Digital in Trials: Improving Participation and Enabling Novel ......2019/07/26  · Digital in...

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Craig H Lipset

@craiglipset

Linkedin.com/in/lipset

Digital in Trials:

Improving Participation and Enabling Novel Endpoints

NIH Collaboratory Ground Rounds

26 July 2019

2

DISCLOSURE

The opinions expressed are those of the

presenter and do not necessarily represent

employers or other affiliations.

Board of Directors Board of Directors Board of Directors Mentor Former employee

Shareholder

© 2019 Craig Lipset

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With what other industry

could clinical researchers

benchmark themselves?

© 2019 Craig Lipset

4© 2019 Craig Lipset

Research Sponsor’s Outward Perception

5© 2019 Craig Lipset

Research Participant’s Inward Perception

6© 2019 Craig Lipset

Clinical Trials : Airline Travel

No one wants

to be there,

they just want

to get to their

destination

Execution

relies on

significant

amount of

shared

infrastructure

Experience

shaped by

many people

not directly

employed by

the sponsor

Significant

reputation /

perception

issues

Heavily

regulated

industries

Significant

priority and

investment

in safety

Each

instance

generates

tremendous

amounts of

diverse data

Information

online often

coming from

aggregators

with much

less content

Critical role

of supply

chain

Increased

focus on

user

experience

7© 2019 Craig Lipset

Start by Understanding the “User”

8© 2019 Craig Lipset

Start by Understanding the “User”

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THEMES FOR DIGITAL IN DEVELOMENT

access to informationpre-trial, during-trial, post-trial

sharing results & data

access to participationtravel, virtual/remote, location-flexible

ACCESS

improve existing measurement

enable new endpoints

MEASURE

process automation

remove tasks

improve quality

AUTOMATE

© 2019 Craig Lipset

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Will Digital Tools in Medicine Development enable…

Improvement,

Disruption, or

Displacement?

© 2019 Craig Lipset

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INCREMENTAL DIGITAL IMPROVEMENTS

study

planning

patient

engagement

study

conduct

analysis &

reporting

crowdsourcing

data-driven

AI-informed

protocol-fueled

automation

data-driven matching

electronic consent

location-flexibility

digital concierge support

self-tracked & self-reported data

patient aggregated data

sharing results & data

data ownership

remote monitoring

digital/AI biomarkers

electronically sourced data

RWD/RWE

synthetic controls

process automation

reporting automation

deliverables to participants

© 2019 Craig Lipset

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DIGITAL AS A DISRUPTOR

Patient information

Study planning,

design, feasibility

Consent

Compliant data capture

Novel endpoints

Dose setting

Patient selection

& stratification

Enhanced outcomes

Information Only

Data Capture

Digital

Companion

© 2019 Craig Lipset

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Example:DIGITAL DISRUPTING LOCATION

Andy Coravos, CEO Electra Labs @ElektraLabs

© 2019 Craig Lipset

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DIGITAL ENABLING DISPLACEMENT

Digital

Twins

DIY

R&D

Patient-Led

© 2019 Craig Lipset

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What stands in the way

of realizing the impact

of digital in medicine development?

© 2019 Craig Lipset

16© 2019 Craig Lipset

WHAT IS MISSING?

ScaleEasy

17© 2019 Craig Lipset

WHAT IS MISSING?

Digital in Trials:

Improving Participation and Enabling Novel Endpoints

NIH Collaboratory Ground Rounds

26 July 2019

Craig H Lipset

@craiglipset

Linkedin.com/in/lipset