Securing Clinical Trial Data Using Private Blockchain Technology
Received: 18 November 2025 | Revised: 11 December 2025, 6 January 2026, 20 January 2026, and 5 February 2026 | Accepted: 7 February 2026 | Online: 19 March 2026
Corresponding author: Shailesh S. Shetty
Abstract
The COVID-19 pandemic placed unprecedented strain on global healthcare systems and exposed several limitations in managing large-scale public health emergencies. The adoption of emerging technologies, however, such as Blockchain, Artificial Intelligence (AI), and Machine Learning (ML), offers opportunities to develop systems that are better suited to help the healthcare system during such challenges. For instance, Blockchain technology can be utilized to secure patient data, Clinical Trial (CT) records, and other sensitive medical information. Among these applications, CTs represent a critical component of drug development and are also one of its most costly and complex stages. Nonetheless, implementing a Blockchain-based CT management system can enhance data traceability, reduce operational costs, and enable efficient record management, assisting regulatory bodies in reviewing and approving drugs more rapidly, enabling faster release of new treatments to the market, and potentially saving lives. Therefore, this study proposes a permissioned private Blockchain-based architecture utilizing Hyperledger Fabric, along with smart contracts within the Hyperledger network, which facilitates secure, transparent, and efficient coordination among all CT stakeholders while maintaining data privacy through controlled access and the use of independent ledgers. Performance analysis of the proposed system, evaluated in terms of throughput, latency, and execution time, indicates that private Blockchain systems demonstrate superior performance relative to public Blockchain implementations.
Keywords:
Blockchain technology, clinical trials, consent, healthcare, participants, private BlockchainDownloads
References
I. A. Omar, R. Jayaraman, K. Salah, I. Yaqoob, and S. Ellahham, "Applications of Blockchain Technology in Clinical Trials: Review and Open Challenges," Arabian Journal for Science and Engineering, vol. 46, no. 4, pp. 3001–3015, Apr. 2021.
J. A. Jaoude and R. G. Saade, "Blockchain Applications – Usage in Different Domains," IEEE Access, vol. 7, pp. 45360–45381, 2019.
H.-N. Dai, M. Imran, and N. Haider, "Blockchain-Enabled Internet of Medical Things to Combat COVID-19," IEEE Internet of Things Magazine, vol. 3, no. 3, pp. 52–57, Sept. 2020.
O. Choudhury, I. Sylla, N. Fairoza, and A. Das, "A Blockchain Framework for Ensuring Data Quality in Multi-Organizational Clinical Trials," in 2019 IEEE International Conference on Healthcare Informatics (ICHI), June 2019, pp. 1–9.
A. Andrianov, and B. Kaganov, "BlockChain in Clinical Trials-the Ultimate Data Notary," Applied Clinical Trials, vol. 27, no. 7, July 2018.
R. W. Ahmad, K. Salah, R. Jayaraman, I. Yaqoob, S. Ellahham, and M. Omar, "Blockchain and COVID-19 Pandemic: Applications and Challenges." Sept. 2020.
K. L. Hanson, T. A. Bakker, M. A. Svirsky, A. C. Neuman, and N. Rambo, "Informationist role: clinical data management in auditory research," Journal of eScience Librarianship, vol. 2, no. 1, pp. 25–29, 2013.
P. Prajapati, K. Dave, and P. Shah, "A Review of Recent Blockchain Applications," International Journal of Scientific & Technology Research, vol. 9, no. 01, Jan. 2020.
A. H. Mayer, C. A. Da Costa, and R. D. R. Righi, "Electronic health records in a Blockchain: A systematic review," Health Informatics Journal, vol. 26, no. 2, pp. 1273–1288, June 2020.
D. Marbouh et al., "Blockchain for COVID-19: Review, Opportunities, and a Trusted Tracking System," Arabian Journal for Science and Engineering, vol. 45, no. 12, pp. 9895–9911, Dec. 2020.
M. Benchoufi and P. Ravaud, "Blockchain technology for improving clinical research quality," Trials, vol. 18, no. 1, Dec. 2017, Art. no. 335.
H.-Y. Paik, X. Xu, H. M. N. D. Bandara, S. U. Lee, and S. K. Lo, "Analysis of Data Management in Blockchain-Based Systems: From Architecture to Governance," IEEE Access, vol. 7, pp. 186091–186107, 2019.
A. Sahu and S. M. Ghosh, "Review Paper on Secure Hash Algorithm With Its Variants," International Journal of Technical Innovation in Modern Engineering & Science (IJTIMES), vol. 3, no. 05, May 2017.
Q. Nasir, I. A. Qasse, M. Abu Talib, and A. B. Nassif, "Performance Analysis of Hyperledger Fabric Platforms," Security and Communication Networks, vol. 2018, pp. 1–14, Sept. 2018.
B. Annane, A. Alti, and A. Lakehal, "A Blockchain Semantic-based Approach for Secure and Traceable Agri-Food Supply Chain," Engineering, Technology & Applied Science Research, vol. 14, no. 6, pp. 18131–18137, Dec. 2024.
I. A. Omar, R. Jayaraman, K. Salah, M. C. E. Simsekler, I. Yaqoob, and S. Ellahham, "Ensuring protocol compliance and data transparency in clinical trials using Blockchain smart contracts," BMC Medical Research Methodology, vol. 20, no. 1, Dec. 2020, Art. no. 224.
P. Kushwaha, N. Srivastava, and S. P. Kushwaha, "Enhancing clinical drug trial monitoring with blockchain technology," Contemporary Clinical Trials, vol. 146, Nov. 2024, Art. no. 107684.
C. Castro, V. Leiva, D. Garrido, M. Huerta, and V. Minatogawa, "Blockchain in clinical trials: Bibliometric and network studies of applications, challenges, and future prospects based on data analytics," Computer Methods and Programs in Biomedicine, vol. 255, Oct. 2024, Art. no. 108321.
V. Leiva and C. Castro, "Artificial intelligence and blockchain in clinical trials: enhancing data governance efficiency, integrity, and transparency," Bioanalysis, vol. 17, no. 3, pp. 161–176, Feb. 2025.
D. Mohanty, R3 Corda for Architects and Developers: With Case Studies in Finance, Insurance, Healthcare, Travel, Telecom, and Agriculture. Berkeley, CA: Apress, 2019.
T. T. A. Dinh, J. Wang, G. Chen, R. Liu, B. C. Ooi, and K.-L. Tan, "BLOCKBENCH: A Framework for Analyzing Private Blockchains," in Proceedings of the 2017 ACM International Conference on Management of Data, May 2017, pp. 1085–1100.
G. Greenspan, "MultiChain Private Blockchain-White Paper". Multichain, July 2015. [Online]. Available: https://www.multichain.com/download/MultiChain-White-Paper.pdf
M. Stonebraker, "SQL databases v. NoSQL databases," Communications of the ACM, vol. 53, no. 4, pp. 10–11, Apr. 2010.
C. Gorenflo, S. Lee, L. Golab, and S. Keshav, "FastFabric: Scaling Hyperledger Fabric to 20,000 Transactions per Second," in 2019 IEEE International Conference on Blockchain and Cryptocurrency (ICBC), May 2019, pp. 455–463
Clinical Trials Real Dataset. Shailesh S. Shetty. [Online]. Available: https://github.com/sshaileshshettys/medicine-trial/blob/main/blockcahin/clinical_trials_real_dataset.csv.
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