The Global Clinical Trial Is A Very Challenging Job

The global clinical trial is a very challenging job; it involves strategic decision making which can affect drug development and approval process. Many factors should be considered in selecting countries, most common in feasibility studies include: the prevalence of the disease, regulatory requirement, patients’ recruitment, experience clinical trial specialist availability, ethical issues, language barrier, and marketing strategy. In this report, we perform a thorough assessment of conducting clinical trials in countries such as Canada, Germany, Spain, Japan and the US. The criteria chosen for this assessment include disease prevalence, insurance coverage, patient enrollment rates, regulatory environment and finally costs associated with†¦show more content†¦Additionally, the rates of heart attack are 1.8 times higher among adults diagnosed with diabetes than those without a diagnosis. When compared with men, women of all ages diagnosed with T2DM have even a higher risk of heart disease (NIDKK, 2016). Why selection of Germany? According to traveler’s digest, Germany’s size is comparatively small to the state of California (2014). Despite its small size, Germany ranks amongst the worst for all things diabetes. As of 2008, 7.4 million (12% of the total population) adult citizens are plagued with diabetes in Germany with an additional 4.1 million citizens on the brink of having the condition with prediabetes. Type II diabetes accounts for about 80-90% of all diabetic cases in Germany. It s also significant to note that 1/10 diabetes sufferers in Germany also have coronary heart disease (Novo Nordisk, 2008). Additionally, there have been a predicted 3 million undiagnosed cases of diabetes waiting to add to more startling statistics (Tenderich, 2011). When it comes to clinical research, it appears Germany has a legitimate presence and good rapport with industries that cater to healthcare. Germany’s involvement in clinical studies far exceeds its demographics with a strong medical tradition as well as a