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Development and Testing of the Protocol Quality Rating Tool (PQRT) to Evaluate Clinical Trial Protocol Document
Angela K Lyden1,2, Claire Z Kalpakjian1,3, Cathie Spino1,4
1Michigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, Michigan, USA.
Clinical and Translational Science
|April 28, 2025
Summary
Researchers developed the Protocol Quality Rating Tool (PQRT) to objectively assess clinical trial protocol document quality. This new tool aids in standardizing and improving the quality of clinical trial protocols.
Area of Science:
- Clinical Research Methodology
- Health Services Research
Background:
- High-quality clinical trial protocol documents are crucial for trial success but lack standardized evaluation methods.
- Existing methods for assessing protocol quality are inconsistent, hindering efficient clinical trial implementation.
Purpose of the Study:
- To develop and validate a reliable tool for assessing the quality of clinical trial protocol documents.
- To establish a consensus-based approach for defining and measuring protocol quality.
Main Methods:
- A modified Delphi approach and cognitive interviews were employed to develop the Protocol Quality Rating Tool (PQRT).
- Expert input was gathered to create a checklist of essential and desirable elements for high-quality protocols.
- The PQRT was organized into 18 sections, differentiating essential from bonus content.
Main Results:
- The developed Protocol Quality Rating Tool (PQRT) was tested on ten Institutional Review Board-approved protocol documents.
- Protocol quality raters found the PQRT easy to use, with high inter-rater concordance observed for most documents.
- The tool effectively differentiates between high- and low-quality protocol documents.
Conclusions:
- The Protocol Quality Rating Tool (PQRT) provides a simple, validated method for measuring clinical trial protocol document quality.
- The study encourages further evaluation and validation of the PQRT by the research community to enhance clinical trial standards.
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