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The Rare Disease eCOA Playbook

A guide for sponsors designing patient-centric eCOA strategies in rare disease clinical trials

Rare disease clinical trials require precision, flexibility, and patient-first thinking. With small, geographically dispersed populations and complex symptoms, traditional outcome assessments often fall short. YPrime’s Rare Disease eCOA Playbook was developed to help clinical teams navigate these challenges using modern eCOA platforms that accelerate data quality, compliance, and patient engagement.

Why eCOA is Essential in Rare Disease Clinical Trials

With fewer than 200,000 patients affected per condition (and often far fewer), rare disease trials must optimize every data point. Electronic Clinical Outcome Assessments (eCOAs) play a critical role in:

bullet iconReaching small, globally dispersed patient populations
bullet iconCapturing nuanced symptom data in real time
bullet iconEnabling decentralized and hybrid trial models
bullet iconSupporting caregiver input via observer-reported outcomes (ObsRO)
bullet iconEnsuring audit-ready compliance across regulatory regions

Built for Sponsors and CROs Solving Rare Challenges

This playbook is ideal for a wide range of stakeholders involved in rare disease research, serving biotech and pharma clinical teams, as well as CROs who need scalable implementation frameworks. It also provides guidance for digital health strategists deploying decentralized or hybrid models, patient advocacy and engagement teams collaborating on protocol design, and regulatory and quality teams responsible for overseeing eCOA compliance.

Access the playbook today!

Donna Mongiello, YPrime

“The most successful rare disease trials will be those that balance technological sophistication with human-centered design, creating intuitive experiences for all stakeholders.” 

— Donna M. Mongiello, RN, BSN, Senior Vice President, eCOA Strategy, YPrime

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