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Modernizing clinical trials with digital technologies and the cloud

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Modernizing Clinical Trials: Digital Technologies and the Cloud 5 Published by FiercePharma of standardized clinical data covering thousands of trials from multiple sponsors that enrolled millions of patients in all par ts of the world. Medidata has stored the data on the AWS Cloud and through their Synthetic Control Databaseā„¢ is providing a unique patient data source that is available, actionable and consumable to improve decision making in trials from design through submission. Because Medidata's database is built on the AWS Cloud, researchers can interac t with the Synthetic Control Database via a highly customizable and flexible visualization tool built entirely with AWS ser vices. Among the many benefit s of using the Synthetic Control Database, drug sponsors can more precisely calculate sample sizes, improve statistical accuracy, and understand the natural histor y of disease and background rates of serious adverse events. Companies that use the resource to improve decision-making stand to increase accuracy, reduce costs and shorten timelines in clinical trials. UNLOCKING THE POTENTIAL OF MOBILE TECHNOLOGIES Clinical trial sponsors have traditionally generated most of their data when patients visited trial sites, but have lacked the ability to continually assess the effect of their therapies on people as they went about their everyday lives. The emergence of smartphones, wearables, ingestibles and other devices has given sponsor s new capabilities, enabling them to see a fuller pic ture of the safet y and ef ficacy of their products. Subsequently, these mobile technologies rely on the cloud for secure and reliable transfer of data to trial sponsors. As the Clinical Trials Transformation Initiative (CTTI) noted in recent recommendations, 7 sys tems that ensure the authenticity, integrity and confidentiality of data over its entire lifecycle are essential to the ef fec tive adoption of mobile technologies. These sys tems mus t pull in data from multiple sources and make it available to authorized users, without compromising security. AWS IoT ser vices like AWS IoT Analytics and AWS IoT Device Management excel at connec ting such physical devices to the cloud for secure data collection, management and analysis. Teams across pharma and healthcare companies want to incorporate wearables or other devices into their trials and in some cases are already pulling IoT and mobile device data into secure cloud environments for analysis. For example, with the suppor t of uMotif software on the AWS Cloud, Manchester University in the United Kingdom ran a research program looking at the effect weather had on people suffering from rheumatoid arthritis and chronic pain. According to uMotif CEO Bruce Hellman, 13,500 patient par ticipants used the app on their tablets or smar tphones, provided 38 million data points and 7 CT TI Recommendations: Advancing the Use of Mobile Technologies for Data Capture & Improved Clinical Trials. Available at: ht tps://w w w.c t ti- clinicaltrials.org/sites/w w w. c t ti- clinicaltrials.org/files/mobile - devices-recommendations. pdf#Pg2Ln13. (Accessed: 7th September 2018)

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