Ministerial Decision (Government Gazette, FEK 230/B/22.01.2026) on Clinical Trials: Streamlining Research in Greece

The clinical trials regulation in Greece, published in the Government Gazette (ΦΕΚ) 230/B/22.01.2026, establishes a unified and simplified framework for contracts and financial management of clinical trials, non-interventional studies, and other health research projects. This clinical trials regulation in Greece directly affects clinical trials with medicines, studies involving medical devices, and research conducted in hospitals and public health institutions, aiming to reduce bureaucracy, ensure transparency, and protect participating patients.

Clinical trials regulation in Greece

WHY THE NEW DECISION WAS NECESSARY

Until now, procedures for signing contracts for clinical trials and studies were often delayed, complex, and varied between institutions. This slowed down research and discouraged sponsors and research teams. The new Ministerial Decision aims to create a clear, unified framework with common standards, defined responsibilities, and specific timelines.

WHAT CHANGES FOR CLINICAL TRIALS AND STUDIES

Under the new regulation:

  • Standardized contracts for clinical trials and studies are introduced,

  • Clear deadlines for contract signing are established,

  • The use of electronic procedures is promoted,

  • The financial management framework of research projects by responsible institutions is clarified.

These changes aim to reduce administrative burdens and facilitate the daily operations of research teams and health institutions.

WHAT THIS MEANS FOR PATIENTS

Of particular importance is the reaffirmation that participating patients are not financially burdened by their involvement in clinical trials or studies. The costs of examinations, procedures, and services related to the study are covered by the sponsor, ensuring the protection of patients’ rights and safety, and reinforcing trust in the research process.

WHY THIS REGULATION IS AN IMPORTANT STEP FOR RESEARCH IN GREECE

The Ministerial Decision published in the Government Gazette (ΦΕΚ 230/B/22.01.2026) represents a significant step toward improving the research environment in Greece. By creating unified and clear procedures for contract signing and financial management of clinical trials and studies, it reduces long-standing administrative barriers that delayed the implementation of research projects. At the same time, it strengthens institutional security for all stakeholders—researchers, health institutions, and sponsors—while fostering transparency and accountability.

In this context, Greece can become more competitive in research, facilitate participation in international research initiatives, and make more effective use of its scientific knowledge and human resources. In the healthcare field, accelerating and streamlining processes helps align research more closely with clinical practice and patients’ real needs, benefiting society as a whole.

Kapa3 closely monitors institutional developments affecting health research and clinical trials, highlighting their importance for patient protection and the improvement of care quality.

Text/adaptation: Ifiyenia Anastasiou for Kapa3

 

Artificial Intelligence (AI) and Remote Patient Monitoring (RPM) are transforming oncology, giving patients a greater role in managing their treatment.

Recent studies have shown that using digital tools to collect medical data outside the traditional clinical setting reduces delayed symptom reporting, limits severe side effects, decreases hospitalizations and emergency visits, while improving survival and quality of life for patients.

In practice, this means digital applications allow patients to promptly inform their doctors of any issues, reducing risks and enhancing their daily experience during treatment.

Based on these findings, in 2022, ESMO published guidelines for integrating patient-reported outcome measures (PROMs) into clinical practice, recommending electronic platforms over paper questionnaires (Ann Oncol. 2022).

Dr. Charles Ferté, Chief Medical & Patient Officer of the Resilience solution, developed in collaboration with the Institut Gustave Roussy in France, highlights that AI can address limitations in using patient reports in oncology. According to him, about 50% of patients’ side effects go unreported, either due to forgotten symptoms or staff workload. Mild but persistent side effects are often overlooked, affecting treatment effectiveness.

The Resilience solution includes an online platform for doctors and nurses to monitor symptoms and receive alerts, and a mobile app for patients to submit real-time data. Data are processed through AI algorithms and transformed into actionable insights for the oncology team, facilitating timely intervention and care optimization. This enables doctors to monitor patients in real time and prevent complications before they become serious.

Additionally, the solution incorporates Natural Language Processing (NLP) to extract data from medical notes and lab results, and a predictive algorithm estimates the risk of severe side effects and unplanned hospitalizations.

Patient engagement is crucial: compliance with weekly questionnaires reaches up to 85%, with many describing the app as a “lifeline” during treatment. Although initially thought to appeal only to younger patients, research shows acceptance spans all ages (JMIR Mhealth Uhealth. 2018; J Geriatr Oncol. 2024).

The solution can also screen large patient populations, identifying those who would benefit from a hybrid care model—digital tools combined with in-person support, such as behavioral and cognitive therapy. Continuous data collection allows RPM to expand to social and behavioral indicators, including isolation, employment, access to care, addictions, physical activity, or food insecurity.

Finally, digital data open new avenues in research: the Resilience database includes over 20,000 patients across 140 hospitals in France, Belgium, Germany, and Spain, enabling real-world data use for more targeted clinical research. In the future, digital phenotyping will allow monitoring of physical and cognitive indicators via mobile sensors like pedometers and gyroscopes, offering a more comprehensive view of the patient experience.

It is clear that cancer care can now rely not only on patient and professional engagement but also on data analysis that uncovers hidden aspects of patients’ daily lives and symptoms.

Kapa3 remains at the forefront of oncology developments, continuously updating on new technologies and practices, actively supporting patients and caregivers, and creating tools and resources that ease daily life. Focused on patient empowerment, Kapa3 bridges scientific knowledge with practical solutions, ensuring everyone feels guided and safe throughout their treatment journey.

Text/Adaptation: Ifiyenia Anastasiou for Kapa3

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