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Conducting dermatology clinical trials during the COVID-19 pandemic
Tabrez Sheriff1, Helen Dickenson-Panas2, Dédée F Murrell1
1Department of Dermatology, St George Hospital, Sydney, New South Wales, Australia; University of New South Wales, Sydney, New South Wales, Australia.
Abstract:
The clinical trials industry faces a number of challenges during the evolving coronavirus disease 2019 (COVID-19) pandemic, for example, site closures, mandatory self-isolation, travel restrictions, interruptions to delivery of investigational product, or staff or participants becoming infected with severe acute respiratory syndrome coronavirus 2. These challenges can pose difficulties in adhering to visit schedules, performing laboratory testing, conducting protocol-specified procedures, and administration of investigational product. As a result, clinical trial sites, contract research organizations, and sponsors have had to act swiftly to ensure that trial patients are safe and systems are in place for continuing trials. Protocols should also be amended to reflect changes and approved by an ethics board. The authors provide practical considerations and recommendations for dermatology clinical trial operations during the COVID-19 pandemic.
Insights
The COVID-19 pandemic created significant challenges for clinical trials, impacting operations and patient safety. This study offers practical recommendations for managing dermatology clinical trials during this evolving health crisis.
Area of Science:
- Clinical Research Operations
- Infectious Disease Epidemiology
- Dermatology
Background:
- The COVID-19 pandemic introduced unprecedented challenges to clinical trial conduct.
- Disruptions included site closures, travel restrictions, and participant/staff infections with SARS-CoV-2.
- These factors complicated adherence to visit schedules, laboratory testing, and protocol procedures.
Purpose of the Study:
- To provide practical considerations and recommendations for dermatology clinical trial operations during the COVID-19 pandemic.
- To address challenges in maintaining patient safety and trial continuity amidst pandemic-related disruptions.
- To guide amendments of clinical trial protocols and ethics board approvals.
Main Methods:
- Review of operational challenges faced by clinical trial sites, CROs, and sponsors during the COVID-19 pandemic.
- Analysis of the impact of pandemic-related issues on trial procedures and investigational product delivery.
- Development of practical recommendations for adapting dermatology clinical trials.
Main Results:
- Swift actions were necessary from stakeholders to ensure patient safety and trial continuity.
- Protocol amendments and ethics board approvals are crucial for adapting to new operational realities.
- Specific strategies are needed to mitigate the impact of disruptions on trial integrity.
Conclusions:
- Adapting clinical trial operations is essential for maintaining research continuity during public health emergencies.
- Proactive planning and flexible approaches are key to overcoming pandemic-related challenges in dermatology research.
- Recommendations focus on ensuring patient safety, data integrity, and regulatory compliance in a changing landscape.
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