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Strategic Clinical Sourcing: Managing Costs and CROs
Cutting Edge Information, Aug 2009, Pages: 166
Strategic Clinical Sourcing: Managing Costs and CROs is an in-depth look at the entire clinical outsourcing process. Our study analyzes outsourcing strategies, costs, and timelines of top pharmaceutical companies.
- Set a winning strategy: Learn how to optimize your available resources and avoid problems in key aspects like patient recruitment.
- Control costs and limit waste: Consult real-world examples of trial costs at all phases of development. Find per unit hour metrics for nine roles/positions ensure that you are paying CROs at a reasonable rate.
- Select the right vendor and negotiate a deal: Examine rankings for 25 CRO traits over six different categories.
- Manage the relationship successfully: Adapt real-company strategies to resolving conflicts and ensuring acceptable compensation structures.
Key Metrics
Strategic Clinical Sourcing: Managing Costs and CROs four chapters contain trial cost, staffing and timeline metrics. They include the following:
Chapter 1: Clinical Outsourcing Strategy
- Executives involved in determining which activities will be outsourced - Percentage of companies outsourcing clinical trial activities - Percentage of companies outsourcing clinical trial activities by type
Chapter 2: Outsourced Trial Cost Management
- Percentage of companies outsourcing position/roles, including trial managers, CRAs and monitors, data management, patient recruiters, clinical trial supplies and biostatistics - Total trial costs by development phase II, III, and IV - Staffing and cost per unit hour metrics are included for nine roles/ positions: -- CRA/monitoring -- Trial management -- Data management -- Biostatistics/bioanalytics -- Patient recruitment -- Clinical trial supplies -- Medical writing -- Regulatory -- Senior level oversight
Prevalence of trials taking place in major regions worldwide: Asia/Pacific, Europe, Americas
Chapter 3: CRO Selection and Contract Negotiation
CRO Criteria: Importance of - a CRO’s ability to meet deadlines, by company - company size and geographical reach when selecting CROs - overall cost and preferred status when selecting CROs - work quality when selecting CROs - relationship management when selecting CROs - experience with similar products when selecting CROs - other considerations: turnover rate, knowledge of regulatory concerns and intellectual property
CRO Performance Ratings On a scale of 1 to 5 — with 5 being best — study participants rate actual CROs on:
- price - reach - work quality - therapeutic area/drug experience - relationship management
CRO Selection Process Timeline Metrics: - Number of CROs receiving RFPs - Weeks elapsed from RFPs sent to proposal submission deadline - Number of CROs submitting proposals, by phase - Weeks elapsed from proposal deadline to final CRO/vendor selection, by phase - Number of CROs that make the final cut - Percentage of respondents happy with amount of time proposal process takes - Time spent negotiating contracts with CROs/vendors, in days
Chapter 4: Managing CROs and Monitoring Trial Metrics
Relationship Management - Performance tracking and accountability (reporting structure of a surveyed company) - Clinical trial management issues (surveyed company example) - Executives involved in negotiating contracts with CROs/vendors - Number of days spent negotiating agreements with preferred vendors versus non-preferred vendors - Executives involved in day-to-day oversight of CRO/vendor’s work - Management of future contracts with a problematic vendors
Timeline metrics - Percentage of reported trials by phase - Trial disease state - Length of time from protocol finalization to first patient’s first visit (in months) - Length of time from first patient visit to last patient’s last visit - Length of time from last patient visit to clinical trial report - Target patient enrollment - Effect of target patient enrollment on months taken to collect data
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