

Reducing Errors and Improving Compliance in Global Oncology Programs - with Anthony Mikulaschek at IQVIA Technologies
Sep 16, 2025
Anthony Mikulaschek, Vice President of Commercial Strategy at IQVIA Technologies, brings over 30 years of expertise in clinical trial technology. He discusses the evolution of electronic clinical outcome assessments (eCOAs) and their critical role in oncology. Mikulaschek highlights how AI enables real-time patient data capture, easing burdens for both patients and clinicians. He also delves into the importance of cultural and linguistic nuances in global trials and how compliance automation accelerates research, ultimately enhancing patient experiences.
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What eCOAs Are And Why They Matter
- eCOAs are electronic questionnaires that capture patient, clinician, or caregiver assessments and evolved from early PalmPilot implementations.
- Regulators now expect patient-reported data, making COAs central to proving treatment impact.
Therapy Areas Drive Complexity
- Oncology and obesity trials dominate R&D spend and create high complexity for COA use.
- Global trials need instruments adapted for cultural nuance and language, not just literal translation.
Chopsticks Versus Knife And Fork
- Anthony gives the chopsticks vs. knife-and-fork example to show cultural mismatch in questionnaires.
- He highlights the need to adapt instruments for local meaning beyond translation.