Clinical Outcomes in Early-Phase Clinical Trials

Aiming to enhance the efficiency of early-phase clinical trials in CNS drug development. By promoting the identification, validation, and standardisation of Core Outcome Sets (COS) and Fit-For-Purpose (FFP) Clinical Outcome Assessments (COAs), the network seeks to optimise trial designs and improve outcomes detection. The group fosters collaboration between academia, industry, and regulatory bodies, supporting patient-centric approaches and the development of innovative tools to accelerate drug development.

History

The Network emerged from spontaneous collaboration with the International Society for CNS Clinical Trials and Methodology (ISCTM), addressing persistent challenges in CNS trials. Founded in 2018, our Network drew inspiration from frameworks like OMERACT, COMET, and COSMIN. It evolved from ECNP’s Experimental Medicines Network into an independent Thematic Working Group in 2022. The group unites experts to standardize outcome strategies, published in the ECNP official Journal in 2024. We started offering educational programs via Knowledge Hub in 2025. Recently, we developed a transdiagnostic neurotherapeutics approach to explore new avenues for advancing clinical outcome research in early-phase CNS drug development.

Since start our Network has advanced consensus-based COS and COA methodologies tailored to neuroscience indications. We published the “7-steps standard process”, and discussed through Seed Sessions on challenges in trials for specific therapeutic areas leading to publications in rare neurodevelopmental diseases and schizophrenia research (in collaboration with ISCTM). Recently, we implemented a consortium-based structure with eight subgroups and three support modules (NEWCOMS). Over the next three years, these subgroups will focus on standard-setting in COA related fields as advanced analytics, cognition, biomarkers and transdiagnostic neurotherapeutics. Furthermore, we will work disseminating good practices and expand educational outreach across the scientific community.

Silvia Zaragoza Domingo, Spain

Goals

1

Developing and standardizing new methodologies for Core Outcome Sets (COS) definition and Clinical Outcome Assessments (COAs) selection in early-phase clinical research using consensus-based methods. 

2

Promoting the application of standards in drug development in clinical trials by pharmaceutical industry/biotechs and other research groups. 

3

Development and implementation of  novel transdiagnostic neurotherapeutic approaches in COA/COS research, allowing new therapeutic developments targeting specific constructs outside the conventional disease classification systems.

4

Becoming a key source for COAs Science and for the design of different types of innovative outcomes (ClinROs, PROs, PerfOs, DHTs, ObsrOs, Proxys). 

5

Facilitation of the communication between different stakeholders, including regulatory agencies and patient advocacy groups. Advise on methodology for outcomes research to other networks.

6

Offering innovative educational programs to different stakeholders involved in drug development including young scientists. Keep sex and gender approach in all activities.

Core members
Member name Institution City Country
Larry Alphs Larry Alphs Consulting  Princeton, New Jersey  USA
Michael Davidson Nicosia University    Nicosia  Chipre
Franco Di Cesare Leoben Research AURORA  San Vincenzo V.R.  Italy
Georg Dorffner  The Siesta Group Schlafanalyse GmbH  Vienna  Austria
Chris Edgar  Cogstate  London  United Kingdom
Anna-Karin Lundbeck  Valby  Denmark
Josep Maria Haro Abad CIBERSAM  Sant Boi Llobregat  Spain
Susana Ochoa Parc Sanitari Sant Joan de Déu, CIBERSAM  Sant Boi Llobregat  Spain
Rudy Schreiber Maastricht University  Maastricht  The Netherlands
Carles Soriano-Mas University Hospital of Bellvitge  Hospitalet Llobregat  Spain
Daniela Tinocco World Wide Clinical Trials  Barcelona  Spain
Shell members
Member name Institution City Country
Jordi Alonso IMIM  Barcelona  Spain
Peter Annas   Lundbeck  Valby  Denmark
Veleka Allen Sanofi  Bridgewater, NJ  USA
Luke Allen Cambridge Cognition  Cambridge  United Kingdom 
Maria T. Acosta National Human Genome Research Institute (NHGRI)   Bethesda, Maryland  USA
Kim Bishop Global Pharma Consultancy    USA
Florence Butlen-Ducuing EMA  Amsterdam  The Netherlands
Pavel Balabanov EMA  Amsterdam  The Netherlands
Denise Blurry Novartis  Boston  USA
Marc Cantillon Cerecin  Livingston, NJ  USA
Inez Del Cerro Catholic University of Murcia (UCAM)  Murcia  Spain
Gerard R. Dawson P1Vital    Oxfordshire   United Kingdom
David Daniel Signant Health  Virginia  USA
Jenicka Engler Cronos/IQVIA             Boston  USA
Montserrat Ferrer Fores IMIM  Barcelona  Spain 
Kiri Granger Cambridge Cognition  Cambridge  United Kingdom
Manuel de Gracia Universitat de Girona  Girona  Spain
Deborah Hall Heriot-Watt University    Selangor   Malaysia
Brian Harel  Takeda  Cambridge, MA  USA
John Harrison MetisCognition  London  United Kingdom
Pim Heckman Maastricht University  Maastricht  The Netherlands
Bill Horan VeraSci  Durham, NC  USA
Judith Jaeger CognitionMetrics  Stamford, Connecticut  USA
Anzalee Khan Nathan S. Kline Institute  New York  USA
Jan Kottner Charité-Universitätsmedizin  Berlin  Germany
Vanitha Krishna Takeda  New York  USA
Jean-Piera Lindenmayer New York University School of Medicine  New York   USA
Stephen Marder UCLA  Los Angeles  USA
Paul Maruff Cogstate  Melbourne  Australia
Donna Messner Independent Consultant  Washington, DC  USA
Dane McCarrik Sanofi  Leeds  United Kingdom
Nneka Onwudiwe Sanofi  Boston  USA
Amy Pinkham University of Texas  Dallas  USA
Heather Romero Takeda  Rhode Island  USA
Monica Vance Santium  Toronto  Canada
Chris Yavorsky  Valis Bioscience  Berkeley, California  USA
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Courses

Access the ECNP Knowledge Hub where you can find online courses with high-quality lectures from expert speakers, organised by the Networks.

Health outcomes: standards for clinical research in neuroscience

The Clinical Outcomes in Early-Phase Clinical Trials Network organised this ECNP Course, aimed at introducing attendees to the science of health outcomes, including clinical outcomes and endpoints. Registration is no longer possible.

More info