Impact of the COVID-19 pandemic on clinical research in hospitals: observational study in the first epicenter of the epidemic during the general lockdown in France

Eur Rev Med Pharmacol Sci. 2021 Jan;25(2):1158-1162. doi: 10.26355/eurrev_202101_24686.

Abstract

Objective: The COVID-19 epidemic has had a strong impact on the entire healthcare sector in France with priority being given to research for new therapeutic options for COVID-19. Nevertheless, continuity of care for patients suffering from other diseases represents a crucial challenge, and clinical research is no exception in this respect. This study aims to assess the impact of the strict Covid-19 lockdown on non-Covid-19 clinical research in the French University Hospital of Strasbourg.

Materials and methods: Clinical research activity (non-Covid-19) from the point of view of pharmacy department was estimated and compared to the pre-lockdown period. The impact of lockdown was assessed through five indicators: site initiation visits, the initiation of experimental therapies in non-Covid-19 patients, the delivery of non-Covid-19 investigational medical products, the number of drug shipments to patients' homes, and the number of monitoring or closure visits.

Results: During the study period, the number of site initiation visits decreased by 90%, total inclusions by 72%, and delivery of investigational medical products by 30%. During the lockdown period, 15 treatments were sent to patients' homes. Monitoring activity decreased by 98%.

Conclusions: Although the COVID-19 outbreak has created an incredible momentum in the field of clinical research, research not focused on SaRS-CoV-2 has suffered greatly from this situation. The impact on patients is difficult to estimate but should be further investigated.

Publication types

  • Observational Study

MeSH terms

  • Biomedical Research / trends*
  • COVID-19 / epidemiology*
  • COVID-19 / prevention & control
  • COVID-19 / therapy
  • Clinical Trials as Topic*
  • France / epidemiology
  • Hospitals, University / trends*
  • Humans
  • Pandemics*
  • Quarantine / trends*
  • Retrospective Studies