Healthcare Professionals’ Perceptions of Integrating Digital Technologies and Molecular Therapies in Clinical Trials
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Abstract
The integration of digital technologies and new molecular therapies in drug development has brought both opportunities and challenges in clinical practice. While much research has focused on the technical and procedural aspects of these innovations, there is limited understanding of the subjective experiences of healthcare professionals navigating these changes. This study addresses the knowledge gap regarding how professionals experience and interpret the integration of digital tools and novel therapies in clinical trials. We adopt a descriptive phenomenological approach (Colaizzi’s method) to explore the lived experiences of healthcare professionals. Data were collected through in-depth semi-structured interviews with 12 participants, comprising 7 physicians, 3 clinical pharmacists, and 2 clinical trial coordinators. The participants ranged in age from 32 to 54 years (average 42), with 6 males and 6 females, and an average professional experience of 11.5 years in clinical research. All interviews were audio-recorded, transcribed verbatim, and subjected to a three-stage coding process (open, axial, and selective coding) to identify core themes. Credibility was ensured through member checking and peer debriefing, while triangulation of data sources enhanced validity. Through this process, four key themes emerged: (1) enthusiasm toward improved patient monitoring and real-time data access; (2) resistance due to steep learning curves in adopting digital platforms; (3) concerns over data security, regulatory compliance, and patient safety; and (4) the emotional burden of adapting to rapid innovation while maintaining ethical responsibility. Participants highlighted the positive potential of these innovations, alongside challenges in training, data management, and patient safety. The findings contribute to a more holistic understanding of the human factors that shape the adoption of innovations in clinical practice, emphasizing the emotional and cognitive challenges faced by professionals. These insights offer valuable implications for future research and the development of more effective strategies for integrating technological advancements in clinical trials.
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References
Ahmad, S., Xu, J., Feng, J. A., Hutchinson, A., Zeng, H., Ghiabi, P., Dong, A., Centrella, P. A., Clark, M. A., Guié, M.-A., Guilinger, J. P., Keefe, A. D., Zhang, Y., Cerruti, T., Cuozzo, J. W., von Rechenberg, M., Bolotokova, A., Li, Y., Loppnau, P., … Halabelian, L. (2023). Discovery of a First-in-Class Small-Molecule Ligand for WDR91 Using DNA-Encoded Chemical Library Selection Followed by Machine Learning. Journal of Medicinal Chemistry, 66(23), 16051–16061. Scopus. https://doi.org/10.1021/acs.jmedchem.3c01471
Bailey Jr, D. B. (2022). A Window of Opportunity for Newborn Screening. Molecular Diagnosis and Therapy, 26(3), 253–261. Scopus. https://doi.org/10.1007/s40291-022-00590-6
Barbosa, L. C., Gonçalves, T. L., de Araujo, L. P., Rosario, L. V. D. O., & Ferrer, V. P. (2021). Endothelial cells and SARS-CoV-2: An intimate relationship. Vascular Pharmacology, 137. Scopus. https://doi.org/10.1016/j.vph.2021.106829
Botor, M., Auguściak-Duma, A., Lesiak, M., Sieroń, Ł., Dziedzic-Kowalska, A., Witecka, J., Asman, M., Madetko-Talowska, A., Bik-Multanowski, M., Galicka, A., Sieroń, A. L., & Gawron, K. (2023). Analysis of miRNAs in Osteogenesis imperfecta Caused by Mutations in COL1A1 and COL1A2: Insights into Molecular Mechanisms and Potential Therapeutic Targets. Pharmaceuticals, 16(10). Scopus. https://doi.org/10.3390/ph16101414
Chen, X., Jiang, C., Sun, R., Yang, D., & Liu, Q. (2020). Circular Noncoding RNA NR3C1 Acts as a miR-382-5p Sponge to Protect RPE Functions via Regulating PTEN/AKT/mTOR Signaling Pathway. Molecular Therapy, 28(3), 929–945. Scopus. https://doi.org/10.1016/j.ymthe.2020.01.010
Elia, G., Ferrari, S. M., Ragusa, F., Paparo, S. R., Mazzi, V., Ulisse, S., Benvenga, S., Antonelli, A., & Fallahi, P. (2022). Advances in pharmacotherapy for advanced thyroid cancer of follicular origin (PTC, FTC). New approved drugs and future therapies. Expert Opinion on Pharmacotherapy, 23(5), 599–610. Scopus. https://doi.org/10.1080/14656566.2022.2030704
Fan, L., Peng, C., Zhu, X., Liang, Y., Xu, T., Xu, P., & Wu, S. (2022). Dihydrotanshinone I Enhances Cell Adhesion and Inhibits Cell Migration in Osteosarcoma U−2 OS Cells through CD44 and Chemokine Signaling. Molecules, 27(12). Scopus. https://doi.org/10.3390/molecules27123714
Fife, W. (2020). Counting as a Qualitative Method: Grappling with the Reliability Issue in Ethnographic Research (p. 140). Springer International Publishing; Scopus. https://doi.org/10.1007/978-3-030-34803-8
Griñán-Ferré, C., Bellver-Sanchis, A., Guerrero, A., & Pallàs, M. (2024). Advancing personalized medicine in neurodegenerative diseases: The role of epigenetics and pharmacoepigenomics in pharmacotherapy. Pharmacological Research, 205. Scopus. https://doi.org/10.1016/j.phrs.2024.107247
Gu, Y., Cui, S., Wang, Q., Liu, C., Jin, B., Guo, W., Liu, C., Chu, T., Shu, C., Zhang, F., Han, C., & Liu, Y. (2019). A Randomized, Double-Blind, Placebo-Controlled Phase II Study of Hepatocyte Growth Factor in the Treatment of Critical Limb Ischemia. Molecular Therapy, 27(12), 2158–2165. Scopus. https://doi.org/10.1016/j.ymthe.2019.10.017
Guterres, A., Filho, P. N. S., & Moura-Neto, V. (2024). Breaking Barriers: A Future Perspective on Glioblastoma Therapy with mRNA-Based Immunotherapies and Oncolytic Viruses. Vaccines, 12(1). Scopus. https://doi.org/10.3390/vaccines12010061
Haßel, S. K., & Mayer, G. (2019). Aptamers as Therapeutic Agents: Has the Initial Euphoria Subsided? Molecular Diagnosis and Therapy, 23(3), 301–309. Scopus. https://doi.org/10.1007/s40291-019-00400-6
Hu, J., Xu, Z., Liao, D., Jiang, Y., Pu, H., Wu, Z., Xu, X., Zhao, Z., Liu, J., Lu, X., Liu, X., & Li, B. (2023). An H2S-BMP6 Dual-Loading System with Regulating Yap/Taz and Jun Pathway for Synergistic Critical Limb Ischemia Salvaging Therapy. Advanced Healthcare Materials, 12(28). Scopus. https://doi.org/10.1002/adhm.202301316
Hu, N., Kim, E., Antoury, L., Li, J., González-Pérez, P., Rutkove, S. B., & Wheeler, T. M. (2021). Antisense oligonucleotide and adjuvant exercise therapy reverse fatigue in old mice with myotonic dystrophy. Molecular Therapy Nucleic Acids, 23, 393–405. Scopus. https://doi.org/10.1016/j.omtn.2020.11.014
Huang, M.-P., Gu, S.-Z., Huang, B., Li, G.-W., Xiong, Z.-P., Tang, T., & Zeng, S.-N. (2021). Apatinib Inhibits Angiogenesis in Intrahepatic Cholangiocarcinoma by Regulating the Vascular Endothelial Growth Factor Receptor-2/Signal Transducer and Activator of Transcription Factor 3/Hypoxia Inducible Factor 1 Subunit Alpha Signaling Axis. Pharmacology, 106(9–10), 509–519. Scopus. https://doi.org/10.1159/000514410
Idris, A., Supramaniam, A., Tayyar, Y., Kelly, G., McMillan, N. A. J., & Morris, K. V. (2024). An intranasally delivered ultra-conserved siRNA prophylactically represses SARS-CoV-2 infection in the lung and nasal cavity. Antiviral Research, 222. Scopus. https://doi.org/10.1016/j.antiviral.2024.105815
Inal-Gultekin, G., Gormez, Z., & Mangir, N. (2022). Defining Molecular Treatment Targets for Bladder Pain Syndrome/Interstitial Cystitis: Uncovering Adhesion Molecules. Frontiers in Pharmacology, 13. Scopus. https://doi.org/10.3389/fphar.2022.780855
Jiang, D., Zhang, J., Shen, W., Sun, Y., Wang, Z., Wang, J., Zhang, J., Zhang, G., Zhang, G., Wang, Y., Cai, S., Zhang, J., Wang, Y., Liu, R., Bai, T., Sun, Y., Yang, S., Ma, Z., Li, Z., … Yang, K. (2024). DNA Vaccines Encoding HTNV GP-Derived Th Epitopes Benefited from a LAMP-Targeting Strategy and Established Cellular Immunoprotection. Vaccines, 12(8). Scopus. https://doi.org/10.3390/vaccines12080928
Jin, Y., Wang, L., Lou, H., Song, C., He, X., & Ding, M. (2021). Development and validation of an individualized immune prognostic signature for recurrent prostate cancer. Combinatorial Chemistry and High Throughput Screening, 24(1), 98–108. Scopus. https://doi.org/10.2174/1386207323666200627212820
Kaci, F. N., & Daglioglu, C. (2024). 3-Aminobenzamide-linked multifunctional nanoparticles enhances anticancer activity of low-dose cisplatin chemotherapy in lung adenocarcinoma. Journal of Drug Delivery Science and Technology, 100. Scopus. https://doi.org/10.1016/j.jddst.2024.106038
Kate, A., & Basu, S. (2024). Corneal blindness in the developing world: The role of prevention strategies. F1000Research, 12. Scopus. https://doi.org/10.12688/f1000research.141037.2
Kim, H., Hwang, D., Choi, M., Lee, S., Kang, S., Lee, Y., Kim, S., Chung, J., & Jon, S. (2019). Antibody-Assisted Delivery of a Peptide-Drug Conjugate for Targeted Cancer Therapy. Molecular Pharmaceutics, 16(1), 165–172. Scopus. https://doi.org/10.1021/acs.molpharmaceut.8b00924
Krutzek, F., Donat, C. K., Ullrich, M., & Stadlbauer, S. (2023). Design, Synthesis, and Biological Evaluation of Small-Molecule-Based Radioligands with Improved Pharmacokinetic Properties for Imaging of Programmed Death Ligand 1. Journal of Medicinal Chemistry, 66(23), 15894–15915. Scopus. https://doi.org/10.1021/acs.jmedchem.3c01355
Li, J., Liang, Y., Su, M., Wu, J., Chai, J., Xiong, W., Mo, G., Chen, X., & Xu, X. (2023). Characterization of a novel LTA/LPS-binding antimicrobial and anti-inflammatory temporin peptide from the skin of Fejervary limnocharis (Anura: Ranidae). Biochemical Pharmacology, 210. Scopus. https://doi.org/10.1016/j.bcp.2023.115471
Li, K., Quan, L., Huang, F., Li, Y., & Shen, Z. (2023). ADAM12 promotes the resistance of lung adenocarcinoma cells to EGFR-TKI and regulates the immune microenvironment by activating PI3K/Akt/mTOR and RAS signaling pathways. International Immunopharmacology, 122. Scopus. https://doi.org/10.1016/j.intimp.2023.110580
Lu, H., Liu, F., Li, Y., Wang, J., Ma, M., Gao, J., Wang, X., Shen, Z., & Wu, D. (2021). Chromatin accessibility of CD8 T cell differentiation and metabolic regulation. Cell Biology and Toxicology, 37(3), 367–378. Scopus. https://doi.org/10.1007/s10565-020-09546-0
Lu, J.-J., Zhang, Q.-C., Chen, Y.-T., Yuan, G.-C., Huang, Y.-K., Wu, T., Zhang, Q.-Y., Dong, J., Jiang, L.-B., & Li, X.-L. (2025). Cryptotanshinone attenuates lactate-induced nucleus pulposus cells injury by modulating the STAT3/SIRT3 signaling axis. Phytomedicine, 145. Scopus. https://doi.org/10.1016/j.phymed.2025.157021
Moes-Sosnowska, J., Rzepecka, I. K., Chodzynska, J., Dansonka-Mieszkowska, A., Szafron, L. M., Balabas, A., Lotocka, R., Sobiczewski, P., & Kupryjanczyk, J. (2019). Clinical importance of FANCD2, BRIP1, BRCA1, BRCA2 and FANCF expression in ovarian carcinomas. Cancer Biology and Therapy, 20(6), 843–854. Scopus. https://doi.org/10.1080/15384047.2019.1579955
Motohara, T., Yamamura, K., Miyamoto, H., Ueno, S., Takeno, H., Nagayama, Y., Oda, E., Karashima, R., Ozaki, N., Miyata, T., Mima, K., Okabe, H., Isiko, T., & Beppu, T. (2023). Durable Stable Disease by Atezolizumab/Bevacizumab Can Provide Long-term Survival of Patients With Hepatocellular Carcinoma Lung Metastases. In Vivo, 37(5), 2268–2275. Scopus. https://doi.org/10.21873/invivo.13329
Pomeroy, E. J., Hunzeker, J. T., Kluesner, M. G., Lahr, W. S., Smeester, B. A., Crosby, M. R., Lonetree, C.-L., Yamamoto, K., Bendzick, L., Miller, J. S., Geller, M. A., Walcheck, B., Felices, M., Webber, B. R., Starr, T. K., & Moriarity, B. S. (2020). A Genetically Engineered Primary Human Natural Killer Cell Platform for Cancer Immunotherapy. Molecular Therapy, 28(1), 52–63. Scopus. https://doi.org/10.1016/j.ymthe.2019.10.009
Qi, Y., Li, Y., Fang, Y., Gao, H., Qiang, B., Wang, S., & Zhang, H. (2021). Design, Synthesis, Biological Evaluation, and Molecular Docking of 2,4-Diaminopyrimidine Derivatives Targeting Focal Adhesion Kinase as Tumor Radiotracers. Molecular Pharmaceutics, 18(4), 1634–1642. Scopus. https://doi.org/10.1021/acs.molpharmaceut.0c01088
Simanullang, R. H., Situmorang, P. C., Siahaan, J. M., Widjaja, S. S., & Mutiara, M. (2022). Effects of Zanthoxylum acanthopodium on MMP-9 and GLUT-1 expression and histologychanges in rats with cervical carcinoma. Pharmacia, 69(4), 911–920. Scopus. https://doi.org/10.3897/pharmacia.69.e89368
Song, M., Xu, J., Gui, Z., Wu, Y., Wang, F., Sheng, H., Huang, X., Qian, J., Qin, H., & Wang, Y. (2025). Characterization of lysine crotonylation-related lncRNAs for prognostic assessment and immune response in glioma. Frontiers in Pharmacology, 16. Scopus. https://doi.org/10.3389/fphar.2025.1573694
Tang, C., Wang, L., Chen, Z., Yang, J., Gao, H., Guan, C., Gu, Q., He, S., Yang, F., Chen, S., Ma, L., Zhang, Z., Zhao, Y., Tang, L., Xu, Y., Hu, Y., & Luo, X. (2023). Efficacy and Safety of Hydrogen Therapy in Patients with Early-Stage Interstitial Lung Disease: A Single-Center, Randomized, Parallel-Group Controlled Trial. Therapeutics and Clinical Risk Management, 19, 1051–1061. Scopus. https://doi.org/10.2147/TCRM.S438044
Wang, H.-J., Ma, L., & Yu, Q. (2024). Cited2 inhibited hypoxia-induced proliferation and migration of PASMCs via the TGF-β1/Cited2/PPARγ pathway. Iranian Journal of Basic Medical Sciences, 27(4), 509–517. Scopus. https://doi.org/10.22038/IJBMS.2023.74455.16178
Wang, K., Cai, S., Cheng, Y., Qi, Z., Ni, X., Zhang, K., Xiao, Y., Zhang, X., & Wang, T. (2024). Discovery of Benzo[d]oxazoles as Novel Dual Small-Molecule Inhibitors Targeting PD-1/PD-L1 and VISTA Pathway. Journal of Medicinal Chemistry, 67(20), 18526–18548. Scopus. https://doi.org/10.1021/acs.jmedchem.4c01899
Ye, X., Holland, R., Wood, M., Pasetka, C., Palmer, L., Samaridou, E., McClintock, K., Borisevich, V., Geisbert, T. W., Cross, R. W., & Heyes, J. (2023). Combination treatment of mannose and GalNAc conjugated small interfering RNA protects against lethal Marburg virus infection. Molecular Therapy, 31(1), 269–281. Scopus. https://doi.org/10.1016/j.ymthe.2022.09.009
Yin, K., & Liu, X. (2021). Circ_0020397 regulates the viability of vascular smooth muscle cells by up-regulating GREM1 expression via miR-502-5p in intracranial aneurysm. Life Sciences, 265. Scopus. https://doi.org/10.1016/j.lfs.2020.118800
Zhou, C., Liu, H.-S., Wang, F.-W., Hu, T., Liang, Z.-X., Lan, N., He, X.-W., Zheng, X.-B., Wu, X.-J., Xie, D., Wu, X.-R., & Lan, P. (2020). circCAMSAP1 Promotes Tumor Growth in Colorectal Cancer via the miR-328-5p/E2F1 Axis. Molecular Therapy, 28(3), 914–928. Scopus. https://doi.org/10.1016/j.ymthe.2019.12.008
Zhu, J., Jiang, X., Luo, X., Zhao, R., Li, J., Cai, H., Ye, X.-Y., Bai, R., & Xie, T. (2023). Combination of chemotherapy and gaseous signaling molecular therapy: Novel β-elemene nitric oxide donor derivatives against leukemia. Drug Development Research, 84(4), 718–735. Scopus. https://doi.org/10.1002/ddr.22051