This document summarizes the key components of a clinical trial protocol. It discusses the types of clinical trials, phases of clinical trials, and the typical sections included in a protocol such as the title, objectives, study design, study population criteria, safety and efficacy assessments, statistics, and quality control plans. Protocols provide a formal design and plan for how a clinical trial will be conducted, managed, and reported.
Assignment on Regulatory Prespectives of Clinical TrialsDeepak Kumar
Assignment on Origin and Principles of International Conference on Harmonization - Good Clinical Practice, (ICH-GCP) guidelines Ethical Committee- Institutional Review Board, Ethical Guidelines for Biomedical Research and Human Participant-Schedule Y, ICMR
Origin and principles of international conference on harmonization- Good clin...AbhishekJoshi312
The ppt gives a basic information about ICH-GCP, how it originated , what led to the formation of ICH-GCP guidelines and what are the principles of the guidelines.
Guidelines for Preparation of Documents, Clinical Study Report Clinical Trial...Dinesh Gangoda
Contents
Guidelines for Preparation of Documentation
Clinical Study Reports
Clinical Trial Monitoring
Safety Monitoring in clinical trials
Introduction
Proper documentation is critical to the success of a clinical study.
Every aspect of the study must be documented in order to obtain useful data and demonstrate compliance with Good Clinical Practice (GCP) guidelines and with all applicable regulations.
Investigator’s Brochure (IB)
List of Abbreviations
Contents & Summary
Introduction provides the chemical name (and generic and trade names, if approved) of the investigational product.
Physical, chemical and pharmaceutical properties and formulation of the medicinal product. Non-clinical studies & Clinical Studies and their results.
The Investigator's Brochure should be reviewed at least annually and revised as necessary in compliance with a standard procedures established by drug development company.
Assignment on Regulatory Prespectives of Clinical TrialsDeepak Kumar
Assignment on Origin and Principles of International Conference on Harmonization - Good Clinical Practice, (ICH-GCP) guidelines Ethical Committee- Institutional Review Board, Ethical Guidelines for Biomedical Research and Human Participant-Schedule Y, ICMR
Origin and principles of international conference on harmonization- Good clin...AbhishekJoshi312
The ppt gives a basic information about ICH-GCP, how it originated , what led to the formation of ICH-GCP guidelines and what are the principles of the guidelines.
Guidelines for Preparation of Documents, Clinical Study Report Clinical Trial...Dinesh Gangoda
Contents
Guidelines for Preparation of Documentation
Clinical Study Reports
Clinical Trial Monitoring
Safety Monitoring in clinical trials
Introduction
Proper documentation is critical to the success of a clinical study.
Every aspect of the study must be documented in order to obtain useful data and demonstrate compliance with Good Clinical Practice (GCP) guidelines and with all applicable regulations.
Investigator’s Brochure (IB)
List of Abbreviations
Contents & Summary
Introduction provides the chemical name (and generic and trade names, if approved) of the investigational product.
Physical, chemical and pharmaceutical properties and formulation of the medicinal product. Non-clinical studies & Clinical Studies and their results.
The Investigator's Brochure should be reviewed at least annually and revised as necessary in compliance with a standard procedures established by drug development company.
Roles and Responsibilities in Clinical Trials of Investigator, Study Coordinator, Sponsor, Monitor, a Contract research organization.
The clinical trial, definition, description, Different types of clinical trials, phases of clinical trial.
The clinical trial study team.
Requirements of the clinical trial study team.
Clinical research team role.
GCP- Good clinical practices.
Roles and Responsibilities of sponsor, CRO, and investigator MOHAMMEDSALEEMJM
This slide mainly includes Roles and responsibilities of sponsor CRO and Investigator in Ethical conduct of Clinical Research as per ICH GCP Guidelines
Required mainly for Regulatory affairs students
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
The safety monitoring in a clinical trail accompanies by common practices in safety monitoring, communicating safety information among stakeholders in a clinical trail.
Safety pharmacology is a branch of pharmacology with its aim to predict the potential clinical risk profile of new chemical entities (NCEs).
It has the ability to predict the potential off-target drug effects on major organ systems which are associated with exposure in the therapeutic range and above.
As an essential part of the spectrum of drug discovery and development, safety pharmacology studies are generally conducted to determine the relative drug effect on main organs, including respiratory system, central nervous system, and cardiovascular system.Safety pharmacology is an essential part of the drug development process that aims to identify and predict adverse effects prior to clinical trials.
SP studies are described in the international conference on harmonization (ICH) S7A and S7B Guidelines.
This document describes the detailed information of clinical trial protocol and protocol design. The protocol includes the key information of study designs. This document is downloaded as a PDF and viewed online.
Roles and Responsibilities in Clinical Trials of Investigator, Study Coordinator, Sponsor, Monitor, a Contract research organization.
The clinical trial, definition, description, Different types of clinical trials, phases of clinical trial.
The clinical trial study team.
Requirements of the clinical trial study team.
Clinical research team role.
GCP- Good clinical practices.
Roles and Responsibilities of sponsor, CRO, and investigator MOHAMMEDSALEEMJM
This slide mainly includes Roles and responsibilities of sponsor CRO and Investigator in Ethical conduct of Clinical Research as per ICH GCP Guidelines
Required mainly for Regulatory affairs students
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
The safety monitoring in a clinical trail accompanies by common practices in safety monitoring, communicating safety information among stakeholders in a clinical trail.
Safety pharmacology is a branch of pharmacology with its aim to predict the potential clinical risk profile of new chemical entities (NCEs).
It has the ability to predict the potential off-target drug effects on major organ systems which are associated with exposure in the therapeutic range and above.
As an essential part of the spectrum of drug discovery and development, safety pharmacology studies are generally conducted to determine the relative drug effect on main organs, including respiratory system, central nervous system, and cardiovascular system.Safety pharmacology is an essential part of the drug development process that aims to identify and predict adverse effects prior to clinical trials.
SP studies are described in the international conference on harmonization (ICH) S7A and S7B Guidelines.
This document describes the detailed information of clinical trial protocol and protocol design. The protocol includes the key information of study designs. This document is downloaded as a PDF and viewed online.
“CSR is a detailed regulatory document which gives the information about the methods and results (related to efficacy and safety) of a clinical trial. CSRs are created as a part of the process of submitting applications to the Regulatory Authorities for new medical treatments and for its approval. CSRs can be full, abbreviated, synopsis, supplementary, observational etc as per the results and requirements”.
A clinical trial protocol is a comprehensive document that outlines the objectives, design, methodology, procedures, and statistical considerations of a clinical research study. It serves as a detailed blueprint for conducting the trial and provides guidance to the investigators, study staff, ethics committees, and regulatory authorities involved in the study. Here are the key components typically included in a clinical trial protocol
Presentation on theme: "GCP (GOOD CLINICAL PRACTISE)"Nevin Francis
Creating a comprehensive 3000-word essay on Good Clinical Practice (GCP) would be quite extensive and may not fit within the scope of our conversation here. However, I can provide you with a detailed outline and key points that you could expand upon to reach the desired word count.
**Introduction to Good Clinical Practice (GCP)**
- Definition and importance of GCP in clinical research.
- Historical development and international harmonization efforts.
**Ethical Considerations in GCP**
- The role of ethics in clinical trials.
- Informed consent process and protection of participants' rights.
**Designing Clinical Trials under GCP Guidelines**
- Key elements in the design of a clinical trial.
- Considerations for protocol development.
**Conducting Clinical Trials According to GCP**
- Responsibilities of sponsors and investigators.
- Patient recruitment and data management strategies.
**Safety Monitoring and Adverse Event Reporting**
- Monitoring patient safety and reporting adverse events.
- The role of Data Safety Monitoring Boards (DSMBs).
**Quality Assurance in Clinical Trials**
- Audits, inspections, and ensuring compliance with GCP.
- The significance of documentation and record-keeping.
**Statistical Considerations in Clinical Trials**
- Importance of statistical methods in trial design and analysis.
- Interpreting results and determining clinical significance.
**The Future of GCP and Clinical Research**
- Innovations in clinical trial methodology.
- The impact of technology on GCP and patient engagement.
**Conclusion**
- The ongoing importance of GCP for the integrity of clinical research.
- The global impact of GCP on healthcare and medicine.
Each of these sections can be elaborated to create a full essay that discusses the principles and practices of GCP in depth. For the most current and detailed information, you can refer to the ICH E6 (R2) Good Clinical Practice guidelines¹, which are recognized internationally and provide a comprehensive framework for conducting clinical trials that involve human subjects. Additionally, the draft version of the ICH E6 (R3) principles provides updated guidance on ethical trial conduct, participant safety, and reliable results².
Remember, while expanding on these points, it's essential to cite relevant guidelines, regulations, and literature to support your discussion and provide a well-rounded view of GCP.
Source: Conversation with Bing, 19/02/2024
(1) ICH E6 (R2) Good clinical practice - Scientific guideline. https://www.ema.europa.eu/en/ich-e6-r2-good-clinical-practice-scientific-guideline.
(2) ICH-E6 Good Clinical Practice (GCP). https://database.ich.org/sites/default/files/ICH_E6-R3_GCP-Principles_Draft_2021_0419.pdf.
(3) ICH Guidance Documents | FDA. https://www.fda.gov/science-research/clinical-trials-and-human-subject-protection/ich-guidance-documents.
(4) Good Clinical Practice Guidelines (India) - Rajiv Gandhi Centre for .... https://www.rgcb.res.in/documents/Good-Clinical-Practice-Gu
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An inspection had shown that a significant amount of hot flue gas was bypassing the boiler tubes, where the heat was supposed to be transferred.
R&R Consult conducted a CFD analysis, which revealed that 6.3% of the flue gas was bypassing the boiler tubes without transferring heat. The analysis also showed that the flue gas was instead being directed along the sides of the boiler and between the modules that were supposed to capture the heat. This was the cause of the reduced performance.
Based on our results, Tetra Engineering installed covering plates to reduce the bypass flow. This improved the boiler's performance and increased electricity production.
It is always satisfying when we can help solve complex challenges like this. Do your systems also need a check-up or optimization? Give us a call!
Work done in cooperation with James Malloy and David Moelling from Tetra Engineering.
More examples of our work https://www.r-r-consult.dk/en/cases-en/
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3. Introduction
•Clinical trials are sets of tests in medical research & Drug
Development that generate safety and efficacy data for health
intervention (Eg. drugs,diagonistics,devices,therapy protocols)
•They are conducted only after satisfactory information has been
gathered on the quality of nonclinical safety ,and health
authority/ethics committee approval is granted in the country where
approval of the drug or device is sought.
•The clinical trial design & objectives are written into a document
called a clinical trial protocol. It is a document that states
background , objectives , rationale , design , methodology and
statistical consideration of the study .It also states the condition
under which the study shall be performed and managed .
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4. Types of Clinical trial :
1) Prevention trial :
• Look for better ways to prevent disease in people who have
never had the disease or to prevent a disease from returning
.This approaches may include medicines vitamins , minerals , or
lifestyle changes .
2) Screening trial :
Test the best way to detect certain disease or health conditions.
• Assess the safety and effectiveness of a different dose of a
medication than is commonly used ( eg. 10mg dose instead of
5mg dose )
• Compare the effectiveness with patients with a specific disease
of two or more already approved or common interventions for
that disease .
4/18
5. 3) Diagnostics trial :
•Conduct to find better tests or procedures for diagnosing a
particular disease or condition. In a clinical trial, the investigator
first identifies the medication/device be tested. Then the
investigator decides what to compare it with and what kind of
patients might benefit from the medication/device.
4) Treatment trial
•Test experimental treatment , new combination of drugs , or
new approaches to surgery or radiation therapy .
5) Quality of life trial
•Explore ways to improve comfort and quality of life for
individual with a chronic illness.
6) Compassionate use trial
•Provide experimental therapeutics prior to final FDA approval to
patients whose optional with other remedies have been
unsuccessful. Usually case by case approval must be granted by
FDA for such exception.
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6. Phases of clinical trial :
Clinical trial involving new drugs are commonly classified into four
phases . Each phase of the drug approval process is treated as a
separate clinical trial . The drug-development process will
normally proceed through all four phases over many years . If the
drug successful passes through Phases 0,1,2& 3 , it will usually be
approved by the national regulatory authority for use in general
population.
•Phase 0 : Pharmacodynamics & Pharmacokinetics
•Phase 1 : Screening for safety
•Phase 2 :Establishing efficacy of drug usually against a placebo
•Phase 3 : Final confirmation of safety & efficacy
•Phase 4 : Provide additional information about benefit & risk
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7. Clinical trial Protocols :
1. General Information
2. Objectives and Justification
3. Ethical Consideration
4. Study Design
5. Inclusion , Exclusion & Withdrawal of subjects
6. Handling of product
7. Assessment of Efficacy
8. Assessment of Safety
9. Statistics
10. Data handling and Management
11. Quality control and Quality assurance
12. Finance And Insurance
13. Publication policy
14. Evaluation
15. Supplementation and appendices
7/18
8. 1.General Information
•Protocol title, protocol identifying number and date. All
amendments number and date(s)
•Name , address & contact number of the sponsor and the
monitor /CRO
•Name and title of the persons authorised to sign the protocol
amendments for the sponsor
•Name , title, address and contact number of sponsor’s medical
expert for the study
•Name ,title , address and contact number of the investigators
who are responsible for conducting the study ,along with their
consent letters
• Name ,Address & contact number of the institutions – clinical
laboratories and / or other medical & technical departments
along with the particulars of the head of institutions and the
relevant department.
8/18
9. 2. Objectives & Justification :
•Aims & objectives of the study , indicating the Phase to which the
study corresponds
•Name and description of the investigational products
•A summary of findings from non-clinical studies that potentially
have clinical significance & from clinical studies that are relevant to
the study
•Summary of the known & potential risks and benefits if any ,to
human objects
•A statement that the study will be conducted in compliance with
protocol , GCP and applicable regulatory requirements
•Descriptions of the inclusions & exclusions criteria of the study
population
•References to literature & data that are relevant to study & that
provide background for the study .
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10. 3. Ethical consideration :
•General ethical consideration related to study
•Description of how patients/healthy volunteers will be informed
and how their consent will be obtained
•Possible reasons for not seeking informed consent.
4. Study Design :
•The scientific integrity of the study & the credibility of the data
from the study depend substantially on the study design.
Description of the study design should include
•Specific statement of primary & secondary end points ,if any ,to be
measured during the study
•Description of the type of the study ,study design ,blinding
technique ,randomisation & placebo controlled .
•A schematic diagram of the study design , procedures and stages
•Medications/treatment permitted & not permitted before and or
during the study.
10/18
11. •A description of the manner of packaging & labelling of the
investigational product.
•Duration of the subject participation and a description of the
sequence of all study period including follow up the study
•Proposed date of initiation of the study
•Maintenance of study treatment randomisation codes & procedures
for breaking codes.
•Documentation of any decoding that may occur during the study.
•Procedure for monitoring subjects compliance.
5) Inclusion , Exclusion & Withdrawal of Subjects
• Subject inclusion criteria : Specification of the
subjects(patients/Healthy volunteers ) including age , gender ,
ethic groups , Prognostic factors , Diagnostic admission criteria
etc. should clearly mentioned where relevant .
• Subject exclusion criteria , including are exhaustive statement on
criteria for pre admission exclusions.
11/18
12. •Subject withdrawal criteria and procedures specifying – when &
how to withdraw subjects from the treatment , type & timing of
data to be collected from withdrawn subjects , whether & how
subjects are to be replaced and follow up on withdrawn subjects
•Statistical justification for the number of subjects to be included in
the study.
6). Handling of Products
•Measures to be implemented to ensure the safe handling and
storage of the pharmaceutical products
•System to be followed for labelling of the product
•The label should necessarily contain the following information :
the words “ For Clinical Studies only “ , name or code of the study ,
name & contact number of Investigator , name of institution ,
Subjects identification code .
12/18
13. 7) Assessments of Efficacy
•Specification of the effect parameters to be used
•Description of how effects are measured and recorded
•Time & periodicity of effect recording
•Description of special analyses / test to be carried out
8) Assessment of Safety
•Specification of safety parameters
•Methods & periodicity for assessing & recording safety parameters
•Procedures for eliciting reports of and for recording and reporting
ADR / adverse events & inter current illnesses
•Type & duration of the follow up of subjects after adverse events
•Information on establishment of the study code ,where it will be
kept and when , how & by whom it can be broken in the event of an
emergency.
13/18
14. 9) Statistics
•Description of statistical methods to be employed
•Number of study subjects needed to achieve the study objective ,
and statistical consideration on which proposed number of subjects
is based.
•Procedures for managing missing data ,unused data & unauthentic
data .
•Procedures for reporting any deviation from original staitsitcal plan
should be stated & justified in protocol
•Selection of subjects to be included in final analyses (eg. All
randomized subjects/all dosed subjects/all eligible
subjects/evaluable subjects.
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15. 10.Data handling and Management
A statement should be clearly made in the protocol that “That the
investigator(s)/institution(s) will permit study related monitoring
,audits ,ethics committee review and regulatory inspection(s)
providing direct access to source data / documents.
•Procedures for handling & processing records of effects and
adverse effects to the product(s) under the study.
•Procedures for keeping of patients records for each individual
taking part in the study .Records should facilitate easy identification
of the individual subjects .
15/18
16. 11. Quality Control & Quality Assurance
•A meticulous and specified plan for the various steps &
procedures for the purpose of controlling & monitoring the study
effectively.
•Specifications & instruction for anticipated deviations from
protocol.
•Allocation of duties & responsibilities with research team and
their co-ordination.
•Instructions to staff including study description (the way study
is to be conducted & procedures for drug administration) .
•Address & contact number etc. Enabling any staff member to
contact the research team any hour .
•Considerations of confidentiality problems ,if any rise.
•Quality control of methods and evaluations procedures
16/18
17. 12.Finance and Insurance
•All financial aspects of conducting and reporting a study arranged
and a budget made out.
•Information should be available about the sources of economic
support (eg. Foundation , private or public funds,
sponsor/manufacturer) . Likewise it should be stated how the
expenditure should be distributed eg. Payment to subjects
,refunding expenses of subjects , payment for special tests ,
technical assistance, purchase of apparatus ,payment of
investigator.
•Study subjects should be satisfactorily insured against any injury
caused by the study .
•The liability involved parties must be clearly agreed & stated before
the start of study
17/18
18. 13. Publication Policy
•A publication policy, if not addressed in a separate agreement,
should be described in the protocol .
14. Evaluation
•A specified account for how the response to be evaluated .
•Methods of computation & calculation of effects
•Descriptions of how to deal with report subjects withdrawn /
dropped out of the study
15. Supplements & appendices
The following documents should be appended with the protocol
•Information to study subjects and mode of providing it.
•Instructions to staff
•Descriptions of special procedures .
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