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CLINICAL TRIALS



RESPONSIBILITIES OF A
    INVESTIGAOR
OVERVIEW OF CLINICAL TRIAL


      Research studies involving patients or
         populations at risk for disease.

       Designed in a scientific manner and
         conform to ethical standards.

         May be directed at questions of
      causation, prevention, early detection
                  or treatment.
IMPORTANCES OF CLINICAL TRIAL

To increase knowledge.

To provide “evidence-based” patient care or
prevention of disease.

To improve the quality of care.

Quality care to in trial as well as out patients,(i.e.
Supportive care)
MEMBERS OF RESEARCH TEAM
                               Principal
                             Investigator


              Regulatory                       Co and
               Bodies.                        Associate
                                             Investigator




  Institutional                                           Clinical
 Review Board                                            Research
      {IRB}                                             Coordinator




                                            Data Manager
                  Patients                   and Clinical
                                             Pharmacist


                             Statistician
Investigator


An investigator -a person who is responsible for
conducting clinical trial at the trail site.

If a trial is conducted by a team of individuals ,
then the investigator is the responsible leader of
the team and called the principal investigator.
RESPONSIBILITY OF AN INVESTIGATOR

Investigator should qualified ,educated, trained, experienced.

Show all the up-to-date document to IRB /IEC.


Familiar with investigational products and their use.

Aware and comply GCP and applied regulatory requirements.


Permits:- Monitoring, Auditing ,Inspection.

Make appropriate list of :- Qualified persons to whom he has delegated
significant trial related duties.
RESPONSIBILITY OF AN INVESTIGATOR

                 Adequate Resources
 To ensure that all
  the person who
                        To arrange
assisting with the
                         adequate       Having sufficient He should recruit
trial are informed
                       numbers of        time to conduct required number
 about “protocol,
                    qualified staff and and complete the    and suitable
   investigational
                     facilities for the        trial.         subject.
 product and trial
                            trial.
related duties and
     functions”.
RESPONSIBILITY OF AN INVESTIGATOR

        Medical care of trial subject :-
Responsible for all trial related medical decision.


Ensure that adequate medical care will provided for any ADRs during trial.


Informed the subjects about all the risk and health problem which can
occurred during the trial before they join the trial.


If subject having some primary physician and he want to inform them, its
investigators duty to inform them.
RESPONSIBILITY OF AN INVESTIGATOR

                          IRB/IEC Approval:-


  IRB/IEC        Be familiar
                  with any          Drug                                     Human
approval of
                national law      approval    Inform any                     tissues
  protocol
                  that may          and        deviation     Funding        (storage,
     and
                   impact       importation    from the    policies and   use, transfer
 informed
                study design                   approved                    to another
  consent                         of drug                   the rules.
                     or                                                    institution
   before                        {where,       protocol.
                                                                            or other
initiation of   Participatio-   how, cost}.                                 country).
   study.            n.
RESPONSIBILITY OF AN INVESTIGATOR

             Investigational Product

                                                    Packed, labeled and
 It should be handled in appropriate manner.
                                                   stored in correct form



                            Include dates,          The doses record
                        quantities, batch/serial        should be
  Correct record
                         number, unique code        maintain(quantity,
                              numbers.               date, time etc.).
RESPONSIBILITY OF AN INVESTIGATOR

    Informed consent of trial subject
Obtain informed consent from patients or parents of minor patients

 • Prior to starting protocol.
 • Prior to randomizing patient if the study is a randomized trial.


On going and interactive process between the research team and patient.

 • To ensure patient understand the study.
 • To ensure patient understands what is required to participate in the
   study.
RESPONSIBILITY OF AN INVESTIGATOR
Information to be conveyed:-

Participation is voluntary.
Information about the patient’s disease.
Rationale for specific therapy planned in trial.
Description of the “research” objectives.
Differentiation between “research elements” and “standard care”.
Subjects “required involvement”:-

 Duration of participation.
 Frequency of hospitalization, out patient visits during trial.
 Frequency of visits after trial.
Alternative approaches to treatment ( standard treatment, no treatment if no
alternatives).

Risk or discomforts (side effects of treatment and procedures).
RESPONSIBILITY OF AN INVESTIGATOR
State how subject confidentiality will be maintained.

 • Provisions for research related injuries and compensation for disability or
   death.


Cost to the patient as a result of participation.

 • Contact details for problems or questions- 1.Investigator,2.Patient advocate.


Notify IRB/Sponsor of any issues that pose a threat to the safety and well being
of the subject.

Submit any change (amendments)made to the protocol to the IRB for approval.

Provide information about protocol progress to the IRB on an annual basis
(Annual continuing reviews).
RESPONSIBILITY OF AN INVESTIGATOR
                      Quality and accuracy of the
                      data recorded on study case
                             report forms.
                      Comply with all procedure
                       specified in protocol in
                        accordance with GCP.

                        Make data available for
                         external monitors(if
Records and                  applicable).
 Reports:-
                      Record all data pertinent to
                              the study.

                               Perform data
                         verification,(match case
                        report forms with source
                                   data) .

                          Maintain all study
                          documentation.
RESPONSIBILITY OF AN INVESTIGATOR



                             Provide all required report
                               to Sponsor, IRB/IEC and
Completion of the trial he
should inform institution
                             the Regulatory authorities,   FINAL REPORT
                              with the summery of the
                                         trial.
Conclusions

         right, safety and well-being of subjects are
                         PROTECTED.


                      Data is ACCURATE.


                Reported results are CREDIBLE


    PI should strive to meet the high standards of GCP in
         order to provide public assurance that the:-

         The Principal Investigator(PI) is ultimately
    accountable and responsible for conducting a clinical
                            trial.

             A “Research team” approach is ideal


    Clinical trials imply a disciplined approach to the care
            of the patients enrolled on the studies.
responsibility of an investigator

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responsibility of an investigator

  • 2. OVERVIEW OF CLINICAL TRIAL Research studies involving patients or populations at risk for disease. Designed in a scientific manner and conform to ethical standards. May be directed at questions of causation, prevention, early detection or treatment.
  • 3. IMPORTANCES OF CLINICAL TRIAL To increase knowledge. To provide “evidence-based” patient care or prevention of disease. To improve the quality of care. Quality care to in trial as well as out patients,(i.e. Supportive care)
  • 4. MEMBERS OF RESEARCH TEAM Principal Investigator Regulatory Co and Bodies. Associate Investigator Institutional Clinical Review Board Research {IRB} Coordinator Data Manager Patients and Clinical Pharmacist Statistician
  • 5. Investigator An investigator -a person who is responsible for conducting clinical trial at the trail site. If a trial is conducted by a team of individuals , then the investigator is the responsible leader of the team and called the principal investigator.
  • 6. RESPONSIBILITY OF AN INVESTIGATOR Investigator should qualified ,educated, trained, experienced. Show all the up-to-date document to IRB /IEC. Familiar with investigational products and their use. Aware and comply GCP and applied regulatory requirements. Permits:- Monitoring, Auditing ,Inspection. Make appropriate list of :- Qualified persons to whom he has delegated significant trial related duties.
  • 7. RESPONSIBILITY OF AN INVESTIGATOR Adequate Resources To ensure that all the person who To arrange assisting with the adequate Having sufficient He should recruit trial are informed numbers of time to conduct required number about “protocol, qualified staff and and complete the and suitable investigational facilities for the trial. subject. product and trial trial. related duties and functions”.
  • 8. RESPONSIBILITY OF AN INVESTIGATOR Medical care of trial subject :- Responsible for all trial related medical decision. Ensure that adequate medical care will provided for any ADRs during trial. Informed the subjects about all the risk and health problem which can occurred during the trial before they join the trial. If subject having some primary physician and he want to inform them, its investigators duty to inform them.
  • 9. RESPONSIBILITY OF AN INVESTIGATOR IRB/IEC Approval:- IRB/IEC Be familiar with any Drug Human approval of national law approval Inform any tissues protocol that may and deviation Funding (storage, and impact importation from the policies and use, transfer informed study design approved to another consent of drug the rules. or institution before {where, protocol. or other initiation of Participatio- how, cost}. country). study. n.
  • 10. RESPONSIBILITY OF AN INVESTIGATOR Investigational Product Packed, labeled and It should be handled in appropriate manner. stored in correct form Include dates, The doses record quantities, batch/serial should be Correct record number, unique code maintain(quantity, numbers. date, time etc.).
  • 11. RESPONSIBILITY OF AN INVESTIGATOR Informed consent of trial subject Obtain informed consent from patients or parents of minor patients • Prior to starting protocol. • Prior to randomizing patient if the study is a randomized trial. On going and interactive process between the research team and patient. • To ensure patient understand the study. • To ensure patient understands what is required to participate in the study.
  • 12. RESPONSIBILITY OF AN INVESTIGATOR Information to be conveyed:- Participation is voluntary. Information about the patient’s disease. Rationale for specific therapy planned in trial. Description of the “research” objectives. Differentiation between “research elements” and “standard care”. Subjects “required involvement”:- Duration of participation. Frequency of hospitalization, out patient visits during trial. Frequency of visits after trial. Alternative approaches to treatment ( standard treatment, no treatment if no alternatives). Risk or discomforts (side effects of treatment and procedures).
  • 13. RESPONSIBILITY OF AN INVESTIGATOR State how subject confidentiality will be maintained. • Provisions for research related injuries and compensation for disability or death. Cost to the patient as a result of participation. • Contact details for problems or questions- 1.Investigator,2.Patient advocate. Notify IRB/Sponsor of any issues that pose a threat to the safety and well being of the subject. Submit any change (amendments)made to the protocol to the IRB for approval. Provide information about protocol progress to the IRB on an annual basis (Annual continuing reviews).
  • 14. RESPONSIBILITY OF AN INVESTIGATOR Quality and accuracy of the data recorded on study case report forms. Comply with all procedure specified in protocol in accordance with GCP. Make data available for external monitors(if Records and applicable). Reports:- Record all data pertinent to the study. Perform data verification,(match case report forms with source data) . Maintain all study documentation.
  • 15. RESPONSIBILITY OF AN INVESTIGATOR Provide all required report to Sponsor, IRB/IEC and Completion of the trial he should inform institution the Regulatory authorities, FINAL REPORT with the summery of the trial.
  • 16. Conclusions right, safety and well-being of subjects are PROTECTED. Data is ACCURATE. Reported results are CREDIBLE PI should strive to meet the high standards of GCP in order to provide public assurance that the:- The Principal Investigator(PI) is ultimately accountable and responsible for conducting a clinical trial. A “Research team” approach is ideal Clinical trials imply a disciplined approach to the care of the patients enrolled on the studies.