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. 2022 Sep 14;57(2):209–219. doi: 10.1007/s43441-022-00454-5

Table 4.

Increase in eNPV per investigational drug for phase III decentralized clinical trials (thousands 2020 USD): variation in combination of screen failure, amendments and cycle time effects

Factor effects eNPV delta eNPV delta as percent of base eNPV (%) ROI
Amendments only − $2049 − 0.2 − 0.66×
Screen failure only $5226 0.4 1.67×
Cycle time only $33,323 2.6 10.66×
Screen failure plus amendments $5460 0.4 1.75×
Amendments plus cycle time $33,560 2.6 10.74×
Screen failure plus cycle time $40,921 3.1 13.09×

Costs and returns discounted to the start of phase III testing

ROI eNPV delta/Implementation cost