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IRT helps to reduce costs and delays, and its automation capabilities streamline processes, enhancing efficiency and overall trial management.
October 24, 2024
By: Kevin Landells
Vice President, Business Head Cenduit IRT at IQVIA
The journey to bring a medical device to market is filled with high stakes and even higher costs. With clinical trials averaging $31 million for devices under the 510(k) pathway and skyrocketing to $94 million for premarket approval the pressure to find smarter, more cost-effective solutions has never been greater. The challenge goes beyond financials— each device, ranging from cardiovascular devices to spinal instrumentation to knee advancements, necessitates highly personalized modifications and unique clinical trial parameters. As the landscape for medical devices becomes more sophisticated, so must the technologies that support their development. In traditional drug studies, sponsors are concerned with material expiration and accurate demand forecasting. However, medical device trials present additional complexities due to factors such as unpredictable patient enrollment, critical device implantation, and potential device modifications. Medical device clinical trials also present challenges in sample size calculations as participant groups tend to be much smaller. As opposed to drug trials, the select number of patients available for participation adds additional layers of complexity. Medical device studies can be challenging to randomize, especially since they frequently require specific device sizing and modifications. Additional factors such as evolving regulations and diverse physician techniques compound the challenges in medical device trials. Given the differing regulatory landscapes and standards, sponsors conducting medical device studies must maintain detailed device history records to ensure compliance and traceability. These challenges create highly nuanced and complex clinical trials. Complications with patient enrollment, device modifications, or additional regulations can lead to unintended delays in trial timelines. Adjustments due to device complications often require additional or ancillary resources, personal, or equipment. These alterations can incur unintended expenses and increase the overall cost of clinical trials.
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