Patient Input to Protocol Design
The purpose of the Patient Input to Protocol Design stop is to include patient input and insights into protocol design.

Description
Patient input to protocol design is the process of soliciting and incorporating the perspectives and experiences of patients into the design of clinical trials. This can be done through a variety of methods, including patient advisory boards, focus groups, and surveys. Regulators increasingly expect patient and or caregiver input to protocol design and execution plans.
Benefits:
- Helps to ensure that the trial is designed in a way that is feasible and convenient for patient participation
- Proactively identify potential barriers to participation and develop strategies to overcome them.
- Helps to ensure that the trial is measuring outcomes that are important to patients.
DCT-specific Considerations/Inputs
Convenience: Patients should be able to participate in the trial in a way that is convenient for them. That includes increased optionality for trial participation - offering ways to participate that are not limited to a traditional research site. This may mean using remote monitoring technologies (e.g. data collection using wearables), conducting visits in the patient's home, or providing flexible scheduling options, and leveraging technology platforms for data collection directly from patients (eCOAs)
Accessibility: Patients should be able to access the trial regardless of their location, income, or insurance status. This may mean providing financial assistance, transportation reimbursement, or other support to enable their participation.
Support: Patients should have access to support throughout the trial process. This may include providing educational materials, a dedicated patient contact, and /or a technical support group.
Privacy: Patients must have their privacy protected throughout the trial process as dictated by regulations and local laws
Trust: Patients need to establish trust with the research staff and the trial process. Providing transparent information about trial participation expectations and duration, potential risks and benefits, and any financial or other support can help build trust.
Regulatory Documents
FDA/U.S.
U.S. FDA Final Guidance Document: Digital Health Technologies for Remote Data Acquisition in Clinical Investigations
ViewU.S. FDA Final Guidance Document: Conducting Clinical Trials With Decentralized Elements Guidance for Industry, Investigators, and Other Interested Parties - September 2024
ViewFDA Patient-Focused Drug Development: Collecting Comprehensive and Representative Input, June 2018
ViewEurope/EMA
Reference Documents
Transcelerate Planning for Patient Engagement Toolkit
ViewCTTi Patient Engagement Toolkit
ViewPatient Focused Medicines Development: Patient Engagement Tools and Open Access workstreams
ViewMRCT IRB/EC Considerations - Full Document
ViewMRCT IRB/EC Considerations - Devices
ViewMRCT IRB/EC Considerations - Connected Sensors
ViewMRCT IRB/EC Considerations - Remote Visits
ViewCTTI Recommendations: Planning for Successful Trial Recruitment
ViewCTTI Recommendations: Decentralized Clinical Trials
ViewDECISION TREE: OPTIMIZING YOUR PROTOCOL DESIGN
ViewHOW TO IDENTIFY & PRIORITIZE TRIAL STAKEHOLDERS
ViewCTTI Considerations for Advancing the Use of Digital Technologies for Data Capture & Improved Clinical Trials
ViewPaladin Consortium Playbook - Collaboration throughout the Research and Drug Development Process
ViewNIH - Informed Consent for Research Using Digital Health Technologies
View