The Digital Platform and Its Emerging Role in Decentralized Clinical Trials
Decentralized clinical trials (DCTs) are becoming increasingly popular. Digital clinical trial platforms are software environments where users complete designated clinical trial tasks, providing investigators and trial participants with efficient tools to support trial activities and streamline tria...
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| Vydané v: | Journal of medical Internet research Ročník 26; číslo 17; s. e47882 |
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| Hlavní autori: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Canada
Journal of Medical Internet Research
03.09.2024
JMIR Publications |
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| ISSN: | 1438-8871, 1439-4456, 1438-8871 |
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| Abstract | Decentralized clinical trials (DCTs) are becoming increasingly popular. Digital clinical trial platforms are software environments where users complete designated clinical trial tasks, providing investigators and trial participants with efficient tools to support trial activities and streamline trial processes. In particular, digital platforms with a modular architecture lend themselves to DCTs, where individual trial activities can correspond to specific platform modules. While design features can allow users to customize their platform experience, the real strengths of digital platforms for DCTs are enabling centralized data capture and remote monitoring of trial participants and in using digital technologies to streamline workflows and improve trial management. When selecting a platform for use in a DCT, sponsors and investigators must consider the specific trial requirements. All digital platforms are limited in their functionality and technical capabilities. Integrating additional functional modules into a central platform may solve these challenges, but few commercial platforms are open to integrating third-party components. The lack of common data standardization protocols for clinical trials will likely limit the development of one-size-fits-all digital platforms for DCTs. This viewpoint summarizes the current role of digital platforms in supporting decentralized trial activities, including a discussion of the potential benefits and challenges of digital platforms for investigators and participants. We will highlight the role of the digital platform in the development of DCTs and emphasize where existing technology is functionally limiting. Finally, we will discuss the concept of the ideal fully integrated and unified DCT and the obstacles developers must address before it can be realized. |
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| AbstractList | Decentralized clinical trials (DCTs) are becoming increasingly popular. Digital clinical trial platforms are software environments where users complete designated clinical trial tasks, providing investigators and trial participants with efficient tools to support trial activities and streamline trial processes. In particular, digital platforms with a modular architecture lend themselves to DCTs, where individual trial activities can correspond to specific platform modules. While design features can allow users to customize their platform experience, the real strengths of digital platforms for DCTs are enabling centralized data capture and remote monitoring of trial participants and in using digital technologies to streamline workflows and improve trial management. When selecting a platform for use in a DCT, sponsors and investigators must consider the specific trial requirements. All digital platforms are limited in their functionality and technical capabilities. Integrating additional functional modules into a central platform may solve these challenges, but few commercial platforms are open to integrating third-party components. The lack of common data standardization protocols for clinical trials will likely limit the development of one-size-fits-all digital platforms for DCTs. This viewpoint summarizes the current role of digital platforms in supporting decentralized trial activities, including a discussion of the potential benefits and challenges of digital platforms for investigators and participants. We will highlight the role of the digital platform in the development of DCTs and emphasize where existing technology is functionally limiting. Finally, we will discuss the concept of the ideal fully integrated and unified DCT and the obstacles developers must address before it can be realized.Decentralized clinical trials (DCTs) are becoming increasingly popular. Digital clinical trial platforms are software environments where users complete designated clinical trial tasks, providing investigators and trial participants with efficient tools to support trial activities and streamline trial processes. In particular, digital platforms with a modular architecture lend themselves to DCTs, where individual trial activities can correspond to specific platform modules. While design features can allow users to customize their platform experience, the real strengths of digital platforms for DCTs are enabling centralized data capture and remote monitoring of trial participants and in using digital technologies to streamline workflows and improve trial management. When selecting a platform for use in a DCT, sponsors and investigators must consider the specific trial requirements. All digital platforms are limited in their functionality and technical capabilities. Integrating additional functional modules into a central platform may solve these challenges, but few commercial platforms are open to integrating third-party components. The lack of common data standardization protocols for clinical trials will likely limit the development of one-size-fits-all digital platforms for DCTs. This viewpoint summarizes the current role of digital platforms in supporting decentralized trial activities, including a discussion of the potential benefits and challenges of digital platforms for investigators and participants. We will highlight the role of the digital platform in the development of DCTs and emphasize where existing technology is functionally limiting. Finally, we will discuss the concept of the ideal fully integrated and unified DCT and the obstacles developers must address before it can be realized. Decentralized clinical trials (DCTs) are becoming increasingly popular. Digital clinical trial platforms are software environments where users complete designated clinical trial tasks, providing investigators and trial participants with efficient tools to support trial activities and streamline trial processes. In particular, digital platforms with a modular architecture lend themselves to DCTs, where individual trial activities can correspond to specific platform modules. While design features can allow users to customize their platform experience, the real strengths of digital platforms for DCTs are enabling centralized data capture and remote monitoring of trial participants and in using digital technologies to streamline workflows and improve trial management. When selecting a platform for use in a DCT, sponsors and investigators must consider the specific trial requirements. All digital platforms are limited in their functionality and technical capabilities. Integrating additional functional modules into a central platform may solve these challenges, but few commercial platforms are open to integrating third-party components. The lack of common data standardization protocols for clinical trials will likely limit the development of one-size-fits-all digital platforms for DCTs. This viewpoint summarizes the current role of digital platforms in supporting decentralized trial activities, including a discussion of the potential benefits and challenges of digital platforms for investigators and participants. We will highlight the role of the digital platform in the development of DCTs and emphasize where existing technology is functionally limiting. Finally, we will discuss the concept of the ideal fully integrated and unified DCT and the obstacles developers must address before it can be realized. |
| Audience | Academic |
| Author | Zeltsi, Alexandra Mackenzie, Isla S Copland, Rachel R MacDonald, Thomas M Rogers, Amy Nikolopoulos, Spiros Mpaltadoros, Lampros Hanke, Sten Lazarou, Ioulietta |
| AuthorAffiliation | 1 MEMO Research School of Medicine University of Dundee Dundee United Kingdom 2 eHealth FH Joanneum Graz Austria 3 Information Technologies Institute Centre for Research & Technology Hellas Thessaloniki Greece |
| AuthorAffiliation_xml | – name: 2 eHealth FH Joanneum Graz Austria – name: 3 Information Technologies Institute Centre for Research & Technology Hellas Thessaloniki Greece – name: 1 MEMO Research School of Medicine University of Dundee Dundee United Kingdom |
| Author_xml | – sequence: 1 givenname: Rachel R orcidid: 0000-0002-9618-1584 surname: Copland fullname: Copland, Rachel R – sequence: 2 givenname: Sten orcidid: 0000-0003-3833-4252 surname: Hanke fullname: Hanke, Sten – sequence: 3 givenname: Amy orcidid: 0000-0001-5207-7032 surname: Rogers fullname: Rogers, Amy – sequence: 4 givenname: Lampros orcidid: 0000-0001-8652-7628 surname: Mpaltadoros fullname: Mpaltadoros, Lampros – sequence: 5 givenname: Ioulietta orcidid: 0000-0001-5113-8366 surname: Lazarou fullname: Lazarou, Ioulietta – sequence: 6 givenname: Alexandra orcidid: 0009-0004-5262-6328 surname: Zeltsi fullname: Zeltsi, Alexandra – sequence: 7 givenname: Spiros orcidid: 0000-0002-1367-5133 surname: Nikolopoulos fullname: Nikolopoulos, Spiros – sequence: 8 givenname: Thomas M orcidid: 0000-0001-5189-6669 surname: MacDonald fullname: MacDonald, Thomas M – sequence: 9 givenname: Isla S orcidid: 0000-0002-3680-7127 surname: Mackenzie fullname: Mackenzie, Isla S |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39226549$$D View this record in MEDLINE/PubMed |
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| Copyright | Rachel R Copland, Sten Hanke, Amy Rogers, Lampros Mpaltadoros, Ioulietta Lazarou, Alexandra Zeltsi, Spiros Nikolopoulos, Thomas M MacDonald, Isla S Mackenzie. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 03.09.2024. COPYRIGHT 2024 Journal of Medical Internet Research Rachel R Copland, Sten Hanke, Amy Rogers, Lampros Mpaltadoros, Ioulietta Lazarou, Alexandra Zeltsi, Spiros Nikolopoulos, Thomas M MacDonald, Isla S Mackenzie. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 03.09.2024. 2024 |
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| Keywords | decentralized clinical trials clinical trials digitalization digital platform mobile phone |
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| License | Rachel R Copland, Sten Hanke, Amy Rogers, Lampros Mpaltadoros, Ioulietta Lazarou, Alexandra Zeltsi, Spiros Nikolopoulos, Thomas M MacDonald, Isla S Mackenzie. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 03.09.2024. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research (ISSN 1438-8871), is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included. |
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| Title | The Digital Platform and Its Emerging Role in Decentralized Clinical Trials |
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