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Introduction to GCP. Outline. Definition and scope Purpose of clinical research Evolution of GCP Players in GCP Checklists of players. GCP = Good Clinical Research Practice Purpose of GCP To protect the rights of research subjects (volunteers or patients) - PowerPoint PPT Presentation
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A S NanivadekarA S Nanivadekar
Introduction to GCPIntroduction to GCP
A S NanivadekarA S Nanivadekar
OutlineOutline
Definition and scopeDefinition and scopePurpose of clinical researchPurpose of clinical researchEvolution of GCPEvolution of GCPPlayers in GCPPlayers in GCPChecklists of playersChecklists of players
A S NanivadekarA S Nanivadekar
GCP = Good Clinical GCP = Good Clinical ResearchResearch PracticePractice
Purpose of GCPPurpose of GCPTo protect the To protect the rightsrights of research subjects of research subjects
(volunteers or patients)(volunteers or patients)To ensure To ensure credibilitycredibility of the data of the data
GCP is applicable toGCP is applicable toProphylactic, diagnostic and therapeutic Prophylactic, diagnostic and therapeutic
trialstrialsDrugs, devices and proceduresDrugs, devices and proceduresEpidemiological studiesEpidemiological studies
A S NanivadekarA S Nanivadekar
The purpose of clinical research is to create knowledge needed to improve health care. Without such knowledge, action for health care may be impossible, wasteful, expensive or harmful because it will have no logical or empirical basis.
- IUTALD, 2001
A S NanivadekarA S Nanivadekar
EvolutionEvolution
Nuremberg Code, 1947Nuremberg Code, 1947Declaration of Helsinki, 1964 Declaration of Helsinki, 1964 → → 20012001 ICH GCP guidelines, 1996ICH GCP guidelines, 1996Ethical Guidelines for Biomedical Ethical Guidelines for Biomedical
Research in Human Subjects (ICMR), Research in Human Subjects (ICMR), 20002000
GCP Guidelines, CDSCO, New Delhi, GCP Guidelines, CDSCO, New Delhi, 20012001
A S NanivadekarA S Nanivadekar
Players in Clinical ResearchPlayers in Clinical Research
InvestigatorsInvestigatorsSponsorsSponsorsRegulatory agencyRegulatory agencyEthics CommitteeEthics Committee
A S NanivadekarA S Nanivadekar
Investigator’s checklist - 1Investigator’s checklist - 1
Interest, expertise, time and facilitiesInterest, expertise, time and facilities Interaction with sponsorInteraction with sponsor
Protocol, CRF, PIS and ICFProtocol, CRF, PIS and ICFFinancial grantFinancial grantPublication policyPublication policy
Interaction with ethics committeeInteraction with ethics committeePresentation and defense of protocolPresentation and defense of protocolCompliance with conditions of approvalCompliance with conditions of approval
A S NanivadekarA S Nanivadekar
Investigator’s checklist - 2Investigator’s checklist - 2
ImplementationImplementationOrganizing, briefing and supervising the Organizing, briefing and supervising the
teamteamFacilitating informed consent processFacilitating informed consent processCompleting and signing CRFsCompleting and signing CRFsReporting SAEReporting SAEInteracting with monitorInteracting with monitorReviewing and approving final reportReviewing and approving final reportArchiving source documentsArchiving source documentsPreparing for audit and/or inspectionPreparing for audit and/or inspection
A S NanivadekarA S Nanivadekar
Sponsor’s checklist - 1Sponsor’s checklist - 1
Scientific, regulatory and ethical Scientific, regulatory and ethical basis of the protocol, PIS and ICFbasis of the protocol, PIS and ICF
Investigator’s qualifications, training Investigator’s qualifications, training and experienceand experience
Regulatory and ethical approvalsRegulatory and ethical approvalsPublication policyPublication policyQuality of trial suppliesQuality of trial supplies Initiation, monitoring and auditInitiation, monitoring and audit
A S NanivadekarA S Nanivadekar
Sponsor’s checklist - 2Sponsor’s checklist - 2
Data management and analysisData management and analysisDrafting of study reportDrafting of study reportPreparation for inspectionPreparation for inspectionArchives of source documentsArchives of source documents
A S NanivadekarA S Nanivadekar
Regulator’s checklistRegulator’s checklist
Periodic review of current regulations Periodic review of current regulations from scientific and ethical anglesfrom scientific and ethical angles
Advance consultation to sponsors on Advance consultation to sponsors on protocolsprotocolsEfficacy and safety criteriaEfficacy and safety criteriaComparator productComparator product
Advisory panels for review of Advisory panels for review of applications and decision makingapplications and decision making
Inspection of investigational centersInspection of investigational centers
A S NanivadekarA S Nanivadekar
Ethics Committee’s checklist - Ethics Committee’s checklist - 11
Need for trialNeed for trialScientific aspects of protocol with Scientific aspects of protocol with
ethical implicationsethical implicationsParticipantsParticipants
NumberNumberHealthy volunteers or patientsHealthy volunteers or patientsVulnerable personsVulnerable persons
A S NanivadekarA S Nanivadekar
Ethics Committee’s checklist - Ethics Committee’s checklist - 22
TreatmentTreatmentWithdrawal of current treatmentWithdrawal of current treatmentAssignment of placeboAssignment of placeboDosage and routeDosage and route
Assessment of responseAssessment of responseNature and frequencyNature and frequencyInvasive or non-invasiveInvasive or non-invasiveTotal blood drawnTotal blood drawn
A S NanivadekarA S Nanivadekar
Ethics Committee’s checklist - Ethics Committee’s checklist - 33
Ethical aspects of protocolEthical aspects of protocolInformation and consent formInformation and consent form
Content and languageContent and languageRisks and benefitsRisks and benefitsCompensation or other paymentsCompensation or other paymentsInsurance for study-related injuryInsurance for study-related injuryTreatment after studyTreatment after study
Regulatory approvalRegulatory approval
A S NanivadekarA S Nanivadekar
Resourcefulness
A S NanivadekarA S Nanivadekar
Thank you!Thank you!