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The Industry Sponsored IIT from the CRO perspective:  Optimizing the interface between the industry and the sponsor-investigator Ran Frenkel, RPh CEO PFC Pharma Focus Israel www.pharmafocus.co.il European Investigator Initiated Trials October 30-31, 2008 Barcelona Spain
Main Discussion Points ,[object Object],[object Object],[object Object],[object Object],[object Object]
Industry Sponsored Trial (IST) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Investigator Initiated Trial (IIT) Investigator Sponsor Investigator ,[object Object],[object Object],[object Object],[object Object],FDCA, Federal Anti-Kickback Statute, False Claims Act
The CR&D Position
The IIT Position IIT IIT
CR&D ,[object Object],[object Object],[object Object],[object Object],[object Object]
IIT ,[object Object],[object Object],[object Object],[object Object],[object Object]
The “Leading Actors”
Industry Sponsored Trial
Industry-Sponsored IIT
The forces in IS-IIT
Marketing Authorization Holder (MAH)
Potential Risks for the MAH ,[object Object],[object Object],Good   tracking system to identify potential overlap
Potential Risks for the MAH ,[object Object],[object Object],Balancing the commitment to high ethical standards against the desire to maximize the investment value
Potential Risks for the MAH ,[object Object],[object Object],Choose to support studies that maximize the benefits and minimize the risk Look at the trial proposal in the context of the organization’s strategy Making rationale decisions regarding support of IITs requires knowing the reason for conducting them in the first place
Protective Measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Establish proper intent ,[object Object],[object Object],[object Object],[object Object]
Establish the clinical investigator and Trial sponsor ,[object Object],[object Object],[object Object]
Establish Fair Market Value ,[object Object],[object Object]
Avoid influence of Sales force  ,[object Object],[object Object],[object Object]
Limit involvement in IIT  ,[object Object],[object Object],[object Object],[object Object]
Promote Transparency & Disclosure ,[object Object],[object Object]
The MAH should avoid: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contribution of the MAH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Sponsor-Investigator
Sponsor Investigator ,[object Object],ICH Guideline for GCP 1.54
Sponsor Investigator ,[object Object],ICH Guideline for GCP 1.54
Key Responsibilities of Sponsor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key Responsibilities of Investigator ,[object Object],[object Object],[object Object],[object Object],[object Object]
Industry Sponsored Trials Investigator Initiated Trial Sponsor Sponsor Investigator Project Director Project Director Medical Monitor/Advisor Medical Monitor/Advisor Pharmacovigilance  Project Manager IMP Data Management & Biostatistics CRO Laboratory Project Manager Pharmacovigilance  CRA Study Team Data Management & Biostatistics Patients Central Laboratory  Study Sites Principal Investigator & Study Team Patients
Juggling the patchwork
Discrepancy in perception  ,[object Object],[object Object],[object Object],[object Object]
Complexities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complexities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complexities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A field report ,[object Object],[object Object]
Main Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other facets of complexity
Contract Research Organization (CRO)
The CRO Solution ,[object Object],[object Object],[object Object],[object Object]
The Discrepancy  ,[object Object],[object Object]
Considerations for CRO involvement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples  ,[object Object],[object Object]
Contract setup of multicenter IIT Local CRO IMP  Packaging & Labeling IMP  Manufacturer Vendor A Vendor B CRO Site 3 Sponsor Investigator Site 1 Site 2 Site 4
Inv. Fees Legal, Insurance Inv. Meeting MON, MM, DM Site support IMP
The CRO Solution:  Tailor made services ,[object Object],[object Object],[object Object],[object Object]
Adjusted cost structure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
High Flexibility &  Training ,[object Object],[object Object],[object Object],[object Object]
Intensive Project Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Budget and figures ,[object Object],[object Object],[object Object],[object Object]
Considerations for CRO involvement  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Reaching the balance point
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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