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Table 3 Factors influencing median time from ethics submission to ethics approval (days) for 150 site activations

From: Factors influencing the time to ethics and governance approvals for clinical trials: a retrospective cross-sectional survey

 

Median (range)

Univariable p-value*

Multivariable p-value**

Overall

48 (0, 369)

 

Phase

 1 (n = 17)

15 (5, 106)

0.028*

 2 (n = 27)

41 (16, 139)

0.7**

 3 (n = 98)

61 (0, 369)

 

 4 (n = 8)

49 (2, 49)

 

Disease area of trial

 Nephrology (n = 54)

49 (2, 139)

 < 0.001*

 Oncology (n = 40)

21 (3, 106)

0.054**

 Endocrinology (n = 24)

97 (0, 203)

 

 Neurology (n = 22)

41 (16, 99)

 

 Paediatrics (n = 10)

96 (20, 369)

 

Country

 Australia (n = 126)

48 (0, 369)

0.094*

 South Korea (n = 10)

46 (11, 75)

NA**

 Hong Kong SAR (n = 5)

86 (35, 105)

 

 Taiwan (n = 5)

32 (32, 32)

 

 New Zealand (n = 4)

63 (63, 63)

 

Trial site ownership

 Government (n = 108)

48 (0, 369)

 > 0.9*

 Private (n = 18)

46 (8, 215)

0.2**

 Unknown (n = 24)

54 (11, 105)

 

Scope guidelines for ethics review

 Yes (n = 116)

38 (0, 369)

 < 0.001*

 No (n = 34)

88 (41, 215)

0.2**

Mutual acceptance of other ethics committee approvals

 Yes (n = 79)

34 (0, 369)

 < 0.001*

 No (n = 55)

67 (13, 215)

0.65**

 Unknown (n = 16)

18 (6, 125)

 

Triage by low, medium, or high risk

 Yes (n = 96)

38 (0, 369)

 < 0.001*

 No (n = 49)

67 (3, 215)

0.4**

 Unknown (n = 5)

31 (15, 99)

 

COVID-19 pandemic

 Pre-pandemic (n = 114)

44 (0, 369)

0.5*

 During or after pandemic (n = 36)

49 (2, 139)

0.8**

  1. NA not applicable because only one country (Australia) had data to enable multivariable analyses
  2. *p-value from univariable comparison
  3. **p-value from multivariable comparison that included phase; disease area; country; trial site ownership status (N/A data removed from ownership status); scope guidelines by the ethics committee; mutual acceptance of other ethics committee findings; an ethics process that triaged applications as low, medium, or high risk; and pre- or post-COVID in the regression model