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Curriculum Vitae
Name: PEEYUSH KUMAR SHRIVASTAVA
Academic Qualification(s)
MSc. BPT
Address (Name of Institution, Street, City, Postal Code, State or Province (if applicable),
Country):
Department of Surgical Gastroenterology & Human Organ Transplant
King George Medical University, Lucknow
Chowk, Lucknow-226003, UP, (India)
Contact number/ Email ID:
Mo No. 09335156066, 9451445749 physio.lko@gmail.com
Education and Training (List all Colleges, Universities and Medical Schools attended incl.
postdoctoral/fellowship training, including board certification/medical license):
Name and Location of Institution
(City, State or Province and
Country)
Degree and Year
Awarded
Area of Study
UP Rajarshi Tandon Open University MSc,2013 Biochemistry
Allahabad Agricultural University,
Allahabad, UP, India
BPT, 2007 Physiotherapy
Lucknow Christian Degree College,
Lucknow
BSc., 2002
Zoology, Botany,
Chemistry
Professional Experience :

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Position/Title
Name and Location of
Institution
(City, State or Province
and Country)
Dates
(Start/Stop Dates as
applicable)
Human Organ Transplant
Coordinator
KGMU, Lucknow, UP
(India)
2013-Continued
Clinical Research Coordinator KGMU, Lucknow., UP
(India)
2007-Continued
Physiotherapist Surgical Nursing Home
Sec. G -LDA colony
Kanpur road Lucknow
2008-Continued
Observer Physiotherapist Vivekananda Polyclinic,
Ramakrishna Mission
Sevashram Lucknow
2006-2007
Internship Lal Hospital and Research
Center Kanpur Road
Lucknow
2007-2008
Previous participation in clinical trials:
Indication of Trial Clinical
Phase of
Trial (I-IV)
Role in Trial (e.g.
Investigator, Sub-
Investigator)
Year in which trial was
conducted (Start/Stop
Dates)
IBS with Constipation Phase III Study Coordinator 2015-2016
COPD Phase III Study Coordinator 2012-2015
Community Acquired
Pneumonia
Phase III Study Coordinator 2011-2012
Active Moderate
Ulcerative Colitis
Phase III Study Coordinator 2010-2011
Chron’s Disease Phase III Study Coordinator 2009-2010
VTE prophylaxis in
major abdominal
surgery
Phase III Study Coordinator 2009-2010
Active Moderate Phase III Study Coordinator 2009-2011

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Ulcerative Colitis
Inoperable Gastric and
Gastro Oesophageal
Cancer
Phase III-b Study Coordinator 2008-2012
Gastro Oesophageal
Reflux Disease
Phase III Study Coordinator 2008-2009
Post Operative Ileus Phase III Study Coordinator 2007-2008
Reflux Oesophagitis Phase IV Study Coordinator 2007-2008
Specific responsibilities include:
 Creation of Standard Operating Procedures for each study or clinical trial.
 Responsible for communication with central and local IRBs and maintaining ethical
approval for studies, from initial study approval through study amendments, annual
continuations, and finally termination.
 Maintenance of source documents and regulatory documentation of clinical trial. Ensure
quality of data on CRFs.
 Preparation of documents for review by sponsors, monitors and regulatory authorities, as
necessary.
 Recruitment of subjects
 Screening and scheduling subjects visits
 Processing and shipping lab work
 Ensure subject safety and adverse event reporting to sponsor and IRB/IEC.
 Maintaining study-specific supplies
 Maintaining drug accountability logs and storage requirements.
 Experience of working with various eCRF formats like – DATA LABS, RAVE,
iMEDIDATA, RDC, ACEELIANT
 Experienced in using computerized information systems, Word, Excel, PowerPoint, and

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CTMS required.
 Monitoring of health and safety of subjects with frequent contact and ensure subject
compliance with the study protocol.
 Adverse event documentation to Principal Investigator and sponsor where appropriate.
 Participation in meetings with sponsors, monitors and regulatory authorities, as necessary
Training and Workshops:
IM attends:
 End of Study Meeting in organized in HONGKONG in 2016 organised by Glaxo Smith
Cline in COPD study
 Study Coordinator meeting Organized in Taiwan in 2014 Organised by Glaxo Smith
Kline in COPD Study
 Investigator meeting held in Bangalore Organized by Astrazeneca in 2012 India Pvt.
Ltd. in Pneumonia study
 Investigator meeting held in Chennai in 2009 Organized by ICON Clinical Research
Organisation in Venous Thrombo Embolism study.
Workshops attend:
 Transplant Coordinator Training workshop at Fortis Hospital Gurgaon in Association
with “Mohan Foundation’ New Delhi.
 ICH GCP workshop in 2011organized by King George’s Medical University Lucknow.
 ICH GCP workshop in 2010 organized jointly by Pfizer and King George’s Medical
University Lucknow.
Achievement:
Awarded as “Star Study Coordinator” of the month in March 2009 in the Oncology study
(Inoperable Gastric and Gastro oesophageal Carcinoma) by, “Thrombosis Research
Institute” (TRI) on recruitment of 52 patients of Upper Gastro Intestinal Cancer in one
year..
Signature: Date 06/04/2016