Study Closeout & Analysis

The purpose of the Closeout and Analysis stop is to complete all necessary tasks to formally end the trial.

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Description

Following completion of patient assessments, several close out activities occur.

  • Study medication is returned to the sponsor or CRO, reconciled and destroyed.
  • Research sites are closed, following a final review of all data collected, and regulatory document status.
  • Vendor activities are completed and data collected is verified, cleaned and stored.
  • Final data cleaning activities are conducted across all data collected. Statistical analyses and results are generated.
  • Completing study reports: This includes writing a final report that summarizes the results of the trial, as well as a safety report that summarizes any adverse events that occurred during the trial.
  • Submitting study reports to regulatory agencies: This may involve submitting the reports to the FDA, the EMA, or other regulatory bodies.

DCT-specific Considerations/Inputs

  • Final site monitoring and closure: Consider how to manage these processes for non-traditional research sites (e.g. pharmacies, mobile research units, etc). What needs to be done may be very similar. Where it's done may be different.
  • Return of clinical trial supplies and study medication: If direct to patient shipping was used, create a clear plan to communicate with patients what needs to be returned and where. These instructions may also apply if the patient received a wearable or other devices at a research site and used them to participate in the trial remotely.
  • In alignment with the patient-centric design of DCTs, communicating trial progress and results is a possibility. 
  • Depending on the consent patients gave as part of trial participation, patient profiles may need to be deleted at study close.

Tools

MRCT IRB/EC Considerations - Real-time Data Monitoring


Regulatory Documents

FDA/U.S.

U.S. FDA Final Guidance Document: Conducting Clinical Trials With Decentralized Elements Guidance for Industry, Investigators, and Other Interested Parties - September 2024

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Europe/EMA

EMA Recommendation on Decentralized Elements in Clinical Trials

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Reference Documents

MRCT IRB/EC Considerations - Full Document

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MRCT IRB/EC Considerations - Study Closeout

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Transcelerate Modernizing Clinical Trial Conduct Solutions

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NIH - Informed Consent for Research Using Digital Health Technologies

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