Marina Malikova, PhD, Executive Director, Surgical Translational Research, Operations and Compliance, Boston University School of Medicine
The COVID-19 pandemic is disrupting clinical research in most of the world, with immediate impact on clinical trials monitoring practices due to challenges coming from the travel bans, restrictions/social distancing and shifting operations to work remotely, etc. These factors have also translated into issues challenging clinical trials such as operations, milestones, budgets, data integrity, etc. Given the complex risk/benefit considerations associated with each specific clinical trial, there is no single solution to manage the risks in clinical trials conduct due to COVID-19. Remote monitoring should be based on risk assessments as a continuous and living process as the situation evolves over the coming weeks to months. Routine and ongoing cross checks for study teams are already proving an alignment on key timelines, critical risk points and other study specific challenges as we are moving towards de-centralized settings in the conduct of clinical trials. We have analyzed lessons learned and attempted to develop best practices to mitigate risks and adjust clinical research operations in this unprecedented time.