Remote Patient Monitoring
Leveraging mobile technology and connected devices in clinical trials
It's time to accelerate remote patient monitoring adoption
Remote patient monitoring makes it easier for patients to participate and improves recruitment through greater access to diverse patient populations.
The use and management of data from connected devices (wearables, sensors, smartphones, laptops, tablets), mobile platforms, and telemedicine, offers effective clinical care while protecting the patient with ongoing monitoring, ensuring participants and care providers remain connected wherever they are located.
Wearable devices and sensors also enable the collection of richer data and insights to enhance understanding of the effects of treatment and objective measures of intervention effects both in-clinic and in remote free-living settings.
Connecting and engaging patients
ICON Digital Platform gives patients more control and better access to personalised healthcare, right from their own devices and on their own schedule. Easy-to-use devices, with minimal set-up, makes engaging patients easier by integrating care into patients’ daily lives. Patients get full access to a powerful platform that offers interactive health sessions, educational content, and video conferencing.
However remote patient monitoring requires a robust strategy in data management, including digital endpoint validation and interpretation.
Our ICON Insights will help you to understand and successfully address the complexities of implementation of wearable devices in trial design, execution and reporting.
Whitepaper: Wearables and digital endpoint strategy and validation
Although mHealth devices and sensors are continuing to evolve, and it is now possible to capture a vast array of physiological data, the operationalization of digital trial is not without challenges.
- Develop a strategy to identify devices that are "fit for purpose"
- The ICON framework for Digital Endpoint selection and validation to ensure the outcome measurement is robust, reliable, and interpretable
- Address the key considerations that arise when using digital technology to support endpoint generation in clinical studies such as Device Selection, Endpoint Reliability and Sensitivity, Meaningful Change Thresholds, and Analysis Strategy and Interpretation
- Use our checklists for device selection and data strategy
Wearables webinar recordings
Digital endpoint strategy and validation
The COVID-19 pandemic has heightened interest in mHealth and mobile technology to capture patient insights outside of the traditional clinical setting.
Best practices for implementing a successful digital trial
ICON and Intel explore industry concerns about implementation of this technology in a clinical trial, including patient acceptance, device suitability, data complexity and insight generation, operationalisation, privacy and security issues, and regulatory acceptance.
eCOA - insights into equivalence testing methodology and implications for BYOD
In this webinar, we review the accumulating evidence to support measurement equivalence of instruments when migrated to ePRO.
Smartphone sensors to measure novel health outcomes
This webinar explores the novel uses of smartphone sensor measurement in the areas of health, wellness and clinical research and appraises the promise of these approaches in clinical trials.
Activity monitoring setting standards for clinical research
With the introduction of sensors, wearables and apps we can fullly engage patients in real time to increase the quality of data.
Using wearables data to support drug reimbursement
In this webinar learn more about payer requirements for additional evidence, wearables as a potential solution, payer preparations for digital technologies, and more.
Media contributions on wearables, sensors and remote monitoring
The role of digital health technology tools in supporting medical adherence
In this article in Pharmaceutical Market Europe, Dr Peter Schueler and Dr Isaac R Rodriguez Chavez outline the role of digital health technology tools in supporting medical adherence.
Video series: The 3 "Cs" of the data journey
This three part video series examines some of the factors that should be considered to ensure that clinical trial data captured via wearable devices, is monitored expeditiously and effectively.
Proving long-term value in advanced therapies: Digital technologies can measure durability of effect
Robust assessments based on digital data are a means of reducing the uncertainty that HTA bodies and payers face in making decisions around advanced therapy medicinal products.
Wearables in clinical trials
Wearables are improving the clinical trial experience for patients and satisfying the need to collect data for real-world use studies.
Adopting mHealth technologies in cardiovascular trials
Developing a protocol that incorporates data collection via mHealth technologies requires a comprehensive solution that has a strong patient engagement element and a robust digital framework.
The digital trial: How technology is changing trial design, start-up and close-out
To understand these large datasets, AI and machine learning are necessary to automate analyses.
The potential of activity trackers to bias study results
Wearables are purpose-built to engage users, with optimized interfaces, easy-to-use screens, appealing companion apps and easy-to-interpret dashboards.
The promise of IoMT
New ways to collect data and transforming clinical operations.
A new horizon
Maximising AI’s involvement in pharma development is to utilise its ability to draw distinctions and correlations, which would otherwise elude human observation.
How a focus on the patient drives stronger healthcare partnerships?
The foundation of healthcare is shifting from a provider-based to a patient-centric, or value-based, model.
The value of measuring sleep and activity in Alzheimer's disease trials.
Sleep quality and quantity have clinical relevance in Alzheimer's disease. Review the use of wearables in Alzheimer’s disease to provide objective measures of sleep and activity patterns that are not subject to patient recall bias.
- Using objective measures of activity and standardisation of endpoints to clarify the value and impact of exercise in patients with Alzheimer’s disease
- The Journal of Prevention of Alzheimer’s Disease - The case for using actigraphy generated sleep and activity endpoints in Alzheimer’s disease clinical trials
- Can actigraphy outcome measures from existing clinical trials provide a framework for future?
Case studies on wearables, sensors and remote monitoring
Wearables and remote monitoring case study
ICON’s wearables and patient outcomes teams were able to objectively measure cough using patient-centric, novel technologies.
Remote patient monitoring for respiratory measures
Generating respiratory disease specific biomarkers using advanced analytics.
Developing and validating endpoints derived from wearables data
ICON uses AI machine learning algorithms to develop new digital biomarkers from raw accelerometer data.
Management wearables and data in a global trials
ICON’s eCOA team and wearables consultants design, implement and manage a technology solution for a global trial across nine countries amongst patients suffering from a neurological disorder.
Leveraging BYOD, wearables and shareables in Real World Evidence studies
Approaches to leveraging mobile, wearable and shareable technology in observational research
- Webinar: What's Next in eCOA? - New insights into equivalence testing methodology and implications for BYOD
- Article: Bring your own device (BYOD) in clinical trials
- Article: The use of digital technologies to collect patient data in outcomes research
- White paper: On a technology-enabled collision course - clinical research meets clinical practice through Real World Evidence
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Enabling a new way to select fit-for-purpose COAs to simplify clinical protocols
For clinical researchers, getting to a finished protocol is a delicate art in navigating research, regulatory precedence, and institutional knowledge. And complexity continues to grow - more regulations, more endpoints per trial, more amendments, and more options (in-person or remote assessments).
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Outcome measures: Driving precision health strategies forward
ICON has been speaking, collaborating, and building with top pharma throughout the year to help them develop better drugs, faster, for patients. Here are a few observations from this year.
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Digital endpoints widely adopted in pharmaceutical and biotech-sponsored clinical trials
Over 130 pharma and biotech organizations have relied on AI-powered digital biomarkers and sensor-derived clinical outcome assessments (COAs) to capture patient-centered endpoints.
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The rise of precision outcome measures
Precision outcome measures are the means by which to evaluate a meaningful change on the exact outcome of interest, regardless of tool or instrument.
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Wearables across phases
How to best incorporate digital endpoints at every stage of clinical research?
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Post pandemic clinical trial strategies
How COVID-19 altered clinical trials forever and what’s next?
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Wearables and digital endpoint generation
An end-to-end approach to managing wearable devices through clinical development.
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Key considerations for achieving digital trial success
An end-to-end solution is required to run a successful digital trial.
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A study to examine the feasibility of running a clinical trial
The REACHES study considered how assessments that are traditionally conducted at a clinic visit.
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Real-time monitoring of the digital patient
Direct to patient strategies and crafting patient centric trials are of increasing interest in drug development trials.
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Applications for wearables and apps in precision medicine
Patients increasingly act like consumers, expecting to control decisions about their care and to receive individualised products and services
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Developing digital biomarkers from raw accelerometer data
Accelerometers can capture significant quantities of raw data, potentially containing patterns
which, could quantify specific motor movements. -
Leveraging motion-based gaming platforms to measure health outcomes
ICON’s Innovation lab have begun to develop prototype solutions that could be used in clinic to make objective assessments of movement and mobility.
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Objective measurement of sedentary behaviour using accelerometers
Measuring treatment-related changes in sedentary behaviour using wearable technology.
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Measuring Activity in COPD and Other Less Active Populations
While activity monitors have been used in clinical trials, some researchers consider a number of perceived barriers limiting their use.
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Dirty data: How to manage data from wearables in clinical trials
How to manage data from wearables in clinical trials — from overcoming regulatory issues to handling challenges associated with dirty data.
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The impact of digital technology on patient engagement in clinical trials
The more that can be done to encourage patients to participate in clinical trials, the faster new medicines and devices become available.
Real World Data insights
ICON's real world data (RWD) continues to drive healthcare and research discussions and decisions. Stay up to date with the latest information that regulators, payers and providers demand.
Receive more insights on mHealth & Wearables from ICON
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