Co-Created Protocols: Co-Writing the Protocol with Patients

September 24, 2025

For decades, the clinical trial industry has asked patients for their data, their time, and their bodies. It’s time we started asking for their expertise. 

True patient-centricity means shifting from passively collecting patient “input” to actively seeking patient “partnership.” This is most powerfully realized in protocol co-creation, where patients are given a seat at the design table before a single word of the protocol is finalized. 

This isn’t a new idea born in a boardroom; it has deep roots in patient activism. During the HIV/AIDS crisis of the 1980s, activists didn’t ask for friendlier trials—they demanded a systemic overhaul. They fought for, and won, a role in shaping the research that would ultimately save their lives, forever changing the power dynamic between researcher and participant. 

Today, the business case for this approach is undeniable. A co-created protocol is a de-risked protocol. By vetting procedures and endpoints with patient experts, you can: 

  • Prevent costly amendments: A single Phase 3 amendment can cost over $500,000. 
  • Improve feasibility: Design a trial that patients are actually able and willing to complete. 
  • Increase the probability of success: The FDA and EMA are clear: patient relevance is a cornerstone of trial quality. 

Co-creation is the ultimate form of risk mitigation. It designs failure out of your trial from the very start. To help you begin this process, we’ve developed a practical planning tool. 

Download our free worksheet: “The Protocol Co-Creation Blueprint” and start designing smarter trials, together.