SlideShare a Scribd company logo
Clinical Trials:
Research
Matters
Cheryl Habaue, MSN, OCN, CCRP
Pediatric and Adult Oncology
Research Manager
Objectives
• Discuss the Definition of Clinical Trials.
• Review Types of Research and Regulations/Ethical Considerations.
• Discuss Trial Design including randomization of clinical trials.
• Examine data management and analysis of clinical trials.
Definition of Clinical Trials
Definition of Clinical Trials
Definition of Clinical Trials
World Health Organization Definition-
• A clinical trial is any research study that prospectively assigns human
participants or groups of humans to one or more health-related
interventions to evaluate the effects on health outcomes.
• Interventions include but are not restricted to drugs, cells and other
biological products, surgical procedures, radiological procedures,
devices, behavioral treatments, process-of-care changes, preventive
care, etc.
World Health Organization: http://www.who.int/topics/clinical_trials/en/
Definition of Clinical Trials
National Institute of Health Clinical Trial Definition
• A research study in which one or more human subjects are
prospectively assigned to one or more interventions (which may
include placebo or other control) to evaluate the effects of those
interventions on health-related biomedical or behavioral outcomes.
https://grants.nih.gov/grants/guide/notice-files/NOT-OD-15-015.html
Types of Research
Phases in Research
Ethics in Research
• Tuskeegee Study
• Nazi Prisoner Research WWII
Tuskegee Syphilis Study Legacy Committee Final Report of May 20, 1996
Ethics in Research
Ethics in Research
• Informed Consent
• Nature, duration, and purpose
• Alternative procedures/Treatments
• Method and means
• All inconveniences, risks, and hazards
• Possible effects on health/possible benefits
• HIPAA
• Costs
• Compensation for Injury
• Contact Information
• There should be no force, fraud, deceit, duress, coercion
• Vulnerable populations
• Children, Pregnant Women, Prisoners, Cognitively Impaired, Language Barriers
Ethics in Research
Rules to Research by
• Federal Code of Regulations 21
• Part 11 compliant
• International Conference on Harmonization
(ICH 6) and Good Clinical Practice
• Institutional Review Board
Research Design
Research Design
• Blueprint for the collection, measurement and analysis of the
study
• Overall strategy
Research Design
Randomization / Open Label
• What does it mean
• Why is it done
• Terms: Control Arm vs. Study Arm
Sponsors
• Sponsor is defined as “a person who takes responsibility for and
initiates a clinical investigation. The sponsor may be an individual or a
pharmaceutical company…”
• 21 CFR 312, subpart D (Responsibilities of Sponsors
• and Investigators).
• Government, Pharmaceutical Companies, Networks,
VA, Schools, Private
http://www.centerwatch.com/pdfs/s11604_ch4.pdf
Research Process
Data Management
Data Management
• No Data = No Research
• Source Documents
• Grading – CTCAE 4.03
Data Analysis
• Statistics to be Analyzed
• Conclusions Compiled
• Publications/Manuscripts Presented
• Key: How can it change practice
Analysis: Breast Cancer
71
76
81
86
91
%ofPatientsSurvivingFiveYears
Year of Diagnosis
Analysis: Childhood ALL
Post Analysis
EAP/Compassionate Use
• Access to medication prior to FDA approval
• Sponsor needs to have a program for the compound
• Treating MD needs to write a letter of need
• Sponsor Approval/FDA Approval
• Must pass IRB approval
• Everyone with XYZ cancer will qualify for this study
• Everything is free for patient’s on study
• Once you are on study you cannot get out
• Protocols are hard to write
Questions

More Related Content

What's hot

Research Methodology
Research Methodology Research Methodology
Research Methodology
Dr Athar Khan
 
Crb tech reviews on clinical research jobs
Crb tech reviews on clinical research jobsCrb tech reviews on clinical research jobs
Crb tech reviews on clinical research jobs
Clinicalresearchjobs
 
Clinical Trial Protocol Review for Study Feasibility Analysis
Clinical Trial Protocol Review for Study Feasibility AnalysisClinical Trial Protocol Review for Study Feasibility Analysis
Clinical Trial Protocol Review for Study Feasibility Analysis
Ying Lu
 
Clinical trails
Clinical trails Clinical trails
Clinical trails
Dineshk117
 
Protocol Design & Development: What You Need to Know to Ensure a Successful S...
Protocol Design & Development: What You Need to Know to Ensure a Successful S...Protocol Design & Development: What You Need to Know to Ensure a Successful S...
Protocol Design & Development: What You Need to Know to Ensure a Successful S...
Brook White, PMP
 
COCHRANE OVERVIEW AND PRISMA STATEMENT
COCHRANE OVERVIEW AND PRISMA STATEMENTCOCHRANE OVERVIEW AND PRISMA STATEMENT
COCHRANE OVERVIEW AND PRISMA STATEMENT
Kanhu Charan
 
Retrospective vs Prospective Study
Retrospective vs Prospective StudyRetrospective vs Prospective Study
Retrospective vs Prospective Study
Cognibrain Healthcare
 
Protocol writing
Protocol writingProtocol writing
Protocol writing
Dr.Amreen Saba Attariya
 
Evidence based nursing resources
Evidence based nursing resourcesEvidence based nursing resources
Evidence based nursing resources
Donna Chow
 
evidence based medicine ( dr.moaweyah)
evidence based medicine ( dr.moaweyah)evidence based medicine ( dr.moaweyah)
evidence based medicine ( dr.moaweyah)
Moauia Qasim
 
Clinical Trial Presentation-6.29.15-cg
Clinical Trial Presentation-6.29.15-cgClinical Trial Presentation-6.29.15-cg
Clinical Trial Presentation-6.29.15-cg
Catherine Gregor
 
How to conduct a systematic review
How to conduct a systematic reviewHow to conduct a systematic review
How to conduct a systematic review
DrNidhiPruthiShukla
 
1-Halt-it Protocol International v1.0 26nov12
1-Halt-it Protocol International v1.0 26nov121-Halt-it Protocol International v1.0 26nov12
1-Halt-it Protocol International v1.0 26nov12
HALT-IT Trial
 
Levels of evidence, recommendations & phases of
Levels of evidence, recommendations & phases ofLevels of evidence, recommendations & phases of
Levels of evidence, recommendations & phases of
sanyal1981
 
Assessing Clinical Research Infrastructure Needs
Assessing Clinical Research Infrastructure NeedsAssessing Clinical Research Infrastructure Needs
Assessing Clinical Research Infrastructure Needs
SC CTSI at USC and CHLA
 
Assessing Applicability
Assessing ApplicabilityAssessing Applicability
Assessing Applicability
Effective Health Care Program
 
Evidence Based Practice - EBP
Evidence Based Practice - EBPEvidence Based Practice - EBP
Evidence Based Practice - EBP
Saira Ambreen
 
Clinical trial regulations for clinical development of traditional
Clinical trial regulations for clinical development of traditionalClinical trial regulations for clinical development of traditional
Clinical trial regulations for clinical development of traditional
DrSatyabrataSahoo
 
Cochrane Workshop Picos
Cochrane Workshop PicosCochrane Workshop Picos
Cochrane Workshop Picos
Francisco J Grajales III
 
AHRQ’s Effective Health Care Program
AHRQ’s Effective Health Care ProgramAHRQ’s Effective Health Care Program
AHRQ’s Effective Health Care Program
Cochrane.Collaboration
 

What's hot (20)

Research Methodology
Research Methodology Research Methodology
Research Methodology
 
Crb tech reviews on clinical research jobs
Crb tech reviews on clinical research jobsCrb tech reviews on clinical research jobs
Crb tech reviews on clinical research jobs
 
Clinical Trial Protocol Review for Study Feasibility Analysis
Clinical Trial Protocol Review for Study Feasibility AnalysisClinical Trial Protocol Review for Study Feasibility Analysis
Clinical Trial Protocol Review for Study Feasibility Analysis
 
Clinical trails
Clinical trails Clinical trails
Clinical trails
 
Protocol Design & Development: What You Need to Know to Ensure a Successful S...
Protocol Design & Development: What You Need to Know to Ensure a Successful S...Protocol Design & Development: What You Need to Know to Ensure a Successful S...
Protocol Design & Development: What You Need to Know to Ensure a Successful S...
 
COCHRANE OVERVIEW AND PRISMA STATEMENT
COCHRANE OVERVIEW AND PRISMA STATEMENTCOCHRANE OVERVIEW AND PRISMA STATEMENT
COCHRANE OVERVIEW AND PRISMA STATEMENT
 
Retrospective vs Prospective Study
Retrospective vs Prospective StudyRetrospective vs Prospective Study
Retrospective vs Prospective Study
 
Protocol writing
Protocol writingProtocol writing
Protocol writing
 
Evidence based nursing resources
Evidence based nursing resourcesEvidence based nursing resources
Evidence based nursing resources
 
evidence based medicine ( dr.moaweyah)
evidence based medicine ( dr.moaweyah)evidence based medicine ( dr.moaweyah)
evidence based medicine ( dr.moaweyah)
 
Clinical Trial Presentation-6.29.15-cg
Clinical Trial Presentation-6.29.15-cgClinical Trial Presentation-6.29.15-cg
Clinical Trial Presentation-6.29.15-cg
 
How to conduct a systematic review
How to conduct a systematic reviewHow to conduct a systematic review
How to conduct a systematic review
 
1-Halt-it Protocol International v1.0 26nov12
1-Halt-it Protocol International v1.0 26nov121-Halt-it Protocol International v1.0 26nov12
1-Halt-it Protocol International v1.0 26nov12
 
Levels of evidence, recommendations & phases of
Levels of evidence, recommendations & phases ofLevels of evidence, recommendations & phases of
Levels of evidence, recommendations & phases of
 
Assessing Clinical Research Infrastructure Needs
Assessing Clinical Research Infrastructure NeedsAssessing Clinical Research Infrastructure Needs
Assessing Clinical Research Infrastructure Needs
 
Assessing Applicability
Assessing ApplicabilityAssessing Applicability
Assessing Applicability
 
Evidence Based Practice - EBP
Evidence Based Practice - EBPEvidence Based Practice - EBP
Evidence Based Practice - EBP
 
Clinical trial regulations for clinical development of traditional
Clinical trial regulations for clinical development of traditionalClinical trial regulations for clinical development of traditional
Clinical trial regulations for clinical development of traditional
 
Cochrane Workshop Picos
Cochrane Workshop PicosCochrane Workshop Picos
Cochrane Workshop Picos
 
AHRQ’s Effective Health Care Program
AHRQ’s Effective Health Care ProgramAHRQ’s Effective Health Care Program
AHRQ’s Effective Health Care Program
 

Similar to Clinical Trials

SHARE Webinar: Why Should I Join a Clinical Trial with Dr. Hershman
SHARE Webinar: Why Should I Join a Clinical Trial with Dr. HershmanSHARE Webinar: Why Should I Join a Clinical Trial with Dr. Hershman
SHARE Webinar: Why Should I Join a Clinical Trial with Dr. Hershman
bkling
 
David Resnik - MedicReS World Congress 2012
David Resnik - MedicReS World Congress 2012David Resnik - MedicReS World Congress 2012
David Resnik - MedicReS World Congress 2012
MedicReS
 
To know about Research in Medical (1).pptx
To know about Research in Medical (1).pptxTo know about Research in Medical (1).pptx
To know about Research in Medical (1).pptx
RasoolShinwari1
 
Evidence based orthodontics parag
Evidence based orthodontics paragEvidence based orthodontics parag
Evidence based orthodontics parag
Parag Deshmukh
 
Reasons for conducting clinical trials
Reasons for conducting clinical trialsReasons for conducting clinical trials
Reasons for conducting clinical trials
John Douglas
 
How to do clinical research at KEMU
How to do clinical research at KEMUHow to do clinical research at KEMU
How to do clinical research at KEMU
Zerva
 
Evidence Based Medicine
Evidence Based Medicine Evidence Based Medicine
Evidence Based Medicine
Noha El Baghdady
 
Proposal writing by dr.s.kalpana
Proposal writing by dr.s.kalpanaProposal writing by dr.s.kalpana
Proposal writing by dr.s.kalpana
Kalpana Ramachandran
 
Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)
TRIuams
 
Ethics in clinical research
Ethics in clinical researchEthics in clinical research
Ethics in clinical research
ARUNAYESUDAS
 
LHS Research vs Care
LHS Research vs CareLHS Research vs Care
LHS Research vs Care
BermanInstitute
 
Policy and Funding for CER: Making Sense of a Confusing Landscape
Policy and Funding for CER: Making Sense of a Confusing Landscape Policy and Funding for CER: Making Sense of a Confusing Landscape
Policy and Funding for CER: Making Sense of a Confusing Landscape
CTSI at UCSF
 
Ethics of clinical trials
Ethics of clinical trialsEthics of clinical trials
Ethics of clinical trials
Ssuna Bashir
 
Clinical trial
Clinical trialClinical trial
Clinical trial
krishnabhat24
 
Comparative Effectiveness Research
Comparative Effectiveness ResearchComparative Effectiveness Research
Comparative Effectiveness Research
Rick Mathis
 
COMMON JOB INTERVIEW QUESTIONS WITH ANSWERS ASKED IN CLINICAL RESEARCH INTERV...
COMMON JOB INTERVIEW QUESTIONS WITH ANSWERS ASKED IN CLINICAL RESEARCH INTERV...COMMON JOB INTERVIEW QUESTIONS WITH ANSWERS ASKED IN CLINICAL RESEARCH INTERV...
COMMON JOB INTERVIEW QUESTIONS WITH ANSWERS ASKED IN CLINICAL RESEARCH INTERV...
Pristyn Research Solutions
 
Core Outcome Measures in Effectiveness Trials
Core Outcome Measures in Effectiveness TrialsCore Outcome Measures in Effectiveness Trials
Core Outcome Measures in Effectiveness Trials
HTAi Bilbao 2012
 
Research ethics-WMB-July312022.pdf
Research ethics-WMB-July312022.pdfResearch ethics-WMB-July312022.pdf
Research ethics-WMB-July312022.pdf
Weam Banjar
 
Should I Participate in a Clinical Trial?
Should I Participate in a Clinical Trial?Should I Participate in a Clinical Trial?
Should I Participate in a Clinical Trial?
Summit Health
 
Steps and Principals of clinical research in Surgery.pptx
Steps and Principals of clinical research in Surgery.pptxSteps and Principals of clinical research in Surgery.pptx
Steps and Principals of clinical research in Surgery.pptx
Pradeep Pande
 

Similar to Clinical Trials (20)

SHARE Webinar: Why Should I Join a Clinical Trial with Dr. Hershman
SHARE Webinar: Why Should I Join a Clinical Trial with Dr. HershmanSHARE Webinar: Why Should I Join a Clinical Trial with Dr. Hershman
SHARE Webinar: Why Should I Join a Clinical Trial with Dr. Hershman
 
David Resnik - MedicReS World Congress 2012
David Resnik - MedicReS World Congress 2012David Resnik - MedicReS World Congress 2012
David Resnik - MedicReS World Congress 2012
 
To know about Research in Medical (1).pptx
To know about Research in Medical (1).pptxTo know about Research in Medical (1).pptx
To know about Research in Medical (1).pptx
 
Evidence based orthodontics parag
Evidence based orthodontics paragEvidence based orthodontics parag
Evidence based orthodontics parag
 
Reasons for conducting clinical trials
Reasons for conducting clinical trialsReasons for conducting clinical trials
Reasons for conducting clinical trials
 
How to do clinical research at KEMU
How to do clinical research at KEMUHow to do clinical research at KEMU
How to do clinical research at KEMU
 
Evidence Based Medicine
Evidence Based Medicine Evidence Based Medicine
Evidence Based Medicine
 
Proposal writing by dr.s.kalpana
Proposal writing by dr.s.kalpanaProposal writing by dr.s.kalpana
Proposal writing by dr.s.kalpana
 
Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)
 
Ethics in clinical research
Ethics in clinical researchEthics in clinical research
Ethics in clinical research
 
LHS Research vs Care
LHS Research vs CareLHS Research vs Care
LHS Research vs Care
 
Policy and Funding for CER: Making Sense of a Confusing Landscape
Policy and Funding for CER: Making Sense of a Confusing Landscape Policy and Funding for CER: Making Sense of a Confusing Landscape
Policy and Funding for CER: Making Sense of a Confusing Landscape
 
Ethics of clinical trials
Ethics of clinical trialsEthics of clinical trials
Ethics of clinical trials
 
Clinical trial
Clinical trialClinical trial
Clinical trial
 
Comparative Effectiveness Research
Comparative Effectiveness ResearchComparative Effectiveness Research
Comparative Effectiveness Research
 
COMMON JOB INTERVIEW QUESTIONS WITH ANSWERS ASKED IN CLINICAL RESEARCH INTERV...
COMMON JOB INTERVIEW QUESTIONS WITH ANSWERS ASKED IN CLINICAL RESEARCH INTERV...COMMON JOB INTERVIEW QUESTIONS WITH ANSWERS ASKED IN CLINICAL RESEARCH INTERV...
COMMON JOB INTERVIEW QUESTIONS WITH ANSWERS ASKED IN CLINICAL RESEARCH INTERV...
 
Core Outcome Measures in Effectiveness Trials
Core Outcome Measures in Effectiveness TrialsCore Outcome Measures in Effectiveness Trials
Core Outcome Measures in Effectiveness Trials
 
Research ethics-WMB-July312022.pdf
Research ethics-WMB-July312022.pdfResearch ethics-WMB-July312022.pdf
Research ethics-WMB-July312022.pdf
 
Should I Participate in a Clinical Trial?
Should I Participate in a Clinical Trial?Should I Participate in a Clinical Trial?
Should I Participate in a Clinical Trial?
 
Steps and Principals of clinical research in Surgery.pptx
Steps and Principals of clinical research in Surgery.pptxSteps and Principals of clinical research in Surgery.pptx
Steps and Principals of clinical research in Surgery.pptx
 

Recently uploaded

Hypotension and role of physiotherapy in it
Hypotension and role of physiotherapy in itHypotension and role of physiotherapy in it
Hypotension and role of physiotherapy in it
Vishal kr Thakur
 
一比一原版(USF毕业证)旧金山大学毕业证如何办理
一比一原版(USF毕业证)旧金山大学毕业证如何办理一比一原版(USF毕业证)旧金山大学毕业证如何办理
一比一原版(USF毕业证)旧金山大学毕业证如何办理
40fortunate
 
Pneumothorax and role of Physiotherapy in it.
Pneumothorax and role of Physiotherapy in it.Pneumothorax and role of Physiotherapy in it.
Pneumothorax and role of Physiotherapy in it.
Vishal kr Thakur
 
Test bank clinical nursing skills a concept based approach 4e pearson educati...
Test bank clinical nursing skills a concept based approach 4e pearson educati...Test bank clinical nursing skills a concept based approach 4e pearson educati...
Test bank clinical nursing skills a concept based approach 4e pearson educati...
rightmanforbloodline
 
Know Latest Hiranandani Hospital Powai News.pdf
Know Latest Hiranandani Hospital Powai News.pdfKnow Latest Hiranandani Hospital Powai News.pdf
Know Latest Hiranandani Hospital Powai News.pdf
Dr. Sujit Chatterjee CEO Hiranandani Hospital
 
India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...
India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...
India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...
Kumar Satyam
 
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Lighthouse Retreat
 
3. User Guide Activity Budget Tracking App Steps to apply.pptx
3. User Guide Activity Budget Tracking App Steps to apply.pptx3. User Guide Activity Budget Tracking App Steps to apply.pptx
3. User Guide Activity Budget Tracking App Steps to apply.pptx
habtegirma
 
nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdfnurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
Carolyn Harker
 
Health Tech Market Intelligence Prelim Questions -
Health Tech Market Intelligence Prelim Questions -Health Tech Market Intelligence Prelim Questions -
Health Tech Market Intelligence Prelim Questions -
Gokul Rangarajan
 
Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...
rightmanforbloodline
 
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
xkute
 
Fit to Fly PCR Covid Testing at our Clinic Near You
Fit to Fly PCR Covid Testing at our Clinic Near YouFit to Fly PCR Covid Testing at our Clinic Near You
Fit to Fly PCR Covid Testing at our Clinic Near You
NX Healthcare
 
National Rural Health Mission(NRHM).pptx
National Rural Health Mission(NRHM).pptxNational Rural Health Mission(NRHM).pptx
National Rural Health Mission(NRHM).pptx
Jyoti Chand
 
Research, Monitoring and Evaluation, in Public Health
Research, Monitoring and Evaluation, in Public HealthResearch, Monitoring and Evaluation, in Public Health
Research, Monitoring and Evaluation, in Public Health
aghedogodday
 
Monopoly PCD Pharma Franchise in Tripura
Monopoly PCD Pharma Franchise in TripuraMonopoly PCD Pharma Franchise in Tripura
Monopoly PCD Pharma Franchise in Tripura
SKG Internationals
 
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
AndrzejJarynowski
 
nursing management of patient with Empyema ppt
nursing management of patient with Empyema pptnursing management of patient with Empyema ppt
nursing management of patient with Empyema ppt
blessyjannu21
 
Sectional dentures for microstomia patients.pptx
Sectional dentures for microstomia patients.pptxSectional dentures for microstomia patients.pptx
Sectional dentures for microstomia patients.pptx
SatvikaPrasad
 
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdfInnovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
eurohealthleaders
 

Recently uploaded (20)

Hypotension and role of physiotherapy in it
Hypotension and role of physiotherapy in itHypotension and role of physiotherapy in it
Hypotension and role of physiotherapy in it
 
一比一原版(USF毕业证)旧金山大学毕业证如何办理
一比一原版(USF毕业证)旧金山大学毕业证如何办理一比一原版(USF毕业证)旧金山大学毕业证如何办理
一比一原版(USF毕业证)旧金山大学毕业证如何办理
 
Pneumothorax and role of Physiotherapy in it.
Pneumothorax and role of Physiotherapy in it.Pneumothorax and role of Physiotherapy in it.
Pneumothorax and role of Physiotherapy in it.
 
Test bank clinical nursing skills a concept based approach 4e pearson educati...
Test bank clinical nursing skills a concept based approach 4e pearson educati...Test bank clinical nursing skills a concept based approach 4e pearson educati...
Test bank clinical nursing skills a concept based approach 4e pearson educati...
 
Know Latest Hiranandani Hospital Powai News.pdf
Know Latest Hiranandani Hospital Powai News.pdfKnow Latest Hiranandani Hospital Powai News.pdf
Know Latest Hiranandani Hospital Powai News.pdf
 
India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...
India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...
India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...
 
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
 
3. User Guide Activity Budget Tracking App Steps to apply.pptx
3. User Guide Activity Budget Tracking App Steps to apply.pptx3. User Guide Activity Budget Tracking App Steps to apply.pptx
3. User Guide Activity Budget Tracking App Steps to apply.pptx
 
nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdfnurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
 
Health Tech Market Intelligence Prelim Questions -
Health Tech Market Intelligence Prelim Questions -Health Tech Market Intelligence Prelim Questions -
Health Tech Market Intelligence Prelim Questions -
 
Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...Solution manual for managerial accounting 18th edition by ray garrison eric n...
Solution manual for managerial accounting 18th edition by ray garrison eric n...
 
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
 
Fit to Fly PCR Covid Testing at our Clinic Near You
Fit to Fly PCR Covid Testing at our Clinic Near YouFit to Fly PCR Covid Testing at our Clinic Near You
Fit to Fly PCR Covid Testing at our Clinic Near You
 
National Rural Health Mission(NRHM).pptx
National Rural Health Mission(NRHM).pptxNational Rural Health Mission(NRHM).pptx
National Rural Health Mission(NRHM).pptx
 
Research, Monitoring and Evaluation, in Public Health
Research, Monitoring and Evaluation, in Public HealthResearch, Monitoring and Evaluation, in Public Health
Research, Monitoring and Evaluation, in Public Health
 
Monopoly PCD Pharma Franchise in Tripura
Monopoly PCD Pharma Franchise in TripuraMonopoly PCD Pharma Franchise in Tripura
Monopoly PCD Pharma Franchise in Tripura
 
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
Assessing Large Language Models in the Context of Bioterrorism: An Epidemiolo...
 
nursing management of patient with Empyema ppt
nursing management of patient with Empyema pptnursing management of patient with Empyema ppt
nursing management of patient with Empyema ppt
 
Sectional dentures for microstomia patients.pptx
Sectional dentures for microstomia patients.pptxSectional dentures for microstomia patients.pptx
Sectional dentures for microstomia patients.pptx
 
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdfInnovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
 

Clinical Trials

  • 1. Clinical Trials: Research Matters Cheryl Habaue, MSN, OCN, CCRP Pediatric and Adult Oncology Research Manager
  • 2. Objectives • Discuss the Definition of Clinical Trials. • Review Types of Research and Regulations/Ethical Considerations. • Discuss Trial Design including randomization of clinical trials. • Examine data management and analysis of clinical trials.
  • 5. Definition of Clinical Trials World Health Organization Definition- • A clinical trial is any research study that prospectively assigns human participants or groups of humans to one or more health-related interventions to evaluate the effects on health outcomes. • Interventions include but are not restricted to drugs, cells and other biological products, surgical procedures, radiological procedures, devices, behavioral treatments, process-of-care changes, preventive care, etc. World Health Organization: http://www.who.int/topics/clinical_trials/en/
  • 6. Definition of Clinical Trials National Institute of Health Clinical Trial Definition • A research study in which one or more human subjects are prospectively assigned to one or more interventions (which may include placebo or other control) to evaluate the effects of those interventions on health-related biomedical or behavioral outcomes. https://grants.nih.gov/grants/guide/notice-files/NOT-OD-15-015.html
  • 9. Ethics in Research • Tuskeegee Study • Nazi Prisoner Research WWII Tuskegee Syphilis Study Legacy Committee Final Report of May 20, 1996
  • 11. Ethics in Research • Informed Consent • Nature, duration, and purpose • Alternative procedures/Treatments • Method and means • All inconveniences, risks, and hazards • Possible effects on health/possible benefits • HIPAA • Costs • Compensation for Injury • Contact Information • There should be no force, fraud, deceit, duress, coercion • Vulnerable populations • Children, Pregnant Women, Prisoners, Cognitively Impaired, Language Barriers
  • 13. Rules to Research by • Federal Code of Regulations 21 • Part 11 compliant • International Conference on Harmonization (ICH 6) and Good Clinical Practice • Institutional Review Board
  • 15. Research Design • Blueprint for the collection, measurement and analysis of the study • Overall strategy
  • 17. Randomization / Open Label • What does it mean • Why is it done • Terms: Control Arm vs. Study Arm
  • 18. Sponsors • Sponsor is defined as “a person who takes responsibility for and initiates a clinical investigation. The sponsor may be an individual or a pharmaceutical company…” • 21 CFR 312, subpart D (Responsibilities of Sponsors • and Investigators). • Government, Pharmaceutical Companies, Networks, VA, Schools, Private http://www.centerwatch.com/pdfs/s11604_ch4.pdf
  • 21. Data Management • No Data = No Research • Source Documents • Grading – CTCAE 4.03
  • 22. Data Analysis • Statistics to be Analyzed • Conclusions Compiled • Publications/Manuscripts Presented • Key: How can it change practice
  • 26. EAP/Compassionate Use • Access to medication prior to FDA approval • Sponsor needs to have a program for the compound • Treating MD needs to write a letter of need • Sponsor Approval/FDA Approval • Must pass IRB approval
  • 27. • Everyone with XYZ cancer will qualify for this study • Everything is free for patient’s on study • Once you are on study you cannot get out • Protocols are hard to write