Setting up modern clinical trial management systems require substantial investments in software, hardware, customization, integration with other IT systems and staff training. Additionally, maintaining these complex systems involve ongoing operation costs such as system updates, IT support services, security upgrades, user licenses and subscriptions. This makes initial adoption and long-term usage of clinical trial management solutions expensive, especially for smaller companies and organizations with limited budgets. The high costs associated with clinical trial management systems is a major deterrent for many pharmaceutical and contract research organizations. As per the World Bank data, in low- and middle-income countries, lack of financial resources impede clinical trial activities. In many developing nations, core healthcare expenses take up a major portion of the national budgets, leaving little room for advanced technologies. This makes these countries dependent on foreign aid and donations for clinical trials. For example, 60% of Kenya's healthcare expenditure in 2020 was funded through external sources as per the Kenya National Bureau of Statistics data. The funding constraints in such resource poor settings negatively impact the procurement of clinical trial management solutions.
Market Opportunities: Integration of CTMS with other digital health solutions
Integration of clinical trial management systems (CTMS) with other digital health solutions provides a great opportunity to streamline clinical trials and enhance patient care. As clinical research becomes more complex with multi-site trials and diverse data sources, integrating disparate healthcare IT systems allows seamless data capture, sharing and analytics across solutions. This unified approach improves operational efficiency. For instance, integrating a CTMS with electronic health records facilitates automated patient recruitment and eligibility screening. Site staff can directly view and update trial procedures and patient data within the EHR interface. This saves substantial time compared to manual data transfer between isolated systems. Integration with eConsent and ePRO solutions automates collection of informed consent and patient-reported outcomes. Patients can complete these on any device from home, improving compliance and consent rates. Linking a CTMS to drug supply and lab systems provides real-time visibility of study medication shipments and lab sample status. This ensures timely drug supply to sites and prioritizes analysis of critical samples. As the COVID-19 pandemic increased demand for decentralized and virtual trials, the ability to connect patients and sites remotely became critical. A unified CTMS integrated with telehealth, wearables and mobile apps allows remote patient monitoring, virtual visits and digital endpoint collection without physical site visits. This keeps trials on track during public health crises by facilitating distanced operations.
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