Credit: THICHA SATAPITANON via Shutterstock. Outsourcing in Clinical Trials Handbook | 41


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