ibmwatson/ICON-IBM-Watson-Infographic-(Transforming ... - ICON plc

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Site selection and recruitment plans based on indirect data sources that, due to regulations, cannot identify the ... TI
TRANSFORMING ONCOLOGY TRIAL PATIENT RECRUITMENT WITH COGNITIVE COMPUTING

PATIENT RECRUITMENT TODAY IS BROKEN

U.S.A

32%

DRUG DEVELOPERS SPEND

$1.2 BILLION

Cost per completed patient can reach $1,3003

Recruitment demands 32% of a trial’s budget2

ON PATIENT RECRUITMENT1 EVERY YEAR

71%

20%

PAUCITY OF PATIENTS REQUIRED EXTENDING THE AVERAGE ONCOLOGY TRIAL’S RECRUITMENT PERIOD BY 71%4

After timeline extension, 20% of sites still failed to reach goals or even enroll a single patient4

Each day of delay sacrifices between $600,000 to $8,000,000 in revenue5

RECRUITMENT BY ADVERTISEMENT IS DIFFICULT TO PREDICT HOW CLINICAL TRIALS FIND PATIENTS Site selection and recruitment plans based on indirect data sources that, due to regulations, cannot identify the actual patients

Laboratory testing results

Longitudinal clinical data

Prescriptions at pharmacies

Patient advocacy groups

Online patient communities

Insurance claims

Manual EMR review

HOW PATIENTS FIND CLINICAL TRIALS Advertisements push patients to doctors

Online presence

Direct mail

Video

Social media

Text messages

ENROLLMENT FREQUENTLY FALLS SHORT OF ESTIMATES

Site A - 12/18

Site C - 29/40

Site B - 22/30

Site D - 18/18

Pharmacy alliances

Advocacy groups

Print ads

Print collateral

ONCOLOGISTS ARE HAVING A HARDER TIME FILLING IN THE GAPS

Site E - 40/40

50%

OF PHYSICIANS REPORT STAYING CURRENT ON CLINICAL TRIALS6

79%

OF PATIENTS LOOK TO ONCOLOGISTS TO IDENTIFY PERTINENT CLINICAL TRIALS6

MANY ONCOLOGISTS SEE OVER

80

CANCER PATIENTS EACH MONTH6

88% OF ONCOLOGISTS’ TIME DEDICATED TO PATIENT CARE6

ELIGIBILITY CRITERIA TO REVIEW HAVE SKYROCKETED

62%

IN THE LAST DECADE (2002:31, 2012: 501)

ICON-IBM WATSON PILOT PROGRAM & THE FUTURE OF CLINICAL TRIAL RECRUITMENT & PLANNING

Identifies patients who match a study’s inclusion and exclusion criteria

25 Oncology Trial Protocols – Breast, lung, colorectal cancers 6 months

IBM Watson

Cleveland Clinic + Mayo Clinic + Consortium of Best-in-Class Medical Centers 80 million patients’ electronic medical records

Interprets clinicians’ notes & lab results in patient medical records

During a regular patient visit, clinicians receive an automatic on-screen alert about trial eligibility

Flags patients who may qualify with potential adaptations to current treatment regimens

Video-based consent education delivered through ICON’s Firecrest eConsent platform for electronic informed consent

IBM Watson

GOING FURTHER: IBM WATSON CLINICAL TRIAL MATCHING AND ICON MAY ACCELERATE STUDY PLANNING & FEASIBILITY

Instantaneous analyses of patient populations

Sources at www.iconplc.com/ibmwatson

Select sites based on actual patients with access to a trial’s investigators

Simulate the impact of various protocols and study designs on access to actual patient populations