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Quality Assurance
&
Quality Control
In Clinical Research
MSc Clinical Research 2020-2022(Sem-2)
Presented by;
Devarshi Nayak : Roll no - 9
Avani Pansuria : Roll no - 10
5/22/2021 CLINICAL RESEARCH PROGRAMS 1
5/22/2021 CLINICAL RESEARCH PROGRAMS 2
WHAT IS QUALITY?
• A measure of excellence or a state of being free from defects, deficiencies and
significant reactions
• Meeting customers expectations
• Exceeding the customers expectation
• Superiority to competitors
Analyze
Plane &
prioritize
Control
& report
Monitor
Identify
5/22/2021 CLINICAL RESEARCH PROGRAMS 3
IMPACTS OF IGNORANCE OF QUALITY
Lack of therapeutic
effect prolonged
illness , death
Toxic and adverse
reaction
Waste of limited
financial resources
Loss of credibility
Manufacturing process
Packaging
Transportation
Storage condition
MEDICINE
QUALITY
5/22/2021 CLINICAL RESEARCH PROGRAMS 4
QUALITY ASSURANCE
 QA (ICH sec 1.46 ) –
• All those planned and systemic actions that are established to ensure that the trial is
performed and data are generated , documented (recorded) and reported in
compliance with GCP (good clinical practice) and applicable regulatory
requirements.
5/22/2021 CLINICAL RESEARCH PROGRAMS 5
QUALITY ASSURANCE ACTIVITIES
Quality
Assurance
Activities
Reporting
Activities
Planning
Data
collection
Quality
control
Docume-
tation
Evaluation
5/22/2021 CLINICAL RESEARCH PROGRAMS 6
Applying
corrective and
preventive actions to
close the gaps
Keep
monitoring
and auditing
the current
practices
Improve objectives and
Improvement in
plans
Establishing
and
Implementing
best practices
OBJECTIVES OF QUALITY ASSURANCE
5/22/2021 CLINICAL RESEARCH PROGRAMS 7
COMPONENTS OF QUALITY ASSURANCE
• Strategic level
 Long term decision
 Quality policy
• Tactical level
 Medium term decision
 Training , facilities ,operation of QA
• Operational level
 Day to day operation
 SOP’s worksheet
Strategic level
Long term decision
Tactical Level
Medium term decision
Operational level
Day to day operation
5/22/2021 CLINICAL RESEARCH PROGRAMS 8
QUALITY CONTROL
 ICH (sec 1.47 )
 The operational techniques and activities undertaken within the quality assurance
system to verify that the requirements for quality of the trial related activities have
been fulfilled.
 As per ISO 9000
 Quality control is defined as a part of quality management focused on fulfilling
quality requirements.
 WHO
 The sum of all procedures undertaken to ensure the identity and purity of particular
pharmaceutical.
5/22/2021 CLINICAL RESEARCH PROGRAMS 9
COMPONENTS OF QUALITY CONTROL
Monitoring
Facilities
Audits
Analysis of
data
Data collection
Validation
Records
Quality
control
5/22/2021 CLINICAL RESEARCH PROGRAMS 10
CHALLENGE IN MANAGING THE QUALITY
 The ongoing challenge in managing the quality of clinical data is to
continually monitor data collection procedures and data management practices
at every level of the study.
 This includes:-
• Ensuring that data generated during the study reflect what is specified in the
protocol (CRF (Case Report Form) vs. protocol)
• Comparing data in the CRF and data collected in source documents for
accuracy (CRF vs. source documents)
• Ensuring that the data analyzed are the data recorded in the CRF (database vs.
CRF).
5/22/2021 CLINICAL RESEARCH PROGRAMS 11
RESPONSIBILITIES OF SPONSOR
SPONSOR
• Sponsor is an individual, company,
institution or organization which takes
responsibility for the initiations,
management & financing of clinical
trials.
5/22/2021 CLINICAL RESEARCH PROGRAMS 12
• 5.1.1- The sponsor is responsible for implementing and maintaining quality
assurance and quality control system with written SOPs to ensure that trials are
conducted and data are generated, documented (recorded) and reported in compliance
with the protocol, GCP, and the applicable regulatory requirements.
• 5.1.2- The sponsor is responsible for securing agreement from all involved parties to
ensure direct access to all trial-related sites, source data/documents, and reports for
the purpose of monitoring and auditing by the sponsor, and inspection by domestic
and foreign regulatory authorities.
• 5.1.3- Quality control should be applied to each stage of data handling to ensure that
all that data are reliable and have been processed correctly.
• 5.1.4- Agreements, made by the sponsor with the investigator/institution and any
other parties involved with the clinical trial, should be in writing, as a part of the
protocol or in a separate agreement.
5/22/2021 CLINICAL RESEARCH PROGRAMS 13
Sponsors
Project manager
CRA/Monitor
CRO ( Contract Research Organization)
Data manager
Biostatical
Medical writer
5/22/2021 CLINICAL RESEARCH PROGRAMS 14
DIFFERENCE
5/22/2021 CLINICAL RESEARCH PROGRAMS 15
QC QA
Focus Product quality at a given moment Project process
Character Reactive ( defects the issues when
there're already in )
Preventive (blocks the issues by
detecting vulnerabilities)
Starting point Require Presentment gathering stage
in each iteration
Project planning stage
(most efficient)
Any point in the SDLC when the
project is in trouble
Tools and measures Various types of testing
Testing metrics
Test reports
Quality metrics
Reviews
audits
5/22/2021 CLINICAL RESEARCH PROGRAMS 16
Quality
assurance
& quality
control
Policy,
Objectives,
Procedures,
standards
Continuous
improvements
Customer
satisfaction
Corporate image
Customer
service
Project
success
Corporate
performance
Staff moral,
retention &
satisfaction
5/22/2021 CLINICAL RESEARCH PROGRAMS 17
IMPORTANCE OF QA & QC
WHY QA & QC IS NEEDED?
• Ensures that the trial is in compliance with protocols,
Standard Operating Procedures (SOPs) and Good Clinical
Practices (GCP)
• Resolves systemic problems before the end of the trial
• Helps minimize data queries
• Come up with ways to minimize cycle times for various
processes
• Assure the credibility and reliability of the data
• Make sure that the data entered at all stages of the trial is
consistent and accurate
• Play an important role in dealing with cases of
nonconformity during the trial
Quality
Quality
assurance
Quality
control
5/22/2021 CLINICAL RESEARCH PROGRAMS 18
REFERENCES
• A text book of Pharmaceutical quality assurance by anusuya r.kashi, bindu
sukumaran,veena p
• Good clinical practice by josef kolman,paul meng
• Clinical studies management by simon cook
• https://www.scnsoftomlog/qa-vs-qc-fighting-the-fog
• ICH GCP E6(R2) good clinical practice: integrated addendum to ICH E6 (R1)
5/22/2021 CLINICAL RESEARCH PROGRAMS 19
5/22/2021 CLINICAL RESEARCH PROGRAMS 20

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ICH Guidelines for Pharmacovigilance.pdf
 

Qa and Qc in clinical research sem ll (1)

  • 1. Quality Assurance & Quality Control In Clinical Research MSc Clinical Research 2020-2022(Sem-2) Presented by; Devarshi Nayak : Roll no - 9 Avani Pansuria : Roll no - 10 5/22/2021 CLINICAL RESEARCH PROGRAMS 1
  • 3. WHAT IS QUALITY? • A measure of excellence or a state of being free from defects, deficiencies and significant reactions • Meeting customers expectations • Exceeding the customers expectation • Superiority to competitors Analyze Plane & prioritize Control & report Monitor Identify 5/22/2021 CLINICAL RESEARCH PROGRAMS 3
  • 4. IMPACTS OF IGNORANCE OF QUALITY Lack of therapeutic effect prolonged illness , death Toxic and adverse reaction Waste of limited financial resources Loss of credibility Manufacturing process Packaging Transportation Storage condition MEDICINE QUALITY 5/22/2021 CLINICAL RESEARCH PROGRAMS 4
  • 5. QUALITY ASSURANCE  QA (ICH sec 1.46 ) – • All those planned and systemic actions that are established to ensure that the trial is performed and data are generated , documented (recorded) and reported in compliance with GCP (good clinical practice) and applicable regulatory requirements. 5/22/2021 CLINICAL RESEARCH PROGRAMS 5
  • 7. Applying corrective and preventive actions to close the gaps Keep monitoring and auditing the current practices Improve objectives and Improvement in plans Establishing and Implementing best practices OBJECTIVES OF QUALITY ASSURANCE 5/22/2021 CLINICAL RESEARCH PROGRAMS 7
  • 8. COMPONENTS OF QUALITY ASSURANCE • Strategic level  Long term decision  Quality policy • Tactical level  Medium term decision  Training , facilities ,operation of QA • Operational level  Day to day operation  SOP’s worksheet Strategic level Long term decision Tactical Level Medium term decision Operational level Day to day operation 5/22/2021 CLINICAL RESEARCH PROGRAMS 8
  • 9. QUALITY CONTROL  ICH (sec 1.47 )  The operational techniques and activities undertaken within the quality assurance system to verify that the requirements for quality of the trial related activities have been fulfilled.  As per ISO 9000  Quality control is defined as a part of quality management focused on fulfilling quality requirements.  WHO  The sum of all procedures undertaken to ensure the identity and purity of particular pharmaceutical. 5/22/2021 CLINICAL RESEARCH PROGRAMS 9
  • 10. COMPONENTS OF QUALITY CONTROL Monitoring Facilities Audits Analysis of data Data collection Validation Records Quality control 5/22/2021 CLINICAL RESEARCH PROGRAMS 10
  • 11. CHALLENGE IN MANAGING THE QUALITY  The ongoing challenge in managing the quality of clinical data is to continually monitor data collection procedures and data management practices at every level of the study.  This includes:- • Ensuring that data generated during the study reflect what is specified in the protocol (CRF (Case Report Form) vs. protocol) • Comparing data in the CRF and data collected in source documents for accuracy (CRF vs. source documents) • Ensuring that the data analyzed are the data recorded in the CRF (database vs. CRF). 5/22/2021 CLINICAL RESEARCH PROGRAMS 11
  • 12. RESPONSIBILITIES OF SPONSOR SPONSOR • Sponsor is an individual, company, institution or organization which takes responsibility for the initiations, management & financing of clinical trials. 5/22/2021 CLINICAL RESEARCH PROGRAMS 12
  • 13. • 5.1.1- The sponsor is responsible for implementing and maintaining quality assurance and quality control system with written SOPs to ensure that trials are conducted and data are generated, documented (recorded) and reported in compliance with the protocol, GCP, and the applicable regulatory requirements. • 5.1.2- The sponsor is responsible for securing agreement from all involved parties to ensure direct access to all trial-related sites, source data/documents, and reports for the purpose of monitoring and auditing by the sponsor, and inspection by domestic and foreign regulatory authorities. • 5.1.3- Quality control should be applied to each stage of data handling to ensure that all that data are reliable and have been processed correctly. • 5.1.4- Agreements, made by the sponsor with the investigator/institution and any other parties involved with the clinical trial, should be in writing, as a part of the protocol or in a separate agreement. 5/22/2021 CLINICAL RESEARCH PROGRAMS 13
  • 14. Sponsors Project manager CRA/Monitor CRO ( Contract Research Organization) Data manager Biostatical Medical writer 5/22/2021 CLINICAL RESEARCH PROGRAMS 14
  • 16. QC QA Focus Product quality at a given moment Project process Character Reactive ( defects the issues when there're already in ) Preventive (blocks the issues by detecting vulnerabilities) Starting point Require Presentment gathering stage in each iteration Project planning stage (most efficient) Any point in the SDLC when the project is in trouble Tools and measures Various types of testing Testing metrics Test reports Quality metrics Reviews audits 5/22/2021 CLINICAL RESEARCH PROGRAMS 16
  • 18. WHY QA & QC IS NEEDED? • Ensures that the trial is in compliance with protocols, Standard Operating Procedures (SOPs) and Good Clinical Practices (GCP) • Resolves systemic problems before the end of the trial • Helps minimize data queries • Come up with ways to minimize cycle times for various processes • Assure the credibility and reliability of the data • Make sure that the data entered at all stages of the trial is consistent and accurate • Play an important role in dealing with cases of nonconformity during the trial Quality Quality assurance Quality control 5/22/2021 CLINICAL RESEARCH PROGRAMS 18
  • 19. REFERENCES • A text book of Pharmaceutical quality assurance by anusuya r.kashi, bindu sukumaran,veena p • Good clinical practice by josef kolman,paul meng • Clinical studies management by simon cook • https://www.scnsoftomlog/qa-vs-qc-fighting-the-fog • ICH GCP E6(R2) good clinical practice: integrated addendum to ICH E6 (R1) 5/22/2021 CLINICAL RESEARCH PROGRAMS 19