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Showing posts from June, 2026

Real-Time Clinical Trials: A Concept Change?

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The FDA announcement on Real-Time Clinical Trials looks important because it is not only about one new digital feature or one more modernization initiative. It questions the traditional rhythm of clinical development. Real-Time Clinical Trials describe a model in which clinical, operational, quality, and safety data are continuously integrated and analysed throughout the study, enabling proactive oversight and timely decision-making instead of relying primarily on periodic monitoring and retrospective review. https://www.fda.gov/news-events/press-announcements/fda-announces-major-steps-implement-real-time-clinical-trials For many years, the clinical trial process has followed a familiar sequence. A study is designed. Sites collect data. Data are entered, cleaned, queried, reviewed, analyzed, summarized, and finally submitted to the regulator. The regulator then reviews the evidence after a significant part of the operational and analytical work has already happened. This model is...

Six Sigma: Refusing to Measure - Refusing to Improve

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The Hidden Cost of “Fixing It Later” in Clinical Research Clinical research quality is usually discussed in the language of compliance: GCP, inspection readiness, audit findings, protocol deviations, CAPA, TMF completeness, and data integrity. This language is necessary. Clinical trials must protect participants, produce reliable results, and withstand regulatory and scientific scrutiny. A clinical trial may appear compliant at the end, but only after thousands of queries, repeated document corrections, email clarifications, monitoring follow-ups, vendor reconciliations, TMF quality-control rejections, and late-stage remediation activities. The final clinical study report may be based on acceptable data, but the operational question remains: how much rework was required to make the data, documents, and reports correct? This is where Six Sigma thinking becomes useful. Six Sigma does not need to be copied mechanically from manufacturing into clinical trials. Clinical research is more var...