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Statistical challenges for central monitoring in clinical trials: a review

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Abstract

Recently, the complexity and costs of clinical trials have increased dramatically, especially in the area of new drug development. Risk-based monitoring (RBM) has been attracting attention as an efficient and effective trial monitoring approach, which can be applied irrespectively of the trial sponsor, i.e., academic institution or pharmaceutical company. In the RBM paradigm, it is expected that a statistical approach to central monitoring can help improve the effectiveness of on-site monitoring by prioritizing and guiding site visits according to central statistical data checks, as evidenced by examples of actual trial datasets. In this review, several statistical methods for central monitoring are presented. It is important to share knowledge about the role and performance capabilities of statistical methodology among clinical trial team members (i.e., sponsors, investigators, data managers, monitors, and biostatisticians) in order to adopt central statistical monitoring for assessing data quality in the actual clinical trial.

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Acknowledgments

I would like to thank the Editors for many useful comments and advice. I also I would also especially like to thank Editage (www.editage.jp) for English language editing.

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Correspondence to Koji Oba.

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The authors declare that they have no conflict of interest.

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Oba, K. Statistical challenges for central monitoring in clinical trials: a review. Int J Clin Oncol 21, 28–37 (2016). https://doi.org/10.1007/s10147-015-0914-4

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  • DOI: https://doi.org/10.1007/s10147-015-0914-4

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