By Mark D. Uehling
Bio-IT World (online)
(12/22/04)—There
are those who believe electronic data capture
(EDC) is best applied to late-phase clinical
research, in trials in which thousands of
patients are enrolled. Some clinical technology
vendors readily concede that the startup process
typically involves so many special requests from
sponsors that it almost pays to do paper for
Phase I studies.
Logos Technologies has a different perspective. It captures
all its data electronically. That means
the technology has to be ultra-reliable, as some
Phase I studies last only a day – a system
that was down for a morning would be highly
problematic.
The 10-year-old London company has 20 employees and
specializes in Phase I and II-a trials. Perhaps
half of its business is in the U.S. Giles
Wilson, business and operations director, is one
of the founders. He notes that the company had a
bit of a learning curve because, until recently,
it sold its technology to sites, not sponsors.
That stage of the company’s development allowed him to
receive more than a few earfuls of input from
people in the trenches, he says. But over the
long haul, it paid a dividend. “We’ve got an
investigator-friendly system,” notes Wilson.
“It adds value and makes life easier for the
investigator. It’s often meant we haven’t
got sales, because they haven’t had the
budget.”
But the kinks are out of the technology, he says, and now
big companies such as Eli Lilly (in the U.S. and
Singapore) are repeat customers. Just last
month, the contract research organization Kendle
International bought an enterprise license for
Logos’ Alphadas Clinical Data Management and
Phase I Site Tool Kit solutions.
One of Logos’ chief advantages, says Wilson, is the
software’s ability to serve as a stopwatch,
counting down to the exact moment when blood
should be drawn or a measurement recorded. “In
Phase I, time is critical. It’s important you
don’t miss data and you take it on time,”
says Wilson. “Nurses in a Phase I will be
looking at the clock, and watching the software
count down from 10, 9, 8 . . . . ”
Beyond that, his software is smart enough to know that if a
nurse gets 10 minutes behind, everything else
that day will also be delayed. Instead of
forcing clinical staff to manually recalculate
each frame of an Excel spreadsheet, the Logos
system automatically generates a whole new
schedule. “They like to see that there is a
conflict, and then they sort it out
themselves,” Wilson says of clinical research
associates.
The software is expressly designed for ordinary mortals –
not IT departments. “Our setup tool is a
point-and-click tool that anyone can use,”
says Wilson. “It’s not a developer’s tool.
You can put a study together in a matter of
hours. It’s not a long, slow process.”
Data can be entered offline, and later uploaded and
synchronized. Browser-based EDC systems, he
says, are not suited to Phase I. That’s
because a computer that is down even for an hour
could be highly disruptive. Fortunately,
however, once the data are in the Logos system,
they can be reviewed using a Web browser.
Another feature: direct interfaces with common clinical
instruments on both sides of the Atlantic. The
software connects with a variety of devices,
including the Cardiovit AT electrocardiogram
machine from Schiller, the GE Dinamap blood
pressure monitor, and the Sartorius line of
scales to weigh patients. Says Wilson: “Our
software will tell the blood pressure apparatus
to pump up at the right time. The nurse comes
along and signs it with an electronic signature.
It’s taking data directly from the
physiological devices. We’re removing the
inaccuracies that can happen.”
To address the industry’s ongoing concerns about small
vendors, Logos has an arrangement with the
National Computing Centre in England, which will
safeguard the company’s application and source
code safe in case of a dramatic change in the
business.
On an encouraging note, Wilson says that some sponsors he
encounters are a bit less interested in their
own systems of late. “Companies are now
actually looking more to vendors rather than
continuing to develop their own systems,” he
says. “That’s the biggest pick-up. They’ve
had the experience, they’ve tried it
themselves. They recognize the costs of doing
their own systems.”
This article first appeared in the eCliniqua newsletter.
For further information please
contact the Logos Technologies Press Office by
emailing press.office@logostechnologies.com
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