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MainEDC™ RBM

Risk-Based Monitoring

Risk-Based Monitoring (RBM) is a strategy for monitoring data and processes in clinical trials based on risk assessment. RBM focuses on key risks that may affect the safety of participants or the integrity of study data, allowing for a reduction in resources and an increase in the quality of the collected data.

Welcome to the world of advanced clinical research!

These are the real results of implementing a risk-based approach by our clients. You will be able
to significantly reduce the time and costs of research, minimize the risk of errors, and improve
data quality. The MainEDC™ system ensures secure information storage and compliance with
all regulatory requirements.

We support the risk-based approach in clinical research described in the ICH GCP E6(R2)
guidelines – fewer resources while improving the quality of clinical trials.

-65%
budget for monitoring
-30%
budget for clinical trials
Improvement in data quality

Risk-Based Monitoring (RBM) is

Overall, risk-based monitoring represents a modern and more intelligent approach to monitoring clinical trials, contributing to improved data quality, patient safety, and the efficiency of the research process.

The Process of Implementing the RBM Approach

What is Taken into Consideration

The main goal: to speed up and reduce the cost of the monitoring process while maintaining or improving
the quality of the collected

Therefore, the primary objective was to change the process while maintaining the high level of

The task was addressed based on:

A combined approach was developed:

 

Defining the RBM Strategy

It is implied that CRAs will conduct remote verification of a specific set of data for each subject at each site. The scope of the data to be checked and verified will depend on the current health assessment level of the site.

Identification and Risk Assessment

Risks are categorized based on their impact on:

Risk assessment is conducted using the following parameters:

As a result, the priority of each risk is determined. Procedures are described for reducing the probability of
risk occurrence and mitigating the consequences.

Business Process Reorganization

Prior to implementing RBM (Risk-Based Monitoring) and remote monitoring, the internal processes of the
Client’s company are being revisited. Documents are being finalized, among which are:

  • Detailed description of the RBM strategy, providing accessible language for medical department employees, outlining the objectives, procedures, risks of remote monitoring, as well as general information on data management;
  • Step-by-step instructions for working with sites, including the description of site monitoring methodology, all necessary plans, diagrams, and templates for monitors to use;
  • Updating the monitoring plan and internal procedures of the Client’s company.

 

Identification of Critical Data

The most important factors influencing the list and priority of potential risks in the study are:

After consultation with study biostatisticians, a list of critical data is determined, along with the algorithm and format for their verification within the data validation plan. At this stage, trigger events are additionally identified to initiate the verification of critical data.

There is an opinion, which we do not share, namely: that statistical data processing should not be performed until the completion of the study and database lock. It is necessary to understand the difference between the objectives of statistical analysis of a completed study (according to the SAP) and the objectives of central data monitoring in an ongoing study (according to the Central Monitoring Plan). The latter is more about analytics than analysis, and its result is the opportunity to correct what can still be corrected.

 

Site Health Assessment Procedures

A list of site assessment parameters is jointly developed based on the data entered into MainEDC™, with each parameter assigned a specific weight.

Next, assessment procedures are categorized as:

  • Initial,
  • Routine (periodic),
  • Ad hoc (triggered by a specific event).

During the initial assessment process, input values are established for each parameter for each site. In the event of experiencing one or more risks identified earlier, an ad hoc check is conducted. In this case, the weight of the parameter corresponding to the realized risk is also increased.

Depending on the results of the check, each site is assigned a specific status. Subsequently, based on the assigned status and the possibility of remote monitoring, the mode of operation with the site is determined:

  • Necessary scale of SDV (Source Data Verification) for each specific site (as a percentage of the
    total number of data points, up to 100%),
  • Necessity of on-site data re-verification,
  • Depth of central data monitoring.

Then, the date of the next check and the priority of the on-site monitoring visit are determined.

Checking the results of RBM implementation:

Contact us now, and together we will select the RBM solution and maneuver that best meets your needs

Implementation of RBM

contact@datamanagement365.com

Our basic RBM solution,
which includes standard site health assessment parameters, is available for just $1999.

Data Analysis Based on Basic Parameters

Any 5 parameters

 

  • Enrolment rate
  • Screening failure rate
  • Query rate
  • Not answered queries rate
  • SAE rate
  • Early withdrawal rate
  • Missed visits rate
  • Overdue visits rate
  • Deviation qty
  • eCRF completion time
  • Query answer time
  • Screening rate
  • Out of window visits rate
  • SDV level
Technical Support (8 hours)

Additional services to the basic package:

 

  • Development of project-specific RBM strategy ($1499)
  • SOP review (optional) ($999)
  • Addition of a site health assessment parameter ($899/parameter (includes testing and
    UAT)
  • Mentoring on additional solutions (8 hours)
  • Training (optional)
Implementation of RBM