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USA ● INDIA
1
CBCC Group - Journey at glance
1984 Founded by Dr. Ravi Patel with small cancer clinic of 12,000 Sq. ft.
1990 Expanded into a larger facility with several stations
Began to participate in oncology clinical trials with affiliation to UCLA.1995
1996 Renamed clinic to Comprehensive Blood & Cancer Centre (CBCC).
2007  Opened a new 70,000 sq ft cancer centre becoming the largest centre on west coast,USA.
2008 Inaugurated a brand new centre CBCC CyberKnife® Center.
2011  Acquired an HDXT MRI for expanding diagnosis for Breast Cancer.
2015
 Started operation in Gujarat, India.
 Started operation in other Indian states Chaatisgadh, Madhyapradesh and Andhra Pradesh.
Started operation in Tamilnadu, India.
2012 Acquired Vigbyor Research India to manage India Operation.
www.cbcc.com
2
CBCC Centers in US – Global HQ
Bakersfield, CA Delano, CATempleton, CA
www.cbcc.com
3
CBCC USA details
www.cbcc.com
4
Investigators at CBCC USA
Investigator's Name Specialty
Dr Ravi Patel Medical Oncology
Dr Alan Cartmell Medical Oncology
Dr David Kanamori Medical Oncology
Dr Shawn Shambaugh Medical Oncology
Dr Pradip Rustagi Medical Oncology
Dr Kota Chandra Shekar Medical Oncology
Dr Giridhar Gorla Radiation Oncology
Dr Ajay Desai Radiation Oncology
CBCC USA details
www.cbcc.com
5
Annual New Consults
Solid Tumors
Breast 354
Prostate 135
Colorectal 113
Lung 110
GYN 96
Gastric 78
Head & Neck 49
Brain 48
Thyroid 34
Bladder 33
Kidney 20
Testicular 20
Liver 15
Skin Cancer
Basal/Squamous 510
Melanoma 21
Hematologic
Anemia 277
Lymphoma 84
Multiple Myeloma 13
Leukemia 17
CBCC USA details
www.cbcc.com
6
List of Clients:
1. Pfizer
2. Genentech
3. AstraZeneca
4. Lilly
5. Bristol Myers Squib
6. Amgen
7. Bayer
8. ABBVIE
9. Onyx Pharmaceuticals
10. Merck
Studies we have participated that were investigational and now are approved.
 Palbociclib
Crizotinib,
Tarceva,
Avastin,
Neupogen,
Procrit,
Herceptin
Perjeta
Kadecyla
 Aloxi
 Emend
Rituxan
UCLA Affiliation
 CBCC is part of the UCLA Jonsson Comprehensive Cancer Center's Translational Oncology Research
International (TORI) network. CBCC has collaborated in over 100 clinical trials with UCLA. This partnership
allows CBCC and other leading research institutions and health care providers to offer clinical and
research trials beyond the UCLA campus. All types of cancers are included in these important studies.
 What this means to our patients is that they have early access to the latest clinical trials without having to
travel. For a comprehensive list of all our active clinical trials please click here.
www.cbcc.com
7
CBCC Hospitals in India
Raipur - Chattisgarh
Indore - Madhyapradesh
Ahmedabad - Gujarat
Trichy - Tamilnadu
Chennai - Tamilnadu
Jadcherla – Andhra Pradesh
www.cbcc.com
8
13/Jan/2016CBCC-VIBGYOR_List of Oncology Sites
9
Apollo CBCC Center Ahmedabad Vamshi CBCC Cancer & General
Hospital, Jadcherla
G Vishwanathan CBCC Cancer
Hospital, Trichy
Dr. Rai CBCC Cancer Center,
Chennai
Sanjeevani CBCC Cancer Hospital,
Raipur
CHL CBCC Cancer Hospital, Indore
CBCC Hospitals in India
Infrastructure Details – Site wise/India
10
Center Bed
Strength
No of
Consultants
Core Department Radiology Pathology
Ahmedabad 93 31 Surgical, Medical, Radiation, Hemato
Oncology and Stem Cell Transplant
In House In House
Raipur 70 7 Surgical, Medical, Radiation & Hemato
Oncology
In House In House
Indore 60 8 Surgical, Medical, Radiation & Hemato
Oncology
In House In House
Chennai 50 6 Surgical, Medical, Radiation & Hemato
Oncology
In House Outsourced
Trichy 50 7 Surgical, Medical, Radiation & Hemato
Oncology
In House In House
Jadcherla 70 6 Surgical, Medical, & Hemato Oncology Outsourced Outsourced
Annual patient turnover at each site/India
11
Center Surgery Chemo Radiation Total
Ahmedabad 800 4,200 780 5,780
Raipur 480 1,440 480 2,400
Indore 840 2,400 840 4,080
Chennai 600 1,440 600 2,640
Trichy 360 1,080 600 2,040
Jadcherla 450 1200 100 1750
Services
 Clinical Trial Project Management of Phase II-IV
 PK end point studies on patients
 Clinical monitoring
 Clinical Data Management
 Medical Writing and Communication
 Pharmacovigilence
 Post market Trials of Drugs and Devices
www.cbcc.com
12
Oncology Clinical Trial
Capability/Experience
 Breast Cancer
 Head and Neck Cancer
 Lung Cancer
 Ovarian Cancer
 Pancreatic Cancer
 Prostate Cancer
 Colon Cancer
 Esophageal/Gastric Cancer
www.cbcc.com
13
Experience of PK end point studies
 PK End point study of liposomal doxorubicin on ovarian Cancer patients: 46 patients enrolled at
12 sites.
 PK End point study of liposomal doxorubicin on ovarian Cancer patients: 30 patients enrolled at
08 sites.
 PK End point study of Capecitabin on Metastatic Brest Cancer patients: 54 patients enrolled at 10
sites.
 PK End point study of Capecitabin on Metastatic Brest Cancer patients: 46 patients enrolled at 08
sites.
 PK End point study of Sunitinib on advanced renal cell carcinoma patients: 60 patients enrolled at
10 sites.
 PK End point study of Bortezomib on multiple myeloma patients: 30 patients enrolled at 07 sites.
 PK End point study of Imatinib on CML patients: 36 patients enrolled at 06 sites.
www.cbcc.com
14
Why CBCC for PK end point studies
 With extensive setup in India and USA, we recruit patients at our own hospital site and not
dependent on the outside investigator sites for the enrolment.
 Common SOP and training system at all our hospital sites in India and USA.
 Well equipped sites with infrastructure like Continuous ECG monitoring, Automated
centrifuge , Deep freezer, Pharmacy freezers.
 Strong documentation system at all sites to archive study documents which is essential for
regulatory audits at site.
 Well trained site staff having experience of managing international regulatory audits.
 While recruiting patients for one indication we don’t accept another study with same
indication to complete the total recruitment in the shortest possible time.
 CTMS softer with unique sponsor login to present continuous study updates to Sponsor
www.cbcc.com
15
Key Differentiator
 More than 30 years of rich experience in Clinical trials with core focus on Oncology.
 Largest private Cancer Care Provider in North America.
 Global outreach to manage complex clinical trials in various locations.
 Rich experience of successful trial execution and submission to various regulatory agencies
around the globe.
 Very stable top management.
www.cbcc.com
16
THANK YOU
www.cbcc.com
17

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CBCC Group Journey at a Glance

  • 2. CBCC Group - Journey at glance 1984 Founded by Dr. Ravi Patel with small cancer clinic of 12,000 Sq. ft. 1990 Expanded into a larger facility with several stations Began to participate in oncology clinical trials with affiliation to UCLA.1995 1996 Renamed clinic to Comprehensive Blood & Cancer Centre (CBCC). 2007  Opened a new 70,000 sq ft cancer centre becoming the largest centre on west coast,USA. 2008 Inaugurated a brand new centre CBCC CyberKnife® Center. 2011  Acquired an HDXT MRI for expanding diagnosis for Breast Cancer. 2015  Started operation in Gujarat, India.  Started operation in other Indian states Chaatisgadh, Madhyapradesh and Andhra Pradesh. Started operation in Tamilnadu, India. 2012 Acquired Vigbyor Research India to manage India Operation. www.cbcc.com 2
  • 3. CBCC Centers in US – Global HQ Bakersfield, CA Delano, CATempleton, CA www.cbcc.com 3
  • 4. CBCC USA details www.cbcc.com 4 Investigators at CBCC USA Investigator's Name Specialty Dr Ravi Patel Medical Oncology Dr Alan Cartmell Medical Oncology Dr David Kanamori Medical Oncology Dr Shawn Shambaugh Medical Oncology Dr Pradip Rustagi Medical Oncology Dr Kota Chandra Shekar Medical Oncology Dr Giridhar Gorla Radiation Oncology Dr Ajay Desai Radiation Oncology
  • 5. CBCC USA details www.cbcc.com 5 Annual New Consults Solid Tumors Breast 354 Prostate 135 Colorectal 113 Lung 110 GYN 96 Gastric 78 Head & Neck 49 Brain 48 Thyroid 34 Bladder 33 Kidney 20 Testicular 20 Liver 15 Skin Cancer Basal/Squamous 510 Melanoma 21 Hematologic Anemia 277 Lymphoma 84 Multiple Myeloma 13 Leukemia 17
  • 6. CBCC USA details www.cbcc.com 6 List of Clients: 1. Pfizer 2. Genentech 3. AstraZeneca 4. Lilly 5. Bristol Myers Squib 6. Amgen 7. Bayer 8. ABBVIE 9. Onyx Pharmaceuticals 10. Merck Studies we have participated that were investigational and now are approved.  Palbociclib Crizotinib, Tarceva, Avastin, Neupogen, Procrit, Herceptin Perjeta Kadecyla  Aloxi  Emend Rituxan
  • 7. UCLA Affiliation  CBCC is part of the UCLA Jonsson Comprehensive Cancer Center's Translational Oncology Research International (TORI) network. CBCC has collaborated in over 100 clinical trials with UCLA. This partnership allows CBCC and other leading research institutions and health care providers to offer clinical and research trials beyond the UCLA campus. All types of cancers are included in these important studies.  What this means to our patients is that they have early access to the latest clinical trials without having to travel. For a comprehensive list of all our active clinical trials please click here. www.cbcc.com 7
  • 8. CBCC Hospitals in India Raipur - Chattisgarh Indore - Madhyapradesh Ahmedabad - Gujarat Trichy - Tamilnadu Chennai - Tamilnadu Jadcherla – Andhra Pradesh www.cbcc.com 8
  • 9. 13/Jan/2016CBCC-VIBGYOR_List of Oncology Sites 9 Apollo CBCC Center Ahmedabad Vamshi CBCC Cancer & General Hospital, Jadcherla G Vishwanathan CBCC Cancer Hospital, Trichy Dr. Rai CBCC Cancer Center, Chennai Sanjeevani CBCC Cancer Hospital, Raipur CHL CBCC Cancer Hospital, Indore CBCC Hospitals in India
  • 10. Infrastructure Details – Site wise/India 10 Center Bed Strength No of Consultants Core Department Radiology Pathology Ahmedabad 93 31 Surgical, Medical, Radiation, Hemato Oncology and Stem Cell Transplant In House In House Raipur 70 7 Surgical, Medical, Radiation & Hemato Oncology In House In House Indore 60 8 Surgical, Medical, Radiation & Hemato Oncology In House In House Chennai 50 6 Surgical, Medical, Radiation & Hemato Oncology In House Outsourced Trichy 50 7 Surgical, Medical, Radiation & Hemato Oncology In House In House Jadcherla 70 6 Surgical, Medical, & Hemato Oncology Outsourced Outsourced
  • 11. Annual patient turnover at each site/India 11 Center Surgery Chemo Radiation Total Ahmedabad 800 4,200 780 5,780 Raipur 480 1,440 480 2,400 Indore 840 2,400 840 4,080 Chennai 600 1,440 600 2,640 Trichy 360 1,080 600 2,040 Jadcherla 450 1200 100 1750
  • 12. Services  Clinical Trial Project Management of Phase II-IV  PK end point studies on patients  Clinical monitoring  Clinical Data Management  Medical Writing and Communication  Pharmacovigilence  Post market Trials of Drugs and Devices www.cbcc.com 12
  • 13. Oncology Clinical Trial Capability/Experience  Breast Cancer  Head and Neck Cancer  Lung Cancer  Ovarian Cancer  Pancreatic Cancer  Prostate Cancer  Colon Cancer  Esophageal/Gastric Cancer www.cbcc.com 13
  • 14. Experience of PK end point studies  PK End point study of liposomal doxorubicin on ovarian Cancer patients: 46 patients enrolled at 12 sites.  PK End point study of liposomal doxorubicin on ovarian Cancer patients: 30 patients enrolled at 08 sites.  PK End point study of Capecitabin on Metastatic Brest Cancer patients: 54 patients enrolled at 10 sites.  PK End point study of Capecitabin on Metastatic Brest Cancer patients: 46 patients enrolled at 08 sites.  PK End point study of Sunitinib on advanced renal cell carcinoma patients: 60 patients enrolled at 10 sites.  PK End point study of Bortezomib on multiple myeloma patients: 30 patients enrolled at 07 sites.  PK End point study of Imatinib on CML patients: 36 patients enrolled at 06 sites. www.cbcc.com 14
  • 15. Why CBCC for PK end point studies  With extensive setup in India and USA, we recruit patients at our own hospital site and not dependent on the outside investigator sites for the enrolment.  Common SOP and training system at all our hospital sites in India and USA.  Well equipped sites with infrastructure like Continuous ECG monitoring, Automated centrifuge , Deep freezer, Pharmacy freezers.  Strong documentation system at all sites to archive study documents which is essential for regulatory audits at site.  Well trained site staff having experience of managing international regulatory audits.  While recruiting patients for one indication we don’t accept another study with same indication to complete the total recruitment in the shortest possible time.  CTMS softer with unique sponsor login to present continuous study updates to Sponsor www.cbcc.com 15
  • 16. Key Differentiator  More than 30 years of rich experience in Clinical trials with core focus on Oncology.  Largest private Cancer Care Provider in North America.  Global outreach to manage complex clinical trials in various locations.  Rich experience of successful trial execution and submission to various regulatory agencies around the globe.  Very stable top management. www.cbcc.com 16