Leveraging ePRO/eCOA in Decentralized Clinical Trials

Introduction: Why Retention & Compliance Matter More Than Ever 

Clinical research is facing a pivotal moment. With decentralized clinical trials (DCTs) accelerating across therapeutic areas, sponsors are realizing that the biggest barrier to success isn’t recruitment — it’s retention and compliance. Every patient dropout increases costs, delays timelines, and risks regulatory setbacks. 

That’s where ePRO (electronic Patient-Reported Outcomes) and eCOA (electronic Clinical Outcome Assessments) come in. More than digital forms, they’re the backbone of modern decentralized trials, enabling real-time, accurate, patient-reported data while reducing site burden. 

Delve Health stands apart by combining ePRO/eCOA with wearables, eConsent, and multilingual concierge services in a single platform. This unique blend ensures not only cleaner data but also 15–30% higher retention rates compared to traditional approaches.  

What Is the Role of ePRO/eCOA in Decentralized Trials? 

In decentralized trials, patients can’t always be at the site — but their data still can. ePRO and eCOA tools capture: 

  • Symptoms and side effects 
  • Medication adherence 
  • Quality of life metrics 

Delve Health’s Clinical StudyPal platform integrates these inputs with wearable data (sleep, heart rate, movement, vitals) to create a complete patient health picture, available in real time for investigators. This reduces recall bias, improves compliance tracking, and drives protocol adherence. 

5 Key Benefits of ePRO/eCOA with Delve Health 

1. Retention & Compliance Gains 

  • Patients engage through mobile apps, reminders, and wearables. 
  • Multilingual concierge support keeps patients on track. 
  • 15–30% improvement in retention seen in recent studies. 

2. Cost Savings 

  • Reduced reliance on physical sites and travel reimbursements. 
  • Lower monitoring and data cleaning expenses. 

3. Audit-Ready Data Quality 

  • Built-in validation checks. 
  • Automated alerts for missing/incorrect entries. 
  • Complete audit trail for regulatory inspections. 

4. Operational Efficiency 

  • Automated survey scheduling. 
  • Integrated eConsent streamlines approvals. 
  • Centralized patient communication for fewer site bottlenecks. 

5. Faster Study Timelines 

  • Real-time monitoring identifies risks early. 
  • Cleaner interim datasets reduce delays. 
  • Supports adaptive trial designs. 

Why Sponsors Choose Delve Health 

Unlike single-solution vendors, Delve Health delivers an end-to-end ecosystem for decentralized and hybrid trials: 

  • Seamless integration: ePRO, eCOA, eConsent, wearables. 
  • Multilingual patient engagement: Concierge + AI-driven automation. 
  • Global scalability: HIPAA/GDPR compliance across regions. 
  • Proven outcomes: Better retention, lower costs, cleaner data. 

Conclusion: Redefining Patient-Centric Trials 

ePRO and eCOA are no longer optional — they are essential to retention, compliance, and regulatory success in decentralized trials. 

By integrating wearables, eConsent, and concierge support, Delve Health doesn’t just collect data — it ensures that patients stay engaged and trials stay on track. 

👉 Ready to reduce dropouts and accelerate timelines?

Frequently Asked Questions (SEO-Driven) 

What is ePRO in clinical trials?

ePRO (electronic Patient-Reported Outcomes) enables patients to digitally report symptoms, side effects, and quality of life data — improving accuracy and engagement.

eCOA includes ePRO but also expands to clinician-reported, observer-reported, and performance outcomes — all captured electronically.

Wearables reduce site visits, capture real-world data, and encourage ongoing participation by lowering patient burden.

eConsent digitizes informed consent, allowing patients to review and sign from home with multimedia explanations and secure validation. 

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