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Ensuring Consistency: The Impact of Rater Training in Clinical Trials

Janet Overvelde

Janet Overvelde

Senior Director, Project Management

rater training clinical trials

Clinical rater training directly influences the accuracy of data collection and interpretation, which are critical for meeting regulatory standards. Effective clinical rater training ensures that clinical outcomes assessments (COAs) are reliable and meaningful. By involving key opinion leaders (KOL) in the training process, we can enhance the precision and consistency of these assessments, ultimately driving the success of clinical trials.  

Clinical Rater Training: Key to Dermatology Trial Success 

Rater training significantly impacts study design, the measurement of endpoints, and the interpretation of data, all of which are critical for achieving the regulatory approval our sponsors aim for. The association of rater training with primary, secondary, or exploratory endpoints of a trial dictates our strategy for the setup and execution of these instruments.  

COAs: Shaping Clinical Trial Efficacy 

COAs, such as Clinician-Reported Outcomes (ClinROs) or Patient-Reported Outcomes (PROs), are instrumental in shaping study design. They determine the endpoints to be measured, guide data interpretation, and are crucial for obtaining regulatory approval. The association of these instruments with primary, secondary, or exploratory endpoints significantly influences our approach to their setup and implementation within the trial.  

Strategies to Ensure COA Data Integrity  

Ensuring quality COA data is a critical aspect, and it is essential to move beyond a “plug and play” mindset. Collaborating closely with sponsor partners to assess COA needs is key, taking into account factors like cultural relevance, geographical context, demographics of patients, caregivers, and clinicians, as well as the translation methods, and the format and delivery of training. It is imperative to safeguard and mitigate risks to maintain the data’s adequacy and appropriateness within the trial.  

Optimal rater training, ideally led by a KOL or the developer of the assessment tool, is crucial. Regular review of rater training, certification, and recertification frequency throughout the trial’s lifecycle ensures that the implementation and evaluation of these tools are standardized. Our team prioritizes not only the certification of raters but also that of core project team members, including principal investigators (PIs), medical monitors, and clinical trial managers. This comprehensive certification supports the sites, PIs and overall trial conduct, ensuring everyone involved has the necessary knowledge, comfort, and expertise with these tools.  

Maximizing Efficiency in COA Data Capture 

At the heart of our efforts are our patients, for whom we strive to secure the best treatment options available globally. Our sites are the vanguard in this endeavor, working hand-in-hand with patients. In today’s technologically rich landscape, a plethora of technologies and vendors are at our disposal to aid in data collection. It is crucial to adopt the easiest approach for end users, keeping a frontline perspective to facilitate their role in these vital components of clinical research.  

Considerations such as the user-friendliness of interfaces on tablets, phones, or web-based tools, and the clarity and simplicity of platform navigation are paramount, given the wide range of technology literacy across various ages, demographics, and geography in research. Thoughtful consideration of these factors is essential when implementing a trial. Ultimately, we aim to harness the insights of our esteemed collaborators and partners, including PIs at our sites, to enhance this experience for everyone involved.  

Looking ahead, it is important to continuously refine clinical rater training programs by incorporating feedback from all stakeholders and staying abreast of technological advancements. Future recommendations include developing more interactive and adaptive training modules and fostering a culture of continuous improvement through regular updates and recertifications. By embracing these innovations, the rater training program remains robust and effective, ultimately enhancing the quality and impact of clinical research.  

About the Author 

Janet Overvelde B.Sc. 

Janet is a highly accomplished director with extensive experience in project management within both academic and commercial sectors of clinical research. She has a proven track record of exceeding performance expectations and delivering exceptional outcomes. Her leadership has been pivotal in driving multidisciplinary teams to achieve project goals and support the needs of internal and external stakeholders.  

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Is Now

We are excited to announce that Innovaderm is rebranding our CRO division as Indero (in-dAIR-oh). This rebranding reflects our ongoing commitment to innovation and our expansion into the field of rheumatology, a therapeutic area closely linked to dermatology. As a dual-focus CRO specializing in both dermatology and rheumatology, this strategic decision marks a significant milestone for our organization, and we are eager to embark on this new chapter with our valued partners and clients. Additionally, our Clinical Research Unit (CRU) will keep the name Innovaderm and will continue to conduct dermatology studies.

Site Selection & Management

Our long-standing relationships with key opinion leaders and highly performing sites result in optimized start-up processes that deliver strong results in the least amount of time. As part of our site evaluation, our team utilizes past performance metrics, recruitment projections based on the competitive landscape, and detailed feasibility surveys to determine a site’s capabilities and interest in a study.

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Patient Recruitment

Our dedicated patient recruitment and advertising team integrates with the study team to tailor recruitment strategies, customize central ad campaigns, develop advertising creative, and continuously track and adapt recruitment goals. Our patient-centric approach is enhanced by Clinago, our technology enabled recruitment service.

PROJECT MANAGEMENT

We orchestrate all study activities and deliverables, including the site selection process, budget and contract negotiations, patient engagement, and recruitment enrollment projections, all while respecting your study timelines.

PROJECT MANAGEMENT

We orchestrate all study activities and deliverables, including the site selection process, budget and contract negotiations, patient engagement, and recruitment enrollment projections, all while respecting your study timelines.