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DOI: https://doi.org/10.63345/ijrmp.v14.i8.5
Er. Niharika Singh
ABES Engineering College
Crossings Republik, Ghaziabad, Uttar Pradesh 201009
Abstract
Clinical development today is increasingly outsourced to contract research organizations (CROs), central laboratories, eClinical technology providers, pharmacovigilance partners, and niche functional service providers. While outsourcing promises speed and cost efficiencies, it also introduces complex interdependencies, compliance exposures, and quality risks. This manuscript proposes a holistic, KPI-driven oversight model that enables sponsors to move beyond transactional governance and towards proactive, data-enabled partnership management. Drawing on operations management theory, total quality management (TQM), ICH E6(R3) expectations for oversight, and real-world lessons from multi-country Phase II–IV trials, the paper articulates a layered framework: (1) KPI architecture design (strategic, tactical, operational KPIs and KRIs), (2) integrated data pipelines and dashboards, (3) risk-based issue detection and escalation pathways, (4) collaborative performance review rhythms, and (5) continuous improvement loops backed by corrective and preventive action (CAPA) analytics. A mixed-method methodology combining survey data, key informant interviews, and retrospective KPI trend analyses from simulated vendor portfolios is presented. The results illustrate how clearly benchmarked turnaround times, protocol deviation rates, query resolution cycles, site activation velocities, and cost-variance indices can predict downstream milestones like database lock fidelity or audit findings. The study protocol outlines sampling frames, data governance measures, and statistical approaches (e.g., SPC charts, regression on KPI lag effects). Findings support that KPI transparency, when coupled with joint root cause analysis and contractual alignment, reduces cycle-time deviations by ~18%, enhances audit readiness, and cultivates trust. The manuscript concludes with an adaptable oversight model, a maturity roadmap, and implementation heuristics for sponsors of varying sizes.
Keywords
Clinical trial outsourcing; vendor oversight; KPIs; KRIs; risk-based quality management; CRO governance; performance dashboards; CAPA; ICH E6(R3); continuous improvement
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