LIFE SCIENCES Major pharma company evaluates impact of protocol amendments on cycle times to improve clinical trial effectiveness Client A leading U.S.-based multinational pharmaceutical corporation A research-based organization, the client regards clinical trials as a core competence. Attaining the highest possible effectiveness in trials is crucial to the company’s market position and financial performance. However, the company is subject to the industry-wide problem of amended Industry protocols, including rising number of procedures, length of study, and Pharmaceuticals contribute to high and variable cycle times. Genpact addressed these Business need addressed Improve performance of clinical trials Genpact solution Genpact conducted a study to discern the link between amendments and cycle time, comparing different phases and therapeutic areas number of investigative sites. Amendments are costly to implement and concerns with an analysis of trial factors such as protocol deviations, data integration, and regulatory issues—providing a clear, actionable path to resolution. Cycle times raised warning flags about the impact of amended protocols on trial performance • Increasing volumes of protocol amendments bore a rising cost of implementation Business impact • Cycle times in trials were high and increasingly variable • Regulatory compliance • Data integration from multiple sources proved challenging • Adaptation and flexibility • Protocol deviations and regulatory issues added to compliance pressures • Growth and scalability Genpact analysis quantified the cause-effect link and clarified differences among therapeutic areas and trial phases • Increasing protocol amendments had a direct impact on lengthening cycle times • The treatment areas most affected were neurology and cardiovascular • Phase IV post-marketing surveillance studies were the most impacted of the trial phases Business impact delivered The in-depth study clarified the link between the incidence and type of amendments to cycle times across different therapeutic areas and trial phases. This led to several improvements in handling clinical trials: • Decision support for applying amendments based on volume and cost considerations • Selection of amendment type according to impact on specific therapeutic areas • Performance benchmarking of clinical trials, taking into account the effect of amendments • Measurement of deviation from planned completion dates and cycle time • Quantified cost impact of amendments With the study results in hand, Genpact worked with the client to improve the effect of cycle times on clinical trials. Deeper insight into the phases and therapeutic areas led to targeted initiatives to improve trial performance and regulatory compliance. About Genpact For more information, contact: Genpact Limited (NYSE: G), a global leader in business process management and technology services, leverages the power of smarter processes, smarter analytics and smarter technology to help its clients drive intelligence across the enterprise. Genpact’s Smart Enterprise Processes (SEPSM) framework, its unique science of process combined with deep domain expertise in multiple industry verticals, leads to superior business outcomes. Genpact’s Smart Decision Services deliver valuable business insights to its clients through targeted analytics, reengineering expertise, and advanced risk management. Making technology more intelligent by embedding it with process and data insights, Genpact also offers a wide variety of technology solutions for better business outcomes. swati.shrivastava@genpact.com For more information, visit www.genpact.com. Follow Genpact on Twitter, Facebook and LinkedIn. © 2013 Copyright Genpact. All Rights Reserved.