Significance of Diversity in Clinical Trials

Genetic and environmental differences among populations can influence disease progression and treatment responses. Without diverse participants, trial results may not be applicable to the broader demographics, potentially leading to ineffective or harmful treatments for underrepresented groups. For instance, a lack of diversity can result in missing critical data on how different groups respond to treatments, perpetuating health inequities and limiting the effectiveness of new interventions.

The need for more varied populations to be included in trials has been recognised globally, with guidelines from recent years by the FDA and EMA being introduced. The FDA now requires sponsors to develop DAPs outlining strategies for recruiting diverse participants and submit these plans with drug applications. In the EU, trials must be representative of the broader population in terms of gender, age, and other characteristics like race and ethnicity.

Challenges in Reaching Diverse Populations

While the guidelines and processes are becoming clearer, several challenges persist. Language barriers may lead to misunderstandings about trial processes and risks, while mistrust in the healthcare system might arise due to the historical exploitation of minority groups and a lack of researcher representation. Logistical issues such as distant trial sites and the burden of multiple visits can be problematic for individuals with work or transportation constraints. Socioeconomic factors, including financial instability and lack of health insurance, also deter participation.

Our Commitment

With 25 years of global life sciences experience, I supported advancements with great success in both developed and emerging regions, exploring new geographies and collaborating with clinical experts and policymakers. I am pleased to see countries that entered 15-20 years ago are now ensuring the highest ethical and compliance standards globally, along with access to clinical research for underserved populations from Africa to Asia Pacific, and even CEE. Advancements in technology and experience working in emerging regions are critical success factors. Only organisations with this specific background can succeed in ensuring diverse representation.

Jan Filakovsky, CEO, Biomapas

At Biomapas, we share our commitment and expertise working in emerging markets, including the vast proficiency of our regulatory, medical information and pharmacovigilance experts in collecting data for post-marketing safety surveillance.

For a deeper understanding of the role of diversity in the clinical trials landscape, we invite you to read the full article on our website.

Let’s shape the future of medicine, together!