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European Pharmaceutical Contractor

The Challenge of Patient Recruitment

Clinical development accounts for 60 to 70 per cent of the time needed to get a new chemical entity (NCE) to market and over the years, conscientious clinical teams have done all they can to reduce the risk of study delays and to minimise the impact of any setbacks. And indeed there have been considerable successes along the way. Since the 1980s, pharma companies have been able to complement their own resources by calling upon contract research organisations (CROs) to avoid delays caused by lack of resources or inexperience in a particular therapeutic area. More recently, technology and centralised dispatch systems have been used to ensure the timely, reliable distribution of clinical trial supplies to sites actively recruiting patients, while electronic data capture offers the potential to speed up data management and create a real-time study database.

Delay, What Delay?

As each source of delay is identified and overcome, it is hard to ignore the fact that many studies in Western Europe are delayed by poor patient recruitment. Most professionals involved in clinical trials will have experienced this problem first-hand and the published evidence for it is growing. Last year, the British Medical Journal reported that Britain has a poor patient recruitment record, achieving less than 80 per cent of the patients promised (1).


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By Jane Baguley, Director of Business Management Services for Quintiles Europe

With an honours degree in Cell Sciences, Jane Baguley joined the pharmaceutical industry in 1988. After five years with Yamanouchi Pharma (formerly Brocades Pharma), Jane began a varied career at Quintiles, encompassing clinical project management, business development, medical writing and medical information. Throughout this period she has witnessed the evolution of the drug development process and while her current role involves business management activities across Quintiles product development, it is through her involvement with Quintiles investigator site management that she has renewed her interest in the challenge of patient recruitment.
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