Evidence map›Paper›PMID 40703007›Full record

ArticleClinical pharmacology and therapeutics2025

Advancing Early Clinical Trials: The Transformative Potential of Decentralized Designs and Digital Technologies in Phase 1 Clinical Trial.

Bimal K Malhotra, Josué Kunjom Mfopou, Isabelle Huyghe, Pascal Ryckmans, Nathalie Severs, Anna Plotka, Kim-Claire Tabner, Malgorzata Anna Jennes, Anand Bhuvanendran Nair, Anna Colzi

Abstract readClinical Trial, Phase I
In one paragraph

Article in Clinical pharmacology and therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bimal K MalhotraPfizer Inc, New York, New York, USA.ORCID 0000-0003-0701-9284
Josué Kunjom MfopouPfizer Clinical Research Unit, Brussels, Belgium.ORCID 0000-0003-3058-1996
Isabelle HuyghePfizer Clinical Research Unit, Brussels, Belgium.
Pascal RyckmansPfizer Clinical Research Unit, Brussels, Belgium.
Nathalie SeversPfizer Clinical Research Unit, Brussels, Belgium.
Anna PlotkaPfizer Inc, Collegeville, Pennsylvania, USA.
Kim-Claire TabnerPfizer Research & Development UK Ltd, Tadworth, Surrey, UK.
Malgorzata Anna JennesPfizer Clinical Research Unit, Brussels, Belgium.ORCID 0000-0002-7318-9401
Anand Bhuvanendran NairPfizer Clinical Research Unit, Brussels, Belgium.ORCID 0009-0003-6627-8080
Anna ColziPfizer Clinical Research Unit, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A Phase 1, open-label, single-dose, fixed-sequence crossover study utilizing a hybrid decentralized clinical trial (DCT) design with and without practice sessions for wearable devices and PK sampling was conducted in eight healthy participants. Using etrasimod, the study assessed the feasibility of conducting a Phase 1 hybrid DCT by the Pfizer Clinical Research Unit (PCRU) staff, involving remote collection of pharmacokinetic (PK), safety, and tolerability data. The study objectives were to determine the PK and to assess the safety and tolerability of etrasimod clinical immediate release tablets in healthy adult participants in a hybrid DCT design. The study consisted of two periods, and the treatments were administered to participants in a fixed sequence: a single oral dose of etrasimod, then DCT with practice sessions in Period 1, followed by a single oral dose of etrasimod and DCT without practice sessions in Period 2. PK results were compared between Periods 1 and 2, and vs. PK from a single oral dose of etrasimod administered on site in a previous conventional design study. Serum etrasimod exposure was similar for non-practice vs. practice sessions within the hybrid DCT framework. PK parameters data from self-collected microsamples in the hybrid DCT design were comparable to PK parameters data from venous samples collected in a conventional setting. The wearable monitoring devices for recording the electrocardiogram (ECG) and vital parameters allowed remote and real-time assessment of safety and tolerability. Therefore, the study results demonstrated the feasibility of using multiple DCT modalities in Phase 1 trials for remote PK, safety, and tolerability assessments.

Indexed as

Digital TechnologyResearch DesignAdministration, OralAdultCross-Over StudiesFeasibility StudiesFemaleHealthy VolunteersHumansMaleMiddle AgedTabletsWearable Electronic DevicesYoung AdultTablets

Identifiers

PMID40703007
PMCPMC12598129

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.