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The growth rate of compounds in
                                                                                                                                      development far exceeds population
                                                                                                                                      growth and the number of investigators
                                                                                                                                      remains mostly flat. Because of this, patient
                                                                                                                                      recruitment for clinical trials functions as a

                                                         in   Patient Recruitment                                                     bottleneck in the process. The industry has
                                                                                                                                      to increase its focus on Patient Recruitment.




    Priorities
Faster patient recruitment leads to fewer delays in clinical trials, which means getting drugs on the shelf quicker. So
why do only 2% of sponsors rank patient recruitment strategy as the most important when selecting a service provider?




                                                         What would 30% lower costs mean?

         47%                                             $1.5-$2M                          18-24 months                                          $1,111/day
                                                         Cost of an average                    Length of an average                      30% savings of an average Phase II Study.
                                                          Phase II Study.                         Phase II Study.

of clinical development
decision-makers would                                                                                                                                     vs.
  prefer a 30% lower
 clinical trial cost than
   10% faster patient
       recruitment                                 What would 10% faster patient                                                         $1,885,000/day
                                                   recruitment mean?                                                                     Revenue generated per day by The 100th
                                                                                                                                           best selling drug in 3Q2012 (Stelara)




    Viewpoints
Clinical trials involve five main groups, each with different views and motivations. Here’s what they’re saying
about clinical trials:




          69%                                       28%                                    76%                                70%                                233%

    said they have not                    said that inclusion/exclusion         said they are involved in             said the hardest part of                increase in patients
   participated in clinical                  criteria have the single           the right amount, or too               patient recruitment is              required per NDA from
    trials because they                    biggest impact on patient               many clinical trials.                     finding the                      1500 in the 1970s to
   were not made aware                        recruitment success.                                                      right investigators.               more than 5000 today.
        of any trials.


       Patients                           Site Coordinators                       Investigators                            Sponsors                                 FDA




    Implications


                                11%                                    37%                              39%                                    13%

                   of sites in a given trial fail              of sites in a given trial     of sites in a given trial meet           of sites in a given trial
                   to enroll a single patient                       under-enroll               their enrollment targets                exceed their targets




The patient recruitment methods with the highest value, tend to be the more traditional methods:



          Dr. Referral                                                                      Mail from Doctor                          Custom Website

                     Local Newspaper
                                                                   Radio
                                                                            Poster in Doctor’s Office
                                                                             Affinity Groups


  sources: clinicaltrials.gov, Tufts, ISR Reports Data                                                      Copyright 2013 Industry Standard Research | ISRreports.com | info@ISRreports.com

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Infographic: The Bottleneck in Patient Recruitment

  • 1. The growth rate of compounds in development far exceeds population growth and the number of investigators remains mostly flat. Because of this, patient recruitment for clinical trials functions as a in Patient Recruitment bottleneck in the process. The industry has to increase its focus on Patient Recruitment. Priorities Faster patient recruitment leads to fewer delays in clinical trials, which means getting drugs on the shelf quicker. So why do only 2% of sponsors rank patient recruitment strategy as the most important when selecting a service provider? What would 30% lower costs mean? 47% $1.5-$2M 18-24 months $1,111/day Cost of an average Length of an average 30% savings of an average Phase II Study. Phase II Study. Phase II Study. of clinical development decision-makers would vs. prefer a 30% lower clinical trial cost than 10% faster patient recruitment What would 10% faster patient $1,885,000/day recruitment mean? Revenue generated per day by The 100th best selling drug in 3Q2012 (Stelara) Viewpoints Clinical trials involve five main groups, each with different views and motivations. Here’s what they’re saying about clinical trials: 69% 28% 76% 70% 233% said they have not said that inclusion/exclusion said they are involved in said the hardest part of increase in patients participated in clinical criteria have the single the right amount, or too patient recruitment is required per NDA from trials because they biggest impact on patient many clinical trials. finding the 1500 in the 1970s to were not made aware recruitment success. right investigators. more than 5000 today. of any trials. Patients Site Coordinators Investigators Sponsors FDA Implications 11% 37% 39% 13% of sites in a given trial fail of sites in a given trial of sites in a given trial meet of sites in a given trial to enroll a single patient under-enroll their enrollment targets exceed their targets The patient recruitment methods with the highest value, tend to be the more traditional methods: Dr. Referral Mail from Doctor Custom Website Local Newspaper Radio Poster in Doctor’s Office Affinity Groups sources: clinicaltrials.gov, Tufts, ISR Reports Data Copyright 2013 Industry Standard Research | ISRreports.com | info@ISRreports.com