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August 6, 2020updated 12 Jul 2022 11:40am

Clinical trials disruption due to Covid-19 has begun to decline

By GlobalData Healthcare

Since early March, around 1,000 organisations supporting clinical trials as the sponsor, collaborator, or contract research organisation (CRO) have publically announced disruption to planned and ongoing clinical trials in their press releases, Securities and Exchange Commission (SEC) filings, and clinical trial registries, as well as on social media. Companies have delayed the initiation of planned trials or withdrawn these completely, as well as suspended enrolment in ongoing trials or terminated these trials. GlobalData dynamically tracks these disrupted trials and organisations, along with trials that have resumed activity since disruption.

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Since June the number of total disrupted trials has begun to fall, as shown in Figure 1. The majority of clinical trial disruption currently is due to the suspension of enrolment, followed by trials impacted due to slow enrolment, and then finally, trials that have delayed initiation. However, although the total number of disrupted trials is decreasing overall, within these categories only trials that suspended enrolment have been on a downward trajectory. Clinical trials that delayed initiation have remained steady and trials that have been impacted by slow enrolment have continued to increase. This suggests trials that had already initiated enrolment before the pandemic, with chosen sites and investigators, but then suspended due to Covid-19, are having more success picking up where they left off as long as enrolment wasn’t impacted. Within the category of trials currently affected by slow enrolment, one-tenth of these are specifically due to the availability of sites and investigators. Many hospitals that serve as trial sites were inundated with Covid-19 patients and may still not be available. For that same reason, many investigators may be repurposed to Covid-19 drug discovery trials or treating Covid-19 patients, or activation of sites for non-Covid-19 trials are being deprioritised. As the number of trials that have been impacted by slow enrolment has increased by 13.9%, this seems to continue to be an issue. Trials that have delayed initiation altogether have also increased by 10% compared to last month. Besides the issue just mentioned, there is also a high risk to subjects in a clinical trial who have serious chronic or acute condition that affects their immune system, giving them a greater chance of contracting Covid-19 and making them not willing to enrol in a clinical trial.

Figure 1: Clinical Trials Disruption.

GlobalData, Pharma Intelligence Center (Accessed 3 August 2020).

The overwhelming majority of trial sites that are currently disrupted are located in the US, at 43.6%. This is followed by the UK at 7.9% of all sites and Spain at 5.6%. The US is seeing peak numbers of confirmed Covid-19 cases since the pandemic in certain states. The highest numbers of site disruptions are found in California at 10%, followed by Florida at 9.7% and Texas at 8.9%, and all three states recently saw spikes in confirmed cases. New York, where the pandemic initially hit the hardest, comes in fourth at 5.8%.

Figure 2: Clinical Trials Resumptions.

GlobalData, Pharma Intelligence Center (Accessed 3 August 2020).

The FDA has issued guidance for industry, investigators, and institutional review boards on conducting clinical trials during the Covid-19 pandemic. Methods that could help keep the research going or get started include virtual visits, phone interviews, self-administration, and remote monitoring. These suggestions could help trials that are being met with subject quarantine and travel limitations, clinical site closures, and interrupted supply chains, especially trials that delayed initiation and trials that have been impacted by slow enrolment. Importantly, the total number of disrupted trials is falling and the number of clinical trials that have resumed continues to rise (Figure 2). This implies that sponsors and contract service providers have begun to adjust clinical trial design strategies and are adapting to the new post-Covid-19 environment.

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Free Whitepaper
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Disruptive start-ups to watch out for

2021 was a record-breaking year, with more businesses breaking into the billion-dollar club. Many start-ups have achieved or retained the unicorn status by the end of the year to reflect nearly a fivefold growth from that in 2020. This boom can be linked to a financing frenzy spurred by the quick adoption of technology and innovative solutions by start-ups gaining traction in response to the pandemic. However, the start-up ecosystem is now facing turbulent times for fundraising as investors seek long-term business strategies, valuations, and a route to profitability amid uncertain market circumstances. Nevertheless, 2022 has the potential to carry forward the momentum with multiple entities having a fair chance of being in the right place when aided by the right technologies. GlobalData leverages the power of alternative data to examine the health of start-ups across multiple dimensions including the quality of their innovations, market presence, and the funding they can attract. This helps our clients to analyze the disruptive potential of start-ups for early alliances, investments, and acquisition prospects to develop future-proof strategic roadmaps for a competitive advantage. Read our report and gather insights on the following topics:
  • Recent Unicorn trends
  • Unicorns in 2022
  • Future Unicorns
  • Start-ups to watch out for
Start-up ecosystem outlook by top geographies
by GlobalData
Enter your details here to receive your free Whitepaper.

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