April 2020
A CenterWatch Publication
Volume 27, Issue 04
Data-sharing Important but Difficult to Implement, Survey Says By Brandon May
T
he clinical trials industry agrees on the importance of data-sharing, but few companies are willing to invest the time and money it takes to create data integration partnerships. In a new survey from the Tufts Center for the Study of Drug Development and eClinical Solutions, companies reported that hammering out business agreements with data partners and working to find common ground on the mechanism of data transfer as well as the format of those data can take too long. Approximately 30.5 percent of respondents reported that setting up these relationships with data providers — organizations or entities (such as sponsors of the study) that typically provide services or systems responsible for optimizing the study and submitting trial data to clinical trial registries and databases — would be too time-consuming and labor-intensive and would also be least suitable for automation. “That’s pretty consistent with the anecdotal reports of challenges we hear for qualifying vendors that are new to the clinical research enterprise,” says Ken Getz, director of sponsored programs and an associate professor at Tufts University School of Medicine. Although survey respondents indicated that data integration was the least time-consuming of all the challenges noted, 28.2 percent and 24.1 percent of respondents said that
performing data review and cleaning as well as transforming and mapping data, respectively, would be too time-consuming or labor-intensive. The survey of 149 companies in fall 2019 found that the vast majority of companies agree on the importance of integrating clinical trial data from multiple applications into a streamlined system. Most companies report having a high number of diverse data sources: approximately 87.3 percent of companies, for instance, reported using non-case report form data, while 74.8 percent reported using direct data capture and 69.2 percent reported using data from devices and apps. Less than half (43.4 percent) reported using electronic health record/ electronic medical record data. “Despite the overwhelming agreement on clinical trial data integration,” says Getz, “many companies still rely on disparate platforms to collect data.” The reliance on several different data sources, he added, can lead to inefficiencies in managing the performance of clinical trials at all levels. The use of holistic tools that can aggregate and integrate study data, rather than having to compare trial data across several different platforms, may help with the data integration challenges, says Getz. Clinical data hubs are currently being used by many companies to organize and integrate data from devices and apps, medical images and electronic health records. A clinical data hub includes three
The CenterWatch Monthly (ISSN 1556-3367). Volume 27, Issue 04. © 2020 CenterWatch.
main components: a data pipeline; automation; and analytics. Source data flows from the data pipeline like electricity into the automation phase, which imports and maps the data. Ultimately, this moves into the analytics component, offering insights into these data. More than half (54.5 percent) of companies reported using a clinical data hub/repository for integrating and analyzing data from devices and apps, whereas 53.7 percent reported using these hubs for data from medical images. According to the survey, the combination of a data strategy plus a data hub may enable more advanced capabilities, including helping companies move toward more predictive and descriptive analytics. Data providers are often small specialty labs, including labs that perform biomarker assays, niche diagnostics and esoteric testing of rare substances or molecules that are not routinely tested in a standard clinical lab. Specialty labs often have a narrow yet sophisticated technical focus. While these labs have the responsibility to ensure that submitted data are complete and accurate, these labs are typically new to clinical research with little to no processes in place to share real-time data with companies quickly. In terms of the lab data and the distribution of clinical research data being analyzed, approximately 60 percent of survey respondents said they relied on
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