This document outlines the requirements and contents of an Investigator's Brochure (IB), which is a comprehensive document summarizing clinical and non-clinical data on an investigational product. The IB includes summaries of pharmacology, toxicology, safety and efficacy data from animal and human studies. It also provides guidance to investigators on monitoring patients and outlines a product's risks and important trial precautions. The IB's purpose is to inform investigators of the investigational product's properties to protect patient safety in clinical trials. It is prepared by the sponsor and provided to investigators to review before trials begin.
The Investigator's Brochure (IB) is a comprehensive document summarizing the body of information about an investigational product (IB) obtained during a drug trial.
Clinical study on human subjects according to all guidelines to form a ideal protocol and requirement to conduct clinical trial with very efficient way mainly considering to India and ICH associated countries
INSTITUTIONAL REVIEW BOARD (IRB/IEC).pptxRAHUL PAL
The International Council on Harmonisation (ICH) defines an institutional review board (IRB) as a group formally designated to protect the rights, safety and well-being of humans involved in a clinical trial by reviewing all aspects of the trial and approving its startup. IRBs can also be called independent ethics committees (IECs).
An IRB/IEC reviews the appropriateness of the clinical trial protocol as well as the risks and benefits to study participants. It ensures that clinical trial participants are exposed to minimal risk in relation to any benefits that might result from the research.
IRB/IEC members should be collectively qualified to review the scientific, medical and ethical aspects of the trial.
Per the FDA, an IRB/IEC should have:
At least five members.
Members with varying backgrounds.
At least one member who represents a non-scientific area (a lay member).
At least one member who is not affiliated with the institution or the trial site (an independent member).
Competent members who are able to review and evaluate the science, medical aspects and ethics of the proposed trial.
Abbreviated New Drug Application [ANDA]Sagar Savale
An Abbreviated New Drug Application (ANDA) contains data which when submitted to FDA's CDER, Office of Generic Drugs, provides for the review and ultimate approval of a generic drug product.
The Investigator's Brochure (IB) is a comprehensive document summarizing the body of information about an investigational product (IB) obtained during a drug trial.
Clinical study on human subjects according to all guidelines to form a ideal protocol and requirement to conduct clinical trial with very efficient way mainly considering to India and ICH associated countries
INSTITUTIONAL REVIEW BOARD (IRB/IEC).pptxRAHUL PAL
The International Council on Harmonisation (ICH) defines an institutional review board (IRB) as a group formally designated to protect the rights, safety and well-being of humans involved in a clinical trial by reviewing all aspects of the trial and approving its startup. IRBs can also be called independent ethics committees (IECs).
An IRB/IEC reviews the appropriateness of the clinical trial protocol as well as the risks and benefits to study participants. It ensures that clinical trial participants are exposed to minimal risk in relation to any benefits that might result from the research.
IRB/IEC members should be collectively qualified to review the scientific, medical and ethical aspects of the trial.
Per the FDA, an IRB/IEC should have:
At least five members.
Members with varying backgrounds.
At least one member who represents a non-scientific area (a lay member).
At least one member who is not affiliated with the institution or the trial site (an independent member).
Competent members who are able to review and evaluate the science, medical aspects and ethics of the proposed trial.
Abbreviated New Drug Application [ANDA]Sagar Savale
An Abbreviated New Drug Application (ANDA) contains data which when submitted to FDA's CDER, Office of Generic Drugs, provides for the review and ultimate approval of a generic drug product.
An Institutional Review Board (IRB), also known as an Independent Ethics Committee (IEC), is a committee responsible for reviewing and approving the ethical aspects of research involving human subjects. IRBs/IECs play a crucial role in protecting the rights, welfare, and safety of research participants. Here are some key points about IRBs/IECs
The safety monitoring in a clinical trail accompanies by common practices in safety monitoring, communicating safety information among stakeholders in a clinical trail.
For better understanding of students. This will give you a detailed explanation of IND APPLICATION. Contact me through comment section if you need any assistance in understating this topic.
An Institutional Review Board (IRB), also known as an Independent Ethics Committee (IEC), is a committee responsible for reviewing and approving the ethical aspects of research involving human subjects. IRBs/IECs play a crucial role in protecting the rights, welfare, and safety of research participants. Here are some key points about IRBs/IECs
The safety monitoring in a clinical trail accompanies by common practices in safety monitoring, communicating safety information among stakeholders in a clinical trail.
For better understanding of students. This will give you a detailed explanation of IND APPLICATION. Contact me through comment section if you need any assistance in understating this topic.
The investigator’s brochure (IB) is a compilation of the clinical and non clinical data on the investigational products(s) that are relevant to the study of the products in human subjects .
Its purpose is to provide the investigators and others involved in the trial with the information to facilitate their understanding of the rationale for, and many key features of the protocol, such as the dose , dose frequency/interval , methods of administration : and safety monitoring procedures .
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
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.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
1. INVESTIGATOR’S BROCHURE(IB)
INTRODUCTION
Investigator brochure is a collection of the clinical
and non-clinical data on the investigational product
that are relevant to the study of the product in
human subject.
IB is a comprehensive document summarizing the
information about the investigational product
obtained during a clinical trials.
The information should be presented in a short,
simple, objective, and non-promotional form that
enables a clinical or potential investigator to
understand it.
2. IB is prepared by the sponsor who also controls the
distribution of the document.
The sponsor is responsible for ensuring that an up-to-
date IB is made available to the investigator and
investigators are responsible for providing the up-to-date
IB to the responsible IRB/IEC.
IB provides the investigator and other staff with
background information about the investigational
medicinal product.`
3. GENERAL COSIDERATION
The IB should include:
Title page
This should provide the sponsor ‘s name, the identity of
each investigational product(i.e., research no. ,chemical
or approved generic name, trade name and the release
date).
It also suggested that an edition no. ,reference no. and
date of edition.
For example….
4. TITLE PAGE (Example)
SPONSOR'S NAME
Product:
Research Number:
Name(s): Chemical, Generic (if approved)
Trade Name(s) (if legally permissible and desired by the
sponsor)
INVESTIGATOR'S BROCHURE
Edition Number:
Release Date:
Replaces Previous Edition Number:
Date
6. Contents of the Investigator’s Brochure
The IB should contain the following sections..
Table of Contents
An example of the Table of Contents is given in
Appendix 2 .
7. TABLE OF CONTENTS OF INVESTIGATOR'S BROCHURE (Example)
-Confidentiality Statement
(optional)...........................................................................
- Signature Page
(optional).............................................................................................
1 Table of Contents
.........................................................................................................
2 Summary
......................................................................................................................
3 Introduction
..................................................................................................................
4 Physical, Chemical, and Pharmaceutical Properties and Formulation
....................
5 Nonclinical Studies
......................................................................................................
5.1 Nonclinical Pharmacology
..........................................................................................
5.2 Pharmacokinetics and Product Metabolism in Animals
8. 6 Effects in Humans
........................................................................................................
6.1 Pharmacokinetics and Product Metabolism in Humans
............................................
6.2 Safety and Efficacy
.......................................................................................................
6.3 Marketing Experience
..................................................................................................
7 Summary of Data and Guidance for the Investigator
................................................
NB: References on 1. Publications
2. Reports
These references should be found at the end of each chapter
Appendices (if any)
9. Summary
A brief summary should be given highlighting the
significant physical, chemical, pharmaceutical,
pharmacological, toxicological, pharmacokinetic,
metabolic, and clinical information of the investigational
product.
Introduction
A brief introductory statement should be provided that
contains …
The chemical name (and generic and trade name(s) ) of
the investigational product.
All active ingredients
10. The investigational product
Pharmacological class and its expected position
within this class (e.g. advantages),
Therapeutic, or diagnostic indication.
The introductory statement should provide the
general approach to be followed in evaluating the
investigational product.
11. Physical, Chemical, and Pharmaceutical Properties
and Formulation
A description should be provided of the investigational
product substance( the chemical and/or structural
formula(e)), and brief summary should be given of the
physical, chemical, and pharmaceutical properties.
To permit appropriate safety measures to be taken in the
course of the trial, a description of the formulation(s)
used.
12. Instructions for the storage and handling of the dosage
form(s) should also be given.
Any structural similarities to other known compounds
should be mentioned.
Nonclinical studies
Introduction:
The results nonclinical pharmacology, toxicology,
pharmacokinetic, and investigational product
metabolism studies should be provided in summary
form. This summary should address the methodology
used, the results, possible unfavourable and
unintended effects in humans.
13. The information provided may include the following, as
appropriate, if known/available:
Species tested
Number and sex of animals in each group
Unit dose (e.g., milligram/kilogram (mg/kg)
Dose interval
Route of administration
Duration of dosing
Duration of post-exposure follow-up
14. Results, including the following aspects: −
Nature and frequency of pharmacological or toxic
effects
Severity or intensity of pharmacological or toxic
effects
Time to onset of effects
Reversibility of effects
Duration of effects
Dose response
15. (A) Non-clinical pharmacology
A summary of the pharmacological aspects of the
investigational product , its significant metabolites studied in
animals, should be included.
(B)Pharmacokinetics and product metabolism in animals
A summary of the pharmacokinetics and biological
transformation of the investigational product in all species
studied .
The discussion of the findings should address the absorption
and the local and systemic bioavailability of the
investigational product and its metabolites, and their
relationship to the pharmacological and toxicological findings
in animal species.
16. (C) Toxicological
A summary of the toxicological effects in different animal
species should be described under the following
headings where appropriate:
Single dose
Repeated dose
Carcinogenicity
Special studies (e.g. irritancy and sensitisation)
Reproductive toxicity
Genotoxicity (mutagenicity)
17. Effects in Humans
Introduction
Effects of the investigational product(s) in humans
should be provided, including information on
pharmacokinetics, metabolism, pharmacodynamics,
dose response, safety, efficacy, and other
pharmacological activities.
(A) Pharmacokinetics and Product Metabolism in
Humans −
A summary of information on the pharmacokinetics of
the investigational product(s) should be presented…
Pharmacokinetics (including metabolism, as
appropriate, and absorption, plasma protein binding,
distribution, and elimination).
18. Bioavailability of the investigational product (absolute,
where possible, and/or relative) using a reference
dosage form.
Population subgroups (e.g., gender, age, and impaired
organ function).
Interactions (e.g., product-product interactions and
effects of food).
Other pharmacokinetic data (e.g., results of population
studies performed within clinical trial.
19. (B) Safety and Efficacy
A summary of information should be provided about the
investigational product's/products' (including
metabolites) safety, pharmacodynamics, efficacy, and
dose response that were obtained from preceding trials
in humans (healthy volunteers and/or patients).
Tabular summaries of adverse drug reactions for all the
clinical trials (including those for all the studied
indications) would be useful.
20. Important differences in adverse drug reaction
patterns/incidences across indications or subgroups
should be discussed.
A description should also be provided of the
precautions or special monitoring to be done as part of
the investigational use of the product.
21. (C)Marketing Experience
The IB should identify countries where the
investigational product has been marketed or
approved.
Any significant information arising from the
marketed use should be summarised (e.g.,
formulations, dosages, routes of administration,
and adverse product reactions).
The IB should also identify all the countries where
the investigational product did not receive
approval/registration for marketing or was
withdrawn from marketing/registration.
22. Summary of data and guidance for the
investigator
This section should provide an overall discussion of the
nonclinical and clinical data, and should summarise the
information from various sources of the investigational
product(s), wherever possible
23. The overall aim of this section is to provide the
investigator with a clear understanding of the
possible risks and adverse reactions of the specific
tests, observations, and precautions that may be
needed for a clinical trial.
This understanding should be based on the
available physical, chemical, pharmaceutical,
pharmacological, toxicological, and clinical
information on the investigational product.