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Opportunities to enhance patient engagement CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1

eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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Page 1: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

Opportunities to enhance patient engagement

CT:IQ Steering Committee, 24 June 2019

eConsent in Clinical Trials

1

Page 2: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

01 | Project scope

02 | Methodology

03 | Background & context

04 | Use cases

05 | Benefits

Agenda

06 | Barriers to uptake

07 | Pathways forward - critical success factors

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Page 3: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

1. Scope

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Page 4: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

2. Methodology

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● Semi-structured interviews with 19 stakeholders

● Survey questionnaire, n = 179

Page 5: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

3. Background & context

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What exactly do we mean by eInformation and eConsent?

Page 6: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

How much exposure to eConsent have people had?

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Page 7: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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Page 8: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

1 eConsent with a physical

signature

2 eConsent on a supplied device

3 eConsent using cloud-based

software

4 eConsent using biometric

information

4. Use Cases

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Page 9: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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Page 10: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

Current usage of eConsent/Patient RegistrationA cluster randomised, crossover, non-inferiority trial of aspirin compared to low molecular weight heparin for venous thromboembolism prophylaxis and safety in hip or knee arthroplasty, a registry nested study -CRISTAL (ACTRN12618001879257)

Prof Ian Harris- UNSW

● Consent is to the data collection● Pragmatic design of SOC options● Patients can register either through a URL or an iPad● Questionnaires delivered through URL, iPad or through telephone interview.

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Page 11: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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Page 12: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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Page 13: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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Page 14: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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Page 15: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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CALD

Page 16: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

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Regional and Rural patients

● Teletrials still not widespread and won’t be achievable for all studies

● Patients will require stays in metropolitan centres● Eligibility screening and consent can be done remotely

○ Pre-reading may reduce time needed to go through the consent process- which may reduce the stay away from home

○ New information can be shared more easily

Page 17: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

5. Benefits

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Page 18: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

What wasn’t seen as a significant benefit?

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Page 19: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

6. Barriers to uptake

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Page 20: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

What wasn’t seen as a significant barrier to uptake?

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Page 21: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

7. Pathways forward - critical success factors

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Page 22: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

7. Pathways forward - critical success factors

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Page 23: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

1. What questions do people have?

2. Where to from here?

3. How might CT:IQ help to catalyze change and support adoption of eConsent?

Open Forum Questions

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Page 24: eConsent in Clinical Trials - Chrysalis Advisory · CT:IQ Steering Committee, 24 June 2019 eConsent in Clinical Trials 1. 01 | Project scope 02 | Methodology 03 | Background & context

Thank you.

t +61 2 9188 4080 | m +61 417 610 557e [email protected] | w chrysalisadvisory.com.au

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Nick NorthcottPartner BSc, BCom, MBA, GAICD

Nik ZepsExpert AdvisorBSc, PhD