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Clinical
Research
A Quick
overview
OBJECTIVE OF
THIS SEMINAR
To bring together people (Students /
Researchers / Freshers) who wish to
be part of this noble industry for a
better interaction.
To impart basic knowledge about
Clinical Research Industry.
To expose the participants to the
current and future scenarios in Clinical
Research Industry in terms of
Professional Career Opportunities.
WHAT IS CLINICAL RESEARCH ?
INTERNATIONAL
CLINICAL
RESEARCH DAY
Clinical Trials Day is celebrated
• As recognition of James Lind on May 20th annually.
• To highlight the importance of clinical research in
improving and saving lives.
• It also provides a focal point to raise awareness of
the importance of research to health care and
highlights the critical partnerships between
patients, healthcare practitioners and researchers
INTERNATIONAL
CLINICAL
RESEARCH DAY
In the 18th Century, Scurvy was a common ailment for
seamen.
James Lind, a Scottish physician, conducted one of the
first known controlled clinical trials.
Lind found that sailors who ate citrus fruits stayed
healthy.
Captain Cook took Lind’s advice and his crew stayed
healthy for a four year journey
The British Navy then ordered sailors to drink lime juice
James Lind had found the cure for Scurvy – Vitamin C
Drug
Development
Drug Development
CLINICAL
TRIAL
PHASES
CLINICAL RESEARCH DOMAINS
KEY PLAYERS
IN CLINICAL
RESEARCH
CLINICAL OPERATIONS
PROJECT
MANAGEMENT.
SITE
MONITORING.
SITE FEASIBILITY. SITE
IDENTIFICATION
MAINTAIN
QUALITY
SITE
MANAGEMENT
SPONSOR
COORDINATION.
ROLES IN CLINICAL OPERATIONS
CLINICL TRIAL
ASSOCIATE
• Administrative
roles or clinical
trial
administrators
who support the
day-to-day
activities for the
trial
CLINICAL RESEARCH
ASSOCIATE
• Field-based
monitors or
clinical research
associates who
travel to different
research units to
ensure the trial is
running correctly.
CLINICAL PROJECT
MANAGERS
• Clinical
study/project
managers who
manage the
teams or running
of the trial
(usually on a
region or global
level)
PROJECT DIRECTOR
• Directorship
roles where the
person will have
the sole
responsibility for
a trial.
SALARY RANGE IN CLINCAL OPERATIONS
CLINICAL DATA MANAGEMENT
AND
BIOSTATISTICS
Why do the pharmaceutical
companies conduct clinical trials?
To get the approval for the new drug from the regulatory
authorities
How do they get the Approval?
By providing the evidences in the form data
Hence the data collected in a clinical trial has to be reliable, of high quality
and statistically sound
What is Clinical
Data
Management
• Clinical data management
(CDM) is a process of
collection, cleaning and
management of subject data in
compliance with regulatory
standards.
• The objective of CDM
processes is to provide high-
quality data by eliminating
mistakes and accumulating the
most data possible for analysis.
CDM Process
CRF Designing
Database Designing and Programming
Database Validation
Data Collection and Entry
Loading the External Data
Medical Coding
Data Review
SAE Reconciliation
Database Lock and archival
Statistical Analysis and Report writing
CDM Process
Roles in CDM Project
Data
Manager
CRF
Designer
Database
Developer
Data Entry
Operator
Data
Manger
Medical
Coder
Biostatistici
an
Statistical
Programme
r
• Servers as Sponsor POC
• Co-ordinates with the internal team
• Generates the study plans
• Reviews and approves the
documents generated for the study
• Manages the study timelines,
budget and deliverables
• Ensures the smooth conduct of the
DM activities
Project
Data
Manager
• Design the CRF as per the
study protocol
CRF
Designer
 Designs the study database as
per the final CRF
 Program the validation checks
 Performs External Data loads
Database
Developer
• Responsible for performing the data
entry of the received CRFs
• Tracking and Indexing of received CRFs
• Performs quality check of the entered
data
 Performs medical coding as per
the coding dictionaries
 Responsible for medical review
on the crtitical data
Data
Entry
Operator
Medical
Coder
• Performs database validation and UAT
• Preparation validation documents
• Responsible for data review
• Performs SAE reconciliation
• Performs Lab data reconciliation
Data
Manger
• Provides inputs in the protocol pertaining
to the statistical analysis
• Calculates sample size and generates
randomization
• Prepares the statistical analysis plan and report
Biostatistician
 Responsible for programming
of study datasets and
generation of TLFs
Statistical
Programmer
Tools used in DCM
CRF Designing
• Microsoft office
- word
• Adobe InDesign
• Adobe
FrameMaker
Clinical
Databases
• Medidata RAVE
• InForm
• Oracle Clinical -
RDC
Statistical
Analysis
• SAS
• IBM-SPSS
• R
Qualifications required
Data Manager
• Science/ Life science graduate/post graduate
• Pharmacy Graduates
Database Developer
• Bsc/Msc IT,
• Science graduate with programming knowledge
Medical Coder
• Pharmacy Graduates/ Post graduates
• BAMS/ BHMS
Qualifications required
Biostatistician
• Graduate/post graduate in statistics
• Doctorate in statistics
Statistical Programmer
• Bsc/Msc IT, BE
• Certification in statistical applications
such as SAS
Added Advantage
Data Management
• CCDM (Certified clinical data
manger by SCDM)
Statistics
• Base / Advance SAS
certification
India as a Hub for Clinical Trials
Diverse talent pool with a large number of healthcare
professionals
Skilled professionals in the field of IT and other sciences
Cost competitiveness
A huge patient pool
SALARY RANGE
Medical and
Scientific Writing
What is medical writing all about?
“Medical writing is the activity of writing
scientific documentation by someone
who is a specialized writer (a medical
writer) and is generally not one of the
scientists or doctors whose research it
was.”
Types of
Medical &
Scientific
Writing
Science Journalism
Technical Writing/Editing
Marketing
Medical Writing
Science Journalism
 Science, health, or
medical beat reporters
for a newspaper
 Staff writers for
magazines (eg
Newsweek)
 Freelance writers
specializing in science
topics
Technical Writing and Editing
 Generally, work for pharmaceutical or biotech
 NDA/IND filing
 Computer
 Electronics
 Protocol development for Scientists/Physicians
 Technical guides/instructions
 Product specifications
 Journal/textbook editing
Marketing
 Most pharmaceutical and biotech companies
have marketing departments
 Press releases
 Web site content
 Advertisements
 Catalogs
 Other marketing materials
Employers
Opportunities Within the
Pharmaceutical Industry
• Scientific communications
• Manage publications plans
• Develop manuscripts, abstracts, posters
• Medical education
• Medical promotion
• Regulatory
• Develop clinical study reports (CSR)
• Develop Study Protocols
• Write new drug application (NDA)
documents
• Support preparations for FDA meetings
such as advisory committee meetings
(ACM)
Qualifications
Attention to detail -
thorough and
accurate
Good
communication
skills (written and
verbal)
Ability to write well
and tailor
information to
specific audiences
Clear, concise
Logical story flow
Ability to work with
team members of
diverse educational
backgrounds
Ability to work
independently
(often remotely)
Deadline oriented
Good organization
and management
skills
Education and Training
• Education level parallels job requirements
• Bachelor of Science/Pharmacy or Master of
Science/Pharmacy
• BDS
• MBBS
• PhD
• B Pharm
• M Pharm
• PharmD
• MD
• Excellent software skills
• May require testing or additional training
Why Consider A Career In
Medical Writing?
• Work is engaging
• Diverse exposure to therapeutic
areas
• Cutting edge drug development
• Lucrative and in high demand
SALARY RANGE
PHARMACOVIGILANCE
What is
Pharmacovigilance?
Terms commonly used in drug
safety
• Benefits are commonly expressed as the proven therapeutic
good of a product, but should also include the patient’s
subjective assessment of its effects
• Risk is the probability of harm being caused, usually
expressed as a percent or ratio of the treated population; the
probability of an occurrence
Terms commonly used in drug
safety
• Harm is the nature and extent of the actual damage that
could be caused. It should not be confused with risk
• Effectiveness is used to express the extent to which a drug
works under real world circumstances, i.e., clinical practice
(not clinical trials).
• Efficacy is used to express the extent to which a drug works
under ideal circumstances (i.e., in clinical trials)
Objectives
• Short-term objectives – To foster a culture of
notification
• Medium-term objectives – To engage several
healthcare professionals and NGOs in the drug
monitoring and information dissemination
processes
• Long-term objectives – To achieve such
operational efficiencies that would make Indian
National Pharmacovigilance Programme a
benchmark for global drug monitoring
endeavors
CAREERS IN PHARMACOVIGILENCE
50
Drug Safety Associate
• Entry level job in
Pharmacovigilance
Mainly involved in case
creation data entry of all
information available in the
document
Reconciliation, checking for
minimum safety information
and follow-up process
Drug Safety Scientist
• Required complete
knowledge about medical
coding, good understanding
medial terms and common
understanding regulatory
affairs.
• Make sure that their
pharmaceutical products are
effective and safe.
• Responsible for identifying
and reporting on the adverse
effects of drugs
Aggregate Report Scientist
• Compilation of the safety data
for a drug over a prolonged
period.
• Require good narrative
writing experience of
individual cases like writing of
PSUR and PADER.
SALARY RANGE
51
CERTIFICATION IN
CLINICAL RESEARCH
MONITORING
CERTIFICATION IN
CLINICAL DATA
MANAGEMENT
CERTIFICATION IN
MEDICAL WRITING
CERTIFCATION IN
STATISTICAL
PROGRAMMING
CERTIFICATION IN
PHARMACOVIGILANCE
An ACADEMIC - INDUSTRY COLLABORATION
Brings
4-month Hybrid weekend Professional Industry Oriented Courses in

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Overview of CR.pptx

  • 2. OBJECTIVE OF THIS SEMINAR To bring together people (Students / Researchers / Freshers) who wish to be part of this noble industry for a better interaction. To impart basic knowledge about Clinical Research Industry. To expose the participants to the current and future scenarios in Clinical Research Industry in terms of Professional Career Opportunities.
  • 3. WHAT IS CLINICAL RESEARCH ?
  • 4. INTERNATIONAL CLINICAL RESEARCH DAY Clinical Trials Day is celebrated • As recognition of James Lind on May 20th annually. • To highlight the importance of clinical research in improving and saving lives. • It also provides a focal point to raise awareness of the importance of research to health care and highlights the critical partnerships between patients, healthcare practitioners and researchers
  • 5. INTERNATIONAL CLINICAL RESEARCH DAY In the 18th Century, Scurvy was a common ailment for seamen. James Lind, a Scottish physician, conducted one of the first known controlled clinical trials. Lind found that sailors who ate citrus fruits stayed healthy. Captain Cook took Lind’s advice and his crew stayed healthy for a four year journey The British Navy then ordered sailors to drink lime juice James Lind had found the cure for Scurvy – Vitamin C
  • 8.
  • 12. CLINICAL OPERATIONS PROJECT MANAGEMENT. SITE MONITORING. SITE FEASIBILITY. SITE IDENTIFICATION MAINTAIN QUALITY SITE MANAGEMENT SPONSOR COORDINATION.
  • 13. ROLES IN CLINICAL OPERATIONS CLINICL TRIAL ASSOCIATE • Administrative roles or clinical trial administrators who support the day-to-day activities for the trial CLINICAL RESEARCH ASSOCIATE • Field-based monitors or clinical research associates who travel to different research units to ensure the trial is running correctly. CLINICAL PROJECT MANAGERS • Clinical study/project managers who manage the teams or running of the trial (usually on a region or global level) PROJECT DIRECTOR • Directorship roles where the person will have the sole responsibility for a trial.
  • 14. SALARY RANGE IN CLINCAL OPERATIONS
  • 16. Why do the pharmaceutical companies conduct clinical trials? To get the approval for the new drug from the regulatory authorities How do they get the Approval? By providing the evidences in the form data Hence the data collected in a clinical trial has to be reliable, of high quality and statistically sound
  • 17. What is Clinical Data Management • Clinical data management (CDM) is a process of collection, cleaning and management of subject data in compliance with regulatory standards. • The objective of CDM processes is to provide high- quality data by eliminating mistakes and accumulating the most data possible for analysis.
  • 18. CDM Process CRF Designing Database Designing and Programming Database Validation Data Collection and Entry Loading the External Data
  • 19. Medical Coding Data Review SAE Reconciliation Database Lock and archival Statistical Analysis and Report writing CDM Process
  • 20. Roles in CDM Project Data Manager CRF Designer Database Developer Data Entry Operator Data Manger Medical Coder Biostatistici an Statistical Programme r
  • 21. • Servers as Sponsor POC • Co-ordinates with the internal team • Generates the study plans • Reviews and approves the documents generated for the study • Manages the study timelines, budget and deliverables • Ensures the smooth conduct of the DM activities Project Data Manager
  • 22. • Design the CRF as per the study protocol CRF Designer  Designs the study database as per the final CRF  Program the validation checks  Performs External Data loads Database Developer
  • 23. • Responsible for performing the data entry of the received CRFs • Tracking and Indexing of received CRFs • Performs quality check of the entered data  Performs medical coding as per the coding dictionaries  Responsible for medical review on the crtitical data Data Entry Operator Medical Coder
  • 24. • Performs database validation and UAT • Preparation validation documents • Responsible for data review • Performs SAE reconciliation • Performs Lab data reconciliation Data Manger
  • 25. • Provides inputs in the protocol pertaining to the statistical analysis • Calculates sample size and generates randomization • Prepares the statistical analysis plan and report Biostatistician  Responsible for programming of study datasets and generation of TLFs Statistical Programmer
  • 26. Tools used in DCM CRF Designing • Microsoft office - word • Adobe InDesign • Adobe FrameMaker Clinical Databases • Medidata RAVE • InForm • Oracle Clinical - RDC Statistical Analysis • SAS • IBM-SPSS • R
  • 27. Qualifications required Data Manager • Science/ Life science graduate/post graduate • Pharmacy Graduates Database Developer • Bsc/Msc IT, • Science graduate with programming knowledge Medical Coder • Pharmacy Graduates/ Post graduates • BAMS/ BHMS
  • 28. Qualifications required Biostatistician • Graduate/post graduate in statistics • Doctorate in statistics Statistical Programmer • Bsc/Msc IT, BE • Certification in statistical applications such as SAS
  • 29. Added Advantage Data Management • CCDM (Certified clinical data manger by SCDM) Statistics • Base / Advance SAS certification
  • 30. India as a Hub for Clinical Trials Diverse talent pool with a large number of healthcare professionals Skilled professionals in the field of IT and other sciences Cost competitiveness A huge patient pool
  • 33. What is medical writing all about? “Medical writing is the activity of writing scientific documentation by someone who is a specialized writer (a medical writer) and is generally not one of the scientists or doctors whose research it was.”
  • 34. Types of Medical & Scientific Writing Science Journalism Technical Writing/Editing Marketing Medical Writing
  • 35. Science Journalism  Science, health, or medical beat reporters for a newspaper  Staff writers for magazines (eg Newsweek)  Freelance writers specializing in science topics
  • 36. Technical Writing and Editing  Generally, work for pharmaceutical or biotech  NDA/IND filing  Computer  Electronics  Protocol development for Scientists/Physicians  Technical guides/instructions  Product specifications  Journal/textbook editing
  • 37. Marketing  Most pharmaceutical and biotech companies have marketing departments  Press releases  Web site content  Advertisements  Catalogs  Other marketing materials
  • 39. Opportunities Within the Pharmaceutical Industry • Scientific communications • Manage publications plans • Develop manuscripts, abstracts, posters • Medical education • Medical promotion • Regulatory • Develop clinical study reports (CSR) • Develop Study Protocols • Write new drug application (NDA) documents • Support preparations for FDA meetings such as advisory committee meetings (ACM)
  • 40. Qualifications Attention to detail - thorough and accurate Good communication skills (written and verbal) Ability to write well and tailor information to specific audiences Clear, concise Logical story flow Ability to work with team members of diverse educational backgrounds Ability to work independently (often remotely) Deadline oriented Good organization and management skills
  • 41. Education and Training • Education level parallels job requirements • Bachelor of Science/Pharmacy or Master of Science/Pharmacy • BDS • MBBS • PhD • B Pharm • M Pharm • PharmD • MD • Excellent software skills • May require testing or additional training
  • 42. Why Consider A Career In Medical Writing? • Work is engaging • Diverse exposure to therapeutic areas • Cutting edge drug development • Lucrative and in high demand
  • 46.
  • 47. Terms commonly used in drug safety • Benefits are commonly expressed as the proven therapeutic good of a product, but should also include the patient’s subjective assessment of its effects • Risk is the probability of harm being caused, usually expressed as a percent or ratio of the treated population; the probability of an occurrence
  • 48. Terms commonly used in drug safety • Harm is the nature and extent of the actual damage that could be caused. It should not be confused with risk • Effectiveness is used to express the extent to which a drug works under real world circumstances, i.e., clinical practice (not clinical trials). • Efficacy is used to express the extent to which a drug works under ideal circumstances (i.e., in clinical trials)
  • 49. Objectives • Short-term objectives – To foster a culture of notification • Medium-term objectives – To engage several healthcare professionals and NGOs in the drug monitoring and information dissemination processes • Long-term objectives – To achieve such operational efficiencies that would make Indian National Pharmacovigilance Programme a benchmark for global drug monitoring endeavors
  • 50. CAREERS IN PHARMACOVIGILENCE 50 Drug Safety Associate • Entry level job in Pharmacovigilance Mainly involved in case creation data entry of all information available in the document Reconciliation, checking for minimum safety information and follow-up process Drug Safety Scientist • Required complete knowledge about medical coding, good understanding medial terms and common understanding regulatory affairs. • Make sure that their pharmaceutical products are effective and safe. • Responsible for identifying and reporting on the adverse effects of drugs Aggregate Report Scientist • Compilation of the safety data for a drug over a prolonged period. • Require good narrative writing experience of individual cases like writing of PSUR and PADER.
  • 52. CERTIFICATION IN CLINICAL RESEARCH MONITORING CERTIFICATION IN CLINICAL DATA MANAGEMENT CERTIFICATION IN MEDICAL WRITING CERTIFCATION IN STATISTICAL PROGRAMMING CERTIFICATION IN PHARMACOVIGILANCE An ACADEMIC - INDUSTRY COLLABORATION Brings 4-month Hybrid weekend Professional Industry Oriented Courses in