In today’s ACT Brief, we examine what it will take to scale EHR-to-EDC connections for real-time trials, how the FDA is reimagining rare disease drug development, and why oncology real-world evidence still faces persistent data barriers.
News|Podcasts|September 18, 2026
ACT Brief: Patient Voice as Methodology, AI System Bottlenecks, Regulatory Convergence on Patient Input
Author(s)Andy Studna, Senior Editor
In today's ACT Brief, we examine what genuine patient voice requires beyond buzzwords, why AI's next bottleneck is system integration not models, and how regulators across three jurisdictions are formalizing patient input requirements.
This is the Applied Clinical Trials Brief—your fast track to the latest insights shaping clinical operations and drug development.
- In a
new feature article , we examined why "patient voice" has become an empty phrase when industry embeds it too late and without clear ownership. Genuine patient-centeredness requires input before endpoints are chosen and protocols are written, not consultative review after structure is locked. The cost of misalignment shows up in enrollment failures, protocol deviations, and outcomes that don't reflect what patients actually care about. - In a
contributed article , Rama Kondru, CEO of Emmes Group, examined lessons from hundreds of trials showing that AI's next bottleneck is not the model but the system around it. Faster individual tasks do not shorten trials unless decisions and workflows are connected end-to-end, requiring standardized data, governed definitions, and clear accountability for whole-trial outcomes rather than fragmented handoffs. - In another
contributed article , Julie Ross examined how regulatory expectations for patient input have shifted from aspiration to documented methodology across the FDA, EU, and UK through four PFDD guidances, ICH E6(R3), and new statutory requirements. Large-scale, structured, patient-reported data can sharpen hypotheses about what matters to patients early in planning, but cannot substitute for the representative sampling and psychometric rigor those guidances require.
That's all for today's ACT Brief. Join us next week for more updates shaping clinical operations and drug development. Thanks for listening.
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