WHITE PAPER SERIES
Enhancing Representation in
Clinical Trial Populations


In this white paper series, Signant's clinical science leaders examine optimal representation in clinical trials. Each paper uncovers barriers to inclusion, identifies strategies to improve representation, and emphasizes the importance of ensuring high-quality evidence generation for increasingly diverse patient populations.

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Why Optimal Representation Matters

Adequate representation and accessibility in clinical research are critical to ensuring equitable healthcare. The exclusion or underrepresentation of certain population groups compromises the validity and generalizability of clinical trial results.

Inclusive research is necessary to accurately assess the effectiveness of new drugs, therapies, and healthcare technologies across the wider population, addressing disparities in social and health outcomes.

By accessing this series, you'll gain insights into how diversity can improve scientific rigor and regulatory compliance while contributing to more equitable healthcare.

About the Authors

Headshot of Greta Marie de Waal
Greta Marie van Schoor, PhD
Senior Clinical Scientist
BIO +
Headshot of Lauren Crooks
Lauren Crooks, MSc
Clinical Scientist
BIO +
Headshot of Joan Busner
Joan Busner, PhD
Clinical Vice President
BIO +
Bill Byrom
Bill Byrom, PhD
Principal, eCOA Science
BIO +
Sayaka Machizawa
Sayaka Machizawa, PsyD
Associate Director, Science & Medicine
BIO +
Headshot of Greta Marie de Waal

Greta Marie van Schoor, PhD
Senior Clinical Scientist

Dr. Van Schoor provides scientific expertise and guidance relating to the implementation of electronic clinical outcome assessments (eCOAs), and has a special focus on eDiary design and accessibility of eCOA best practices. She completed her PhD in Physiological Sciences at Stellenbosch University, which focused on the bacterial and inflammatory involvement in colorectal carcinogenesis, and has 3+ years’ experience in the clinical research industry. She has given scientific consultation for projects across a wide range of therapeutic areas, including  oncology, infectious disease, dermatology, and gastroenterology.

Headshot of Lauren Crooks

Lauren Crooks, MSc
Clinical Scientist

Lauren has comprehensive cross-functional experience within the life sciences and information technology sectors. At Signant, she combines this experience to provide scientific consultation and support to clients on the implementation of eCOA to optimize patient care and outcomes in clinical trials. She has supported eCOA projects across multiple therapeutic areas, including dermatology and neurology, with a current focus on respiratory diseases

Headshot of Joan Busner

Joan Busner, PhD
Clinical Vice President

Dr. Busner has more than 35 years of experience as an academic psychiatric researcher and psychopharmacology principal investigator and founded and directed two university psychiatric clinical trials units. Dr. Busner served continuously on University Institutional Review Boards for 20 years. At Signant she has scientific and clinical responsibility for studies in mood, anxiety, pediatrics, and rare/orphan diseases. Dr. Busner is currently Affiliate Associate Professor of Psychiatry at Virginia Commonwealth University.

Bill Byrom

Bill Byrom, PhD
Principal, eCOA Science

Dr. Byrom has over 30 years’ experience as a clinical development specialist, an eClinical product strategy leader, and an industry expert in clinical outcome assessments.  He has authored 80+ publications and two industry textbooks on electronic patient-reported outcomes (ePRO), and his recent research includes the use of wearables and bring-you-own-device (BYOD) eCOA in clinical trials.  At Signant he provides eCOA science expertise into customer projects and company strategy.

Sayaka Machizawa

Sayaka Machizawa, PsyD
Associate Director, Science & Medicine

Sayaka Machizawa, Psy.D., is an Associate Director of Clinical Science at Signant Health, bringing over 18 years of expertise in neurodegenerative and psychiatric diseases. She has played a key role in supporting large-scale global clinical trials across a wide range of indications. Fluent in both Japanese and English, Sayaka has led rater training sessions at numerous Investigator Meetings worldwide.

With a Doctorate in Clinical Psychology, she has also dedicated 12 years to academia, teaching graduate-level Psychology courses, and conducting neuropsychological evaluations for diverse populations. Her extensive experience bridges clinical research, education, and applied neuropsychology, making her a valuable contributor to advancing scientific rigor in clinical trials.