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Video

Understanding Clinical Trials and the Financial Side of Clinical Trials

Posted by
HealthTree Logo HealthTree
• June 25, 2026

Description

This video explains the financial aspects of clinical trials, including coverage, costs, and how insurance factors into participation.

Transcript

Understanding clinical trials in the financial side of clinical trials.

There are many steps involved in getting a drug approved.

The human clinical trial looks at efficacy, safety at the forefront.

They are the driving force.

A clinical trial is defined as a trial in any phase whose aim is preventing, detecting or treating cancer or other life-threatening diseases.

The clinical trials are funded federally are approved to be conducted under FDA investigational new drug application or be exempt from necessity of an FDA investigational new drug application.

Since 1938, every new drug has been the subject of an approved NDA before U.S. commercialization.

This new drug application is vehicle through which drug sponsors formally propose that the FDA approve a pharmaceutical for sale and marketing in the U.S..

All of the data gathered during the studies human clinical trials of the investigational new drug becomes part of the NDA.

The goal of the NDA are to provide enough information that the FDA reviewer will be able to reach the following key decisions whether the drug is safe and effective in its proposed use or uses, and whether the benefit of the drug outweigh the risk.

Whether the drug's proposed labeling, which is the package insert, is appropriate, and what it should contain, whether the methods used in manufacture the drug and the controls used to maintain the drug's quality are adequate to preserve the drug's identity, strength, quality and purity.

All of the medications you're taking had to be developed, tested and launched.

All of the medications you're taking had to be developed, tested and launched.

Clinical trials are what make the drugs able to be used.

They are the driving force behind advances made in cancer treatment.

Yet patient participation in clinical trials is very low.

Many patients are concerned about the associated costs of the trial, making this a barrier to participation.

Patients are concerned that their insurance will not provide reimbursement or are concerned about out-of-pocket expenses.

What all patients need to know is that under the Affordable Care Act, all insurance companies must cover their routine patient costs from an in-network provider associated with an approved clinical trial.

Perhaps you want to participate in an unapproved clinical trial.

Your insurance may refuse to cover it.

Make you talk to your insurance provider before signing up.

The associated costs with your health care while participating in a clinical trial falls into two categories.

The patient care costs.

These are costs related to normal treatment plan associated with your diagnosis and or general ailment.

Reach out to the administrator of the trial and get a detailed list and clarification of what services will be covered by the trial sponsor, as well as what isn't covered, but recommended as part of follow up and ongoing care.

Also note the date you joined the plan may not be the date the plan was created.

The law does not preempt any state laws that require clinical trials policy for state regulated plans.

The federal requirements are minimums, but states may impose additional requirements.

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