Perspectives in Clinical Research

: 2013  |  Volume : 4  |  Issue : 4  |  Page : 221--226

A data-driven approach to quality risk management

Demissie Alemayehu, Jose Alvir, Marcia Levenstein, David Nickerson 
 Specialty Care Business Unit, Clinical Affairs, Statistics (DA, JA, ML) and Worldwide Research & Development, Clinical Quality Management (DN), Pfizer, Inc., New York, USA

Correspondence Address:
Jose Alvir
Pfizer, Inc., 235 East 42nd Street, NYO-219-07-01, New York, NY 10017

Aim: An effective clinical trial strategy to ensure patient safety as well as trial quality and efficiency involves an integrated approach, including prospective identification of risk factors, mitigation of the risks through proper study design and execution, and assessment of quality metrics in real-time. Such an integrated quality management plan may also be enhanced by using data-driven techniques to identify risk factors that are most relevant in predicting quality issues associated with a trial. In this paper, we illustrate such an approach using data collected from actual clinical trials. Materials and Methods: Several statistical methods were employed, including the Wilcoxon rank-sum test and logistic regression, to identify the presence of association between risk factors and the occurrence of quality issues, applied to data on quality of clinical trials sponsored by Pfizer. Results: Only a subset of the risk factors had a significant association with quality issues, and included: Whether study used Placebo, whether an agent was a biologic, unusual packaging label, complex dosing, and over 25 planned procedures. Conclusion: Proper implementation of the strategy can help to optimize resource utilization without compromising trial integrity and patient safety.

How to cite this article:
Alemayehu D, Alvir J, Levenstein M, Nickerson D. A data-driven approach to quality risk management.Perspect Clin Res 2013;4:221-226

How to cite this URL:
Alemayehu D, Alvir J, Levenstein M, Nickerson D. A data-driven approach to quality risk management. Perspect Clin Res [serial online] 2013 [cited 2020 Jun 5 ];4:221-226
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