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Table 4 Factors influencing time to governance submission to governance approval (days) for 145 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

34 (0, 489)

 

Phase

 1 (n = 17)

39 (0, 89)

0.2*

 2 (n = 27)

45 (1, 140)

0.014**

 3 (n = 93)

33 (0, 489)

 

 4 (n = 8)

18 (12, 99)

 

Disease area of trial

 Nephrology (n = 49)

37 (0, 489)

0.012*

 Oncology (n = 40)

17 (0, 112)

0.044**

 Endocrinology (n = 24)

41 (3, 192)

 

 Neurology (n = 22)

47 (1, 140)

 

 Paediatrics (n = 10)

40 (21, 433)

 

Country

 Australia (n = 126)

34 (0, 489)

0.094*

 South Korea (n = 10)

10 (0, 102)

NA**

 Hong Kong SAR (n = 5)

62 (9, 87)

 

 Taiwan (n = 0)

-

 

 New Zealand (n = 4)

30 (7, 56)

 

Trial site ownership

 Government (n = 108)

35 (0, 489)

0.3*

 Private (n = 18)

28 (3, 77)

0.032**

 Unknown (n = 19)

14 (0, 102)

 

Scope guidelines used for the governance review

 Yes (n = 110)

28 (0, 489)

 < 0.001*

 No (n = 35)

79 (3, 135)

0.020**

Triage by low, medium, or high risk

 Yes (n = 111)

24 (0, 489)

 < 0.001*

 No (n = 31)

81 (29, 135)

0.043**

 Unknown (n = 3)

10 (6, 53)

 

COVID-19 pandemic

 Pre-pandemic (n = 109)

31 (0, 192)

0.12*

 During or after pandemic (n = 36)

41 (7, 489)

0.013**

  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 disease area; phase; trial site ownership status (N/A data removed from ownership status); the use of scope guidelines by the governance body; a governance approval process that triaged applications as low, medium, or high risk; and pre- or post-COVID in the regression model