What is the purpose of clinical trial monitoring?

Author:

Love Sharon B.ORCID,Yorke-Edwards VictoriaORCID,Ward Elizabeth,Haydock Rebecca,Keen Katie,Biggs Katie,Gopalakrishnan Gosala,Marsh Lucy,O’Sullivan LydiaORCID,Fox Lisa,Payerne Estelle,Hood KerenzaORCID,Meakin Garry

Abstract

Abstract Background The sources of information on clinical trial monitoring do not give information in an accessible language and do not give detailed guidance. In order to enable communication and to build clinical trial monitoring tools on a strong easily communicated foundation, we identified the need to define monitoring in accessible language. Methods In a three-step process, the material from sources that describe clinical trial monitoring were synthesised into principles of monitoring. A poll regarding their applicability was run at a UK national academic clinical trials monitoring meeting. Results The process derived 5 key principles of monitoring: keeping participants safe and respecting their rights, having data we can trust, making sure the trial is being run as it was meant to be, improving the way the trial is run and preventing problems before they happen. Conclusion From the many sources mentioning monitoring of clinical trials, the purpose of monitoring can be summarised simply as 5 principles. These principles, given in accessible language, should form a firm basis for discussion of monitoring of clinical trials.

Funder

Medical Research Council

Health Research Board-Trials Methodology Research Network grant

Publisher

Springer Science and Business Media LLC

Subject

Pharmacology (medical),Medicine (miscellaneous)

Reference9 articles.

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2. Houston L, Martin A, Yu P, et al. Time-consuming and expensive data quality monitoring procedures persist in clinical trials: a national survey. Contemp Clin Trials. 2021;103:106290. https://doi.org/10.1016/j.cct.2021.106290.

3. Medicines for human use (clinical trials) (amendment) (EU exit) regulations 2019. 2019. https://www.legislation.gov.uk/uksi/2019/744/contents. Accessed 5 Oct 2021.

4. Beever D, Swaby L. An evaluation of risk-based monitoring in pragmatic trials in UK Clinical Trials Units. Trials. 2019;20:556. https://doi.org/10.1186/s13063-019-3619-6.

5. Love SB, Yorke-Edwards V, Lensen S, et al. Monitoring in practice - how are UK academic clinical trials monitored? A survey. Trials. 2020;21:59. https://doi.org/10.1186/s13063-019-3976-1.

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