Global clinical trial mobilization for COVID-19: higher, faster, stronger

Reed F Beall1, Aidan Hollis2

  • 1Department of Community Health Sciences, Cumming School of Medicine and O'Brien Institute for Public Health, University of Calgary, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada.

Drug Discovery Today
|August 11, 2020
PubMed

Insights

The Coronavirus 2019 (COVID-19) epidemic saw significantly more, faster, and diverse clinical trials than previous epidemics. International coordination is needed to manage trial congestion and risks.

Area of Science:

  • Epidemiology
  • Clinical Trial Management
  • Public Health Emergencies

Background:

  • The Coronavirus 2019 (COVID-19) epidemic presented a unique clinical trial landscape compared to prior epidemics like H1N1, Ebola, and Zika.
  • A large number of clinical trials were initiated rapidly following the declaration of a Public Health Emergency of International Concern (PHEIC).

Purpose of the Study:

  • To analyze the characteristics of the COVID-19 clinical trial landscape.
  • To identify potential challenges and propose solutions for managing large-scale clinical trial initiatives.

Main Methods:

  • Comparative analysis of clinical trial data from COVID-19 and previous epidemics (H1N1, Ebola, Zika).
  • Assessment of trial initiation speed, geographical diversity, and funding sources.
  • Evaluation of potential inefficiencies and risks associated with numerous simultaneous trials.

Main Results:

  • COVID-19 trials significantly outnumbered those for previous epidemics within the first three months of a PHEIC.
  • COVID-19 trials were initiated faster, showed greater geographical diversity, and had less industry funding.
  • Hundreds of concurrent trials involving 0.3 million participants across 78 countries pose risks of congestion and inefficiency.

Conclusions:

  • The COVID-19 epidemic's clinical trial approach differs substantially from past epidemics.
  • The rapid, widespread initiation of trials necessitates international coordination to mitigate risks and enhance efficiency for future public health emergencies.

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