Are wearables fit for clinical trials?

The incorporation of wearable technology devices into clinical trials is attracting attention from both healthcare and life science laboratories, as well as the boardroom. Wearables are already pervasive in the consumer world for fitness and health, and they seem a logical fit in the world of clinical trials.

At this point, however, hype far outweighs solid examples of wearables in clinical trials.

A plethora of formidable hurdles lie ahead, including a challenging infrastructure, as well as validation, security, privacy and protocol development issues. Nevertheless, plenty of potential players are checking out the boundaries of what they foresee could be a lucrative market.

Gartner estimates that, by 2017, although the use of mobile devices will explode, wearable devices will be leveraged in fewer than 10 per cent of clinical trials. Success will hinge on the ability to integrate wearables with data exchanges and cloud-based analytics, and then connect to e-clinical systems.

For healthcare and life science companies to take full advantage of the potential offered by wearables, they will need a well-grounded strategy that ensures that investments in technologies support not only good health outcomes, but also a viable business outcome.

Map a clear business benefit outcome as part of your technology development strategy for using wearables to augment clinical trials

Although smartphones have proven effective for supporting the recruiting phase of clinical trials, the next step of using wearables with multiple health and activity sensors is very much in its early days.

Seismic shifts in this market will not happen until the pharmaceutical lobby has confidence in the underlying systems supporting wearables, and that means that clinical validation expertise for wearables must improve. Right now, the big IT consultant firms barely understand the clinical domain, let alone the clinical wearable domain, which will be even more specialized. Tech startup and niche technology players will play a role with unique, and sometimes disruptive advances, but they are too small to provide the necessary confidence to the larger pharma.

Since incorporating wearables into clinical trials will also require new processes and tools, new e-clinical partner models and technology partnerships will evolve. Most companies still do not know what to do with, or how to handle, wearable-generated data, so it will be up to healthcare and life science CIOs and IT leaders to suggest workflow and dashboards.

Ensure wearables meet requirements for regulatory compliance and information security, and can operate in clinical conditions

In the long term, wearables will require better hardware, better sensors, and tighter integration into a mobile health (m-health) ecosystem that provides industry standards for maintaining health data integrity and security.

Current trends in miniaturization and growth of the Internet of Things (IoT) pretty much ensure that the eventual evolution of a viable m-health ecosystem is a question of ‘when’ rather than ‘if.’ In the meantime many questions need to be addressed around data, calibration, compliance and performance.

Michael Shanler is a research director at Gartner, Inc., focusing on scientific R&D, product innovation, collaboration, laboratory operations and informatics.

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Jim Love, Chief Content Officer, IT World Canada
Gartner, Inc. (NYSE: IT) delivers actionable, objective insight to executives and their teams. Our expert guidance and tools enable faster, smarter decisions and stronger performance on an organization’s mission critical priorities. To learn more, visit

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