CDER Director Tips Hat to CTTI for Assisting with Reform of the Clinical Trial System

In a recent interview, the Director of the FDA’s Center for Drug Evaluation and Research (CDER), Dr. Janet Woodcock, was given the opportunity to share her vision for the center in 2015. When asked where she would most like to see advances in the realm of drug discovery, research, and development, Dr. Woodcock pointed to the need to reform the clinical trial system to reduce wastefulness. She cited CTTI’s role in analyzing and innovating different components of trial conduct and design; “I think we’ve made significant progress there,” stated Woodcock.

To read the transcript of the interview in full, click here.

Executive Director Shares Inside Perspective on CTTI’s Work in CenterWatch Profile

CenterWatch’s Insider Insights is a semi-monthly publication that features organizations in the clinical trials space. Recently, Staff Writer Ronald Rosenberg sat down with CTTI’s Executive Director Pamela Tenaerts to discuss CTTI’s work. Their conversation touched upon the evolution of CTTI’s mission, which now includes an emphasis on the implementation of recommendations to improve clinical trial quality and efficiency. They also discussed CTTI’s pioneering approach to enhancing the patient voice, as well as the recently unveiled recommendations for streamlining GCP training practices. To read the article in full, click here.

“One of our biggest successes is [the] forum we created, in which there is trust for open dialogue… This atmosphere allows us to have all the stakeholders in clinical trials involved in being part of the solutions.”
-Pamela Tenaerts, M.D.

CTTI Welcomes 2 New Patient Representatives to Steering Committee

CTTI is pleased to announce the two newest additions to our Steering Committee, Diane Cook and Barbara LeStage.

As individual patient/caregiver representatives, they will collaborate with other stakeholders as equal partners to ensure that their unique perspective is represented in CTTI’s Steering Committee activities. These activities include analyzing existing research impediments and recommending consensus-driven, actionable solutions that will lead to a more sustainable and effective clinical trial system.

Cook and LeStage will be joining Stephen Mikita and Cynthia Geoghegan as individual patient/caregiver representatives at CTTI. To view a complete list of the membership organizations, including patient groups, click here.

We are honored to have such high quality patient/caregiver representatives to advocate for the patient voice at CTTI. Below, you will find additional information on each of our newest members.

 

Diane Cook

Diane CookDiane Cook was diagnosed with Parkinson’s disease in 2008. She has participated in 10 clinical trials or research studies to date. Realizing the importance of the patient voice in clinical trials, Diane has gone on to partner with the research community to serve in roles such as co-principal investigator in hopes of developing higher quality, more efficient trials. Diane founded the Self-Efficacy Learning Forum (SELF) through which she has helped hundreds of recently diagnosed Parkinson’s patients increase their self-efficacy skills and behaviors to better manage their disease. She presented at the 2nd International Movement Disorders Congress in Sydney and served on the faculty of the 3rd World Parkinson’s Congress in Montreal. Her efforts to increase collaboration between the patient and research communities include the establishment of an annual Clinical Trial Research Forum in Denver, attracting hundred of patients and researchers, and a research study pairing local researchers and patients to identify opportunities and barriers to increased patient involvement in the research process. Diane serves as Patient Representative to the FDA, on the People with Parkinson’s Advisory Committee to the Parkinson’s Disease Foundation, as Colorado State Director for the Parkinson’s Action Network, as Advisory Committee Member of the University of Colorado Center for Movement Disorders and Neurorestoration.

 

Barbara LeStage

Barbara LeStageWhen Barbara was fifteen, her forty-one year old mother died of pancreatic cancer. In the 1970s her father was diagnosed with spindle cell carcinoma of the face requiring extensive surgery, radiation and plastic surgery. Barbara is a 19 year survivor of Stage 1 carcinoma of the breast. Her career as a cancer advocate began in 1975 when asked to volunteer for the American Cancer Society, eventually serving as Chair of the ACS Massachusetts Division Board and as a member the ACS National Board of Directors from 1988-1999. In 1993 Barbara’s focus began to shift to research advocacy. She served on three ACS national extramural research committees and the Council for Extramural Grants. She is past chair of the NCI Director’s Consumer Liaison Group (now the Council of Research Advocates) and a past member of NCI’s Central IRB, Advisory Committee to the Director, Informed Consent Template Update Working Group and Concise Informed Consent Document Planning Committee. She is currently serving as a member of NCI’s Clinical Imaging and Patient Advocate Steering committees and the Dana Farber/Harvard Cancer Center’s Breast Cancer Advocacy Group. Barbara chaired the Patient Advocacy Committee of the American College of Radiology Imaging Network (ACRIN) for seven years and was a member of protocol teams for two trials. She was a faculty member of the 2006 Clinical Trials Methodology Workshop conducted by the Radiological Society of North America. 2015 will be her fifth year as a faculty member of the ASCO/AACR Methods in Clinical Cancer Research Workshop.

Barbara received a B.S. from Denison University and a Master of Health Professions degree from Northeastern University’s Bouvé College of Pharmacy and Health Sciences. She is a graduate of the National Breast Cancer Coalition’s Project LEAD and the American Cancer Society’s Stakeholder Training. She twice attended the American Association for Cancer Research’s Scientist-Survivor program.

CTTI and Precision Medicine

On January 30, 2015, President Obama unveiled details about the Precision Medicine Initiative, a new research effort intended to revolutionize how we improve health and treat disease. Several CTTI affiliates were invited to take part in the announcement. After an afternoon in the White House, the synergy between this federal initiative and CTTI’s work was clear.

CTTI co-chair Dr. Robert Califf found the event to be a call-to-action for CTTI to redouble efforts to streamline clinical trials, so that accelerated technology development can lead to practice based on high quality evidence. Furthermore, CTTI’s pioneering work in patient engagement is consonant with the proposed new model of patient-powered research to accelerate biomedical discoveries and provide clinicians with new tools, knowledge, and therapies to select which treatments will work best for which patients.

Following the presidential announcement, 30 leaders from the patient community joined NIH Director Francis Collins for lunch to explore their hopes and fears about the effort. CTTI’s director of stakeholder engagement, Bray Patrick-Lake, was in attendance and reports that members of the patient community spoke to their great hopes in the science and commitment of NIH and the White House. These sentiments were perhaps best stated by 11-year-old rare disease patient Beatrice Rienhoff who said it was the best day of her life; however other patients articulated that fears remain around the IRB and informed consent impediments in the current research system. This makes CTTI’s work on these topics and others even more timely, relevant and urgent.

Recording Now Available: CTTI Webinar Provides Real-World Examples of QbD in Clinical Trials (Part 2)

Quality by Design (QbD) is an approach to planning clinical trials that involves building quality into the process from the beginning. While there is growing consensus around the idea that QbD can improve the quality and efficiency of trial design, questions remain about the implementation of these principles.

To address these questions, CTTI’s QbD Project has organized a three-part webinar series, which explores concrete examples of real-world application of QbD Principles. The second webinar in this series recently took place on January 14, 2015 and featured speakers from The Medicines Company and AstraZeneca who discussed how QbD has been executed within their organizations, as well as the lessons gleaned from their experiences.

We’re happy to share the recording of this webinar, and we encourage you to share it with your colleagues.

To view a recording of the first webinar in this series, click here. The final webinar in this series is scheduled for Wednesday, April 15, 2015, 11:00 a.m. – 12:00 p.m. EST.

CTTI Recommendations for Improving GCP Training to be Unveiled

CTTI’s GCP Training Project set out to develop recommendations for streamlining GCP training practices. After assessing data on current training programs and gaining consensus around strategies to reduce the burden of redundant training, CTTI’s multi-stakeholder working group has developed recommendations on the content and frequency for GCP training.

The final results and recommendations of this project will be unveiled on January 29, 2015 in a public webinar hosted by the Society for Clinical Research Sites (SCRS). We invite our colleagues in the clinical trials enterprise to attend this exciting event and we encourage the sharing of this invitation.

Additional information on this webinar is listed below:

WebinarA New View: How Frequently is GCP Training Needed and What Should Be Included?

Panelists:

  • Bridget Foltz, MS, MT (ASCP) | U.S. Food and Drug Administration
  • Michael Koren, MD, FACC, CPI | Jacksonville Center for Clinical Research
  • Jonathan Seltzer, MD, MBA, MA, FACC | ACI Clinical
  • Gretchen Wild, MBA, MHA | St. Jude Medical

Date: January 29, 2015 at 12:00 PM EST

Cost: Free

RegistrationClick here to register. (After registration, you will be emailed the login details.)

CTTI Welcomes 3 New Members

CTTI would like to welcome our three newest members: Life Raft, the MPN Research Foundation, and the Foundation for Prader-Willi Research.

 

Life Raft

Life Raft provides support through information, education, and innovative research to patients with a rare cancer called GIST (Gastrointestinal Stromal Tumor). Executive Director Norman Scherzer will represent this organization on CTTI’s Steering Committee.

 

MPN Research Foundation

The MPN Research Foundation works to stimulate original research in pursuit of new treatments for myeloproliferative neoplasms (MPN). Deputy Director Michelle Woehrle will represent this organization on CTTI’s Steering Committee.

 

Foundation for Prader-Willi Research

The Foundation for Prader-Willi Research works to eliminate the challenges of the genetic disorder known as the Prader-Willi syndrome through the advancement of research. Director of Research Programs Theresa Strong will represent for this organization on CTTI’s Steering Committee.

 

 

As patient groups, these organizations represent one of many key stakeholders that CTTI engages to collaboratively improve the quality and efficiency of the clinical trials enterprise. For more information about CTTI’s organizational structure, including the Steering Committee, CLICK HERE.

CTTI Webinar Provides Real-World Examples of Quality by Design (QbD) in Clinical Trials (Part 2)

The Clinical Trials Transformation Initiative (CTTI) invites you to participate in a webinar hosted by the Quality by Design (QbD) Project team. QbD emphasizes building quality into a process from the beginning. Applied to clinical development, this approach prospectively examines the objectives of a trial and defines factors (key data and trial processes such as randomization) critical to meeting these objectives. This webinar is the second in a CTTI-hosted series designed to provide real-world examples of applying QbD to clinical trials. (Click here to view the first webinar in this series.)

Topic: Translating Quality by Design Principles into Practice, Part 2

Date: Wednesday, January 14, 2015

Time: 11:00 a.m. – 12:00 p.m. Eastern Standard Time (New York, GMT-05:00)

Agenda:

  • CTTI QbD Project Overview by Ann Meeker-O’Connell, Senior Director, Clinical QA Strategy, Janssen
  • Quality Management in Clinical Trials: Keeping it Simple by Sabrina Comic-Savic, MD, MPH Senior Director, GCP Compliance, The Medicines Company
  • QbD – An Example from a Running CV Outcome Trial by Helene DuPui-Ekdal Director, Clinical Development, AstraZeneca
  • Q & A

THIS WEBINAR IS OPEN TO THE PUBLIC. WE ENCOURAGE YOU TO FORWARD THIS INVITATION TO OTHERS WHO MAY BE INTERESTED IN LEARNING MORE ABOUT QBD IMPLEMENTATION.

To join the webinar on January 14, go to:
https://dukemed.webex.com/dukemed/j.php?MTID=m6674f0b144ed076e5afb9322a67442d9
Meeting Number: 738 965 414
Meeting Password: ctti

If you prefer to connect to audio only, you can join by phone at:
1-855-244-8681 Call-in toll-free number (US/Canada)
1-650-479-3207 Call-in toll number (US/Canada)

The playback of UCF (Universal Communications Format) rich media files requires appropriate players. To view this type of rich media files in the meeting, please check whether you have the players installed on your computer by going to https://dukemed.webex.com/dukemed/systemdiagnosis.php.

Mark your calendars. The QbD Webinar Series will continue on the following date:

Wednesday, April 15, 2015, 11:00 a.m. – 12:00 p.m. EST (New York, GMT-05:00)

Latest CTTI Recommendations Address Desired Attributes of Electronic Portals for Expedited Safety Reporting

A CTTI survey identified that investigators and research staff believe electronic portals have the potential to increase the efficiency of expedited safety reporting to research sites, but in practice are difficult to use and add to the complexity of the system.

CTTI’s IND Safety Advancement Project Team developed recommendations for Desired Attributes of Electronic Portals for Expedited Safety Reporting to help mitigate these issues for those involved in safety reporting.

DOWNLOAD THE RECOMMENDATIONS

We encourage you to share these recommendations with your colleagues involved in safety reporting. Together, we can build a better system and overcome #hyperportalosis.

 

Hyperportalosis | noun

  1. Frustration resulting the need to interact with a variety of incompatible, inconsistent and non-intuitive electronic portals
  2. A maddening state commonly experienced by clinical investigators marked by compulsive desires to hit one’s computer(s)

CTTI’s Tools for Improving Clinical Trial Quality & Efficiency

In our pursuit to enhance the implementation of CTTI’s recommendations, we’ve created a new webpage on our site that we’d like to share with you. This page features CTTI’s three most commonly used tools:

  1. The Considerations Document for a Single IRB of Record: Developed by CTTI’s Central IRB Project, this tool supports communication and contractual relationships between institutions and a central IRB to address blurred distinctions between responsibilities for ethics review and other institutional obligations. Primary users for this tool include sponsors, academic institutions, investigators, IRBs that act as a single IRB of record.
  2. The Quality by Design Principles Document: Developed by CTTI’s QbD Project, this tool helps those working in trials to promote proactive, cross-functional discussions and critical thinking at the time of trial development about what is critical to quality for a specific trial, and about the events that might impede or facilitate achieving quality. Primary users for this tool include anyone interested in designing and conducting clinical trials.
  3. The AACT Database: Developed by CTTI’s State of Clinical Trials Project, this tool makes the acquisition and analysis of the aggregate data from ClinicalTrials.gov more user-friendly. Primary users for this tool include researchers interested in analyzing data from clinical trials.

The Tools Page can be accessed on the CTTI site under Briefing Room > Tools. We hope that you find this resource valuable and share with your colleagues in the clinical trials enterprise.