Part of the MaRS BioEntrepreneurship series session: Clinical Trials Strategy
Speaker: Miklos Schulz
This is available as an audio presentation:
http://www.marsdd.com/bioent/feb12
Also view the event blog and summary:
http://blog.marsdd.com/2007/02/14/bioentrepreneurship-clinical-trial-strategies-its-never-too-soon/
Freshers in clinical research and regulatory affairs must go through this presentation. It will help you to understand the basis of clinical trial design as per European guidelines, which is the most preferred reference guideline. Initially, I also faced many problems to understand this concept. A student who is studying a clinical research diploma can also use this presentation for their basic understanding.
Freshers in clinical research and regulatory affairs must go through this presentation. It will help you to understand the basis of clinical trial design as per European guidelines, which is the most preferred reference guideline. Initially, I also faced many problems to understand this concept. A student who is studying a clinical research diploma can also use this presentation for their basic understanding.
process of discovery of a new drug
what are clinical trials
why clinical trials are conducted
overview of phases in a clinical trial
details about every phase
focus and purpose of conducting clinical trial
LBDA: Ask the Expert - Daniel Kaufer Live Webinar June 2016wef
Dr. Daniel Kaufer's live presentation made at the LBDA hosted webinar of June 15, 2016. Review additional material and event recording at www.worldeventsforum.net/lbda and lbda.org
UPDATED-Early Phase Drug Developmetn and Population PK and Its' ValueE. Dennis Bashaw
Presentation Given at Regional AAPS DDDI Meeting in Baltimore. Similar to previous talks BUT updated to include a discussion of BIA 10-2474 and extended discussion of risk
Part of the MaRS BioEntrepreneurship event series
Speaker: Wendy Hill, Gap Strategies
This event is available as an audio file:
http://www.marsdd.com/bioent/feb12
tranSMART Community Meeting 5-7 Nov 13 - Session 1: Translational Drug Disco...David Peyruc
tranSMART Community Meeting 5-7 Nov 13 - Session 1:
Translational Drug Discovery - Transforming Science into Medicine
Current challenges in translational Drug Discovery at Sanofi R&D
Andy Plump, Sanofi
process of discovery of a new drug
what are clinical trials
why clinical trials are conducted
overview of phases in a clinical trial
details about every phase
focus and purpose of conducting clinical trial
LBDA: Ask the Expert - Daniel Kaufer Live Webinar June 2016wef
Dr. Daniel Kaufer's live presentation made at the LBDA hosted webinar of June 15, 2016. Review additional material and event recording at www.worldeventsforum.net/lbda and lbda.org
UPDATED-Early Phase Drug Developmetn and Population PK and Its' ValueE. Dennis Bashaw
Presentation Given at Regional AAPS DDDI Meeting in Baltimore. Similar to previous talks BUT updated to include a discussion of BIA 10-2474 and extended discussion of risk
Part of the MaRS BioEntrepreneurship event series
Speaker: Wendy Hill, Gap Strategies
This event is available as an audio file:
http://www.marsdd.com/bioent/feb12
tranSMART Community Meeting 5-7 Nov 13 - Session 1: Translational Drug Disco...David Peyruc
tranSMART Community Meeting 5-7 Nov 13 - Session 1:
Translational Drug Discovery - Transforming Science into Medicine
Current challenges in translational Drug Discovery at Sanofi R&D
Andy Plump, Sanofi
A QSAR is a mathematical relationship between a biological activity of a molecular system and its geometric and chemical characteristics.
QSAR attempts to find consistent relationship between biological activity and molecular properties, so that these “rules” can be used to evaluate the activity of new compounds.
This presentation was made at the PAMM winter meeting in Verona (Italy) February 2019 and intended students to go through the basic methods used for phase I clinical trials.
Don Tapscott's New Solutions for a Connected Planet - MaRS Global LeadershipMaRS Discovery District
In this new age of networked intelligence, collaborative communities are enhancing and even bypassing crumbling institutions. We are innovating the way our financial institutions and governments operate; how we educate our children; how the healthcare, newspaper, and energy industries serve their customers; how we care for our neighbourhoods; and even how we solve global problems.
From his latest book, (co-author Anthony D. Williams) Macrowikinomics: New Solutions for a Connected Planet, Don Tapscott presents groundbreaking innovations from every corner of the globe: how businesses, organizations and individuals alike are using mass collaboration to revolutionize not only the way we work, but how we live, learn, create and care for each other.
SR&ED: What you need to know about the changing landscape - MaRS Best PracticesMaRS Discovery District
The Scientific Research and Experimental Development (SR&ED) tax incentive program provides support in the form of tax credits to groups or individuals conducting scientific research or experimental development in Canada.
Some significant changes are on the way as a result of the last federal budget. See how these new rules could affect you!
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
➢ HCMC - Gyeongsangbuk-do Culture and Tourism Festival
➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
Falcon stands out as a top-tier P2P Invoice Discounting platform in India, bridging esteemed blue-chip companies and eager investors. Our goal is to transform the investment landscape in India by establishing a comprehensive destination for borrowers and investors with diverse profiles and needs, all while minimizing risk. What sets Falcon apart is the elimination of intermediaries such as commercial banks and depository institutions, allowing investors to enjoy higher yields.
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
Remote sensing and monitoring are changing the mining industry for the better. These are providing innovative solutions to long-standing challenges. Those related to exploration, extraction, and overall environmental management by mining technology companies Odisha. These technologies make use of satellite imaging, aerial photography and sensors to collect data that might be inaccessible or from hazardous locations. With the use of this technology, mining operations are becoming increasingly efficient. Let us gain more insight into the key aspects associated with remote sensing and monitoring when it comes to mining.
Attending a job Interview for B1 and B2 Englsih learnersErika906060
It is a sample of an interview for a business english class for pre-intermediate and intermediate english students with emphasis on the speking ability.
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
Memorandum Of Association Constitution of Company.pptseri bangash
www.seribangash.com
A Memorandum of Association (MOA) is a legal document that outlines the fundamental principles and objectives upon which a company operates. It serves as the company's charter or constitution and defines the scope of its activities. Here's a detailed note on the MOA:
Contents of Memorandum of Association:
Name Clause: This clause states the name of the company, which should end with words like "Limited" or "Ltd." for a public limited company and "Private Limited" or "Pvt. Ltd." for a private limited company.
https://seribangash.com/article-of-association-is-legal-doc-of-company/
Registered Office Clause: It specifies the location where the company's registered office is situated. This office is where all official communications and notices are sent.
Objective Clause: This clause delineates the main objectives for which the company is formed. It's important to define these objectives clearly, as the company cannot undertake activities beyond those mentioned in this clause.
www.seribangash.com
Liability Clause: It outlines the extent of liability of the company's members. In the case of companies limited by shares, the liability of members is limited to the amount unpaid on their shares. For companies limited by guarantee, members' liability is limited to the amount they undertake to contribute if the company is wound up.
https://seribangash.com/promotors-is-person-conceived-formation-company/
Capital Clause: This clause specifies the authorized capital of the company, i.e., the maximum amount of share capital the company is authorized to issue. It also mentions the division of this capital into shares and their respective nominal value.
Association Clause: It simply states that the subscribers wish to form a company and agree to become members of it, in accordance with the terms of the MOA.
Importance of Memorandum of Association:
Legal Requirement: The MOA is a legal requirement for the formation of a company. It must be filed with the Registrar of Companies during the incorporation process.
Constitutional Document: It serves as the company's constitutional document, defining its scope, powers, and limitations.
Protection of Members: It protects the interests of the company's members by clearly defining the objectives and limiting their liability.
External Communication: It provides clarity to external parties, such as investors, creditors, and regulatory authorities, regarding the company's objectives and powers.
https://seribangash.com/difference-public-and-private-company-law/
Binding Authority: The company and its members are bound by the provisions of the MOA. Any action taken beyond its scope may be considered ultra vires (beyond the powers) of the company and therefore void.
Amendment of MOA:
While the MOA lays down the company's fundamental principles, it is not entirely immutable. It can be amended, but only under specific circumstances and in compliance with legal procedures. Amendments typically require shareholder
What are the main advantages of using HR recruiter services.pdfHumanResourceDimensi1
HR recruiter services offer top talents to companies according to their specific needs. They handle all recruitment tasks from job posting to onboarding and help companies concentrate on their business growth. With their expertise and years of experience, they streamline the hiring process and save time and resources for the company.
Improving profitability for small businessBen Wann
In this comprehensive presentation, we will explore strategies and practical tips for enhancing profitability in small businesses. Tailored to meet the unique challenges faced by small enterprises, this session covers various aspects that directly impact the bottom line. Attendees will learn how to optimize operational efficiency, manage expenses, and increase revenue through innovative marketing and customer engagement techniques.
Global Interconnection Group Joint Venture[960] (1).pdf
Beyond Traditional Designs in Early Drug Development
1. Beyond Traditional
Designs in Early Drug
Development
MaRS Centre Toronto – Feb 2006
Miklos Schulz, PhD.
St. Clare Chung, MMath.
2. Early Drug Development
! Phase Ib – maximum tolerated dose / schedule
! Phase I/II efficacy-toxicity trade-off studies
Later-phase Studies
! Phase II or Proof-of-Concept trials
! A trials to “explore” clinical efficacy with a small
number of targeted subjects : provide earlier
evidence of the potential to show clinical efficacy
! Seamless Phase II / III Designs
7. Phase I: Traditional Design
The only traditional adaptive dose/treatment allocation design
!
“1-in-3” Design (3+3 design)
!
Treat 3 patients at the starting dose level Di
!
! If 0 patients experience dose-limiting toxicity (DLT),
escalate to dose Di+1
! If 1 or more patients experiences DLT, treat 3 more
patients at dose level Di
! If 1 of 6 experiences DLT, escalate to dose Di+1
! If 2 or more experiences DLT, MTD = Di-1
! Dose escalation stops when ! 1/3 patients have DLT at a
given dose level; MTD is next lower dose level
9. Phase I: Traditional Design
! Limitations of “1-in-3” Design
! Inflexible; what to do if:
! Number of subjects treated at a dose differ from
algorithm of (3 or 6)
! Outcome (DLT) re-assessed after dose-escalation
decision made
! Sample size is variable
! Confidence in MTD is usually poor
10. Continual Reassessment Method
O’Quigley et al., 1990
!
Reconcile practical constraints and ethical demands of Phase I studies
!
Treat patients at the dose which all currently available evidence indicates to
!
be the best estimate of the MTD
Two features of CRM:
!
! Estimate the MTD after every patient has been dosed and has completed
the follow-up segment
! Allocate next patient to the dose-level suggested to be the MTD
Currently available evidence:
!
! Prior knowledge of MTD
! Beliefs in the initial data
12. Continual Reassessment Method
! Method accounts for different number of patients per dose
! Targets a pre-selected DLT rate
! Variants of design:
! Two-parameter CRM (Schulz & Chung, 1995)
! Modified CRM (Goodman et al. 1995)
! Extended CRM [2 stage] (Moller, 1995)
! Restricted CRM (Moller, 1995)
! Tri-CRM (Zhang et al. 2005)
13. CRM – Case Study
! Original CRM (one parameter model) adequate
when dose response curve is typical ‘s-shaped’
! Not efficient when toxicity increases at a slower
rate over the dose-range tested
! Deficiency compensated by 2-parameter model
15. CRM – Case Study - Background
Cancer patients treated at combination doses of 2 drugs
!
Objective: determine the most efficacious treatment combination which
!
produces at most, 33% toxicity
8 dose combination levels were tested
!
Patients were on 4 cycles of treatment before outcome was determined
!
Dose-limiting toxicity was any Grade III or IV toxicity in hematological
!
parameters
Patients were allocated to dose levels based on the traditional 1-in-3 approach
!
Re-analysis was performed with the 2-parameter CRM model
!
18. Efficacy/Toxicity Trade-offs
Thall PF, Cook J (2004)
!
Problems with usual Phase I quot; Phase II paradigm
!
Phase I designs ignore Response, but no patient hopes
!
only for “No Toxicity”
For Biologic Agents Pr(Response) may be non-
!
monotone in dose
If Pr(Toxicity) is low for all doses but Pr(Response)
!
increases with dose, then the superior higher dose will
not be found
19. Efficacy/Toxicity Trade-offs
Thall PF, Cook J (2004)
!
! Phase I/II dose-finding strategy
! Patient outcome = {response, toxicity}
! Investigator defines:
! a lower limit P(Res)
! an upper limit P(Tox)
! three equally desirable(quot;R, quot;T) targets - used to
construct an Efficacy-Toxicity Trade-off Contour
! Dose x is acceptable if:
! Pr{quot;E (x,!) > quot;E* | data } > .10 or
! Pr{quot;T (x,!) < quot;T* | data } > .10
Other upper cutoff limits may be used
20. Efficacy/Toxicity Trade-offs
Thall PF, Cook J (2004)
!
Demo and Simulation results from Thall & Cook program
!
Program may be downloaded from:
!
http://biostatistics.mdanderson.org/SoftwareDownload/
The Trade-Off-Based Algorithm reliably:
!
! Finds Safe Doses having High Efficacy
! Stops if no dose is acceptable
21. Efficacy/Toxicity Trade-offs
Yin G, Li Y and Ji Y (2006)
!
Phase I/II design
!
Curve-free; not dependent on a specific response curve
!
Incorporate bivariate outcomes, toxicity and efficacy
!
Model the data to account for the correlation between toxicity
!
and efficacy
! Dose for the next cohort of patients is determined from
responses of previous cohorts and based on odds ratio criteria
from posterior toxicity and efficacy probabilities
23. Clinical Trial Designs: Bayesian /
Adaptive
Learn faster quot; more efficient trials
!
More efficient drug development
!
More effective treatment of patients in the trial
!
Drop or add doses
!
Early stopping for futility
!
24. Traditional Approaches
! Robust, but inflexible: design parameters cannot be
changed without affecting robustness / interpretation
! Inefficient / time-wasting (e.g., treating patients in
ineffective studies arms)
! May focus only on single patient populations -
therapeutic strategies
! Restricts statistical inferences to information in the
current trial