Page last reviewed: 23-Oct-2026

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About

Launched in September 2025 within RareKids-CAN, Rare Disease Clinical Trial Outcome Assessment and Design (ROAD) project aims to strengthen the capacity of trialists and patient and family partners to work together in selecting meaningful, feasible outcomes for pediatric rare disease clinical trials.

The project began with a review of existing research (a scoping review) and a survey of people who design and run clinical trials (an international needs survey). These studies identified gaps in how trial outcomes are currently selected.

To address these gaps, the team developed two practical templates, one for patient and family partners (ROAD-PF) and one for trialist (ROAD-TT), which are brought together in this toolkit.

Two templates that work together

These templates are designed to be used together when designing a trial

Informed by lived experience of patients and families

ROAD TT

Informed by clinical trial design and regulatory guidance

Co-design with patient and family partners

Twelve patient and family partners from rare disease communities in Canada shaped the toolkit through two virtual workshops and a French-language consultation (February to April 2026).

Their lived experience helped ensure the toolkit reflects what matters to people and families affected by a rare disease.

Co-design with international trialists

Seventeen rare disease experts formed the international advisor board and two meetings were held (February to April 2026).

Supporting useful trials

Patient, families, and trialists come together at the trial co-design meeting(s) to bring these perspectives together. The templates help trialists document what outcomes they choose, why they chose them, and who helped make those decisions. This creates a clear record that can be shared with trialists, funders, ethics boards, regulators, and clinical trial registries.

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Contributors

NameAffiliationRole
Veronica Ka Wai LaiChild Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, CanadaResearcher; core project team; co-facilitator
Maureen SmithPatient Partner, Ottawa, CanadaPatient partner; co-facilitator; French-language consultation
Sara PotCanChild Centre for Childhood Disability Research, Hamilton, CanadaFamily partner; co-facilitator
Alicia HilderleyHotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, CanadaPartner; co-facilitator
Leah Sarah PeerPatient Partner, Peer Medical Foundation, Montreal, CanadaPartner; investigation and review
Roberta WebsterPatient Partner, Mississauga, CanadaPartner; investigation and review
Amanda Doherty-KirbyPatient Partner, Cornwall, Prince Edward Island, CanadaPartner; investigation and review
Cal RobinsonDepartment of Paediatrics, Division of Nephrology, The Hospital for Sick Children, Toronto, CanadaInvestigation, validation, review
Thierry Lacaze-MasmonteilMaternal Infant Child & Youth Research Network (MICYRN), Vancouver, CanadaInvestigation, validation, review
Ami BabaChild Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, CanadaCore project team
Martin OffringaChild Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, CanadaCore project team; corresponding author