Califf Wants More Clinical Trial Education

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Former FDA commissioner Robert Califf told a 3/14 Clinical Trials Transformation Initiative webinar that better educational efforts are needed so that everyone in the clinical trial chain understands the entire process and not only their own role during a specific trial segment. In a presentation entitled “A Viewpoint on the Current State of Clinical Trials and the Path to Transformation,” Califf said that the clinical research enterprise is poised for “transformational progress” but is hampered by wariness over technology, miscommunication between industry and regulators, and a lack of education. “It’s time to take it to the next level,” he said, according to an Association of Clinical Research Professionals blog post.

Califf said the medical industry was “one of the last” to harness technology, which represents another barrier to improving trial efficiency and patient engagement. “We have to figure this out,” he declared.

Phase 1 trials don’t employ the best technology available, Califf explained, which means that most information is lost from such studies, since most medical products fail during development. He said he hopes that increased transparency will help to overcome such challenges.

The current system, he said, is not delivering adequate evidence in the face of an “explosion” of new medical products and increased understanding of how to evaluate products already in clinical use, major changes in delivery and payment systems, and increasing awareness of disparities.

“A decade ago, there was a sense of frustration with the clinical trials enterprise,” Califf concluded. “I’m still frustrated, but looking back, we’ve made real progress and transformational progress is now in sight.”

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