Decentralized Trials Expand Access—but Risk Inequity

Remote clinical research is proliferating fast. The field is still working out who gets left behind.

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The RESOLVE trial showed underrepresentation of Hispanic participants, highlighting inequities in decentralized trials.
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Decentralized trials may shift participation barriers rather than eliminate them, affecting trial inclusivity.
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Remote trials rely on technology that may disadvantage populations with lower digital fluency or access.
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Hybrid trial models can enhance diversity by combining in-person and remote participation options.
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Trial design must prioritize representativeness to ensure findings are generalizable across diverse populations.

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