Cited by 34Health and Medical Research ImpactsEthics in Clinical ResearchStatistical Methods in Clinical Trials

Spiraling Costs Threaten Gridlock

Open access
Malakoff, David·2008·Science

Abstract

The gold standard of medical science--the big randomized trial--is in danger of being priced out of reach by technical complexity, poor management, and paperwork.

Integrity signals

Registry

Crossref · 10.1126/science.322.5899.210

Cites

Statistics

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  • Recruitment of trial participants is easier in developing countries than in the developed world.

    “Recruitment of trial participants is easier than in the developed world; large outcome trials that require enrolment of thousands of patients could make huge savings for the sponsor if the trial is conducted outside of developed countries [74].”
  • Large outcome trials requiring enrolment of thousands of patients could make huge savings for the sponsor if conducted outside developed countries.

    “Recruitment of trial participants is easier than in the developed world; large outcome trials that require enrolment of thousands of patients could make huge savings for the sponsor if the trial is conducted outside of developed countries [74].”

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Authors
Malakoff, D.
Affiliations
David Malakoff is a writer in Alexandria, Virginia.
Corresponding author
Malakoff, David
Venue
Science
Published
2008-10-10
Volume
322
Issue
5899
Pages
210-213
ISSN
  • 0036-8075 (ISSN-L)
  • 1095-9203
OpenAlex
W2079246736
Cited by
33
References
0
Citations by year
2023: 2 · 2022: 1 · 2021: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 2 · 2013: 4 · 2012: 1
FWCI
4.29
Type
journal article
Language
en
Open access
Locations
  • Science (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Research Impacts
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
  • Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
Keywords
randomized controlled trials, trial costs, clinical trial management, research costs
MeSH terms
Clinical Protocols, Costs and Cost Analysis, Humans, United States, Randomized Controlled Trials as Topic, Drug Approval, Clinical Trials, Phase I as Topic, Clinical Trials, Phase II as Topic, Clinical Trials, Phase III as Topic, Patient Selection

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