Cambridge Healthtech Institute's fourth annual Clinical Trial Oversight Summit will feature four co-located conferences covering best practices and recent trends relevant to clinical research monitoring, auditing, clinical quality assurance, site management, and vendor oversight. This four-day summit will include presentations from experts, case studies, interactive breakout discussion groups, workshops, and networking opportunities. Themes throughout will include risk-based approaches to clinical trial management, implementing quality systems-based approaches to GCP compliance, ensuring reliable study data, responding to the evolving regulatory landscape, and preparing sites and clinical research partners for inspection-readiness.
This course provides an overview of internal auditing requirements and
techniques for medical device companies as a method for risk
management and quality improvement.
The course will cover auditing requirements, audit planning, preparation,
knowledge, auditor skills, interviews, documents and records review,
objective evidence, audit report writing and corrective action.
Overcome Operational Challenges in Biomarker-driven Clinical TrialsJames Prudhomme
Cambridge Healthtech Institute offers two back-to-back symposia on the operational aspects of precision medicine trials and the improvement of infrastructure to better support those trials. The 2nd Annual Managing Precision Medicine Trials Symposium (January 24-25, 2017) focuses on strategizing design for biomarker driven trials and novel clinical trial design. The Inaugural Sample, Lab and Diagnostics Services in Clinical Trials Symposium (January 25-26, 2017) focuses on clinical sample management and sourcing and diagnostics services.
Make Plans to Attend the Number 1 Immunogenicity and Bioassay Event Bringing Together Industry,
Academia and Regulatory Authorities. Featuring 8 FDA Presenters!
CHI's Next Generation Dx Summit 2022 | August 22-24, 2022 | Washington, D.C.James Prudhomme
Advancing Diagnostics Together
We are proud to host Cambridge Healthtech Institute's Fourteenth Annual Next Generation Dx Summit which will take place in-person at the Grand Hyatt Washington, D.C. on August 22-24. The Next Generation Dx Summit is the nexus for key opinion leaders across the world to share recent progress in diagnostic advancement and technology innovation. The event provides a valuable window on how point-of-care, infectious disease, liquid biopsy and companion diagnostics are changing the standard of care. Now in its fourteenth year, the Next Generation Dx Summit is a must-attend event with complete coverage of the most timely and important topics for the industry.
CHI's 10th Annual Next Generation Dx Summit, August 20-24, 2018, Washington, DCJames Prudhomme
Next Generation Dx Summit has grown to more than 1,000 international diagnostic professionals working in the field and offers unparalleled insight from the comprehensive programming and networking with key opinion leaders in the industry. The event is unique in the marketplace. This year the coverage spans cell- and cell-free biopsies, commercialization, reimbursement, biomarkers and companion diagnostics for immunotherapy, point-of-care testing, infectious disease, microfluidics and precision medicine. Now in its tenth year, Next Generation Dx Summit is a must-attend event with complete coverage of the most timely and important issues for the industry.
This 2-day seminar will cover the essentials of compliance for medical device companies. An efficient and effective quality system can be a competitive advantage for companies by leading to improved quality and compliance as well as optimizing the cost of quality.
This course provides an overview of internal auditing requirements and
techniques for medical device companies as a method for risk
management and quality improvement.
The course will cover auditing requirements, audit planning, preparation,
knowledge, auditor skills, interviews, documents and records review,
objective evidence, audit report writing and corrective action.
Overcome Operational Challenges in Biomarker-driven Clinical TrialsJames Prudhomme
Cambridge Healthtech Institute offers two back-to-back symposia on the operational aspects of precision medicine trials and the improvement of infrastructure to better support those trials. The 2nd Annual Managing Precision Medicine Trials Symposium (January 24-25, 2017) focuses on strategizing design for biomarker driven trials and novel clinical trial design. The Inaugural Sample, Lab and Diagnostics Services in Clinical Trials Symposium (January 25-26, 2017) focuses on clinical sample management and sourcing and diagnostics services.
Make Plans to Attend the Number 1 Immunogenicity and Bioassay Event Bringing Together Industry,
Academia and Regulatory Authorities. Featuring 8 FDA Presenters!
CHI's Next Generation Dx Summit 2022 | August 22-24, 2022 | Washington, D.C.James Prudhomme
Advancing Diagnostics Together
We are proud to host Cambridge Healthtech Institute's Fourteenth Annual Next Generation Dx Summit which will take place in-person at the Grand Hyatt Washington, D.C. on August 22-24. The Next Generation Dx Summit is the nexus for key opinion leaders across the world to share recent progress in diagnostic advancement and technology innovation. The event provides a valuable window on how point-of-care, infectious disease, liquid biopsy and companion diagnostics are changing the standard of care. Now in its fourteenth year, the Next Generation Dx Summit is a must-attend event with complete coverage of the most timely and important topics for the industry.
CHI's 10th Annual Next Generation Dx Summit, August 20-24, 2018, Washington, DCJames Prudhomme
Next Generation Dx Summit has grown to more than 1,000 international diagnostic professionals working in the field and offers unparalleled insight from the comprehensive programming and networking with key opinion leaders in the industry. The event is unique in the marketplace. This year the coverage spans cell- and cell-free biopsies, commercialization, reimbursement, biomarkers and companion diagnostics for immunotherapy, point-of-care testing, infectious disease, microfluidics and precision medicine. Now in its tenth year, Next Generation Dx Summit is a must-attend event with complete coverage of the most timely and important issues for the industry.
This 2-day seminar will cover the essentials of compliance for medical device companies. An efficient and effective quality system can be a competitive advantage for companies by leading to improved quality and compliance as well as optimizing the cost of quality.
Will I see you in Philadelphia next week? In case you don’t already know, I’ve been invited to speak at CBI’s Risk-Based Trial Management and Monitoring Conference.
I’m going to be sharing real world, pragmatic guidance that you can implement immediately to effectively influence your clinical trial performance.
My presentation, Practical Usage of KRIs and QTLs in Clinical Trials, will take place next Thursday, November 14th at 9:45am. I’m going to share with you:
• How to identify and close the gaps between risks and KRIs
• What the difference is between KRIs and QTLs, and how to use them effectively
• Useful examples of Centralized Monitoring findings from open data
• How to detect, combat and prevent fraud and sloppiness at an early stage
• How AI and ML advance risk-based approaches
So I can’t wait to see you at this informative and fun-filled industry expert forum,
– Artem Andrianov, CEO Cyntegrity
CHI's Next Generation Dx Summit | August 25-27, 2020 | Washington, DCJames Prudhomme
Next Generation Dx Summit brings together more than 800 international diagnostic professionals working in the field and offers unparalleled insight from the comprehensive programming and networking with key opinion leaders in the industry. The event is unique in the marketplace. This year the coverage spans cell- and cell-free biopsies, commercialization, reimbursement, biomarkers and companion diagnostics for immunotherapy, point-of-care testing, infectious disease, microfluidics and precision medicine. Now in its twelfth year, Next Generation Dx Summit is a must-attend event with complete coverage of the most timely and important issues for the industry.
12th Annual Molecular Diagnostics Conference Part of TRI-CON 2015Nicole Proulx
CHI's flagship diagnostics event, "Molecular Diagnostics: Executive Strategies for Success" taking place February 16-18, 2015 in San Francisco, CA. In its twelfth year this is the leading event for the industry featuring experts on business strategy, platform development, regulation and reimbursement who will outline the steps needed to take to achieve commercial success in the current environment.
World Preclinical Congress 2015 BrochureNicole Proulx
The World Preclinical Congress (WPC; formerly the
World Pharma Congress), now in its 14th year, is making
a commitment to focus predominantly on preclinical
research and highlight the challenges and opportunities
in early drug discovery and development. World
Preclinical Congress 2015 brings together some of
the hottest topics being discussed in the pharma/
biotech world and provides a unique forum for scientists
and clinicians to exchange ideas and collaborate to
overcome some of the translational challenges. This
coincides with the event moving to Boston, now a
premier hub for preclinical activity and alliances.
AHRQ’s Health Care Innovations Exchange held a Web event on Innovative Health Care Policies: Using ACO Principles and Financial Incentives to Improve Health Outcomes on January 29, 2013. For more information, visit https://innovations.ahrq.gov/events/2013/01/innovative-policies-using-aco-principles-and-financial-incentives-improve-health.
The World Congress Summit on Risk-Based Monitoring and the Quality Risk Manag...WorldCongress
This Summit offers pharmaceutical and medical device delegates concrete examples of how to build a framework and methodology for a risk-based monitoring (RBM) program that is part of an overall risk management approach to study planning and oversight. One of the biggest challenges of implementation is overcoming resistance to change as no organization wants to be the first. For that reason, Summit faculty share change management strategies for people, processes, and technology that led to the effective implementation of their RBM programs. The Site’s perspective, assessing readiness for change and providing support during the change process must not be overlooked. Strategies to partner with Sites to achieve stronger connectivity will also be discussed.
Applied Statistics, with Emphasis on Risk Management in R&D, QA/QC, and Manuf...GlobalCompliancePanel
The 2-day seminar explains how to apply statistics to manage risk in R&D, QA/QC, and Manufacturing, with examples derived mainly from the medical device design/manufacturing industry. The flow of topics over the 2 days is as follows:
Contact center professionals face a number of challenges in the ever changing environment including management of intensifying cost pressures, maintenance and improvement of customer service, operation of globalized centers, and compliance with the changing regulatory environment. This summit explores innovative communication channels for customer engagement, technologies for cost effectiveness, and innovative strategies to stay at the front of the curve. Cross-industry perspectives provide a well-rounded and unique perspective on cutting edge technologies and strategies for contact center optimization.
http://www.worldcongress.com/events/PB14018/
Supplier qualification and assessment is required in both the QSR regulations and ISO standards. Many companies spend a great deal of time and money in pursuit of compliance. Many companies can spend significantly less time and money, and still be in control of their suppliers and in compliance with the regulations.
CHI's Targeting Stromal Cells in Cancer and Inflammatory Diseases Conference ...James Prudhomme
This virtual meeting will highlight cutting-edge science and provide insight into recent developments towards therapeutic stromal cell targeting in cancer and chronic inflammatory diseases. View full details and register: https://www.healthtech.com/stroma-conference
CHI's Bioassays for Immuno-Oncology Symposium, Oct. 23, 2017 in Washington, DCJames Prudhomme
Biological assays demonstrating drug characteristics such as potency, mechanism-of-action, and stability, are one of the most critical components of an FDA biologic submission. However, with more complex mechanisms-of-action, immunotherapies add a layer of difficulty to bioassay selection and development. At Cambridge Healthtech Institute's Inaugural Bioassays for Immuno-Oncology symposium, experts in bioassays for immuno-oncology therapies will discuss selection, development, and standards for bioassays and immunoassays. Special attention will be given to understanding the mechanism-of-action for immunotherapies, whether they be antibody- or cell-based. Overall, this one-day immersive symposium will outline a product life cycle approach for developing and implementing biological assays from preclinical studies to clinical development. This symposium is part of the Immunogenicity & Bioassay Summit.
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Similar to CHI's Clinical Trial Oversight Summit, June 1-3, 2015, Boston, MA
Will I see you in Philadelphia next week? In case you don’t already know, I’ve been invited to speak at CBI’s Risk-Based Trial Management and Monitoring Conference.
I’m going to be sharing real world, pragmatic guidance that you can implement immediately to effectively influence your clinical trial performance.
My presentation, Practical Usage of KRIs and QTLs in Clinical Trials, will take place next Thursday, November 14th at 9:45am. I’m going to share with you:
• How to identify and close the gaps between risks and KRIs
• What the difference is between KRIs and QTLs, and how to use them effectively
• Useful examples of Centralized Monitoring findings from open data
• How to detect, combat and prevent fraud and sloppiness at an early stage
• How AI and ML advance risk-based approaches
So I can’t wait to see you at this informative and fun-filled industry expert forum,
– Artem Andrianov, CEO Cyntegrity
CHI's Next Generation Dx Summit | August 25-27, 2020 | Washington, DCJames Prudhomme
Next Generation Dx Summit brings together more than 800 international diagnostic professionals working in the field and offers unparalleled insight from the comprehensive programming and networking with key opinion leaders in the industry. The event is unique in the marketplace. This year the coverage spans cell- and cell-free biopsies, commercialization, reimbursement, biomarkers and companion diagnostics for immunotherapy, point-of-care testing, infectious disease, microfluidics and precision medicine. Now in its twelfth year, Next Generation Dx Summit is a must-attend event with complete coverage of the most timely and important issues for the industry.
12th Annual Molecular Diagnostics Conference Part of TRI-CON 2015Nicole Proulx
CHI's flagship diagnostics event, "Molecular Diagnostics: Executive Strategies for Success" taking place February 16-18, 2015 in San Francisco, CA. In its twelfth year this is the leading event for the industry featuring experts on business strategy, platform development, regulation and reimbursement who will outline the steps needed to take to achieve commercial success in the current environment.
World Preclinical Congress 2015 BrochureNicole Proulx
The World Preclinical Congress (WPC; formerly the
World Pharma Congress), now in its 14th year, is making
a commitment to focus predominantly on preclinical
research and highlight the challenges and opportunities
in early drug discovery and development. World
Preclinical Congress 2015 brings together some of
the hottest topics being discussed in the pharma/
biotech world and provides a unique forum for scientists
and clinicians to exchange ideas and collaborate to
overcome some of the translational challenges. This
coincides with the event moving to Boston, now a
premier hub for preclinical activity and alliances.
AHRQ’s Health Care Innovations Exchange held a Web event on Innovative Health Care Policies: Using ACO Principles and Financial Incentives to Improve Health Outcomes on January 29, 2013. For more information, visit https://innovations.ahrq.gov/events/2013/01/innovative-policies-using-aco-principles-and-financial-incentives-improve-health.
The World Congress Summit on Risk-Based Monitoring and the Quality Risk Manag...WorldCongress
This Summit offers pharmaceutical and medical device delegates concrete examples of how to build a framework and methodology for a risk-based monitoring (RBM) program that is part of an overall risk management approach to study planning and oversight. One of the biggest challenges of implementation is overcoming resistance to change as no organization wants to be the first. For that reason, Summit faculty share change management strategies for people, processes, and technology that led to the effective implementation of their RBM programs. The Site’s perspective, assessing readiness for change and providing support during the change process must not be overlooked. Strategies to partner with Sites to achieve stronger connectivity will also be discussed.
Applied Statistics, with Emphasis on Risk Management in R&D, QA/QC, and Manuf...GlobalCompliancePanel
The 2-day seminar explains how to apply statistics to manage risk in R&D, QA/QC, and Manufacturing, with examples derived mainly from the medical device design/manufacturing industry. The flow of topics over the 2 days is as follows:
Contact center professionals face a number of challenges in the ever changing environment including management of intensifying cost pressures, maintenance and improvement of customer service, operation of globalized centers, and compliance with the changing regulatory environment. This summit explores innovative communication channels for customer engagement, technologies for cost effectiveness, and innovative strategies to stay at the front of the curve. Cross-industry perspectives provide a well-rounded and unique perspective on cutting edge technologies and strategies for contact center optimization.
http://www.worldcongress.com/events/PB14018/
Supplier qualification and assessment is required in both the QSR regulations and ISO standards. Many companies spend a great deal of time and money in pursuit of compliance. Many companies can spend significantly less time and money, and still be in control of their suppliers and in compliance with the regulations.
CHI's Targeting Stromal Cells in Cancer and Inflammatory Diseases Conference ...James Prudhomme
This virtual meeting will highlight cutting-edge science and provide insight into recent developments towards therapeutic stromal cell targeting in cancer and chronic inflammatory diseases. View full details and register: https://www.healthtech.com/stroma-conference
CHI's Bioassays for Immuno-Oncology Symposium, Oct. 23, 2017 in Washington, DCJames Prudhomme
Biological assays demonstrating drug characteristics such as potency, mechanism-of-action, and stability, are one of the most critical components of an FDA biologic submission. However, with more complex mechanisms-of-action, immunotherapies add a layer of difficulty to bioassay selection and development. At Cambridge Healthtech Institute's Inaugural Bioassays for Immuno-Oncology symposium, experts in bioassays for immuno-oncology therapies will discuss selection, development, and standards for bioassays and immunoassays. Special attention will be given to understanding the mechanism-of-action for immunotherapies, whether they be antibody- or cell-based. Overall, this one-day immersive symposium will outline a product life cycle approach for developing and implementing biological assays from preclinical studies to clinical development. This symposium is part of the Immunogenicity & Bioassay Summit.
Immuno-Oncology Course, organized by Healthcare Education ServicesJames Prudhomme
The Immuno-Oncology one-day course provides an overview of the rapidly evolving subject of immune-oncology. Delegates are offered a thorough understanding of the basics of tumor immunology as well as the essentials of immunotherapy and its application in cancer medicine. Examples of both how biologics work in the practice of oncology and of the challenges presented are demonstrated.
The program has been developed specifically to support the needs of the pharmaceutical, biotechnology and medical technology industry personnel. It is ideal for individuals with little understanding of the immunotherapy of cancer and those with an existing basic knowledge. Detailed presentations and discussion with Healthcare’s experienced and knowledgeable faculty enable thorough insight to this important subject area.
Introduction to Cancer: Focus on Solid Tumors Course, organized by Healthcare...James Prudhomme
Delegates attending this course will benefit from an introductory overview of the terminology and classification of cancer and the principle issues in its treatment. Commonly available anti-cancer drugs will be reviewed, including immunotherapies. The range of side-effects of cancer treatments will be studied in detail. Quality-of-life issues in terms of overall assessment and result interpretation will also be discussed.
Detailed consideration will be given to the treatment of major tumor types: breast, lung, upper gastrointestinal (GI), colorectal, melanoma, ovarian and prostate cancer.
Hematologic Cancers - An Introduction Course, organized by Healthcare Educati...James Prudhomme
This course reviews the hematological system and provides an overview on the spectrum of hematologic cancers. The expert teaching team, comprising currently practising physicians, guides course attendees through the pathophysiology of Hematologic Cancers - An Introduction such as leukemias, lymphomas and myeloma. Common treatments and management of these malignancies are discussed as well as the challenges these treatments present to patients. The issues and complications of bone marrow and stem cell transplant are also reviewed. Case studies and open discussion form an integral part of the program.
Cambridge Healthtech Institute (CHI) is pleased to announce the Third Annual FAST: Functional Analysis and Screening Technologies Congress. Now in its third year, the FAST Congress brings you the latest technologies and research in cellular screening.
The Third Annual Phenotypic Drug Discovery meeting will return with new updates and case studies in phenotypic screening, high-content analysis, physiologically-relevant cellular models, chemical genomics and chemical proteomics. The rapidly evolving area of 3D cellular models will be addressed by two back-to-back meetings, with the Inaugural 3D Cell Culture: Organoid, Spheroid, and Organ-on-a-Chip Models meeting focusing on the new predictive cellular models for drug discovery and toxicity assessment. It will review the use of primary and stem cells, complex co-culture cell models, tumor spheroid models, novel organ-on-a-chip models for efficacy and safety screening, functional analysis, and compound profiling. The Third Annual Screening and Functional Analysis of 3D Models meeting will follow with case studies of phenotypic and high-content screening of complex 3D cellular systems for compound and target selection.
The 2014 Congress attracted more than 250 senior delegates, representing over 160 companies from 20 countries. With half of the attendees from big pharma and biotech and a third from academia and government, the FAST Congress offers exclusive networking opportunities with diverse international attendance. Please join our focused Screening event and learn from 60+ scientific presentations, an assortment of educational courses, 20+ exhibitors and your fellow expert delegates. We look forward to seeing you at the event.
Next Generation Dx Summit 2015 - Moving Assays to the ClinicJames Prudhomme
The Next Generation Dx Summit, entering its seventh year, brings together more than 800 diagnostics professionals from across the world, providing comprehensive programming and valuable networking opportunities. Spanning from clinical diagnostics to business strategy, this year’s expanded program encompasses predictive cancer biomarkers, companion diagnostics, infectious disease, point-of-care, pharmacy-based diagnostics, cell-free DNA, commercialization, cancer immunotherapy, and reimbursement. With widespread coverage of all the most relevant diagnostics topics, the Next Generation Dx Summit promises to be a must-attend event to hear the latest announcements and developments in this rapidly evolving field.
Call for Posters: Functional Analysis & Screening TechnologiesJames Prudhomme
Cambridge Healthtech Institute (CHI) is accepting scientific posters from industry & academic researchers on improving the screening success of rate drugs using 3D models & phenotypic screening for display at it's second annual "FAST: Functional Analysis & Screening Technologies Congress" to be held on November 17-19, 2014. www.FASTCongress.com
Join us in Boston this coming Fall to attend Cambridge Healthtech Institute's (CHI) 2nd Annual FAST: Functional Analysis & Screening Technologies Congress on November 17-19, 2014 and meet with a community of 250+ biologists, screening managers, assay developers, engineers and pharmacologists dedicated to improving in vitro cell models and phenotypic screening to advance drug discovery and development at 6 conferences: Phenotypic Drug Discovery (Part I & II), Engineering Functional 3D Models, Screening and Functional Analysis of 3D Models, Organotypic Culture Models for Toxicology and Physiologically-Relevant Cellular Tumor Models for Drug Discovery. Delegates have the opportunity to share insights in interactive panel discussions and connect during networking breaks. View innovative technologies and scientific research revolutionizing early-stage drug discovery in the exhibit/poster hall.
Short Courses at CHI's Immunogenicity and Bioassay Summit 2014James Prudhomme
Cambridge Healthtech Institute (CHI) will once again offer comprehensive training at the Sixth Annual Immunogenicity and Bioassay Summit 2014. The following courses are led by well-respected professionals in the pharmaceutical industry who have much experience in helping investigators overcome their difficulties with these challenging assays and with risk assessment. Delegates will enjoy an intimate setting with their peers and instructors and have the opportunity to ask questions and exchange experiences.
Course: Development of High-Dose Biologics Dosage FormsJames Prudhomme
Course: Development of High Dose Biologics Dosage Forms will be held on May 6, 2014 in Boston, MA - part of the Biologics Formulation & Delivery Summit.
Course: Challenges and Opportunities in Protein and Peptide Drug DeliveryJames Prudhomme
When: May 4, 2014
Where: Seaport World Trade Center, Boston, MA
Proteins and peptides represent a significant segment of the therapeutics spectrum with many promising candidates under early development or in late-stage clinical trials. Several of these molecules are poised to make a substantial impact, especially in the under-represented or unrepresented categories such as neurological disorders and neurodegenerative diseases. A key challenge to be overcome with protein and peptide based biologics, however, is their effective delivery to the target site while achieving the optimum balance of stability, safety, bioavailability, and patient compliance. This short course will provide a broad overview of the opportunities and challenges in the development of the next generation of protein and peptide therapeutic delivery systems.
PK/PD and Immunogenicity Conferences, May 2014, Boston, MA - part of PEGSJames Prudhomme
The Safety Stream at PEGS will guide attendees through the process of developing a comprehensive immunogenicity and PK/PD strategy to ensure successful biologics. With a focus on novel constructs, high level science and expert advice will examine assay strategies, management of product immunogenicity, and modeling PK/PD to improve drug performance. Risk assessment and regulatory guidance to ensure clinical success and a competitive advantage will also be addressed.
PEGS - the essential protein & antibody engineering summitJames Prudhomme
Over 1,600 participants will gather in Boston’s historic Seaport District for open forum discussions and collaboration in the areas of protein & antibody engineering, oncology, expression, analytical, safety, and - new this year- bioprocessing and therapeutics programming.
Structure-Based Drug Design Facts & Figures InfographicJames Prudhomme
Among 32 pharma and biotech companies surveyed, structure-based drug design is the most prevalent activity with the most players emphasizing the fragment-based variation.
CHI’s Inaugural Biologics Formulation and Delivery Summit will provide a forum for focused discussions on current challenges and opportunities in delivery of biotherapeutics. This 2-part summit will discuss various formulation and device-based approaches for designing physiologically relevant, patient friendly, targeted biologics products.
Part 1: Formulation Strategies for Improved Delivery of Biologics (May 5-6)
Part 2: New Technologies for Biologics Delivery and Targeting (May 6-7)
Podcast: Reducing and Monitoring Bioassay VariabilityJames Prudhomme
Discussing the biggest challenges to managing bioassay variability, new tools, and strategies that researchers are using to combat it, and how procedural variation can have unwanted repercussions.
Structure-Based Drug Design for Epigenetic Targets CourseJames Prudhomme
Join us on June 19 in Boston, MA, for this short course to be held prior to the start of CHI's Structure-Based Drug Design conference. This introductory course on drug design for epigenetic targets will focus especially on emerging targets such as bromodomain (readers), methyltransferase (writers) and lysine demethylase (erasers).
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
CHI's Clinical Trial Oversight Summit, June 1-3, 2015, Boston, MA
1. 1ClinicalTrialSummit.comOrganized by
Cambridge Healthtech Institute
CAMBRIDGE HEALTHTECH INSTITUTE’S FOURTH ANNUAL
ClinicalTrialSummit.com
REGISTER BY MARCH 27 AND SAVE UP TO $400
Optimizing Data Quality, Efficiency, Partnerships,
and Risk Management
Featuring
Presentations by:
Alexion Pharmaceuticals
Allergan
Amgen
Astellas Pharma
Biogen Idec
Bristol-Myers Squibb
Cleveland Clinic Foundation
Gilead Sciences
Janssen R&D
Johnson & Johnson Vision Care
Medtronic
Merck Research Laboratories
Novartis
Pfizer
Purdue Pharma
SAIC-Frederick
and many more!
June 1-3, 2015
Omni Parker House
Boston, MA
Bringing
together250+
highlytargeted
decisionmakers
MASTERING
CLINICAL TRIAL
MONITORING
VENDOR
MANAGEMENT IN
CLINICAL TRIALS
JUNE 1 - 2
CLINICAL
AUDITING FORUM
CLINICAL PROJECT
MANAGEMENT
FORUM
JUNE 2 - 3
CORPORATE SUPPORT SPONSOR
2. 2 ClinicalTrialSummit.com
SUMMIT AT-A-GLANCE
Monday AM Mastering ClinicalTrial Monitoring Vendor Management in ClinicalTrials
Monday PM Mastering ClinicalTrial Monitoring Vendor Management in ClinicalTrials
Dinner Short Course 1* Facilitating Investigative Sites’ Operational Efficiency:
Challenges, Tools, and Methods to Enhance the Clinical Research Enterprise
Tuesday PM Mastering ClinicalTrial Monitoring Vendor Management in ClinicalTrials
Tuesday PM Clinical Auditing Forum Clinical Project Management Forum
Dinner Short Course 2* Quality by Design in Clinical Research: Is This Only for the Protocol?
Wednesday AM Clinical Auditing Forum Clinical Project Management Forum
Wednesday PM Clinical Auditing Forum Clinical Project Management Forum
*Separate Registration Required
ABOUT THE SUMMIT:
Cambridge Healthtech Institute’s Fourth Annual ClinicalTrial Oversight Summit will feature four co-located conferences covering
best practices and recent trends relevant to clinical research monitoring, auditing, clinical quality assurance, site management, and
vendor oversight.This four-day summit will include presentations from experts, case studies, interactive breakout discussion groups,
workshops, and networking opportunities.Themes throughout will include risk-based approaches to clinical trial management,
implementing quality systems-based approaches to GCP compliance, ensuring reliable study data, responding to the evolving
regulatory landscape, and preparing sites and clinical research partners for inspection-readiness.
SPONSORSHIP, EXHIBIT, AND LEAD GENERATION OPPORTUNITIES
CHI offers comprehensive sponsorship packages
which include presentation opportunities, exhibit
space, branding and networking with specific
prospects. Sponsorship allows you to achieve
your objectives before, during, and long after the
event. Any sponsorship can be customized to
meet your company’s needs and budget. Signing
on early will allow you to maximize exposure to
qualified decision-makers.
Podium Presentations – Available within the
Main Agenda!
Showcase your solutions to a guaranteed, targeted
audience. Package includes a 15- or 30-minute
podium presentation within the scientific agenda,
exhibit space, on-site branding, access to
cooperative marketing efforts by CHI, and more.
Breakfast & Luncheon Podium Presentations
Opportunity includes a 30-minute podium
presentation. Boxed lunches are delivered into the
main session room, which guarantees audience
attendance and participation. A limited number of
presentations are available for sponsorship and
they will sell out quickly. Sign on early to secure
your talk!
Invitation-OnlyVIP Dinner/Hospitality Suite
Sponsors will select their top prospects from the
conference pre-registration list for an evening of
networking at the hotel or at a choice local venue.
CHI will extend invitations and deliver prospects,
helping you to make the most out of this invaluable
opportunity. Evening will be customized according
to sponsor’s objectives i.e.:
• Purely social
• Focus group
• Reception style
• Plated dinner
with specific
conversation focus
Exhibit
Exhibitors will enjoy facilitated networking
opportunities with qualified delegates. Speak face-
to-face with prospective clients and showcase your
latest product, service, or solution.
Additional branding and sponsorship
opportunities available!
Looking for additional ways to drive leads to
your sales team?
CHI’s Lead Generation Programs will help you
obtain more targeted, quality leads throughout the
year. We will mine our database of 800,000+ life
science professionals to your specific needs. We
guarantee a minimum of 100 leads per program!
Opportunities include:
• Whitepapers
• Web Symposia
• Custom Market
Research Surveys
• Podcasts
For sponsorship and exhibit information,
please contact:
Ilana Quigley
Sr. Business Development Manager
781-972-5457 | iquigley@healthtech.com
HOTEL & TRAVEL INFORMATION
Conference Hotel:
Omni Parker House
60 School St.
Boston, MA 02108
Phone: 617-227-8600
Website: omnihotels.com/hotels/boston-parker-house
Discounted Room Rate: $269 s/d
Discounted Room Rate Cut-off Date: May 1, 2015
Please visit www.clinicaltrialsummit.com or
call the hotel directly to reserve your sleeping
accommodation.You will need to identify yourself
as a Cambridge Healthtech Institute conference
attendee to receive the discounted room rate
with the host hotel. Reservations made after the
cut-off date or after the group room block has been
filled (whichever comes first) will be accepted at
the discretion of the hotel. Rooms are limited, so
book early.
Flight and Rental Discounts are Available:
For details, visit www.clinicaltrialsummit.com and
click on the hotel & travel button.
3. 3ClinicalTrialSummit.com
SHORT COURSES*
LEAD SPONSORING PUBLICATIONS
SPONSORING PUBLICATIONS
WEB PARTNERS
DINNER SHORT COURSE
Monday, June 1, 6:00-8:30 pm
(SC1) Facilitating Investigative Sites’ Operational Efficiency:
Challenges,Tools, and Methods to Enhance the Clinical
Research Enterprise
Karen L. Gilbert, BS, CCRA, Root Cause Research Consulting, LLC
David Morin, M.D., RPh, FACP, CPI, Director of Research, Holston
Medical Group
As the costs of clinical trials rise, clinical research professionals across
the industry are under pressure to do more in less time with fewer
resources. Today’s research sites face similar challenges, and therefore,
need tools and methods to most effectively utilize their resources.
This short course will provide the need for operational efficiency tools
specifically designed for investigative sites. The goals and components
of an effective, data-driven site management strategy will be identified.
The speakers will present a novel tool/methodology designed to
allow investigative sites to manage resources and performance in a
data-driven way. Finally, participants will explore ways in which the
site efficiency data derived from this method may be of value to
stakeholders across the clinical research enterprise. After attending this
session, participants will be able to:
• Discuss the financial viability and operational efficiency challenges
facing investigative sites in today’s research environment
• Identify the operational components which sites must track, model,
and manage to effectively meet these challenges
• Describe a novel tool and methodology designed to enable data-
driven site management decisions
• Explore the potential applications of site efficiency data to facilitate
site selection decisions, ensure appropriate monitoring resource
allocations, and inform risk-based monitoring strategies
*Separate registration is required.
DINNER SHORT COURSE
Tuesday, June 2, 6:00-8:30 pm
(SC2) Quality by Design in Clinical Research: IsThis Only for
the Protocol?
Liz Wool, RN, BSN, CCRA, CMT, President and CEO, QD-Quality and
Training Solutions, Inc.
In the past few years, Quality by Design (QbD) for clinical trials has
been communicated and talked about for protocol development and
execution. However, translating this QbD approach into “building in
quality for the business,” that is increasingly expected of the industry
by regulatory agencies, is rarely shared for the “how do I do this?”
because organizations state “I believe we are doing this already.” This
workshop will de-code and translate QbD and quality for the research
enterprise with examples and interactive activities that will solidify the
concepts and framework presented for use within any organization. We
will discuss:
• Critical first step: defining quality
• QbD: defined and simplified
• What are QbD and Quality Management Systems (QMS)? How do
they relate to each other? How do I know if my organization “has these
in place”?
• What are “critical to quality” and “critical control points” in QbD, and
why are they important?
• Business practices to QbD principles and methods, and approaches
to impart QbD where needed
• Going beyond plans and checklists for quality
• Who is involved and responsible for review?
• Strategies for effective implementation
• Effective training of personnel
*Separate registration is required.
OFFICIAL MEDIA PARTNER
4. 4 ClinicalTrialSummit.com
Changing FDA expectations, risk-based monitoring, and ever-growing demands for cost efficiency are fueling dramatic developments
in the world of clinical research. Clinical trial monitors are on the front line of these changes, and must adapt to the world of
centralized risk-based monitoring, quality systems-based approaches, and sophisticated technologies designed to improve outcomes.
This conference will address these issues. Participants can expect to hear from thought leaders who will share their insights into
addressing these challenges and exploiting these opportunities via presentations, case studies, and hands-on activities.
MONDAY, JUNE 1
7:00 am Registration and Morning Coffee
8:00 Welcome & Chairperson’s Opening Remarks
8:15 Risk-Based Monitoring Industry Survey Results
Linda B. Sullivan, Co-Founder & President, Metrics Champion Consortium (MCC)
In this session, we will discuss results from the Metrics Champion Consortium
(MCC) surveying regarding risk-based monitoring, and answer questions, such as:
• What models are being piloted/adopted?
• Why are they adopting them?
• What metrics are they using as risk signals?
• How has the RBM landscape changed since the 2008 CTTI survey?
INCORPORATING QRM AND QBD INTO RBM
Case Study
8:50 A Holistic Approach to Quality Risk Management
Angie Maurer, BSN, MBA, CCRA – Clinical Operations
Consultant, Gilead Sciences, Inc.
Brian Nugent, BSN, DC – Associate Director, Clinical Operations, Gilead
Sciences, Inc.
Siloing in organizations causes individuals to not understand the full processes
and interdependencies of their operations.This is exactly why a holistic approach
to risk management is important. Much attention has been paid to the concepts
and day-to-day tools required to carry out Quality by Design (QbD) and QRM
activities, however, many companies have not yet designed a holistic approach
based upon the establishment of a unified quality and risk management
framework within Clinical Operations. In this session, we will discuss:
• Gilead’s quality framework and sub-frameworks that address risk
management and quality control
•The role of risk management training as a foundational element of
risk management
• The role of risk management tools and Risk-Based Monitoring (RBM) within
Gilead’s QRM framework
• The role of continuous improvement within the risk management system
• Quality and risk management implementation strategies and lessons learned
9:25 Sponsored Presentation (Opportunity Available)
9:55 Networking Coffee Break and Exhibit Viewing
10:25 Quality by Design: A Lean Six Sigma Approach to Risk-
Based Monitoring
Erika Stevens, MA, Senior Manager, Healthcare Advisory Practice, Ernst &
Young, LLP
M. Peggy Fay, Ph.D., RN, CCRC, CRA, Director, Global Clinical Monitoring,
Medtronic Clinical Operations, Medtronic, Inc.
Currently, no formal process or methodology exists to aid in identification
of risk factors impacting monitoring practices. Furthermore, there is great
variation in risk identification, analysis, and mitigation strategies throughout the
industry.This results in extra manual work and duplication of effort, which in
turn increase customer cost variation and create crisis management situations.
This session will demonstrate traditional project management methodologies
to create and manage a compliant CAPA monitoring system within the QMS.
Conventional project management elements will be defined as they relate to
the CAPA monitoring system. Concepts such as quality control monitoring
procedures, root cause analysis, change controls, resolution of CAPA, and
supporting elements such as Scope Creep, Program Evaluation and Review
Technique (PERT), Critical Path Analysis, and Gantt Charts will be discussed
and mapped back to the project management element of the CAPA system.
11:00 Interactive Roundtable Discussions
11:45 Luncheon Presentation (Sponsorship Opportunity Available)
or Lunch onYour Own
SITE QUALITY AND INSPECTION READINESS
1:00 pm Leveraging Inspection Focus Areas to Improve Site Quality
Jessica Masarek, Quality Assurance Consultant, Muse Clinical
In this session, we will explore key inspection focus areas and the practical
application of ALCOA so attendees may apply this knowledge to site
inspection readiness activities. Monitors will be challenged to consider ways
in which they can employ these knowledge areas to improve monitoring and
compliance and to better ally with their sites. We will share current examples
from the field, explore common findings, and discuss best practices. Important
questions will be addressed regarding documentation, preventing audit
findings, and inspection readiness. We will also discuss practical approaches to
ally with sites in their efforts to identify risk areas and increase compliance.
1:35 PreparingYour ClinicalTrial Sites for FDA Inspections
Stuart Halasz, Associate Director, Clinical Quality Management, Merck
Research Laboratories
This presentation takes a light-hearted empirical approach to using the BIMO
guidance manual and common sense in helping CRAs and Project Managers
prepare their clinical research sites for an FDA inspection. It is intended for those
new to this activity and includes real-life examples of situations encountered
at clinical sites during inspection preparation visits. Participants will take away
practical ideas that can be applied immediately.
Case Study
2:10The Challenges of Conducting Multicenter,
Multicultural, and Multilingual ClinicalTrials
Diarmuid De Faoite, Communication & Education Manager, AO
Documentation and Publishing Foundation, AO Foundation
Working globally creates its own unique set of problems, and your speaker will
consider them from multicenter, multicultural, and multilingual perspectives.The
impact of culture on a study’s success is a real issue, particularly when patient
reported outcomes form part of the trial. A trial which is conducted globally
requires the use of local language material, but this is an element fraught
with the possibility of mistranslation and misunderstanding. Going beyond the
available literature on the subject, your presenters will share never-heard-before,
first-hand global trial experiences at their academic research organization.
Attendees will be sensitized to the many factors which may (negatively) impact
on the success of clinical investigations conducted in different countries or
cultures. Finally, we will discuss the composition of a research team working in
this environment, and examine how to motivate them.
2:45 Sponsored Presentation (Opportunity Available)
3:15 Networking Refreshment Break and Exhibit Viewing
Sixth Annual
MASTERING CLINICAL
TRIAL MONITORING
Risk-Based Monitoring for Data Quality, Clinical Trial Performance, and Compliance
JUNE 1-2
5. 5ClinicalTrialSummit.com
3:45 Engaging with Site Personnel during the Monitoring Visit:
Identifying Changes, Retraining Needs, and Opportunities for
Improved Research Practices
Megan Jung, Regional CRA Manager, Clinical Studies, BIOTRONIK
Too often monitors conduct the visit without holding meaningful conversations with
the clinical research coordinator and principle investigator. However, monitors learn
most at the site by having direct conversations about the study conduct. Monitors
can identify changes in study staff by reviewing the DOA and IRB documents directly
with the CRC. Monitors can evaluate the site’s informed consent practices with the
CRC. Monitors can review site visits and conduct to confirm that the processes
are in accordance with the protocol. Finally, monitors can identify non-compliance
through conversations with the site staff.This session will demonstrate the value
of engaging site staff to identify areas that need improvement in the site’s research
practices that administrative document and subject records review do not convey.
Case Study
4:20 A Deep Dive into the Value of GCPTraining: A
Case Study
Rebecca Carew, Senior Manager – Process Management,
Purdue Pharma L.P.
As a sponsor, we have a responsibility to train our investigators.This includes the
fundamental training on Good Clinical Practices (GCPs), one component of the
overall investigator training curriculum.This case study will discuss the process
for assessing investigators for various levels of GCP training needs, assessing the
investigator’s application of the training, determining when additional oversight
and monitoring activities are required, reviewing the trends identified through the
training assessments and the process and training improvements resulting from this
analysis.The learning didn’t stop after the formal training was completed.The training
served to be a good use of time and value to the investigator and the sponsor.
4:55 Reception and Exhibit Viewing
(Sponsorship Opportunity Available)
5:45 Short Course Registration
6:00 - 8:30 pm SHORT COURSE: (SC1) Facilitating
Investigative Sites’ Operational Efficiency: Challenges,Tools,
and Methods to Enhance the Clinical Research Enterprise
(see page 2 for additional information)
5:55 Close of Day One
TUESDAY, JUNE 2
7:15 am Breakfast Presentation (Sponsorship Opportunity Available)
or Morning Coffee
8:00 Chairperson’s Opening Remarks
SITE SELECTION AND ENGAGEMENT
Case Study
8:05 Use of Risk Based Metrics in the Selection of
Clinical Study Sites: A Sponsor Perspective
Eddy Lyons, CCRP, Senior Clinical Research Associate, Clinical
Studies Department, Biotronik, Inc.
Sponsors of clinical studies have several FDA-mandated objectives for the conduct of
clinical trials, namely timely enrollment and a high level of compliance.Your speaker
will discuss key attributes to consider during the selection of clinical sites from a
sponsor’s perspective. Such elements as target patient population, competing
studies, prior compliance history, experience and prior training of key personnel,
workload, research program infrastructure, contracting and reimbursement
timelines, and adequate study resources, among others.Your speaker will also
present a site grading system using these metrics to target the best sites capable of
contributing significantly to enrollment goals and providing high quality data.
Case Study
8:40 Dancing with the Stars: Engaging Academic
Researchers in Industry-Sponsored Studies
Carol Breland, MPH, Research Recruitment Director, NC TraCS
Institute, UNC Chapel Hill
Academic researchers are highly sought after for industry trials as they have
extensive experience and expertise in their therapeutic area. However, getting
a timely response to even a feasibility questionnaire can often be a frustrating
experience for the project team! In this talk, you will learn more about the
motivations and barriers that academic principal investigators experience,
from personal goals to internal processes and approvals. You will hear best
practices for initiating and building trusting relationships and get tips for
improving your study start-up timelines. A case study will be presented on
how an innovative listening approach has helped build a more productive
partnership between an academic medical center and a CRO.
9:15 Sponsored Presentation (Opportunity Available)
9:30 Networking Coffee Break and Exhibit Viewing
10:00 Site Relationship Management: Keys to Successful Site
Identification, Selection, and Ongoing Oversight
Linda Tedder, Director, US Clinical Project Management, Clinical Operations,
DePuy Synthes
One of the key points for sponsors to consider during any clinical study is the
successful identification -and selection of“good” clinical sites.Throughout the study,
site management is key to ensure enrollment goals are met, continued adherence to
the protocol, ongoing regulatory compliance, and overall subject retention. Problems
will arise in any clinical study, and how sponsors manage the sites can impact
whether a clinical study is successful or not. In this session, your speaker will offer
tips, tools, and guidance on identifying and selecting clinical sites, and then managing
clinical sites throughout the study. Using site relationship management techniques,
your instructor will provide insights into improving the performance and relationships
with so-called“difficult” sites, and getting those partnerships back on track.
Case Study
10:35 Study Health Checks: A Compilation of Site-
Specific Data Used to Assess Site and StudyTrends
and Potential Risks
Rosanne Petros, PMP, Associate Director, Clinical Research, Clinical Research
Manager US Global Clinical Trial Operations, The Americas, Merck Research
Laboratories
11:10 Remote Monitoring:The Electronic Regulatory Binder
Mary DeHaas, Research Quality Improvement Specialist, BSN, CCRC, CCRA,
Baylor Research Institute
Erin Fassett, MSN, RN, MBA, Clinical Research Supervisor, Baylor All Saints
Medical Center
George C. Fassett, Jr., CEO & President,Thumbtechs Corporation
In this competitive global market technology is vastly changing the way the
industry conducts clinical trials. The research industry continues to explore
how innovative systems and processes can improve quality while reducing
cost. The FDA in September of 2013 published guidance on electronic source
data in an effort to modernize clinical investigations. However, electronic
regulatory binders remain underutilized and represent a cost savings to
clinical investigators, CROs, and sponsors. Successfully implementing
electronic regulatory binders while maintaining compliance takes expertise
from the investigative site, the Clinical Research Associate (CRA), and the
Information Technology (IT) team. This presentation will discuss how to design
and implement the system with appropriate security measures and the
benefits and challenges of using the system.
11:45 Electronic Data Capture:Tablets vs. Desktop. A Sponsor to
Site Implementation Perspective
Lynne Becker, MSPH, National Project Manager, Weight Management Center
Department of Psychiatry and Behavioral Sciences, Medical University of
South Carolina
When you introduce a new medium (tablets) for the electronic data collection,
you may open the proverbial Pandora’s Box when it comes time to monitor.
There are no standardized regulations across commercial or academic regulatory
agencies which govern your research site, nor are the IP access points similar
from site to site. Other concerns are the quality of optical character recognition
(OCR) and optical character mark recognition (OMR); hurdles to minimize site
frustration for not only the coordinator, but the PI and the subjects; and the
cost of the tablets. If you are considering implementing the full use of tablet
technology you must understand and embrace the loss of paper trail during the
monitoring process.This presentation will correlate the current best practices of
monitoring a paper-based system with a tablet based system.
12:20 pm Close of Conference
6. 6 ClinicalTrialSummit.com
As the trend toward outsourcing clinical research continues to grow, those charged with vendor qualification, selection, contracting,
and ongoing oversight must be ready to meet these expectations. Most importantly, they must consider quality systems-based
approaches, risk mitigation and management, and effective tools and techniques for ensuring successful third party vendor
partnerships. Thought-leaders will address important themes, including quality systems-based vendor management throughout the
lifecycle, risk-based auditing of third party vendors, and addressing quality issues to ensure compliance.
MONDAY, JUNE 1
7:00 am Registration and Morning Coffee
8:00 Welcome & Chairperson’s Opening Remarks
8:15 ClinicalTrial Vendor Selection: Selecting the Right CRO
Strategic Partner
Jennifer Gaskin, CCRP, Operations Director, Clinical Operations, Alliance for
Clinical Trials in Oncology (Alliance Foundation Trials, LLC)
Selecting your strategic partner CRO is a daunting task and a large
commitment for any organization. The CRO options range from the large,
publicly owned companies with a comprehensive menu of services and
global resources to privately owned niche providers specializing in specific
therapeutic areas. CRO offerings and budgets vary significantly which
impedes the ability to do direct comparisons. This session discusses the
steps and best practices in the process of selecting the correct CRO
partnerships for your organization.
8:50 Re-Engineering the RFP and Bid Defense Meeting Manage
Risk and Quality
Liz Wool, RN, BSN, CCRA, CMT, President and CEO, QD-Quality and Training
Solutions, Inc.
This session reviews the re-engineering of the RFP and bid-defense meeting
to target identification of risks for the potential services to be awarded to
your CRO, vendor, or supplier, whether a preferred partnership model, a
“company approved list,” or based solely on project needs. We will build
upon the gaps identified in the selection scoring tool/capabilities assessment
tool of preferred provider models to drive the Bid Defense Meeting agenda.
The selection activity is the opportune time for assessment of capabilities
and risks associated with business methods, processes, services, people,
and technology. This new approach also gives the provider the opportunity
to communicate their ability and willingness to adjust their approach and
methods beyond the RFP, thus beginning a dialogue regarding management
and quality oversight methods early on in the partnership, with known risks
and gaps identified by stakeholders. This improved process drives business
efficiencies and cost savings now, rather than later during trial execution,
identifying impact on protocol and data integrity if performance is inadequate.
9:25 Sponsored Presentation (Opportunity Available)
9:55 Networking Coffee Break and Exhibit Viewing
THIRD PARTY COMMUNICATION AND
COLLABORATION
10:25 Establishing a Strong Communication Channel withYour
Third Party Vendor
Nicole Yingst, MBA, CCRP, Patient Recruitment Specialist II, PAREXEL
International
Successful vendor relationships have many components, but a key factor is
a solid communication pathway. Transparency, upfront goals, and ongoing,
organized touch points are vital in establishing and evolving a strong
partnership that will lead to a successful project and long-term business.
This is seen as a benefit for your company and your clients, as they will reap
the benefits of the efficiencies and discounts generally established through
longstanding vendor relationships. Attendees will be presented with crucial
steps in developing a solid communication pathway with vendors, learn
from real-world scenarios, and apply key concepts to their own practices,
customizing them to make their own successful pathway in working with
their vendors.
11:00 Interactive Roundtable Discussions
11:45 Luncheon Presentation (Sponsorship Opportunity Available)
or Lunch onYour Own
Case Study
1:00 pm Successful Collaboration and Merging of
Multiple Vendors Within an FSP
Erika Vento, MBA, Clinical Trials Oversight Manager (CTOM),
Amgen Inc.
In recent months, the Amgen Oversight Team was asked to add a new vendor
to our Functional Service Provider (FSP) model. In the following items, your
speaker will discuss some of the ways in which her team managed the site
transitions and successfully balanced their FSP model across vendors:
• Discussion on managing two vendors in an FSP model; collaboration
between vendors
• Proactively managing risk-based on triggers and red flags
• Multi-layer approach to Quality Oversight and Supplier Governance
• Maintaining complete documentation in the TMF
• Ongoing training with the new vendor; i.e., systems,
processes, documentation
• Lessons learned from transitioning sites from one vendor to another
1:35 Effective CRO Oversight in a Strategic Outsourcing Model
Joe Pollarine, Director Quality Monitoring & Compliance - Bioresearch Q&C,
Janssen R&D – Springhouse US
Outsourcing to a CRO provides opportunities to pharmaceutical companies
to delegate a significant part of the trial activities to an external organization.
However, the sponsor organization ultimately remains accountable for the
integrity of a clinical trial, and therefore, needs to keep oversight and control
on the safety of patients and the integrity and credibility of data while
managing timelines and budget. The presentation provides an example of
how a sponsor can maximize a successful outcome from outsourcing by:
• Establishing a partnership with a preferred CRO provider
• Allowing the CRO to run trials using their own processes and way of
working as much as possible
• Creating efficiencies by eliminating redundant activities
• Keeping effective and efficient oversight to position a trial for regulatory
filing and marketing approval
Case Study
2:10 Lessons Learned in Developing a Metrics
Program to Monitor theTMF at a Vendor
Vinita Leslie, M.A., Director, Trial Master File Process Owner,
Knowledge, Records & Information Strategies, Biogen Idec
2:45 Sponsored Presentation (Opportunity Available)
3:15 Networking Refreshment Break and Exhibit Viewing
Fourth Annual
VENDOR MANAGEMENT IN
CLINICALTRIALS
Ensuring Data Quality Through Effective Selection, Auditing, and Oversight
JUNE 1-2
7. 7ClinicalTrialSummit.com
3:45 How Will Risk-Based Monitoring ChangeYour Relationship
withYour CROs?
Peter Schiemann, Ph.D., Managing Partner, Widler & Schiemann Ltd.
Monitoring in clinical trials has in the past always been a “routine machine”
that sent monitors with a regular frequency to sites to do mostly Source
Data Verification (SDV). Data from CSDD Tufts University show that the
burden on CRAs grows every year and this is only one reason among many
that the classic approach to monitoring does not work anymore. Risk-
based management of clinical trials is the methodology that is currently
recommended by regulators, however it has some direct consequences on
monitoring and clinical trial oversight. With Risk-Based Monitoring (RBM),
visits to sites will not include SDV anymore, with some exceptions, and
the Monitor has to become rather a coach or mentor to the sites as it was
originally intended. This change, however, brings another consequence with
it: the CRA job will mostly not be an entry job anymore. CRAs will have to be
more senior to be able to talk to the investigators on the same level. When
considering all this, what consequences will this have on your relationship
with the CROs? This presentation will provide answers.
MANAGING OUTSOURCING QUALITY
Case Study
4:20 Managing Quality in an FSP Monitoring Model
Erik Olson, MPH, Clinical Trials Oversight Manager (CTOM),
Amgen Inc.
Amgen has been operating in an FSP (Functional Service
Provider) Clinical Monitoring Model for over seven years now, and uses a
robust Clinical Monitoring Quality Oversight Plan to ensure that quality is
measured consistently across regions globally, and across FSP providers.
Having multiple FSP providers globally, with each following Amgen SOPs
and using Amgen systems, has contributed to the success of the FSP
model implementation. We have refined both the metrics we use to check
monitoring quality on an ongoing basis, and now have a defined and
transparent, collaborative process to report, monitor and manage both
serious monitoring and serious site quality issues from issue identification
through resolution.
4:55 Reception and ExhibitViewing (Sponsorship Opportunity Available)
5:45 Short Course Registration
6:00 - 8:30 pm SHORT COURSE: (SC1) Facilitating
Investigative Sites’ Operational Efficiency: Challenges,Tools,
and Methods to Enhance the Clinical Research Enterprise
(see page 2 for additional information)
5:55 Close of Day One
TUESDAY, JUNE 2
7:15 am Breakfast Presentation (Sponsorship Opportunity Available)
or Morning Coffee
8:00 Chairperson’s Opening Remarks
IMPLEMENTING METRICS
8:05 Adopting StandardizedTime, Quality, and Efficiency
Performance Metrics AcrossYour Vendors
Linda B. Sullivan, Co-Founder & President, Metrics Champion Consortium (MCC)
In this session, we will present data from the Metrics Champion
Consortium (MCC) industry update, and address key areas related to vendor
management, such as:
• Utilizing metrics to assess your vendor relationships
• Metric updates to support quality-by-design approaches
• New performance metrics from emerging “e” system vendors (e.g.,
eCOA, eTMF)
8:40 Using Performance Metrics to ManageVendors in ClinicalTrials
Michael Howley PA-C, Ph.D., Physician Assistant – Certified Faculty
Coordinator, MBA Healthcare Concentration, Associate Clinical Professor,
Department of Marketing, LeBow College of Business, Drexel University
Sponsors of clinical trials understand their responsibility to oversee and
manage their vendors. They are often frustrated, however, by metrics that do
not provide adequate oversight of their trials until after the trial is completed.
In this session, your speaker will show you how to select scientific
performance metrics - or to develop your own measures - that will be valid
and reliable. Attendees of this session will be able to provide scientific
oversight and management of their clinical trials as they unfold.
9:15 Sponsored Presentation (Opportunity Available)
9:30 Networking Coffee Break and Exhibit Viewing
10:00 Using Warning Letters to Prepare for BIMO Inspections
Valerie Rosemond, Quality Assurance, Johnson & Johnson Vision Care
A Bioresearch Monitoring Inspection from the FDA may delay a product’s
entry to the market by an average of 14 months and cause the company
significant market share to their stakeholders. Companies that receive these
types of inspection letters cause additional delays in responding to the
regulatory agency. Current trends indicate errors occur despite resources
devoted to monitoring, QA audits, and other surveillance or quality activities.
Systematic errors can render trial data unreliable and may be unrelated to
activities at the clinical investigator sites. The need for proactive risk-based
activities is crucial, as is training subject matter experts and researchers
for inspection readiness. In this session, we will identify and describe the
required areas of specialization and the associated general competencies for
investigators in these areas of specialization.
Case Study
10:35 Managing Risks During ProjectTransition:
Person to Person,Team toTeam, Sponsor to Vendor,
and Vendor to Vendor
Donelle Bussom, RN, MSN, Senior Director, Medical and Safety Services,
ICON Clinical Research
Whether you are a pharmaceutical company, CRO, or other service-providing
vendor, in the small world of pharmaceutical research, chances are that you
have faced some sort of project transition. Project transition comes in many
forms: transitioning internally from person to person, team to team, or even
vendor to vendor (including transitioning internal projects to external vendors).
While there are many reasons for transition, the main reasons typically involve
issues around quality, resources, finance, or expertise. Even though we face
these situations on a daily basis, transitioning projects is a very risky endeavor
for all parties. In this presentation, we will review how to best plan transitions
to reduce risks and ensure a smooth handover process through a step-wise
approach and case study analysis.
11:10 Sponsor Oversight:The Importance of Auditing in Vendor
Management
Beverly Brown, Manager, Global Regulatory Quality, Allergan
11:45 am Close of Conference
6:00 - 8:30 pm SHORT COURSE: (SC2) Quality by Design in
Clinical Research: IsThis Only for the Protocol?
(see page 2 for additional information)
8. 8 ClinicalTrialSummit.com
Risk-based principles and quality management systems are the new reality of clinical auditing. Building on their foundation of
traditional auditing techniques, auditors must now expand and adapt their skills to be effective in this new environment. The forum is
designed to help auditors meet these challenges head on, with the goal of strengthening auditing programs and ensuring compliance
with risk-based techniques.
TUESDAY, JUNE 2
12:00 pm Conference Registration
1:15 Welcome & Chairperson’s Opening Remarks
RISK-BASED AUDITING
1:20 Implementing Risk-Based Auditing
Dirk Gille, Vice President, Head Bioresearch QA, Janssen R&D, Belgium
To ensure patients in high medical need continue to have access to affordable
drugs, companies and authorities are looking at means to decrease the
cost of clinical trials while still maintaining oversight on patient safety and
integrity, and data credibility. A risk-based approach has been encouraged
by both EMA and FDA as a means to deploy resources where it matters
most based on identified risks. Auditing is an important tool to get detailed
insight in the quality and compliance of clinical development and more
specifically the execution of clinical trials. This presentation will provide
insight on a proposal on how risk-based auditing can be implemented in an
organization by deploying a risk management framework, performing a formal
risk assessment on the trial, and translating the identified risks and related
controls into the audit diagnostic tool, used by the auditor.
1:55 Risk Management: An ICH Perspective
Bob Figarotta, Senior Manager, Clinical, Allergan
ICH Q9 principles outline quality risk management methodologies that can
be applied to all types of audit programs. This includes tools to assist in
discovering where audit programs should focus their attention and resources,
and what to do with risks identified during the planning and execution of the
audit program. This presentation will encompass discussion of the following
areas of risk management with an ICH Q9 perspective:
• Potential Applications
• Quality Risk Management Process
• Assessments and Controls
• Facilitation
• Methods and Tools
2:30 Sponsored Presentation (Opportunity Available)
3:00 Networking Refreshment Break and Exhibit Viewing
3:30 Rethinking CAPA Metrics andTMF Metrics: AreYou
Measuring the RightThings?
Linda B. Sullivan, Co-Founder & President, Metrics Champion Consortium
(MCC)
The Metrics Champion Consortium (MCC) has done extensive research into
the standardization of metrics that drive clinical trial quality. In this session,
your speaker will address:
• How what you measure influences people’s behavior
• How adopting performance metrics supports clinical trial planning
• How the right metrics can support your QMS knowledge
management program
Case Study
4:05 Building an Effective CAPA Management
Process
Federico Feldstein, J.D., Vice President, Medical Regulatory
Compliance, Pfizer, Inc.
This presentation will provide an overview on quality issues and the execution
of a CAPA, with a focus on building an effective CAPA management process.
Topics will include:
• Developing a compliant, effective, and efficient CAPA System
• Conducting a robust, systematic investigation and effectively
measuring performance
• Examining quality issues to determine severity, occurrence, and level
of impact (systemic vs. non-systemic issues) to prioritize management
and remediation
• Addressing systemic issues at multiple sites, executing a CAPA, and
overseeing CAPA execution
• Case Study: Reinforce your understanding of CAPA management and
execution by applying best practices to manage a systemic quality issue
4:40 Risk-Based Monitoring and Quality Management Systems
Denise M. Shelley, MS, Clinical Project Manager II, Clinical Monitoring
Research Program, Frederick National Laboratory for Cancer Research
5:15 Reception and ExhibitViewing (Sponsorship Opportunity Available)
5:45 Short Course Registration
6:00 Close of Day One
6:00 - 8:30 pm SHORT COURSE: (SC2) Quality by Design in
Clinical Research: IsThis Only for the Protocol?
(see page 2 for additional information)
WEDNESDAY, JUNE 3
7:15 am Breakfast Presentation (Sponsorship Opportunity Available)
or Morning Coffee
8:00 Chairperson’s Opening Remarks
8:10 Avoiding the Leap from 483 to Warning Letter
Robert Romanchuk, Principal, Schulman Associates, IRB
All too often, sites move on after responding to a 483 only to receive a
Warning Letter a few months later. A series of sponsor, IRB, and FDA audits
ensue, with business consequences that can be tragic. In worst case
scenarios, a good site is taken down simply because they did not respond
to a 483 adequately. (Un)fortunately, the records of these events are public
and can be consulted by those wishing to avoid this chain of events. This
presentation will analyze recent 483s and Warning Letters, examine guidance,
and extrapolate best practices to avoid the leap from 483 to WL. Your
presenter will share practical experiences from his nine years of investigator
site audits on behalf of independent IRBs.
Fifth Annual
CLINICAL AUDITING FORUM
Quality Management Systems and Risk Mitigation Strategies
for Internal Systems and External Partners
JUNE 2-3
9. 9ClinicalTrialSummit.com
COMPLIANCE AND QUALITY
8:45 Quality Assurance/Control and Quality Assessment
Measures in Human Subject Research
Jeanne M. Mattern, Ph.D., Director, QHS Regulatory Compliance Office,
Section Head QHS Clinical Research Informatics, Business Intelligence/OHCD
Compliance, Cleveland Clinic
Quality assurance/quality control measures are activities undertaken in
order to demonstrate accuracy and precision and a plan to maintain quality
in all aspects of a research program. This plan should include steps such as
monitoring, proper documentation of procedures, training of those conducting
the QA/QC in how to review quality of study design, data management and
analysis. This session will discuss the benefits, best practices, and lessons
learned from conducting face-to-face quality reviews and the steps taken to
determine the quality of a project and assessment of the overall procedures
and accuracy and safeguarding of project data during a project and at the end
of a project during analysis and publication phases.
9:20 Sponsored Presentation (Opportunity Available)
9:35 Networking Coffee Break and Exhibit Viewing
Case Study
10:20 Achieving Compliance in Human Subject
Research: Elements of Compliance Structures and
Quality Systems
Johanna L. Stamates, RN, MA, CCRC, CHRC, Executive Director, RCQA
(Research Compliance and Quality Assurance), University of Miami
The field of clinical research is constantly evolving. The ever-changing
regulations, rules and guidance documents, increased oversight by
regulatory agencies, and the increasing sophistication of the public
and of potential research subjects require not only sponsors, but also
universities and academic medical centers to stop and reflect on their
current practices in the conduct of clinical research. The current climate
requires awareness, implementation of a robust compliance structure, use
of quality systems, and risk management approaches. In short, a proactive
rather than a reactive approach. This presentation will provide the audience
with examples of positive changes, heightened awareness, and strategies
for the implementation of new and strengthening of existing compliance
structures and quality systems. Essential elements for a robust organizational
compliance structure and examples of potential/existing barriers in the
compliance “culture” will be presented. Attendees will be introduced to
existing quality systems at the University as well as those in the planning
and implementation stage. The take-home message is that compliance
professionals must be viewed as change agents rather than clinical
research police.
11:00 Interactive Roundtable Discussions
11:45 Luncheon Presentation (Sponsorship Opportunity Available)
or Lunch onYour Own
AUDITINGTHIRD PARTY VENDORS
1:00 pm Sponsor Oversight:The Importance of Auditing in
Vendor Management
Beverly Brown, Manager, Global Regulatory Quality, Allergan
1:35 Risk-Based Audit Planning: Developing aThreeYear Strategy
Rita Farrell, Compliance Specialist, Global Quality & Regulatory Compliance –
Clinical Trials & Safety (GQRC-CT&S), Bristol Myers Squibb
This session will address the strategy and risk management techniques
applied to planning Good Clinical Practice (GCP) audits from both a short and
long term perspective. The presentation will include a review of the planning
for three audit types: investigator site audits, vendor audits, and internal
system audits (including safety related audits). In addition, it will outline
the process of obtaining stakeholder input and management endorsement,
including the guidelines utilized to obtain data, calculations used to analyze
the data, and the resulting documentation.
2:10 Sponsored Presentation (Opportunity Available)
2:25 Networking Refreshment Break
2:40 Randomized ControlledTrials: Ethics, Consenting,
Maintaining the Blind, and Protocol Adherence
Jerri B. Perkins, M.D., former Medical Officer, FDA
Currently (NEJM Dec 18, 2014) FDA is making the case for RCTs (Randomized
Controlled Trials) in evaluating Ebola therapies. FDA is challenging industry
and the medical community in the necessity of conducting scientifically valid
trials and understanding the importance of the placebo effect. This session
will include an overview by a former FDA medical officer on the importance
of learning how to think like a regulator especially during the consenting
process, maintaining the blind and protocol adherence. This presentation
will use case studies to demonstrate the power of RCTs to achieve success.
Bring your questions and join the discussion as we learn to see through the
eyes of a regulator. Upon completion of this program participants will be able
to better prepare investigators and site for current study design challenges to
fulfill both ethical and regulatory requirements.
3:15 Managing Global Inspections
Janis A. Little, MS, Vice President, Global Regulatory Quality, Allergan
3:50 pm Close of Summit
10. 10 ClinicalTrialSummit.com
Clinical trial outsourcing has become a focal point for the Clinical Project Manager. For those managing these trials, it is imperative
to know how to improve study outcomes, maximize efficiency, and apply risk-based best practices, techniques, and tools to the
outsourced relationship. The forum will address the specific challenges, needs, and opportunities in outsourced clinical trials, where
thought leaders will share their experiences, best practices, and case studies.
TUESDAY, JUNE 2
12:00 pm Conference Registration
1:15 Welcome & Chairperson’s Opening Remarks
1:20 ClinicalTrial Vendor Oversight:The CRO Strategic Partner
Jennifer Gaskin, CCRP, Operations Director, Clinical Operations, Alliance for
Clinical Trials in Oncology (Alliance Foundation Trials, LLC)
Outsourcing clinical trials is a rapidly growing trend, affecting all professionals
at all levels of clinical research. This session begins with insights into how
sponsor companies should approach the selection of CRO strategic partners,
and continues into how to manage the ongoing relationship while providing
adequate oversight. Your presenter will share real-world techniques for
implementing best practices and avoiding pitfalls in the outsourced clinical
trial model.
1:55 Using Risk-Based Management to Improve the Quality of
Your ClinicalTrials
Michael Howley PA-C, Ph.D., Physician Assistant – Certified Faculty
Coordinator, MBA Healthcare Concentration, Associate Clinical Professor,
Department of Marketing, LeBow College of Business, Drexel University
Typical risk-based management techniques usually involve enhanced auditing
approaches to identify quality problems after they occur. In this session,
your presenter will show you how you can use risk-based quality metrics to
identify and correct quality issues before they become problems.
2:30 Sponsored Presentation (Opportunity Available)
3:00 Networking Refreshment Break and Exhibit Viewing
Case Study
3:30 Using Analytics and VisualizationTools to
Identify and Evaluate Risk and Support Decision-
Making
Rosanne Petros, PMP, Associate Director, Clinical Research, Clinical Research
Manager US Global Clinical Trial Operations, The Americas, Merck Research
Laboratories
Merck has developed and utilizes metrics reports which allow coarse or finer
granularity of focus to identify risk within clinical trials and support decision
making regarding study course. Based on robust and accurate underlying
data, reports can be run and distributed to the upper and middle study
management tiers down to the site management level. The majority of data
used to support these reports is obtained from Merck’s CTMS (Clinical Trial
Management System) and supplemented from data from EDC, IVRS, and
study-specific data repositories. Reports and graphs show study milestone,
enrollment metrics, protocol deviations, action items, subject tracking and
SDV, data metrics, and monitoring visit data. Data “cuts” and associated
visualization can be at the therapeutic area, region, country, study, or site
levels to provide objective risk evaluation within the confines of a therapy
area, program, region, country, study, or individual site or institution.
4:05 Implementing Risk-Based Monitoring – It Is Not Rocket
Science!
Peter Schiemann, Ph.D., Managing Partner, Widler & Schiemann Ltd.
Many sponsors have embarked on the new course of risk-based study
management and risk-based monitoring, but many are struggling to complete
the change. There are some essential questions that need to be answered:
• What is the reason for the difficulties that sponsors face when
implementing a risk-based approach to monitoring?
• How can we overcome these difficulties? What are the key elements that
need to be considered?
• How come most of the sponsors cannot realize the cost saving potential
that risk-based monitoring promises? What needs to be done to make
it happen?
• With monitoring focused where it really matters, how can we detect real
quality improvements?
This presentation will address the most appropriate approach to a risk-based
monitoring concept and its components, and will give answers to the most
intriguing questions on how to establish a risk-based monitoring approach in
your company.
Case Study
4:40 Can Big Data Help in Detecting and – Even More
Importantly – Preventing Fraud in ClinicalTrials?
Roland Rich, Quality & Compliance Excellence, Operations
Expert, DevQA, Novartis
Both patients and investigators can commit fraud for different reasons.
For investigators, fraud is often viewed as fabricating, manipulating, or
deleting data; whereas for patients, fraud is most likely enrolling at two or
more clinical trials sites for a variety of reasons. Despite the many available
statistical tools, fraud is very difficult to detect. One method is to use the
lab data and to compare patients amongst each other to look for similarity.
This way, quite early, we can diagnose some signals that could indicate a
potential cause of fraud. Using TAPAS, our risk assessment tool, we run this
data weekly across all studies and at all sites, giving us a possibility to see
such cases.
5:15 Reception and Exhibit Viewing
(Sponsorship Opportunity Available)
5:45 Short Course Registration
6:00 Close of Day One
6:00 - 8:30 pm SHORT COURSE: (SC2) Quality by Design in
Clinical Research: IsThis Only for the Protocol?
(see page 2 for additional information)
WEDNESDAY, JUNE 3
7:15 am Breakfast Presentation (Sponsorship Opportunity Available)
or Morning Coffee
8:00 Chairperson’s Opening Remarks
EFFECTIVE PARTNERSHIP MODELS
8:10 Cyber-Connectedness withYour CRO: Compliance and Peace
of Mind
Mollie Shields-Uehling, President and CEO, SAFE-BioPharma Association
Betsy Fallen, Global Head of Program and Business Development, SAFE-
BioPharma Association
Cyber-connectedness in outsourced trials is more important now than ever
before. Companies need to know, with certainty, that they can trust the
Sixth Annual
CLINICAL PROJECT
MANAGEMENT FORUM
Managing Risk and Improving Performance in Outsourced Clinical Trials
JUNE 2-3
11. 11ClinicalTrialSummit.com
identities of individuals on the other side of electronic transactions who
are allowed access to valuable trial-related information assets and who are
eSigning electronic documents. Created by the biopharmaceutical industry,
FDA, and EMA, SAFE-BioPharma is the industry standard for identity
management and for applying digital signatures to electronic documents.
Beyond business peace of mind, this is an issue of regulatory compliance,
including the upcoming EMA eSubmissions digital signature requirements.
The company developing the TransCelerate Shared Investigator Platform
portal is adopting the SAFE-BioPharma standard, as has the company to
which it has outsourced development of its identity management component.
Your speakers will provide multiple perspectives, including SAFE-BioPharma
leadership, an experienced expert responsible for guiding use of technology in
drug development, and a representative to discuss the use of the standard in
clinical development.
Case Study
8:45 Applying Strategies to Successfully
Operationalize Atypical Studies of Rare Diseases
Through a Successful Global Partnership
Patricia Nowowieski, Head, Global Clinical Operations, Cambridge, Global
Clinical Operations, Alexion Pharmaceuticals
Donna Holloway, Director, Clinical Project Management, Quintiles
In order to bring medicines to patients with devastating ultra-rare diseases,
traditional study designs for large, randomized trials need to be reconsidered.
Using the four phases of study execution: planning, initiation, conduct and
close-out, we will discuss the benefits of a nimble and flexible partnership
to address the complexities of ultra-rare diseases and the necessity to
tailor high-impact solutions to trial operations. Attendees will improve their
understanding of how to:
• Operationalize atypical studies of rare diseases, in which every data
point matters
• Identify factors leading to a successful global collaboration, allowing rapid
mobilization in countries/regions at the time a subject is identified
9:20 Sponsored Presentation (Opportunity Available)
9:35 Networking Coffee Break and Exhibit Viewing
Case Study
10:20 Adaptive Monitoring: How to Manage Sites
Without VisitingThem
Roland Rich, Quality & Compliance Excellence, Operations
Expert, DevQA, Novartis
Adaptive Monitoring uses real-time performance metrics to oversee sites
on a daily basis, and permits us to focus attention on the areas that need it
the most. Using our TAPAS tool, the central analytic function team and the
central monitoring team have access to reports that enable them to focus
their work based on continuously tracked site performance metrics. This
means that problem sites receive earlier and more frequent visits, while sites
showing no major difficulties receive fewer visits at much greater intervals,
as long as they continue to maintain a timely flow of high-quality data and
show satisfactory performance on study activities. Combined with remote
monitoring, adaptive monitoring allows better allocation of resources and
definitively helps sponsors to dramatically boost efficiency, increase quality,
and reduce risk, without collecting less data. Ultimately, Adaptive Monitoring
reduces site visits and cut some costs, without sacrificing data quality
or safety.
11:00 Interactive Roundtable Discussions
11:45 Luncheon Presentation (Sponsorship Opportunity Available)
or Lunch onYour Own
1:00 pm Building a Global System: Promoting Accountable
Research
Greg Koski, Ph.D., M.D., Co-Founder & President, ACRES; former Director,
Office for Human Research Protections, U.S. Department of Health and
Human Services
ACRES, a non-profit multi-sector stakeholder collaborative working in the
public interest, is a one-of-a-kind, innovative initiative building an open,
integrated global system for clinical research. Adapting lessons from other
industries that have successfully implemented principles of systems
and safety engineering, such as transportation, communications, and
information technology, ACRES is applying these principles to the clinical
research process to build a true system that will increase safety, efficiency,
and professionalism of the endeavor globally, benefiting all stakeholders,
especially patients. ACRES believes that disruption alone is insufficient – our
goals must be constructive – building the future together, for the benefit of
all. This session will highlight and discuss the Alliance’s current initiatives,
progress, and expectations.
MANAGING OUTSOURCING RISKS
1:35 Risk-Based Approached to Outsourced Relationships: Best
Practices,Tools, andTechniques
Lynnette Wright, Global Contracts & Outsourcing Lead (GCOL), Astellas
Pharma Global Development, Inc.
As the pharma industry is shifting its traditional outsourcing model
where the sponsor develops a long-term relationship with suppliers, the
sponsor needs to evaluate the benefits and risks of the best approach for
outsourcing. Appropriate controls need to be in place to reduce business
risks and to comply with the requirements of FDA for the vendor oversight
by the sponsor. During this session, your speaker will share some of the
best practices to manage the risks of outsourcing and to ensure regulatory
compliance. What if you knew the outsourcing risks and how to avoid the
pitfalls of sourcing? What are the best practices to manage sponsor/supplier
relationship? The objective of this session is to:
• Better understand the risks sponsors face with outsourced relationships
• Explore best practices to mitigate risk and implement controls to handle
identified risks
2:10 Sponsored Presentation (Opportunity Available)
2:25 Networking Refreshment Break
Case Study
2:40 Predictive Modeling to Optimize Enrollment
Outcomes in Outsourced Phase III Studies: A Case
Study
Moe Alsumidaie, MBA, MSF, Chief Data Scientist, Annex Clinical
Predicting and changing future outcomes has always been a concept of the
past, until today. Enrollment performance continues to be a key challenge
and resource intensive component of conducting Phase III research in
outsourced studies. During this session, hear how a clinical operations team
was able to precisely forecast trial completion dates as early as 30% in trial
enrollment, predict and react to future operational outcomes, and implement
breakthrough business research tools to uncover enrollment performance
issues. Understand the analytical strategies that were executed to:
• Precisely forecast, predict and benchmark trial completion date ranges
• Foresee slowdowns and upturns in enrollment momentum
• Uncover performance issues
• Improve future enrollment outcomes
3:15 Integrated Quality Oversight
Dirk Gille, Vice President, Head Bioresearch QA, Janssen R&D, Belgium
To ensure patients in high medical need continue to have access to affordable
drugs, companies and authorities are looking at means to decrease the
cost of clinical trials while still maintaining oversight on patient safety and
integrity, and data credibility. A risk-based approach has been encouraged
by both EMA and FDA as a mean to deploy resources where it matters
most based on identified risks. Pharmaceutical companies need to control
risks related to patient safety, protocol non-compliance, budget (over)
spending, trial timelines, etc. This presentation addresses an integrated risk-
management approach towards oversight in clinical trials, following some of
the key CTTI principles: starting off with the clinical team from an integrated
risk assessment of the trial, de-risk the protocol and implement controls
to mitigate the identified risks, and manage the residual risks through an
integrated quality plan.
3:50 pm Close of Summit
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Omni Parker House
Boston, MA
CAMBRIDGE
HEALTHTECH
INSTITUTE’S
FOURTH
ANNUAL
Optimizing Data Quality,
Efficiency, Partnerships,
and Risk Management