How can I do my clinical trial?
Focusing on CTIMPs
• Clinical Trial of an Investigational Medicinal
Product
– a clinical trial that is within the scope of the UK
Medicines for Human Use (Clinical Trials)
Regulations 2004.

How do you know if my trial is a
CTIMP?
Useful guide: clinical trial algorithm

Http://www.mhra.gov.uk
The route to opening a clinical trial
RESEARCH IDEA

TRIAL DESIGN

TRIAL DESIGN

TRIAL PROTOCOL

TRIAL PROTOCOL

FULL REGULATORY
APPROVAL

FULL REGULATORY
APPROVAL

OPEN TRIAL
RESEARCH IDEA

TRIAL DESIGN

TOP TIPS
• Take advice from experienced trialists
• Statisticians do more than calculate the
sample size
• Approach a Clinical Trials Unit at this stage
TRIAL DESIGN

Decide on trial
management
structure

Decide on Sponsor

Identify funding
streams

TRIAL PROTOCOL

Grant Application tips
• A good application cannot be written
in a rush
• Costing a clinical trial properly is
complicated!
• Need to start process around 6 weeks
before submission deadline
– Remember PINK form
– Need time for Finance to approve
the costings
Calculating the costs of the trial
Costs
• Research costs
– Data collection
– Analysis
– Other activities needed to
answer the question
– Staff costs (direct and
indirect)

NHS
• Support costs
– Additional patient related
costs that would end when
the research ended
• Patient costs
• Extra-inpatient days
• Additional nursing costs

– Treatment costs
• Patient treatment costs
which would continue after
the research project ended

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyA
ndGuidance/DH_4125280
FULL REGULATORY
APPROVAL

TRIAL PROTOCOL

Sponsor agreement

All these steps take
time and are best
undertaken in
collaboration with an
experienced trial
management team

Trial Insurance

CTA from MHRA

Ethics Committee
approval

NHS permission
FULL REGULATORY
APPROVAL

OPEN TRIAL

Contracts

Pharma
contracts

Delegated
responsibilities

Site
agreements

others
FULL REGULATORY
APPROVAL

OPEN TRIAL

Contracts

Additional Trial
documents

Pharmacy
manual

databases

CRFs

Master and
Site files
FULL REGULATORY
APPROVAL

OPEN TRIAL

Contracts

Additional Trial
documents

Trial Launch meeting

Site initiation
Trial Management from a Chief Investigator’s perspective
• Work closely with the Trial Management Team
• Be responsible for the ongoing safety evaluation of the study
• Provide clinical advice to participating sites when requested
• Clinically assess the seriousness and expectedness of SAEs
• Assist in preparation of document amendments
• Help prepare multiple reports:
– ethics annual progress report, funder’s progress report,
Clinical Study Group report, DMC reports, and the final
reports to the MHRA and NRES
• Analyse data performed on the study data and to prepare
manuscripts for publication.
Useful resources
http://www.ct-toolkit.ac.uk/
http://www.ct-toolkit.ac.uk/
http://www.birmingham.ac.uk/research/activity/mds/centres/bcct/index.aspx

Pam Kearns: How can I do my Clinical Trial?

  • 1.
    How can Ido my clinical trial?
  • 2.
    Focusing on CTIMPs •Clinical Trial of an Investigational Medicinal Product – a clinical trial that is within the scope of the UK Medicines for Human Use (Clinical Trials) Regulations 2004. How do you know if my trial is a CTIMP?
  • 3.
    Useful guide: clinicaltrial algorithm Http://www.mhra.gov.uk
  • 4.
    The route toopening a clinical trial RESEARCH IDEA TRIAL DESIGN TRIAL DESIGN TRIAL PROTOCOL TRIAL PROTOCOL FULL REGULATORY APPROVAL FULL REGULATORY APPROVAL OPEN TRIAL
  • 5.
    RESEARCH IDEA TRIAL DESIGN TOPTIPS • Take advice from experienced trialists • Statisticians do more than calculate the sample size • Approach a Clinical Trials Unit at this stage
  • 6.
    TRIAL DESIGN Decide ontrial management structure Decide on Sponsor Identify funding streams TRIAL PROTOCOL Grant Application tips • A good application cannot be written in a rush • Costing a clinical trial properly is complicated! • Need to start process around 6 weeks before submission deadline – Remember PINK form – Need time for Finance to approve the costings
  • 7.
    Calculating the costsof the trial Costs • Research costs – Data collection – Analysis – Other activities needed to answer the question – Staff costs (direct and indirect) NHS • Support costs – Additional patient related costs that would end when the research ended • Patient costs • Extra-inpatient days • Additional nursing costs – Treatment costs • Patient treatment costs which would continue after the research project ended http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyA ndGuidance/DH_4125280
  • 8.
    FULL REGULATORY APPROVAL TRIAL PROTOCOL Sponsoragreement All these steps take time and are best undertaken in collaboration with an experienced trial management team Trial Insurance CTA from MHRA Ethics Committee approval NHS permission
  • 9.
  • 10.
    FULL REGULATORY APPROVAL OPEN TRIAL Contracts AdditionalTrial documents Pharmacy manual databases CRFs Master and Site files
  • 11.
    FULL REGULATORY APPROVAL OPEN TRIAL Contracts AdditionalTrial documents Trial Launch meeting Site initiation
  • 12.
    Trial Management froma Chief Investigator’s perspective • Work closely with the Trial Management Team • Be responsible for the ongoing safety evaluation of the study • Provide clinical advice to participating sites when requested • Clinically assess the seriousness and expectedness of SAEs • Assist in preparation of document amendments • Help prepare multiple reports: – ethics annual progress report, funder’s progress report, Clinical Study Group report, DMC reports, and the final reports to the MHRA and NRES • Analyse data performed on the study data and to prepare manuscripts for publication.
  • 13.
  • 14.
  • 15.
  • 16.