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Positioning Community Pharmacies in Nigeria as a Clinical Trial Partner: A Forward Perspective
Adeboye O Bamgboye1,2, Ibrahim A Hassan2,3, Babatunde M Jinadu2,4
1Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, Minnesota, USA.
Decentralized clinical trials (DCTs) offer solutions for research in Nigeria. Utilizing community pharmacies can overcome infrastructure and recruitment hurdles in African clinical research.
Area of Science:
- Clinical research methodology
- Public health initiatives
- Pharmaceutical sciences
Background:
- Decentralized clinical trials (DCTs) represent an innovative shift from traditional site-based research.
- Low- and middle-income countries (LMICs) face significant challenges in clinical trial execution, including limited infrastructure, workforce shortages, and funding constraints.
- Nigeria, as an example LMIC, experiences these trial-related difficulties, hindering medical research advancement.
Purpose of the Study:
- To explore the potential of Decentralized Clinical Trials (DCTs) in overcoming common challenges in conducting clinical research within Nigeria.
- To identify how non-traditional healthcare infrastructure, specifically community pharmacies, can be integrated into DCT models.
- To assess the strategic value of Nigeria's extensive community pharmacy network as partners in decentralized research efforts.
Main Methods:
- Conceptual analysis of DCT models applied to LMIC contexts.
- Review of existing healthcare infrastructure in Nigeria, focusing on community pharmacies.
- Examination of potential benefits and challenges of leveraging community pharmacies for DCTs.
Main Results:
- DCTs offer a viable framework to mitigate infrastructural and manpower limitations in Nigerian clinical trials.
- Community pharmacies present an accessible, widespread resource that can be adapted for decentralized trial activities.
- Strategic partnerships with Nigerian community pharmacies can enhance patient recruitment and trial feasibility.
Conclusions:
- Decentralized clinical trials hold significant promise for advancing medical research in Nigeria and similar LMICs.
- Integrating community pharmacies into DCT frameworks can effectively address key logistical and operational barriers.
- Collaboration with community pharmacies is crucial for successful implementation of DCTs in resource-limited settings.
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