NelumBox - Home storage on the example of patient-centric Clinical Trials

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The Challenge


A CRO faced the challenge of improving the patient-centricity of their clinical trials on a broader spectrum. They experienced a significant decrease in acquisition rates, followed by decreasing retention rates during their trials. To compensate and improve the decrease in numbers, the company decided to shift towards more patient-centered home-based clinical trials.

The clinical research organization quickly learned about the existing approach towards home-based clinical trials and the challenges of the specialty courier meeting at the patient’s home at the same time as the nurse or doctor did. Furthermore, they knew the potential dangers of storing medication at the patient’s fridge, such as different temperature zones, changing temperature and conditions, as well as access to the medicines by other family members like children.

Dissatisfied on the complexity of current direct-to-patient models, the narrow time frame for the nurse resulting in less time for the patient, and the excellent coordination of all stakeholders involved, the CRO was looking for a better solution.

The Solution


Tec4med proposed using the NelumBox as a portable fridge for the nurse to carry the medication to the patient. The CRO came up with the idea of storing the drug at the patient’s home. The integration of the NelumBox lock and the real-time monitoring device, such as keeping the medication at the right temperature even in case of a power failure thanks to the batteries, convinced the CRO.

By storing medication in the NelumBox at the patient’s home, the CRO reduces the number of deliveries by a specialty courier to once a month instead of 3 times a week. As a result of this, the IMP is stored securely throughout the month locked and monitored through Tec4Cloud. To administer the medicine, the nurse unlocks NelumBox with her personalized access token.

Thanks to the medication storage at the patient’s home, not only the nurses improve their flexibility, but also the patient. Reducing the number of shipments, the patient gets rid of a tight schedule where the medication is delivered a few times a week. So far, this project shows an increase in acquisition rates due to the home-based approach.

For the CRO, the amount of coordination effort decreased successfully, implementing a safe and secure direct-to-patient model.



In the future, more and more smart injectables will find their use in clinical trials. NelumBox is ready for that change today. To additionally increase the patient’s freedom throughout the participation in a clinical trial, patients can administer medicine on their own, tracking the adherence fully transparent through smart wearables und other monitoring services that are connected to a secure database. Not only NelumBox is capable of providing such services. SmartHub also functions as a gateway in a similar way.



Discover innovative and revolutionary ways of providing the best quality of patient-centered services, improving the quality, while at the same time cutting costs, and adding additional value.

  • Increase flexibility
  • Decrease bureaucracy
  • Improve the quality of your service
  • Digitalize & automize processes
  • Significantly cut costs