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
Investigator: A person responsible for the conduct of the study at the trial site.
Investigator is a person responsible for the rights, health and welfare of the study subjects.
In any work or process documents that are needed before initiation, Between or generally the end of the process just like in a clinical trial those “Documents which permit evaluation of the conduct of a trial and the quality of the data produced. It is given in the 8th section of the ICH-GCP.
A sponsor in literal terms is defined as an individual or a company or an institution that takes the responsibility for the initiation, management and/or financing of a clinical study.
In case an investigator independently initiates and takes full responsibility for a trial, he/she automatically assumes the role of a sponsor.
Investigator: A person responsible for the conduct of the study at the trial site.
Investigator is a person responsible for the rights, health and welfare of the study subjects.
In any work or process documents that are needed before initiation, Between or generally the end of the process just like in a clinical trial those “Documents which permit evaluation of the conduct of a trial and the quality of the data produced. It is given in the 8th section of the ICH-GCP.
A sponsor in literal terms is defined as an individual or a company or an institution that takes the responsibility for the initiation, management and/or financing of a clinical study.
In case an investigator independently initiates and takes full responsibility for a trial, he/she automatically assumes the role of a sponsor.
Table of contents
-Definition of CRF
-What is CRF
-Types & Methods of filling of CRF
-CRF Input team
-CRF Approval team
-Review team
-Facts about CRF
-Purpose of CRF
-CRF Development process & Guidelines
-Elements of CRF
-CRF Design
-CRF completion checklist
-CRF Design tools
-CRF use
-GCP connection
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.
The safety monitoring in a clinical trail accompanies by common practices in safety monitoring, communicating safety information among stakeholders in a clinical trail.
Lets, just get to know more about safety reporting in clinical trails with some terminologies, reporting requirements of ADR, compensations involved and finally the role of ethics committee in it,
Roles and Responsibilities of sponsor in conducting clinical trials as per GC...Dr B Naga Raju
Presentation on Roles and Responsibilities of sponsor in conducting clinical trials as per GCP-ICH for pursuing a subject in the course of PharmD programme under RGUHS
“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”.
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.
Essential Documents For the Conduct of Clinical TrialClinosolIndia
The conduct of a clinical trial involves the generation and maintenance of various essential documents to ensure compliance with regulatory requirements and Good Clinical Practice (GCP) guidelines. These documents serve as a record of the trial and provide evidence of the study's conduct, integrity, and participant protection. Here are some essential documents commonly required for the conduct of a clinical trial
TSDP tells about the essential documents that are required for the #conduct of a clinical trial. For #regulatory medical writing training, contact hello@turacoz.in.
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
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
Table of contents
-Definition of CRF
-What is CRF
-Types & Methods of filling of CRF
-CRF Input team
-CRF Approval team
-Review team
-Facts about CRF
-Purpose of CRF
-CRF Development process & Guidelines
-Elements of CRF
-CRF Design
-CRF completion checklist
-CRF Design tools
-CRF use
-GCP connection
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.
The safety monitoring in a clinical trail accompanies by common practices in safety monitoring, communicating safety information among stakeholders in a clinical trail.
Lets, just get to know more about safety reporting in clinical trails with some terminologies, reporting requirements of ADR, compensations involved and finally the role of ethics committee in it,
Roles and Responsibilities of sponsor in conducting clinical trials as per GC...Dr B Naga Raju
Presentation on Roles and Responsibilities of sponsor in conducting clinical trials as per GCP-ICH for pursuing a subject in the course of PharmD programme under RGUHS
“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”.
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.
Essential Documents For the Conduct of Clinical TrialClinosolIndia
The conduct of a clinical trial involves the generation and maintenance of various essential documents to ensure compliance with regulatory requirements and Good Clinical Practice (GCP) guidelines. These documents serve as a record of the trial and provide evidence of the study's conduct, integrity, and participant protection. Here are some essential documents commonly required for the conduct of a clinical trial
TSDP tells about the essential documents that are required for the #conduct of a clinical trial. For #regulatory medical writing training, contact hello@turacoz.in.
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
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
ICH-E2A: Safety Reporting in Clinical Trials in Australia
Dr. Ananda Kondepati, M.D. and
Dr. Shalini Pasumarthi, M.D.
Research Program Director:
Pr. Peivand Pirouzi
the all the content in this profile is completed by the teachers, students as well as other health care peoples.
thank you, all the respected peoples, for giving the information to complete this presentation.
this information is free to use by anyone.
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
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.
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
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
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Roles and Responsibilities of sponsor, CRO, and investigator
1. Roles and Responsibilities of sponsor, CRO,
and investigator in ethical conduct of clinical
research
Subject :- Clinical Research Regulation
Presented By :-
Mohammed Saleem JM
I Sem M Pharm
Dept of Pharmaceutics and Regulatory Affairs
1
2. SPONSOR :-
2
WHO IS SPONSER ?
PHARMACEUTICAL
COMPANY
INDIVIDUAL
GOVERNAMENT
AGENCY
ACADEMIC
INSTITUTION
PRIVATE
ORGANIZATION
3. Sponsor
• Sponsor is an individual, company, inistitution or organization which
takes responsibility for the initiation, management,and/or financing
of a clinical trial
Sponsor team contain following
• Project manager
• CRA/Monitor
• CRO(Contract research organization)
• Data manager
• Bioststistican
• Medical writer 3
4. Responsibilities of sponsor
Quality Management
The sponsor should implement a system to manage quality throughout
all stages of the trial process.
Sponsor should focus on trial activities essential to ensuring human
subject protection and the reliability of trial results. Quality
management includes the design of efficient clinical trial protocols and
tools and procedures for data collection and processing,as well as
collection of information that is essential to descission making.
The methods used to assure and control the quality of the trial should
be proportionate to the risk inherent in the trial and the importance of
the information collected.
4
5. The sponsor should ensure that all aspect of the trial are operationally
feasible and should avoid unnecessary complexity, procedures and data
collection. Protocols, case report forms, and other operational documents
should be clear concise, and consistent.
The quality management system should use a risk- based approach as
described below:-
• Critical Process and Data Identification
• Risk identification
• Risk evaluation
• Risk control
• Risk communication
• Risk review
• Risk reporting
5
6. • Critical Process and Data Identification:- During protocol
development, the sponsor should identify those processes and data
that are critical to ensure human subject protection and the reliability
of trial results.
• Risk Identification :- The sponsor should identify risks to critical trial
processes and data. Risks should be considered at both the system
level (e.g., standard operating procedures, computerized systems,
personnel) and clinical trial level (e.g., trial design, data collection,
informed consent process).
• Risk Review:- The sponsor should periodically review risk control
measures to ascertain whether the implemented quality
management activities remain effective and relevant, taking into
account emerging knowledge and experience.
6
7. Quality Assurance and Quality Control
• The sponsor is responsible for implementing and maintaining quality
assurance and quality control systems 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.
• Quality control should be applied to each stage of data handling to ensure
that all data are reliable and have been processed correctly.
• Agreements, made by the sponsor with the investigator/institution and any
other parties involved with the clinical trial, should be in writing, as part of
the protocol or in a separate agreement.
7
8. CRO (Contract Research Organization)
• A contract research organization (CRO) is a company that
provides support to the pharamaceutical, biotechnology,and
medical device industries in the form of research services
outsoursed on a contract basis. A CRO may provide such
services as biopharmaceutical development, biological assay
development, commercialization, preclinical research, clinical
trials management, and pharmacovigilance.
• CROs are designed to reduce costs for companies developing
new medicines and drugs in niche markets . They aim to simplify
entry into drug markets, and simplify development, as the need
for large pharmaceutical companies to do everything ‘in house’ is
now redundant. CROs also support foundations, research
institutions, and universities, in addition to governmental
organizations (such as the NIH,EMA, etc.)
8
9. • A sponsor may transfer any or all of the sponsor's trial-related duties
and functions to a CRO, but the ultimate responsibility for the quality
and integrity of the trial data always resides with the sponsor. The
CRO should implement quality assurance and quality control.
• Any trial-related duty and function that is transferred to and assumed
by a CRO should be specified in writing.
CRO Roles and responsibilities:-
• Provide investigators with information they need to conduct an
investigation properly.
• Ensure proper monitoring of the investigations
• Ensure study is conducted in accordance with study plan and
protocol
• Control investigational products
• Safety reporting 9
10. INVESTIGATOR
Who is an Investigator?
• An individual who actually conducts a clinical investigation (i.e., under
whose immediate direction the drug is dispensed to a subject.)
• In the event an investigation is conducted by a team of individuals, the
investigator is the responsible leader of the team.
SPONSER INVESTIGATOR
An individual who both initiates and conducts an investigation, and under
whose immediate direction the investigational drug is administered or
dispensed.
• The term does not include any person other than an individual.
• The requirements applicable to a sponsorinvestigator include both those
applicable to an investigator and a sponsor.
10
11. Roles and responsibilities of investigator
Investigator's Qualifications and Agreements
• The investigator should be qualified by education, training, and
experience to assume responsibility for the proper conduct of the
trial, should meet all the qualifications specified by the applicable
regulatory requirements, and should provide evidence of such
qualifications through up-to-date curriculum vitae and/or other
relevant documentation requested by the sponsor, the IRB/IEC,
and/or the regulatory authorities
• The investigator should be aware of, and should comply with, GCP
and the applicable regulatory requirements.
11
12. Adequate Resources
• The investigator should have sufficient time to properly conduct and
complete the trial within the agreed trial period.
• The investigator should have available an adequate number of
qualified staff and adequate facilities for the foreseen duration of the
trial to conduct the trial properly and safely.
Medical Care of Trial Subjects
• A qualified physician (or dentist, when appropriate), who is an
investigator or a subinvestigator for the trial, should be responsible
for all trial-related medical (or dental) decisions.
• During and following a subject's participation in a trial, the
investigator/institution should ensure that adequate medical care is
provided to a subject for any adverse events, including clinically
significant laboratory values, related to the trial.
12
13. Communication with IRB/IEC
• Before initiating a trial, the investigator/institution should have
written and dated approval/favourable opinion from the IRB/IEC for
the trial protocol, written informed consent form, consent form
updates, subject recruitment procedures (e.g., advertisements), and
any other written information to be provided to subjects.
• During the trial the investigator/institution should provide to the
IRB/IEC all documents subject to review.
Compliance with Protocol
The investigator/institution should conduct the trial in compliance with
the protocol agreed to by the sponsor and, if required, by the
regulatory authorities and which was given approval/favourable
opinion by the IRB/IEC. The investigator/institution and the sponsor
should sign the protocol, or an alternative contract, to confirm
agreement.
13
14. Investigational Products
• Responsibility for investigational products accountability at the trial
sites rests with the investigator/institution.
• The investigator should ensure that the investigational products are
used only in accordance with the approved protocol.
Records and Reports
• The investigator/institution should maintain adequate and accurate
source documents and trial records that include all pertinent
observations on each of the site’s trial subjects. Source data should
be attributable, legible, contemporaneous, original, accurate, and
complete.
• The investigator should ensure the accuracy, completeness, legibility,
and timeliness of the data reported to the sponsor in the CRFs and in
all required reports.
14
15. Progress Reports
• The investigator should submit written summaries of the trial status
to the IRB/IEC annually, or more frequently, if requested by the
IRB/IEC.
Safety Reporting
• Adverse events and/or laboratory abnormalities identified in the
protocol as critical to safety evaluations should be reported to the
sponsor according to the reporting requirements and within the time
periods specified by the sponsor in the protocol.
• For reported deaths, the investigator should supply the sponsor and
the IRB/IEC with any additional requested information (e.g., autopsy
reports and terminal medical reports).
15
16. Premature Termination or Suspension of a Trial
• If the investigator terminates or suspends a trial without prior
agreement of the sponsor, the investigator should inform the
institution where applicable, and the investigator/institution should
promptly inform the sponsor and the IRB/IEC, and should provide the
sponsor and the IRB/IEC a detailed written explanation of the
termination or suspension.
Final Reports by Investigator
• Upon completion of the trial, the investigator, where applicable,
should inform the institution; the investigator/institution should
provide the IRB/IEC with a summary of the trial’s outcome, and the
regulatory authorityies with any reports required.
16
17. References
• GUIDELINE FOR GOOD CLINICAL PRACTICE (ich.org)
• https://www.fda.gov/media/75775/download
17