Clinical trial project management
Clinical Trial Project Management provides a detailed overview of how to conduct clinical trials, in an international context. The process of conducting clinical studies across nations is based on a set of regulatory regimes developed by respective regulatory agencies. The book focuses on clinical s...
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| Format: | eBook |
| Language: | English |
| Published: |
London :
Academic Press,
2024.
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| Online Access: | Connect to the full text of this electronic book |
Table of Contents:
- Front Cover
- Clinical Trial Project Management
- Copyright Page
- Contents
- Foreword
- Preface
- Acknowledgments
- 1 Historical development of clinical research
- 1.1 Development of clinical trials in world
- 1.2 Nuremberg code, Germany, and ethical concerns
- 1.3 Thalidomide disaster
- 1.4 Declaration of Helsinki-1964
- 1.5 Development of clinical trials in India
- References
- 2 Clinical research
- 2.1 Types of research
- 2.1.1 Diagnostic research
- 2.1.2 Preventive research
- 2.1.3 Genetic studies
- 2.1.4 Treatment research
- 2.1.5 Screening search
- 2.1.6 Epidemiological studies
- 2.1.7 Quality of life research
- 2.2 Clinical trials
- 2.2.1 Types of clinical trials
- 2.2.1.1 Open-label study
- 2.2.1.2 Blinded (masked) study
- 2.2.1.3 Cohort study
- 2.2.1.4 Pilot study
- 2.2.1.5 Case control study
- 2.2.1.6 Randomized clinical study
- 2.2.1.7 Controlled clinical trial
- 2.2.1.8 Noncontrolled clinical trial
- 2.2.1.9 Parallel clinical trials
- 2.2.1.10 Crossover clinical trials
- 2.2.2 Phases of clinical trials
- 2.2.2.1 Phase-0 studies
- 2.2.2.2 Phase-I studies
- 2.2.2.3 Phase-2 studies
- 2.2.2.4 Phase-3 studies
- 2.2.2.5 Phase-4 studies
- References
- 3 Clinical trial approval in world
- 3.1 Clinical trial approval process
- 3.2 Regulatory agencies in world
- 3.2.1 Timelines for regulatory and ethics committee approval of clinical projects in Asian region
- 3.3 United States Food and Drugs Administration (requirement)
- 3.3.1 Role of United States Food and Drug Administration in clinical trials
- 3.3.2 New drugs approval process in United States
- 3.3.2.1 Food and Drugs Administration review team
- 3.3.2.1.1 Project manager
- 3.3.2.1.2 Medical officer
- 3.3.2.1.3 Statistician
- 3.3.2.1.4 Pharmacologist/toxicologist
- 3.3.2.1.5 Clinical pharmacologist/biopharmaceutics.
- 3.3.2.1.6 Chemist/biologist/microbiologists
- 3.3.2.2 Review process
- 3.3.2.2.1 Clinical study approvals for conductance
- 3.4 Europe and its member states
- 3.4.1 Clinical Trial Information System
- 3.4.1.1 Coordination and harmonization of multinational trials
- 3.4.1.2 New portal and centralized data base
- 3.4.1.3 Enhanced public transparency
- 3.4.1.4 Vulnerable subject protection
- 3.4.1.5 Amended timelines for application
- 3.4.1.6 Safety reporting
- 3.4.2 Transition period
- 3.4.2.1 Part-I. Scientific and medical product documentation
- 3.4.2.2 Part-II. National and patient level documentation
- 3.4.3 Process and timelines
- 3.4.4 Validation
- 3.4.5 Assessment
- 3.4.6 Application outcome
- 3.4.7 Addition of new member state
- 3.4.8 Postapplication authorization modification
- 3.5 Japan
- 3.5.1 Pharmaceuticals and Medical Devices Agency approval process of clinical trials
- 3.5.2 Human Ethics Committee role in Japan jurisdiction
- 3.5.3 Clinical trial notifications
- 3.5.4 Timelines for clinical trial notification
- 3.5.5 Role of caretaker in Japan
- 3.5.6 Challenges of clinical trials in Japan
- 3.6 Brazil (Agência Nacional De Vigilância Sanitária)
- 3.6.1 Ethics committee approval in Brazil
- 3.6.2 Comissão Nacional de Ética em Pesquisa composition: a central ethics committee
- 3.6.3 Comitê de Ética em Pesquisa composition: a local ethics committee
- 3.6.4 Registration of clinical trials
- 3.6.5 Process of clinical trial approval
- 3.7 India (Central Drugs Standard Control Organization, CDSCO)
- 3.7.1 New Drugs Clinical Trial Rules-2019
- 3.7.1.1 Presubmission meeting provisions
- 3.7.1.2 Postsubmission meeting provisions
- 3.7.1.3 Validity of clinical trial protocol approval
- 3.7.1.4 Provisions for bioavailability and bioequivalence studies
- 3.7.1.5 Provisions for IV (postmarketing trials).
- 3.7.1.5.1 Provisions on timelines
- 3.7.1.6 Provisions for ethics committee
- 3.7.1.7 Provision of application rejection and appeal
- 3.7.2 The Central Drugs Standard Control Organization
- 3.7.2.1 Official address of Central Drugs Standard Control Organization
- 3.7.2.2 Zonal offices of Central Drugs Standard Control Organisation
- 3.7.2.3 Role of Central Drugs Standard Control Organization in clinical trials in India
- 3.7.2.4 Regulatory requirement for clinical trial conductance in India
- 3.7.3 Approval aspects of regulatory
- 3.7.3.1 Ethics committee approval
- 3.7.3.2 Clinical trial registration with Clinical Trial Registry
- India
- 3.7.4 Indian Medical Council of Research guidance for biomedical research
- 3.7.5 International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use-Good Clinical Pra...
- 3.7.6 Indian Good Clinical Practices
- 3.7.7 Difference between ICH-GCP and Indian GCP
- 3.7.8 Amendments in Provisions of Drugs and Cosmetic Act 1940
- 3.7.9 Clinical study application and fee structure
- 3.7.10 Instructions for payment of clinical trial application fee
- 3.8 Australia
- 3.8.1 Human Research Ethics Committee
- 3.8.2 Site (identification, assessment, and selection) feasibility
- 3.8.3 Regulatory process pathway
- 3.9 China
- 3.9.1 Registration of clinical trial
- 3.9.2 Clinical trial approval process
- 3.9.3 Clinical trial application fee
- 3.9.4 Ethics committee
- 3.10 Singapore
- 3.10.1 Review period
- 3.10.2 Dossier submission
- 3.10.3 Ethics committee
- 3.11 Canada
- 3.11.1 Registration of clinical trials
- 3.11.2 Clinical trial approval process
- 3.11.2.1 Preclinical trial application meeting
- 3.11.2.2 Clinical trial application
- 3.11.2.2.1 For pharmaceutical drugs
- 3.11.2.2.2 For biologicals and radiopharmaceuticals.
- 3.12 Module 1. Administrative and clinical information
- 3.13 Module 2. Common technical document (manufacturing and chemistry)
- 3.14 Module 3. Supporting quality information for clinical study perspective
- 3.14.1 Ethics committee
- References
- 4 Project management in clinical trials
- 4.1 Project management
- 4.2 Project management in clinical trials
- 4.2.1 Project planning
- 4.2.1.1 Gantt chart
- 4.2.1.2 Program evaluation and review technique (PERT) analysis
- 4.2.1.2.1 Probability of clinical project completion
- 4.2.1.2.2 Determine the expected duration and variance of each activity of clinical study?
- 4.2.1.2.3 Find out the critical path and expected clinical trial project completion time?
- 4.2.1.2.4 What is the probability of clinical project to be completed before 27 months?
- 4.2.1.3 Critical path method (CPM)
- 4.2.1.3.1 Construction of critical path method network
- 4.2.1.3.2 Determine the critical path and project completion time
- 4.2.1.3.3 Compute total floats and free floats for noncritical activities
- 4.2.1.4 Earned value management (EVM)
- 4.2.2 Site selection
- 4.2.3 Site initiation and execution
- 4.2.4 Monitoring and controlling
- 4.2.5 Site closeout
- 4.3 Responsibilities of clinical trial project manager
- 4.3.1 Selection of authentic vendor
- 4.3.2 Time management and budget optimization
- 4.3.3 Protocol submission to institutional ethics committee
- 4.3.4 Clinical trial report development
- 4.3.5 Planning of meetings with stakeholders
- 4.4 Clinical trial project management plan
- 4.4.1 Project management team
- 4.4.2 Clinical study goals/objectives and design
- 4.4.3 Communication plan
- 4.4.4 Handling of investigational product (IP)
- 4.4.5 Serious adverse event handling
- 4.4.6 Study-monitoring plan (study initiation, monitoring, closeout, and audit activities)
- References.
- 5 Role of stakeholders
- 5.1 Sponsor
- 5.2 Institutional ethics committee (IEC)
- 5.2.1 Ethics committee quorum
- 5.2.2 Functions of ethics committee
- 5.2.3 Review process of ethics committee (EC)
- 5.2.4 Record keeping and archiving
- 5.3 Regulatory
- 5.4 Investigator and team as stakeholder
- 5.5 Medical laboratory and team
- 5.6 Contract research organization
- 5.6.1 Clinical trial outsourcing
- 5.6.2 Process of contract research organization selection
- 5.6.3 Finance in CRO selection
- 5.7 Rights of a patient in a clinical study
- 5.7.1 Patient as a stakeholder
- 5.7.2 Duties of a clinical trial participant
- References
- 6 Clinical trial budget assessment and preparation
- 6.1 Clinical trial budget
- 6.2 Pharmaceutical company or sponsor
- 6.3 Contract research organization
- 6.3.1 Study site management
- 6.3.2 Clinical project management
- 6.3.3 Clinical data management and electronic data capture
- 6.3.4 Laboratory
- 6.3.5 Medical writing
- 6.3.6 Logistics
- 6.3.7 Quality assurance audits and control
- 6.4 Steps in preparation of clinical trial budget
- 6.4.1 Preparatory phase of clinical trial budget
- 6.4.1.1 Prior to initiation
- 6.4.1.2 Personnel cost
- 6.4.1.3 Hidden costs services/items not listed in the protocol
- 6.4.2 Budget development
- 6.4.2.1 Start-up cost
- 6.4.2.2 Per-subject costs (one single, completed subject)
- 6.4.2.3 Pass-through cost
- 6.4.2.4 Additional cost
- 6.4.2.5 Indirect cost
- 6.4.3 Budget negotiation and clinical trial agreement
- 6.4.3.1 Preparedness
- 6.4.3.2 Leverage
- 6.4.3.2.1 Positive leverage
- 6.4.3.2.2 Negative leverage
- 6.4.3.3 Budget offering or budget proposal
- 6.4.3.4 Presentation of budget proposal
- 6.4.3.4.1 Raise your concerns and let answer to come
- 6.4.3.4.2 Document the negotiation
- 6.4.3.4.3 Brand value protection.