Guidance on Improving Clinical Trial Diversity

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FDA has issued a final guidance on Enhancing the Diversity of Clinical Trial Populations — Eligibility Criteria, Enrollment Practices, and Trial Designs. The document provides the agency’s current thinking on steps to broaden eligibility criteria in clinical trials through inclusive trial practices, trial designs, and methodological approaches.

 

“This guidance offers recommendations on how product sponsors can improve clinical trial diversity by accounting for logistical and other participant-related factors that could limit participation,” an FDA notice says. “For example, clinical trials requiring frequent visits to specific sites may place an added burden on participants. Sponsors are encouraged to think about reducing visit frequency, when appropriate, in addition to considering whether flexibility in visit windows is possible and whether electronic communications, such as phone, email, social media platforms, or other digital health technology tools can replace site visits and provide investigators with real-time data.”

 

Additionally, the guidance seeks to broaden clinical trial eligibility criteria for clinical trials involving rare disease investigational drugs. It notes that sponsors should consider “early engagement with patient advocacy groups and patients to elicit suggestions for designing trials that participants would be willing to enroll in and support,” FDA says.

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