The white paper reviews the evolving trends and increased adoption of electronic clinical outcome assessments (eCOA) in clinical trials. It highlights the growing role of patient-reported outcomes (PROs), clinician-reported outcomes (ClinROs), observer-reported outcomes (ObsROs), and patient performance outcomes (PerfOs) in enhancing patient-centric drug development. The transformation from paper-based to electronic COAs is driven by digital advancements, regulatory support, and the need for more accurate, efficient data collection. Medidata's Rave eCOA platform is presented as a flexible solution that simplifies implementation, supports remote data collection, and improves patient engagement, particularly in response to challenges like the COVID-19 pandemic.

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