2. Agenda
Why Latin America
Who we are
Services
Our strengths
Our philosophy
Why KLIXAR
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
3. Why Latin America for
Clinical Research?
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
4. Why Latin America
Mean number of patients per site by region where patient
enrollment was completed (2003-2005)
Source: Centre for Medicines Research International Limited (CMR)
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
5. Why Latin America
Country Population Country Population
Argentina 38,970,911 USA 299,398,484
Brasil 186,770,582 France 63,714,000
Chile 16,432,674 Great Britain 60,777,600
Colombia 46,772,286 Spain 40,444,800
Perú 28,348,700 Italy 58,148,000
Central America 21,300,000 Romania 22,276,000
338,595,153
81% of region population
138% of EU population*
113% of USA population
*Countries described
Source: United Nations. Department of Economic and Social Affairs, Population
Division (2007). World Population Prospects: The 2006 Revision
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
6. Why Latin America - Population
COLOMBIA: 42.0 MM
Bogotá: 8.5 MM
Medellín & Cali: 6.2 MM
Central America BRAZIL: 190.0 MM
(3 countries): 21.3 MM Sao Paulo: 20.6 MM
Rio de Janeiro: 12.3 MM
PERU: 28.7 MM
Lima: 8.2 MM
CHILE: 16.6 MM
Source: United Nations. Department of Economic ARGENTINA: 40.3 MM
and Social Affairs, Population Division (2007). World Buenos Aires: 14.9 MM
Population Prospects: The 2006 Revision Córdoba & Rosario: 2.8 MM
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
7. Start up timelines (in weeks)
Months
Argentina 4 30 2 8.5
Brazil 4 17 4 6.0
Chile 4 22 4 7.0
Colombia 4 16 4 5.5
Costa Rica (phase III-IV) 4 14 3 4.9
Costa Rica (phase I-II) 4 25 3 7.5
Guatemala 4 29 1 8.0
Panamá 4 24 2 7.0
Perú 4 21 3 6.5
0 10 20 30 40
Weeks
Translations/Doc collection Regulatory Importation process
Costa Rica: Regulatory timelines for Phase I / II studies only. For Phase III / IV studies is 13 weeks
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
8. Why Latin America
Seasonal disorders
Latin America Opportunities
Indications (eg. Diabetes)
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
9. Why Latin America
Patients have strong incentives to participate
Large treatment-naïve -Access to University Hospitals
populations concentrated in -Access to medications
metropolitan areas positive for -Better healthcare
-Enrollment into clinical trials -More intensive treatment
-Commercial sales (ROI) -No waiting
Increased awareness of
Strong patient-physician ICH/GCP requirements
relationships Centralized healthcare
delivery
Improved medical English speaking investigators
infrastructure – strong alliance
with US medical community
Rapid enrollment of evaluable patients
yielding high quality data
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
10. Why Latin America
Enrollment delay
(% clinical trials)
Latin America Europe USA
41% 55% 70%
Source: Thomson CenterWatch surveys
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
11. Who we are
Contract Research Organization
Clinical services Phase II to IV
Latin America
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
12. Who we are - Coverage
Brazil and Chile covered
through local CRO partners
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
13. Who we are
Managing Director
Financial Officer /
Executive Assistant
Clinical Operations &
Clinical Supplies Quality Assurance
Regulatory Affairs
Business
Medical Advisor
Development
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
14. Services
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
15. Services
KLIXAR offers a broad spectrum of services in the clinical research field, including:
Start-Up Activities (including regulatory and clinical operation services)
Site Identification
Feasibility Reports
Clinical Operations (including but not limited to monitoring)
Regulatory Affairs
Project Management
Clinical Trial Material Logistics
In-sourcing
The following services will be provided through three separate US-based companies whose sole
focus is the activity for which they are contracted to provide quality, cost-efficient KLIXAR
deliverables in a timely manner:
Medical Management, Drug Safety and Pharmacovigilance
Data Management via Electronic Data Capture (EDC)
Biostatistics and Data Analysis
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
16. Services
Project
Start up activities Clinical Operations Regulatory Affairs
Management
• Including • Monitor time, cost • Monitor time, cost • Prepare regulatory
regulatory and &, quality &, quality submissions to
clinical operation • Coordinate team, • Coordinate team, local
services customer & customer & committees/IECs
• Site selection vendor vendor • Prepare regulatory
• Support to patient communications communications submissions to
recruitment and • Employ risk • Employ risk local Regulatory
retention management management Authorities
• Site management • Provide training • Provide training • Maintain study
files – reports and
re-approvals
• Import/export
study materials
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
17. Services
Clinical Trial Investigators
In-sourcing General consulting
Supplies (CTS) trainings
• Individual • Consistency and • Teach adherence • KLIXAR can
professionals or locally conduct to ICH/GCP recommend
project teams services standards different
• Short- or long- • Streamline • Educate all approaches for
term communications investigative site the development
• All experienced of all parties staff on local of a study
levels involved regulations
• Many countries • Provide • Define protocol
experienced specific
regulatory requirements
oversight
• Create and
maintain a
standardized
network of study
supply depots
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
18. Services – Clinical Study Supplies
Clinical supply logistic – Project Management
Start up study support and project/depot set up
Receipt, accountability, and storage
Warehousing management
Distribution, shipment handling
Labeling process
Final disposal, destruction
Comprehensive services and general project support
Customer support on regional services
Quality Assurance
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
19. Our strengths
Strengths
Management team Flexibility
Efficiency Local expertise
Quality Communication
Regulatory Investigator database
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
20. Our strengths - Quality
• Own set of SOPs
SOPs • Reviewed periodically
• New business partners
Audit select the audit
company
• KLIXAR covers labor
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
21. Our strengths – Big CRO structure
VP
Clinical Operations Regulatory Affairs
Clinical Start Up
Clinical Operations
Executive Director
Clinical Operations Director,
Director Regulatory Affairs
Associate Associate Clinical Start Up Associate
Director Director Manager Regulatory Manager
Project Clinical Start Up Regulatory Regulatory
Manager Coordinator Officer Officer
Clinical Team
Leader
Clinical Start Up Regulatory Regulatory
Monitor Monitor Associate Specialist Specialist
Clinical Start Up Regulatory
Clinical Assistant Assistant
Assistant
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
22. Our strengths – KLIXAR structure
KLIXAR Other CROs
Managing Director
Clinical Operations &
Regulatory Affairs
Manager
Project Project Clinical Start Up Associate
Manager Manager Manager Regulatory Manager
Clinical Team Clinical Team Clinical Start Up Regulatory
Leader Leader Coordinator Officer
Clinical Start Up Regulatory
Monitor Monitor Monitor Monitor Associate Specialist
Clinical Clinical
Assistant Assistant
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
23. Our philosophy
Organizational
Communication Feedback structure Training Environment
Listen to what our
clients really want Maintain a
Keep hierarchy
and need by Invest in continued professional and
Is the key for the structure small to
soliciting client relaxed environment
maintain a high clinical education
success of an feedback and fine conducive to
quality product at and training for our
organization. tune constantly — employee retention.
lower costs for our employees.
learn and be agile, Listen to our
customers.
available, proactive, employees.
and responsive.
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
24. Agenda revisited
Why Latin America
Who we are
Services
Our strengths
Our philosophy
Why KLIXAR
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
25. In Summary
Why Latin America
Who we are
Services
Our strengths
Our philosophy
Why KLIXAR
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
26. In Summary
Why Latin America High quality data with strong
inference to North American patient
Who we are populations
Services Consider FIRST, not as a response to
enrollment lag (e.g. rescue sites)
Our strengths Recruitment rates mitigate less
favorable regulatory timeframes
Our philosophy
Why KLIXAR
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
27. In Summary
Why Latin America
Who we are A Latin American CRO that offers services
in the most critical countries in Central
Services and South America
Our strengths
Our philosophy
Why KLIXAR
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
28. In Summary
Why Latin America
Who we are
Services Start-Up (including site identification)
Regulatory Submissions
Our strengths
Clinical Monitoring
Our philosophy Project Management
Clinical Trial Material Logistics
Why KLIXAR
Strategic Consulting
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
29. In Summary
Why Latin America
Who we are
Services
Our strengths Experienced People
Focused Communication
Our philosophy
Streamline Structure
Why KLIXAR
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
30. In Summary
Why Latin America
Who we are
Services KLIXAR
Our strengths Experienced People
Focused Communication
Our philosophy
Streamline Structure
Why KLIXAR
Blending these strengths and surrounding them with
a professional yet rewarding environment to
maximize employee retention
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com
31. In Summary
Why Latin America Quality
Who we are
Care for the
Professionalism
Services details
Our strengths
Our philosophy
Care for the
Why KLIXAR people
Flexibility
Competitive
costs
KLIXAR | Conesa 2046 – (C1428CUF) Buenos Aires, Argentina | +54 11 4706-3582 | www.klixar.com