Carlos Martinez has over 25 years of experience in clinical research, having worked as a clinical research consultant, clinical research associate, project administrator, and clinical research coordinator on various Phase I-IV clinical trials. His experience includes monitoring trials, ensuring regulatory compliance, resolving issues, maintaining relationships with investigators, and verifying drug accountability. He has extensive skills in computer systems used in clinical research and holds a degree in Biology from the University of Texas at Austin.
FDA 2013 Clinical Investigator Training Course: Clinical pharmacology 2: Clin...MedicReS
FDA 2013 Clinical Investigator Training Course: Clinical pharmacology 2: Clinical Considerations During Phase 2 and Phase 3 of Drug Development
Kellie Reynolds, Pharm.D.,(CDER)
The document discusses the types of medication orders, the six rights of administering medication, routes of medication administration, important considerations when administering medication including dosage calculations and identifying the patient, common abbreviations used, and the importance of proper documentation. It emphasizes that nurses must understand pharmacology and drug administration fundamentals to safely administer medications.
This document outlines a Phase III clinical trial protocol to compare the efficacy and safety of a novel calcium channel blocker drug called Cardex to the drug Nifedipine in treating patients with stage 1 hypertension. The proposed randomized controlled trial would involve 600 patients across 15 centers in India. Patients would be randomly assigned to receive either Cardex or Nifedipine and their blood pressure and platelet aggregation would be measured at regular intervals over 18 months to assess the comparative efficacy, safety and pharmacokinetics of the two drugs. The protocol provides details on the study objectives, design, procedures, statistical analysis and ethical approval process.
This document discusses the phases of clinical trials. It begins by defining a clinical trial and explaining their importance. It then outlines the typical phases:
Phase I trials involve small groups of healthy volunteers and focus on safety, tolerability and pharmacokinetics. Phase II trials enroll larger numbers of patients to study efficacy and further evaluate safety. Phase III trials involve thousands of patients and aim to confirm efficacy and further monitor safety. Phase IV trials occur after marketing approval to further monitor long-term safety and efficacy.
The document provides details on the objectives, features, sample sizes, and information gained from each phase of trials. It discusses microdosing studies, pharmacogenomics studies, and post-marketing surveillance. In summary
This document summarizes information about vaccine clinical trials and tick-borne encephalitis (TBE). It discusses the history and development of vaccines. It then describes the phases of clinical trials and provides examples of specific vaccine trials including for TBE. Key details about the TBE virus, epidemiology, vaccines, and a recent clinical trial comparing two TBE vaccines in children are summarized. The trial evaluated safety, immunogenicity and reactions to the vaccines. The document concludes that vaccination is an effective way to prevent TBE and current vaccines have shown good safety profiles.
This document discusses therapeutic drug monitoring (TDM) of biologics in inflammatory bowel disease (IBD). It provides an overview of the evolution of biologic agents for treating IBD from 1993 to present. Six biologic agents are currently approved for refractory IBD, including four anti-TNF agents and two anti-integrin agents. The document reviews guidelines for TDM from the American Gastroenterological Association, including recommended target trough concentrations for infliximab, adalimumab, and certolizumab pegol in patients with active IBD. It also discusses the rationale, methods, and algorithms for performing TDM to optimize treatment for patients with IBD.
Pre-clinical screening involves testing potential new drugs in animal models before human trials to evaluate safety and efficacy. This includes pharmacological screening to determine mechanism of action and dose response, as well as toxicological testing to identify adverse effects and calculate safe starting doses for clinical trials. Studies progress from molecular and cellular assays to whole animal experiments. Acute and repeated dose toxicity tests are followed by sub-chronic and chronic studies to identify long-term effects. These pre-clinical studies aim to generate data required to deem a new compound safe enough for initial human testing.
FDA 2013 Clinical Investigator Training Course: Clinical pharmacology 2: Clin...MedicReS
FDA 2013 Clinical Investigator Training Course: Clinical pharmacology 2: Clinical Considerations During Phase 2 and Phase 3 of Drug Development
Kellie Reynolds, Pharm.D.,(CDER)
The document discusses the types of medication orders, the six rights of administering medication, routes of medication administration, important considerations when administering medication including dosage calculations and identifying the patient, common abbreviations used, and the importance of proper documentation. It emphasizes that nurses must understand pharmacology and drug administration fundamentals to safely administer medications.
This document outlines a Phase III clinical trial protocol to compare the efficacy and safety of a novel calcium channel blocker drug called Cardex to the drug Nifedipine in treating patients with stage 1 hypertension. The proposed randomized controlled trial would involve 600 patients across 15 centers in India. Patients would be randomly assigned to receive either Cardex or Nifedipine and their blood pressure and platelet aggregation would be measured at regular intervals over 18 months to assess the comparative efficacy, safety and pharmacokinetics of the two drugs. The protocol provides details on the study objectives, design, procedures, statistical analysis and ethical approval process.
This document discusses the phases of clinical trials. It begins by defining a clinical trial and explaining their importance. It then outlines the typical phases:
Phase I trials involve small groups of healthy volunteers and focus on safety, tolerability and pharmacokinetics. Phase II trials enroll larger numbers of patients to study efficacy and further evaluate safety. Phase III trials involve thousands of patients and aim to confirm efficacy and further monitor safety. Phase IV trials occur after marketing approval to further monitor long-term safety and efficacy.
The document provides details on the objectives, features, sample sizes, and information gained from each phase of trials. It discusses microdosing studies, pharmacogenomics studies, and post-marketing surveillance. In summary
This document summarizes information about vaccine clinical trials and tick-borne encephalitis (TBE). It discusses the history and development of vaccines. It then describes the phases of clinical trials and provides examples of specific vaccine trials including for TBE. Key details about the TBE virus, epidemiology, vaccines, and a recent clinical trial comparing two TBE vaccines in children are summarized. The trial evaluated safety, immunogenicity and reactions to the vaccines. The document concludes that vaccination is an effective way to prevent TBE and current vaccines have shown good safety profiles.
This document discusses therapeutic drug monitoring (TDM) of biologics in inflammatory bowel disease (IBD). It provides an overview of the evolution of biologic agents for treating IBD from 1993 to present. Six biologic agents are currently approved for refractory IBD, including four anti-TNF agents and two anti-integrin agents. The document reviews guidelines for TDM from the American Gastroenterological Association, including recommended target trough concentrations for infliximab, adalimumab, and certolizumab pegol in patients with active IBD. It also discusses the rationale, methods, and algorithms for performing TDM to optimize treatment for patients with IBD.
Pre-clinical screening involves testing potential new drugs in animal models before human trials to evaluate safety and efficacy. This includes pharmacological screening to determine mechanism of action and dose response, as well as toxicological testing to identify adverse effects and calculate safe starting doses for clinical trials. Studies progress from molecular and cellular assays to whole animal experiments. Acute and repeated dose toxicity tests are followed by sub-chronic and chronic studies to identify long-term effects. These pre-clinical studies aim to generate data required to deem a new compound safe enough for initial human testing.
Potential of phase II clinical trials in drug developmentBhaswat Chakraborty
This document discusses the potential of Phase II clinical trials in drug development. It notes that Phase II trials can sometimes provide sufficient evidence of efficacy and safety for drug approval, particularly for serious or life-threatening diseases with high unmet medical need. The document discusses key considerations in Phase II trial design, including the use of randomized controlled trials versus single-arm trials, appropriate selection of endpoints like overall survival or response rates, and factors involved in deciding whether to advance a drug to Phase III based on Phase II results. Overall, the document emphasizes the importance of carefully designing Phase II trials to generate robust data on proof of concept and inform subsequent drug development decisions.
Clinical trial phases 3,4,5 By Danish Ibrahim JasnaikDanish Jasnaik
Clinical trials have multiple phases to test for safety and efficacy of new drugs and medical interventions. Phase I trials involve small patient groups to determine basic safety. Phase II trials expand testing and determine effectiveness. Phase III trials involve large patient groups, often 1000-3000 patients, to further verify effectiveness is comparable to existing standard treatments. They are randomized and blinded. Phase IV trials occur after approval to continue monitoring safety and long-term effects through post-market surveillance programs. Phase V refers to integrating successful interventions into widespread public health practice.
Clinical pharmacology studies the effects and uses of drugs in humans, including their therapeutic effects, safety, and how the body processes them. It aims to ensure rational and optimal drug use by evaluating drugs' efficacy, safety, appropriate dosage, and monitoring treatment outcomes. Choosing drugs based on clinical needs, costs, and minimizing use is important to avoid issues like delayed treatment, unnecessary side effects, and developing antimicrobial resistance. Selecting a limited set of well-understood "P-drugs" can help providers give more effective care while reducing complications.
Phase 3 clinical trials involve large patient groups of 300-3,000 people to further evaluate safety and efficacy. They are randomized, controlled, and multi-center. Phase 3 trials are divided into two parts: Phase 3A confirms regulatory requirements for approval while Phase 3B extends trials after approval but before launch. Post-marketing surveillance continues safety evaluation after approval and involves pharmacovigilance, pharmacoeconomics, and pharmacoepidemiology with no fixed duration. Adverse events are monitored through spontaneous reporting systems, case reports, cohort studies, and cross-sectional studies.
Clinical trials go through several phases to evaluate the safety and efficacy of new medical treatments. Phase I trials involve small groups of people to determine basic safety and dosages. Phase II trials administer the treatment to groups of patients to identify common short-term side effects and gather preliminary data on effectiveness. Phase III trials involve large groups of people and can last several years to confirm effectiveness, monitor side effects, and collect additional information to evaluate the treatment's risks and benefits. Phase IV trials occur after marketing approval and involve post-marketing surveillance to provide additional information on a treatment's risks, benefits, and optimal use.
This document summarizes a clinical trial assessing the efficacy and safety of an extended-release formulation of Guanfacine for treating ADHD in children and adolescents. The trial will enroll 270 patients over 8 months across 48 US centers. Patients will be randomized to receive one of three doses of Guanfacine or a placebo for 8 weeks. The primary outcome measure is the ADHD Rating Scale, with secondary measures including clinical impression scales and parent/teacher rating scales.
Phase I and II clinical trials serve to evaluate the safety and efficacy of new drug candidates in humans. Phase I trials involve 20-80 healthy volunteers and aim to determine the drug's pharmacokinetics and safe dosing range. Phase II trials involve 80-100 patients and seek to obtain preliminary evidence of efficacy at various dose levels and identify common short-term side effects. The data collected in Phases I and II determine whether further large-scale testing of the drug is warranted.
FDA 2013 Clinical Investigator Training Course: Preparing an IND Application:...MedicReS
FDA 2013 Clinical Investigator Training Course: Preparing an IND Application: Clinical Considerations for Cell and Gene Therapy Products
Rachel Witten, M.D., (CBER)
Phase 0 & i clinical trial designing,conduct &challengesDrSatyabrataSahoo
This document discusses clinical trial phases, with a focus on Phase 0 and Phase 1 trials. It provides background on clinical trials and their history. Phase 0 trials involve microdosing to obtain early human pharmacokinetic and pharmacodynamic data before Phase 1. Phase 1 trials determine the maximum tolerated dose and safety profile of a new drug. Both phases present challenges, such as developing sensitive biomarker assays for Phase 0 and managing costs and duration for Phase 1 trials. Overall, clinical trials are essential for advancing new medical treatments.
Evaluation of the evidence of the drug developmentaJaY mIsHrA
This document summarizes the process of drug development, including clinical trials and phases of trials. It discusses key features of clinical trials like randomization and blinding. The four phases of trials are described - phase I evaluates safety, phase II assesses efficacy and dose, phase III confirms therapeutic effects, and phase IV monitors post-marketing use. Observational studies like cohort and case-control designs are also mentioned. Factors that can alter drug pharmacokinetics in disease states like impaired renal or hepatic function are outlined. The history of early drug discovery and development in India is briefly discussed.
This document outlines the phases of clinical trials, from Phase 0 to Phase IV. It defines clinical trials as prospective biomedical studies on human subjects to answer questions about interventions. The objectives are listed as diagnosing or treating disease, preventing disease or early death, or changing behaviors. The phases are described in order from exploratory studies in small groups in Phase 0 to post-marketing surveillance trials in large populations in Phase IV. The importance of clinical trials is that they follow strict scientific standards to protect patients and produce reliable results, as a final stage of research after laboratory and animal testing.
Clinical Trials: Trial Phases and design is a ppt on the different phases of the Clinical trials from Preclinical to Phase 4and the different trial designs that can be adapted to carry out the trial in humans. Preclinical phase is the phase in which trials are carried out in animals. On sucessful conduct of animal trials trials are continued in humans after filing an IND (Investigational New Drug application). The Phases in humans range from phase 1-4 besides which an additional phase called the phase 0 may be implemented in certain trials. The phase 0, also known as the microdosing phase reduces the entire duration of the trial. After Phase 3 of the trial an NDA (New Drug application) is filed to the regulatory authority, acceptance of which allows the drug to be released into the market. The phase 4 (Post Marketing surveillance) is the phase after the marketing of the drug which helps monitor adverse effects of the drug. Clinical trial dsigns are of different types based on intervention, randomisation and grouping. Few of which are case contol study, cohort study, cross sectional study and randomised contol trials. Randomised contol trials are of different types:
Parallel design: Patients are assigned and treatment is administered to two groups simultaneously: one with the investigational drug and the other with a placebo.
Crossover: Two groups are given two different treatments (A AND B) randomisation is on whether the group is given treatment A first or treatment B first, since both groups are given both the treatments.
Latin square design: 4 different treatments are given (placebo or standard) to 4 groups. The treatment are given in such a way that each patient gets each treatment atleast once.
Factorial design: 2 or more treatments are tested simultaneously such that treatment A vs control of treatment A and treatment B vs control of treatment B can be tested simultaneously.
This document outlines a protocol for conducting a therapeutic drug monitoring study, including sections for the title, investigators, study location, patient recruitment details, need for the study, objectives, patient selection criteria, procedures for blood sample collection and storage, instruments for measuring drug and clinical levels, report preparation, clinical interpretation, and conclusion.
Management of drug resistant tb patientsBassem Matta
This study evaluated the treatment outcomes of the first cohort of 168 multi-drug resistant tuberculosis (MDR-TB) patients treated in Egypt. Of these, 65 patients completed treatment. Factors associated with treatment success included younger age, nonsmoking status, no history of previous second-line drug use, less lung tissue destruction on x-rays, and sputum culture conversion within 3 months of starting treatment. The treatment success rate was 68% with failure, default and mortality rates of 9%, 6% and 17% respectively. Recommendations include decreasing unnecessary second-line drug use and ensuring direct observation of treatment for all MDR-TB patients.
The document discusses the various phases of clinical drug trials. Phase 3 trials involve large patient populations of 500-3000 people across multiple sites to confirm the drug's safety, effectiveness, and appropriate dosage. Phase 4 trials occur after marketing approval and involve post-marketing surveillance and pharmacovigilance to monitor long-term safety and effectiveness in an even larger population under regular medical practice. The overall goal of clinical trials is to generate necessary data to allow regulatory approval and safe medical use of new drugs.
A full proof presentation on Clinical Trials and its Phases. This presentation contains clear description of clinical trials and its phases with suitable examples. All key points have been tried to be covered. After going through this presentation, one should be able to discuss about clinical trials and its phases.
Pharmacoepidemiology is defined as the study of drug use and effects in large populations. It bridges clinical pharmacology and epidemiology. Observational studies in pharmacoepidemiology include case reports, case series, trend analyses, cross-sectional studies, and cohort studies. These studies can provide information on patterns of drug use, risks and benefits of drugs, and evaluate specific drug use in certain conditions. Pharmacoepidemiological research informs government agencies, healthcare professionals, the pharmaceutical industry, academics, attorneys, consumers and patients.
Clinical trials are important for testing new medical treatments and determining their value. There are various phases of clinical trials, beginning with Phase 0 and Phase 1 safety trials with small groups, then Phase 2 dosage and efficacy trials with larger groups, and finally Phase 3 confirmatory trials with thousands of participants across many sites. Well-designed clinical trials utilize controls, randomization, blinding, predefined endpoints and stopping rules to reliably establish if new treatments are effective and safe for patients.
This document provides a summary of experience and qualifications for Mary Koppe-Dixon, RN. She has over 25 years of experience as a clinical research associate monitoring Phase I-IV trials across many therapeutic areas, including asthma, cardiology, neurology, and psychiatry. She is proficient in clinical trial management systems and has experience working with various electronic data capture systems. She holds a nursing license in Missouri and has managed clinical trial sites and coordinated clinical research operations.
The document discusses using genetic testing to guide warfarin therapy. It explains that genetic polymorphisms affect individuals' responses to medications like warfarin. Variants in CYP2C9 and VKORC1 genes influence warfarin dosing, with clinical trials showing genotype-guided dosing results in faster stabilization of anticoagulation and less risk of bleeding events. The author proposes a study at UNC to incorporate pharmacogenomic guidance in initial warfarin dosing to improve outcomes.
Potential of phase II clinical trials in drug developmentBhaswat Chakraborty
This document discusses the potential of Phase II clinical trials in drug development. It notes that Phase II trials can sometimes provide sufficient evidence of efficacy and safety for drug approval, particularly for serious or life-threatening diseases with high unmet medical need. The document discusses key considerations in Phase II trial design, including the use of randomized controlled trials versus single-arm trials, appropriate selection of endpoints like overall survival or response rates, and factors involved in deciding whether to advance a drug to Phase III based on Phase II results. Overall, the document emphasizes the importance of carefully designing Phase II trials to generate robust data on proof of concept and inform subsequent drug development decisions.
Clinical trial phases 3,4,5 By Danish Ibrahim JasnaikDanish Jasnaik
Clinical trials have multiple phases to test for safety and efficacy of new drugs and medical interventions. Phase I trials involve small patient groups to determine basic safety. Phase II trials expand testing and determine effectiveness. Phase III trials involve large patient groups, often 1000-3000 patients, to further verify effectiveness is comparable to existing standard treatments. They are randomized and blinded. Phase IV trials occur after approval to continue monitoring safety and long-term effects through post-market surveillance programs. Phase V refers to integrating successful interventions into widespread public health practice.
Clinical pharmacology studies the effects and uses of drugs in humans, including their therapeutic effects, safety, and how the body processes them. It aims to ensure rational and optimal drug use by evaluating drugs' efficacy, safety, appropriate dosage, and monitoring treatment outcomes. Choosing drugs based on clinical needs, costs, and minimizing use is important to avoid issues like delayed treatment, unnecessary side effects, and developing antimicrobial resistance. Selecting a limited set of well-understood "P-drugs" can help providers give more effective care while reducing complications.
Phase 3 clinical trials involve large patient groups of 300-3,000 people to further evaluate safety and efficacy. They are randomized, controlled, and multi-center. Phase 3 trials are divided into two parts: Phase 3A confirms regulatory requirements for approval while Phase 3B extends trials after approval but before launch. Post-marketing surveillance continues safety evaluation after approval and involves pharmacovigilance, pharmacoeconomics, and pharmacoepidemiology with no fixed duration. Adverse events are monitored through spontaneous reporting systems, case reports, cohort studies, and cross-sectional studies.
Clinical trials go through several phases to evaluate the safety and efficacy of new medical treatments. Phase I trials involve small groups of people to determine basic safety and dosages. Phase II trials administer the treatment to groups of patients to identify common short-term side effects and gather preliminary data on effectiveness. Phase III trials involve large groups of people and can last several years to confirm effectiveness, monitor side effects, and collect additional information to evaluate the treatment's risks and benefits. Phase IV trials occur after marketing approval and involve post-marketing surveillance to provide additional information on a treatment's risks, benefits, and optimal use.
This document summarizes a clinical trial assessing the efficacy and safety of an extended-release formulation of Guanfacine for treating ADHD in children and adolescents. The trial will enroll 270 patients over 8 months across 48 US centers. Patients will be randomized to receive one of three doses of Guanfacine or a placebo for 8 weeks. The primary outcome measure is the ADHD Rating Scale, with secondary measures including clinical impression scales and parent/teacher rating scales.
Phase I and II clinical trials serve to evaluate the safety and efficacy of new drug candidates in humans. Phase I trials involve 20-80 healthy volunteers and aim to determine the drug's pharmacokinetics and safe dosing range. Phase II trials involve 80-100 patients and seek to obtain preliminary evidence of efficacy at various dose levels and identify common short-term side effects. The data collected in Phases I and II determine whether further large-scale testing of the drug is warranted.
FDA 2013 Clinical Investigator Training Course: Preparing an IND Application:...MedicReS
FDA 2013 Clinical Investigator Training Course: Preparing an IND Application: Clinical Considerations for Cell and Gene Therapy Products
Rachel Witten, M.D., (CBER)
Phase 0 & i clinical trial designing,conduct &challengesDrSatyabrataSahoo
This document discusses clinical trial phases, with a focus on Phase 0 and Phase 1 trials. It provides background on clinical trials and their history. Phase 0 trials involve microdosing to obtain early human pharmacokinetic and pharmacodynamic data before Phase 1. Phase 1 trials determine the maximum tolerated dose and safety profile of a new drug. Both phases present challenges, such as developing sensitive biomarker assays for Phase 0 and managing costs and duration for Phase 1 trials. Overall, clinical trials are essential for advancing new medical treatments.
Evaluation of the evidence of the drug developmentaJaY mIsHrA
This document summarizes the process of drug development, including clinical trials and phases of trials. It discusses key features of clinical trials like randomization and blinding. The four phases of trials are described - phase I evaluates safety, phase II assesses efficacy and dose, phase III confirms therapeutic effects, and phase IV monitors post-marketing use. Observational studies like cohort and case-control designs are also mentioned. Factors that can alter drug pharmacokinetics in disease states like impaired renal or hepatic function are outlined. The history of early drug discovery and development in India is briefly discussed.
This document outlines the phases of clinical trials, from Phase 0 to Phase IV. It defines clinical trials as prospective biomedical studies on human subjects to answer questions about interventions. The objectives are listed as diagnosing or treating disease, preventing disease or early death, or changing behaviors. The phases are described in order from exploratory studies in small groups in Phase 0 to post-marketing surveillance trials in large populations in Phase IV. The importance of clinical trials is that they follow strict scientific standards to protect patients and produce reliable results, as a final stage of research after laboratory and animal testing.
Clinical Trials: Trial Phases and design is a ppt on the different phases of the Clinical trials from Preclinical to Phase 4and the different trial designs that can be adapted to carry out the trial in humans. Preclinical phase is the phase in which trials are carried out in animals. On sucessful conduct of animal trials trials are continued in humans after filing an IND (Investigational New Drug application). The Phases in humans range from phase 1-4 besides which an additional phase called the phase 0 may be implemented in certain trials. The phase 0, also known as the microdosing phase reduces the entire duration of the trial. After Phase 3 of the trial an NDA (New Drug application) is filed to the regulatory authority, acceptance of which allows the drug to be released into the market. The phase 4 (Post Marketing surveillance) is the phase after the marketing of the drug which helps monitor adverse effects of the drug. Clinical trial dsigns are of different types based on intervention, randomisation and grouping. Few of which are case contol study, cohort study, cross sectional study and randomised contol trials. Randomised contol trials are of different types:
Parallel design: Patients are assigned and treatment is administered to two groups simultaneously: one with the investigational drug and the other with a placebo.
Crossover: Two groups are given two different treatments (A AND B) randomisation is on whether the group is given treatment A first or treatment B first, since both groups are given both the treatments.
Latin square design: 4 different treatments are given (placebo or standard) to 4 groups. The treatment are given in such a way that each patient gets each treatment atleast once.
Factorial design: 2 or more treatments are tested simultaneously such that treatment A vs control of treatment A and treatment B vs control of treatment B can be tested simultaneously.
This document outlines a protocol for conducting a therapeutic drug monitoring study, including sections for the title, investigators, study location, patient recruitment details, need for the study, objectives, patient selection criteria, procedures for blood sample collection and storage, instruments for measuring drug and clinical levels, report preparation, clinical interpretation, and conclusion.
Management of drug resistant tb patientsBassem Matta
This study evaluated the treatment outcomes of the first cohort of 168 multi-drug resistant tuberculosis (MDR-TB) patients treated in Egypt. Of these, 65 patients completed treatment. Factors associated with treatment success included younger age, nonsmoking status, no history of previous second-line drug use, less lung tissue destruction on x-rays, and sputum culture conversion within 3 months of starting treatment. The treatment success rate was 68% with failure, default and mortality rates of 9%, 6% and 17% respectively. Recommendations include decreasing unnecessary second-line drug use and ensuring direct observation of treatment for all MDR-TB patients.
The document discusses the various phases of clinical drug trials. Phase 3 trials involve large patient populations of 500-3000 people across multiple sites to confirm the drug's safety, effectiveness, and appropriate dosage. Phase 4 trials occur after marketing approval and involve post-marketing surveillance and pharmacovigilance to monitor long-term safety and effectiveness in an even larger population under regular medical practice. The overall goal of clinical trials is to generate necessary data to allow regulatory approval and safe medical use of new drugs.
A full proof presentation on Clinical Trials and its Phases. This presentation contains clear description of clinical trials and its phases with suitable examples. All key points have been tried to be covered. After going through this presentation, one should be able to discuss about clinical trials and its phases.
Pharmacoepidemiology is defined as the study of drug use and effects in large populations. It bridges clinical pharmacology and epidemiology. Observational studies in pharmacoepidemiology include case reports, case series, trend analyses, cross-sectional studies, and cohort studies. These studies can provide information on patterns of drug use, risks and benefits of drugs, and evaluate specific drug use in certain conditions. Pharmacoepidemiological research informs government agencies, healthcare professionals, the pharmaceutical industry, academics, attorneys, consumers and patients.
Clinical trials are important for testing new medical treatments and determining their value. There are various phases of clinical trials, beginning with Phase 0 and Phase 1 safety trials with small groups, then Phase 2 dosage and efficacy trials with larger groups, and finally Phase 3 confirmatory trials with thousands of participants across many sites. Well-designed clinical trials utilize controls, randomization, blinding, predefined endpoints and stopping rules to reliably establish if new treatments are effective and safe for patients.
This document provides a summary of experience and qualifications for Mary Koppe-Dixon, RN. She has over 25 years of experience as a clinical research associate monitoring Phase I-IV trials across many therapeutic areas, including asthma, cardiology, neurology, and psychiatry. She is proficient in clinical trial management systems and has experience working with various electronic data capture systems. She holds a nursing license in Missouri and has managed clinical trial sites and coordinated clinical research operations.
The document discusses using genetic testing to guide warfarin therapy. It explains that genetic polymorphisms affect individuals' responses to medications like warfarin. Variants in CYP2C9 and VKORC1 genes influence warfarin dosing, with clinical trials showing genotype-guided dosing results in faster stabilization of anticoagulation and less risk of bleeding events. The author proposes a study at UNC to incorporate pharmacogenomic guidance in initial warfarin dosing to improve outcomes.
This document summarizes the clinical trial experience and capabilities of Prof. Elias – Internal Medicine Research Unit. The unit has over 15 years of experience conducting over 33 clinical trials, including Phase II-IV studies, in various therapeutic areas such as venous thromboembolism treatment and prevention, atrial fibrillation, acute coronary syndrome, diabetes, and hypertension. The unit has all necessary facilities, staff, and experience to successfully conduct clinical trials according to good clinical practice standards. Their staff are well-trained and committed to patient safety.
Updated Emily Curriculum Vitae 2016CRAEmily Pierce
Emily Pierce is a registered nurse with over 10 years of experience in oncology clinical research. She currently works as a Clinical Research Nurse/Coordinator at the James P. Wilmot Cancer Center, where she oversees multiple phase 1-3 oncology clinical trials. She has extensive experience in all aspects of clinical trial management including protocol development, regulatory compliance, patient enrollment, data collection and reporting. She also serves on several committees related to clinical research and nursing.
This randomized, multicenter trial compared the effectiveness of two natural surfactants - poractant alfa (Curosurf) and beractant (Survanta) - for the treatment of respiratory distress syndrome (RDS) in preterm infants. 293 infants weighing 750-1750g were randomized to receive an initial dose of either 100mg/kg or 200mg/kg of poractant alfa, or 100mg/kg of beractant. The primary outcome was the area under the curve for fractional inspired oxygen from 0-6 hours after the first dose. Secondary outcomes included mortality, oxygen requirements, and other measures. The study found that poractant alfa resulted in a faster reduction in oxygen needs
This randomized controlled trial compared the efficacy of a novel four-drug regimen (levofloxacin, omeprazole, nitazoxanide, doxycycline - LOAD) to the standard triple therapy regimen (lansoprozole, amoxicillin, clarithromycin - LAC) for eradicating Helicobacter pylori infection. 270 patients with confirmed H. pylori infection were randomized to receive either 7 days or 10 days of LOAD therapy, or 10 days of LAC therapy. Intention-to-treat analysis found eradication rates were 89.4% for combined LOAD therapy, significantly higher than the 73.3% rate for LAC therapy
Pharmacogenomics in Clinical Medicine: What Is FDA Doing to Facilitate the M...Ryan Squire
Larry Lesko, director of the Office of Clinical Pharmacology at the Center for Drug Evaluation and Research with the Federal Drug Administration, begins his talk by making the FDA’s commitment to personalized medicine as a public health agency. He touched on the future focus of improving drug safety and its role in future healthcare policy, citing the FDA Amendments Act of 2007.
Lesko explained that the dual mission at hand is to foster innovation and promote new initiatives under a critical path while developing and clearly articulating the standards for drugs and diagnostics. The organization takes a lifecycle approach to evidence to inform and support decisions—this goes for previous drugs and new drug development.
Moving forward, what else needs to be done? Lesko explained that ways to consensus on evidence are needed to support new drug approvals and relabeling of older drugs. He also believes that the FDA needs to develop more unambiguous drug product labels to enable actionable medical decisions and improve communication between CDER and CDRH on co-development and companion diagnostics.
Dr. Jalaja Ganganna has over 15 years of experience in clinical research and drug safety. She currently works as a Senior Drug Safety Associate at Quintiles, Bangalore, where she is responsible for adverse event reporting and case processing. Previously she worked as a Senior Clinical Research Coordinator at ChanRe Rheumatology and Immunology Center, where she managed over 25 clinical trials and ensured regulatory compliance. She has participated in numerous investigator meetings and trials remain qualified through continuing education.
1) The document discusses the development of PARP inhibitors from the laboratory to clinical trials, including their mechanism of action in DNA repair and synergistic effects with radiation.
2) Early clinical trials of PARP inhibitors showed promise in treating cancers like breast and ovarian cancer with BRCA mutations, but broader studies saw mixed results. Ongoing research is focused on patients with BRCA mutations.
3) The document recommends initiating a Phase II trial to evaluate the safety, efficacy and optimal dosing of a PARP inhibitor combined with radiation therapy across multiple tumor types.
1) The process of bringing a new medicine from initial discovery to patient use (molecule to medicine) is a long, complex, and expensive process involving target identification, preclinical testing, clinical trials, and regulatory review and approval.
2) Preclinical testing involves evaluating a molecule's pharmacokinetics, pharmacodynamics, safety, and toxicity in cell and animal studies. Positive preclinical results allow filing an Investigational New Drug (IND) application to begin human clinical trials.
3) Clinical trials are conducted in four phases to evaluate a drug's safety, efficacy, side effects, and optimal dosing in humans. The entire development process from discovery to approval takes 8-12 years and costs over $1
Reverse pharmacology is an approach to drug discovery that begins with clinical observations of traditional medicines and then uses exploratory and experimental studies to validate efficacy and safety. It reverses the conventional path of discovery from the laboratory to clinics. Key advantages include starting with clinically tested botanicals, reducing costs and time, and leveraging an experiential database of traditional medicines. Challenges include few success stories adopted by industry. Increased awareness and innovative solutions inspired by traditional knowledge may help accelerate discovery through the reverse pharmacology approach.
The document provides an overview of clinical research at the Rett Clinic, including several ongoing and planned clinical trials. It summarizes:
1) Clinical trials in Rett syndrome testing ketamine, cannabidiol, trofinetide, and Anavex2-73, as well as planned gene therapy trials.
2) Clinical trials in CDKL5 Deficiency Disorder testing ganaxalone and TAK-935, with goals of reducing seizures.
3) Planned deliverables from the NIH-funded Natural History Study of Rett and related disorders, which has followed over 1000 patients.
The document discusses pharmacoepidemiology, which is the study of drug use and effects in large populations. It describes the importance of pharmacoepidemiological studies in evaluating drug safety and effectiveness after approval. The document outlines different types of pharmacoepidemiology studies including experimental and non-experimental designs. It also discusses reasons for conducting pharmacoepidemiology studies such as for regulatory purposes, marketing, clinical research, and legal reasons. The future of pharmacoepidemiology is seen as growing with advances in areas like molecular pharmacoepidemiology and risk management.
The document discusses the drug Avastin and challenges facing its manufacturer Roche/Genentech. It summarizes that while Avastin provides significant benefits to some cancer patients, recent clinical trials found only small average survival benefits or no survival benefits at all for some cancer types. As a result, government agencies and insurers are challenging Roche/Genentech to develop predictive biomarkers to identify the patients most likely to benefit from Avastin treatment. The manufacturer has tested over 150 potential biomarkers but has yet to find effective ones, which could impact patients and the drug's position in personalized cancer treatment.
Delamanid for multidrug resistant pulmonary tuberculosisHaroon Rashid
Delamanid is a new drug that inhibits mycolic acid synthesis in Mycobacterium tuberculosis. This randomized controlled trial evaluated the safety and efficacy of Delamanid (100 mg or 200 mg twice daily) plus background regimen compared to placebo plus background regimen in 481 patients with multidrug-resistant pulmonary tuberculosis over 2 months. Patients receiving Delamanid had higher rates of sputum culture conversion at 2 months compared to placebo, indicating Delamanid enhances treatment options for multidrug-resistant tuberculosis. However, the short 2-month treatment period was a limitation.
Efficacy of diphenhydramine vs desloratadine and placebo in patients with mod...
*RESUME (16-11-16)
1. CARLOS MARTINEZ
2303 Ranch Rd. 620 South Suite 135-121
Lakeway, Texas 78734
512 293-4733 - carlosaustin@att.net
Experience
1997-Present Clinical Research Consultant
· Responsible for independently monitoring Phase I-IV clinical trials in accordance with Good Clinical Practice,
ICH guidelines and federal regulations
· Participate in identification an evaluation of Investigators
· Manage and report study site and overall program progress
· Monitor and or audit clinical studies to ensure data quality and integrity
· Verify investigational drug accountability and storage equipment
· PK sampling experience
· Conduct ongoing review of regulatory files and study supplies are maintained during the assigned project
· Resolve issues regarding enrollment
· Maintain relationships with Principal Investigators and study staff
· Ensure quality and deliverables are met across assigned clinical research institutions
· Trial Master File reconciliation
· Understanding of the assigned protocol(s) and trial specific manuals/plans to ensure quality
PPD/Pharmaco Inc. / Clinical Trials Management North America
1995-1997 Clinical Research Associate
· Independently monitored Phase II to IV clinical studies
· Conducted pre-study site selection, initiation, interim, and close-out visits
· Documented all findings, outcomes, and agreements reached during site visits
· Resolved discrepancies with EDC data
· Ensured proper maintenance of site's regulatory binder
· Verification of study drug accountability
· Contributed to the preparation and finalization of clinical study protocols and final reports
· Completion of Interim Analysis
1994-1995 Project Administrator
· Responsible for the management of multiple domestic and global projects
· Performed day to day tasks associated with the overall management of clinical research trials
· Tracked and managed fiscal aspects of studies, including yearly budget projections, actuals and study specific expenses
· Evaluated, selected, and implemented new clinical research technology according to GCPs, GLPs, cGMPs, FDA, DEA
and international guidelines
· Organized and scheduled multiple projects concurrently to meet deadlines
1991-1994 Clinical Research Coordinator
· Worked directly with physicians in the conduct of various in-patient and out-patient clinical trials
· Managed Schedule II and III controlled-substance studies
· Maintained accurate patient records, medication compliance and monitored for adverse events
· Presented protocols before research councils within hospitals for local IRB approvals
· Acted as liaison between pharmaceutical companies and clinical research institutions
Skills Computer – MAC OS X, XP 2011, Windows 8, ORACLE, CTMS, iMedidata, InForm, IRT - Fluent in Spanish
Education May 1990 University of Texas at Austin - Austin, Texas
Biology, Minor in Chemistry and Spanish
2. CLINICAL TRIAL EXPERIENCE
PHASE I
Pharmacokinetic and Pharmacodynamic Interactions of an Antiarrythmic and a Calcium Channel Antagonist.
The Oral Bioavailability /Bioequivalence of a New Beta Blocker Administered as 3 x 200mg Tablets and 600mg
Tablets Manufactured at different sites
Rising Dose Study to Determine the Tolerability and Pharmacokinetics of a New Antiarrhythmic Agent Using
Continuous Infusions in Normal Healthy Subjects
A Pharmacokinetic Comparison of a Calcium Channel Antagonist in Fed and Fasted Conditions
Multiple Dose Safety and Tolerance of a Cholesterol Absorption Inhibitor Administered in Ascending Doses and
Effect on Cholesterol Absorption in Volunteers with Mild to Moderate Hypercholesterolemia
Single Dose Safety and Tolerance of a Unique Cholesterol Lowering Agent in Man
A Randomized Four-Way Crossover Study to Evaluate the Pharmacokinetics, Dose Proportionality and
Bioavailability of an Anti-gout Agent Following Single Intravenous and Oral Administration in Healthy Male
Volunteers
At Risk for HIV Clinical Specimen Collection Study
Evaluation of the Pharmacokinetics of AMG 073 When Concomitantly Administered with Pantoprazole
Evaluation of the Pharmacokinetics of AMG 073 When Concomitantly Administered with Renagel
An Open-label, Single-dose Study of the Pharmacokinetics of AMG 073 Administered to Subjects with
End Stage Renal Disease Receiving Continuous Ambulatory Peritoneal Dialysis
Randomized, Double-blind, Placebo-controlled, Ascending, Single Oral Dose Study to Assess the Safety,
Tolerability, and Pharmacokinetics of BAG972 in Healthy Volunteers
3. PHASE II-IV
Preventive Relapse in Erosive or Ulcerative Gastroesophageal Reflux Disease
A Study of the Patient-Activated Reservoir in the Intrathecal Delivery of Morphine Sulfate as Management of
Pain due to Cancer and its Therapies
Long-Term Comparison on Growth Velocity and Tolerance of a Norditropin Human Growth Hormone
A Double-Blind, Randomized, Placebo-Controlled Study of Dose vs. Placebo in Sjogren's Syndrome Patients
with Xerostomia and Keratoconjunctivitis Sicca
An Open-Label Chronic Safety Study of a Dose in Sjogren's Syndrome Patients with Xerostomia and
Keratoconjunctivitis Sicca
A Comparison of the Onset of Action of Claritin-D and Semprex-D in Patients with Moderate to Severe Seasonal
Allergic Rhinitis
A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging study of CS-866 using Ambulatory Blood
Pressure Monitoring in Hypertensive Patients
A Phase II, Double-Blind, Double-Dummy, Optional Dose Titration, Cross-Over Comparison of Methylphenidate
Modified Release Formulation in Attention-Deficit Hyperactive Disorder Subjects Effectively Treated with
B.I.D. Immediate Release Methylphenidate
A Multicenter, Double-Blind, Parallel Group study comparing the Incidence of Gastroduodenal Ulcer associated
with SC-58635 bid with that of Diclofenac 75mg bid and lbuprofen 800mg tid, taken for 12 weeks in patients
with Osteoarthritis or Rheumatoid Arthritis
A Study of Long-Term Safety of SC-58635 in Treating and Signs and Symptoms of Osteoarthritis and
Rheumatoid Arthritis
A Comparative Study of the Efficacy and Safety of Clarithromycin Extended-Release Tablets and Loracarbef
Pulvules for the Treatment of Subjects with Secondary Bacterial Infectious of Acute Bronchitis
A Comparative Study of the Efficacy and Safety of Clarithromycin Extended-Release Tablets and Clarithromycin
Immediate Release Tablets for the Treatment of Subjects with Acute Exacerbation of Chronic Bronchitis
A Double-blind, Randomized, Stratified, Placebo-controlled Study of Ro64-0796 (also known as GS4104) in the
Treatment of Influenza
A Double-blind, Randomized, Stratified, Placebo-controlled Study of Ro64-0796 (also known as GS4104) in the
Treatment of Influenza in Children with Chronic Asthma
A Randomized, Double-blind, Placebo-Controlled Multicenter Study Measuring the Effects of Troglitazone in
Latino Patients with Type 2 Diabetes Mellitus
4. PHASE II-IV
A Comparative Study of the Safety, Efficacy and Effectiveness of Clarithromycin Extended-Release Tablets and
Augmentin Tablets for the Treatment of Subjects with Acute Exacerbation of Chronic Bronchitis
A Comparative Study of the Safety, Efficacy and Effectiveness of Clarithromycin Extended-Release Tablets and
Augmentin Tablets for the Treatment of Subjects with Acute Exacerbation of Chronic Bronchitis
A Phase II Double-Blind, Multi-Center, Vehicle-Controlled Feasibility Study of the Safety and Efficacy
of Intranasal Doxepin in the Prophylactic Treatment of Chronic Daily Headache
A Phase II Double-Blind, Multi-Center, Vehicle-Controlled, Dose Escalating Trial of the Safety and
Efficacy of Intranasal Doxepin in the Prophylactic Treatment of Chronic Daily
Headache
A Multinational, Randomized, Double-Blinded, Active-Controlled, Study for Evaluation of the Efficacy
and Safety of Oral HMR 3647 800mg Once a Day for 5 Days vs. Cefuroxime Axetil 250mg Twice a Day
for 10 Days in the Treatment of Acute Maxillary Sinusitis in Adults
A Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Safety of the
Hormone Replacement Therapy Combination Drug Product Drospirenone/Estradiol in Postmenopausal
Women With Concomitant Disease and Medication Known to Potentiate the Risk of Hyperkalemia
A Randomized, Open Label, Parallel Design Study of Renagel Phosphate Binder Versus Calcium-Based
Phosphate Binders in Hemodialysis Patients
A Multi-Center, Randomized, Double-Blind, Placebo-Controlled And Open-label Evaluation of the
Safety and Efficacy of Dual Therapy With Atorvastatin Plus Amlodipine When Compared To Either
Therapy Alone in the Treatment of Patients With Simultaneous Hyperlipidemia and Hypertension
Clinical Utility of Amlodipine/Atorvastatin To Improve Concomitant Cardiovascular Risk Factors of
Hypertension and Dyslipidemia
A Phase 3, Double-Blind, Multicenter, Multinational Randomized, Placebo-Controlled Trial Evaluating
Aztreonam Lysinate for Inhalation in Cystic Fibrosis Patients with Pulmonary P. aeruginosa (AIR-
CF1)
A Phase 3, Double-Blind, Multicenter, Randomized, Placebo-Controlled Trial with Aztreonam Lysinate
for Inhalation in Cystic Fibrosis Patients with Pulmonary P. aeruginosa Requiring Frequent Antibiotics
(AIR-CF2)
A Phase 3, Open-label, Follow-on Study of Multiple Courses of Aztreonam Lysinate for Inhalation (AI)
in Cystic Fibrosis Patients (AIR-CF3)
A study of the irritation potential of 10% terbinafine hydrochloride nail solution for onychomycosis
(NSO) during repeated applications on the skin of healthy subjects
5. An open-label proof-of-concept study to assess the effects of two AIN457 doses (on Day 1 and Day 22)
in patients with noninfectious uveitis
PHASE II-IV
A Randomized, Double-Blind, Placebo-Controlled, Two Dose-Arm, Parallel study of the Safety and
Effectiveness of Immune Globulin Intravenous (Human), 10% (IGIV, 10%) for the Treatment of Mild-to-
Moderate Alzheimer’s Disease
A Phase 2B Double Blind, Randomized, Placebo-Controlled, Parallel group, Dose Ranging Study to
Assess the Efficacy, Safety, and Tolerability of PF-04950615 Following Monthly and Twice Monthly
Subcutaneous Dosing for Six Months in Hypercholesterolemic Subjects on a Statin
A Phase III, Stratified, Randomized, Double-Blind, Multicenter, Non-Inferiority Study to Evaluate Safety
and Immunogenicity of Cell-Based Quadrivalent Subunit Influenza Virus Vaccine and Cell-based
Trivalent Subunit Influenza Virus Vaccines in Subjects Ages ≥4 Years to 18 Years˂
A Phase III, Stratified, Randomized, Double-Blind, Multicenter, Non-Inferiority Study to Evaluate the
Safety and Immunogenicity of a Cell-based Quadrivalent Subunit Influenza Virus Vaccine and Cell-
based Trivalent Subunit Influenza Virus Vaccines in Adults Ages ≥18 Years of Age
Planned Transition to Sirolimus-based Therapy Versus Continued Tacrolimus-based Therapy in Renal
Allograft Recipients
An Open-label Extension Study of DS-5565 for 52 Weeks in Diabetic Peripheral Neuropathic Pain
A Randomized, Double-Blind, Placebo-Controlled, 13-Week Study of DS-5565 for Treatment of
Diabetic Peripheral Neuropathic Pain
A Randomized, Double-Blind, Placebo- and Active-Controlled study OF DS-5565 in subjects with Pain
Associated with Fibromyalgia
An Open-Label Extension Study of DS-5565 for 52 Weeks in Pain Associated with Fibromyalgia
A Phase III, Multicenter, Randomized, Double-blind, Placebo-Controlled Study to Evaluate the Efficacy
and Safety of K-103-IP Compared With Placebo for the Treatment of Mild to Moderate Acute Pain
Associated With Ankle Strain or Sprain
A 24-Week, Multicenter, Randomized, Double-blind, Placebo-Controlled, Add-on, Parallel-Group Study
to Assess the Effect of Rasagiline on Cognition in Patients with Parkinson’s Disease
A randomized, double-blind trial investigating the efficacy and safety of intravenous neridronic acid in
subjects with complex regional pain syndrome type I (CRPS-I)
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Investigating the Efficacy and Safety
of CVT-301 (Levodopa Inhalation Powder) in Parkinson’s Disease Patients With Motor Response
6. Fluctuations (OFF Phenomena)
PHASE II-IV
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy and Safety of 2 Doses
of Tofacitinib (CP-690,550) in Subjects with Active Psoriatic Arthritis and an Inadequate Response to
at least One TNF Inhibitor
A Phase 3, Multi-Site, Open-Label Study of the Long Term Safety and Tolerability of 2 Doses of CP-
690,550 in Subjects with Moderate to Severe Chronic Plaque Psoriasis
A Phase 3 Efficacy and Safety Study of ALKS 5461 for the Adjunctive Treatment of Major Depressive
Disorder in Adults who have an Inadequate Response to Antidepressant Therapy (FORWARD-2 Study)
AC-1204 26-Week Long Term Efficacy Response Trial with Optional Open-Label Extension (NOURISH
AD) Alzheimer’s Disease
A Phase 3, Randomized, Open-Label, Assessor-Blind, Non-Inferiority, Active-Comparator Study
Evaluating the Efficacy and Safety of Liprotamase in Subjects with Cystic Fibrosis-Related Exocrine
Pancreatic Insufficiency
A Phase 3, Open-Label Study Evaluating the Efficacy and Safety of Liprotamase in Subjects with Cystic
Fibrosis Related Exocrine Pancreatic Insufficiency
An Open-Label Study Evaluating the Efficacy and Safety of Liprotamase in Subjects with Exocrine
Pancreatic Insufficiency due to Cystic Fibrosis
DERMATOLOGY
Safety and efficacy of test article cream, 1% compared to it’s vehicle and test article #2, 0.75% compared
to test article #3 in the treatment of Rosacea
An adrenal suppression trial of test article lotion, 0.05%compared to test article #2, 0.05% in subjects
with Psoriasis/Eczema.
Bilateral tolerance comparison study in subjects with Acne Vulgaris
A study of the contact sensitization potential of a 10% terbinafine hydrochloride nail solution for
Onychomycosis (NSO) following repeated applications onto the skin of healthy subjects
DENTAL STUDIES
7. A Randomized, Double-Blind, Placebo-Controlled Study to Compare the Analgesic Activity of RS138452,
an IP Receptor Antagonist, with lbuprofen 400mg and Placebo in a Post Surgical Dental Pain Model
in Male Patients, 18-40 Years of Age
IN-PATIENT STUDIES
A Multicenter, Randomized, Parallel, Double-Blind, Dose Ranging Study of Subcutaneous SR 90107A
/Org 31540 with an assessor blind, comparative control group of Subcutaneous LMWH in the prevention
of Deep Vein Thrombosis after Elective Total Hip Replacement
A Phase II, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Oral Food Challenge Trial of
Xolair (Omalizumab) with Children’s Peanut Allergy
A Multicenter, Randomized, Double-Blind, Parallel-Group, Active-Control, Dose-Ranging Study to
Evaluate the Safety and Efficacy of a Single Administration of SKY0402 for Prolonged Postoperative
Analgesia in Subjects Undergoing Primary, Unilateral, Inguinal Hernia Repair
A Multicenter, Randomized, Double-Blind, Parallel-Group, Active-Control, Dose-Ranging Study to
Evaluate the Safety, Efficacy, and Comparative Systemic Bioavailability of a Single Administration of
SKY0402 via Local Infiltration for Prolonged Postoperative Analgesia in Subjects Undergoing Total
Knee replacement
A Multicenter, Randomized, Double-Blind, Parallel-Group, Active-Control, Dose-Ranging Study to
Evaluate the Safety and Efficacy of a Single Administration of SKY0402 for Prolonged Postoperative
Analgesia in Subjects Undergoing Hemorrhoidectomy
Clinical Evaluation of Efficacy and Safety of FS VH S/D 500 for Hemostasis in Subjects Undergoing
Vascular Surgery
INTERNATIONAL STUDIES
Edinburgh, Scotland
Phase I Disposition and Metabolic Study of Orally Administered EPG Drug in Normal Healthy Male
Volunteers
Ocho Rios, Jamaica & Guadalajara, Mexico
A Double-Blind, Randomized, Placebo-Controlled, Single Center, Multi-Site Study to Assess the Safety and
Efficacy of SP-303 in the Symptomatic Treatment of Acute Diarrhea Syndrome among Adult Residents of
Mexico Seeking Medical Care
A Double-Blind, Randomized, Placebo-Controlled, Multi-Site Study To Assess the Safety and Efficacy of SP-303
in the Symptomatic Treatment of Acute Diarrhea among Travelers to Mexico or Jamaica: Oral Administration of
125mg, or 500mg SP-303 Given Every 6 Hours for 48 Hours
8. INTERNATIONAL STUDIES (continued)
Panama City, Panama
Pharmacokinetics of Telithromycin (HMR 3647) in Infants and Children Suffering from Bacterial Lower
Respiratory Tract Infections after Single Oral Administration of 30mg/kg of a Telithromycin Suspension
(50mg/ml)
San Jose, Costa Rica, Guatemala City, Guatemala & Panama City, Panama
Multi-center, Phase II, Open-Label Study of the Efficacy, Safety, Acceptability, and Pharmacokinetics of
Telithromycin, after repeated oral administration of either of two doses, once daily, for 5 days or 7 to 10 days, in
the treatment of respiratory tract infections in children of 6 months to 12 years.
Mexico City, Mexico
Clinical Protocol for A Third Party Blind, Placebo Controlled, Comparison of the Analgesic Activity of Bextra
20mg, Bextra 40mg, Arcoxia 120mg, and Placebo in a Postsurgical Dental Pain Model
Mexico City, Mexico
Phase II, Double-Blind, Randomized, Exploratory Placebo-Controlled Study of the Efficacy, Safety and
Tolerability of MCC-135 Comparing QD vs. BID Doses in Subjects with Congestive Heart Failure, NYHA
Class II/III