Phase 3 in primary immune thrombocytopenia in adult patient population
Case study
Primary and secondary endpoint met in top line results
ICON was approached by a drug development sponsor to conduct a global, Phase 3 trial in an adult patients with primary immune thrombocytopenia.
Study description
ICON Services: Study phase: No. of clinical sites: No. of subjects: | Regions: North America Europe Asia Pacific |
The challenge
The trial was part of a four-programme study with challenging recruitment timelines due to the COVID impact and disease type. There were inclusion and exclusion criteria differences between site references and central lab for e.g., platelet count. External vendor management was challenging due to multiple vendors (IP, DM, IRT, Lab) assigned which were handled by the sponsor. Several external systems were used including IRT and eCRF which required significant reconciliation. The study also had a high number of protocol amendments.
The solution
Weekly recruitment meetings were scheduled to discuss recruitment capacity on a site level and a recruitment roadmap was implemented. ICON kept very close communication lines with the sponsor including daily meetings during data base lock. A flexible monitoring schedule was used with the objective of reducing the SDV backlog given the short timelines for data base lock activities and calculation of the monitoring needs against the SDV backlog.
ICON’s value add
- Full-service capabilities from feasibility to investigator payments
- Specialised eCOA team
- Local language coordinators to facilitate start-up and recruitment
- Enhanced communications and coordination across many vendors
- ITP clinical & study expertise
- ITP study sites with recent track record of delivery
- Access to ~400 relevant sites in ICON database
- Site intelligence start up timelines: Rapid start up with established sites and dedicated networks
- Maximising patient recruitment & retention: Dedicated Patient Engagement group, involvement with advocacy groups, patient outreach website and patient travel/logistical support
- Accellacare In-Home Services
The outcome
-
88%
of 137 planned sites actively recruited patients -
2 weeks
first patient screened 2 weeks before planned deadline -
100%
milestones achieved on time
Milestone | Contract | Plan | Actual |
Final protocol | 18-Sep-2019 | 18-Sep-2019 | 18-Sep-2019 |
First EC/CA submission | 24-Jun-2019 | 24-Jun-2019 | 24-Jun-2019 |
First Site Activated | 4-Dec-2019 | 4-Dec-2019 | 4-Dec-2019 |
First subject first visit | 23-Dec-2019 | 23-Dec-2019 | 9-Dec-2019 |
First subject randomised | 16-Dec-2019 | 6-Jan-2020 | 16-Dec-2019 |
Last subject first visit | 13-Aug-2021 | 13-Aug-2021 | 13-Aug-2021 |
Last subject randomised | 19-Aug-2021 | 19-Aug-2021 | 19-Aug-2021 |
Interim Database lock | |||
Last subject last visit | 4-Mar-2022 | 3-Feb-2022 | 3-Feb-2022 |
Database lock | 28-Apr-2022 | 19-May-2022 | 20-May-2022 |
Final CSR | 11-Aug-2022 | 1-Sep-2022 |