Dermatology trials place unique demands on sponsors because of the volume, frequency, and subjectivity of the data being collected. Endpoints often combine investigator scoring, patient-reported symptoms such as itch or pain, and visual assessments of symptoms that may change over time.
Because skin conditions can change rapidly and differ widely in presentation, sponsors must manage variability in assessments, ensure protocol adherence, and maintain continuity in how data is captured throughout the study. This makes operational execution, site alignment, and ongoing oversight central to trial success.
Not all eCOA platforms are designed for those demands. Many dermatology studies incorporate photographic references to standardize investigator grading of disease severity, redness, lesion characteristics, or treatment response, alongside visual scoring and frequent symptom diaries that must remain tightly aligned with protocol design.
Our playbook shows you what to look for when evaluating eCOA. It walks through the capabilities dermatology programs actually require — protocol-aligned image capture, consistent PASI and EASI scoring, body-mapping, and the oversight metrics that catch variability early — and includes a global Phase 3 psoriasis program that put them to work.
Download it here.
What’s in the Playbook
Five things to get right before your next dermatology program starts.


In dermatology, the participant experience is central to therapeutic benefits. Itching, burning, pain, and embarrassment are highly subjective — and critical to evaluating whether treatment works.”
Nikki Dardes, SVP, Partnerships, YPrime
Dermatology eCOA FAQs
Dermatology clinical trials combine three data types: investigator grading, patient-reported symptoms, and photographic documentation of visible disease. A dermatology-ready eCOA platform must hold all three in one workflow, tied to the same visit and timepoint, with audit-ready traceability for each.
By putting reference images and visual selections inside the form itself, raters at every site grade against the same standard, and by automating the calculation rather than leaving composite scoring to manual work at the site.

