CTTI Paper Offers Suggested Solutions for Improving Good Clinical Practice Training

A new CTTI paper, detailing its findings from a project designed to assess challenges and burdens associated with Good Clinical Practice (GCP) training, has published in Contemporary Clinical Trials Communications.

The paper, “More than a Box to Check: Research Sponsor and Investigator Perspectives on Making GCP Training Relevant,” outlines feedback on GCP training gleaned from interviews CTTI conducted with clinical investigators and research sponsors. While interview respondents recognized that GCP training addresses critical tasks necessary for the quality conduct of clinical trials, many found it burdensome and repetitive—one interviewee said the training was seen as “just another box to check off.”

CTTI’s paper also highlights respondents’ suggestions for navigating these challenges, noting a need for significant improvement in the design, content, presentation, and training of GCP guidelines. These findings, together with other evidence, informed CTTI’s Investigator Qualification recommendations for alleviating the burden of training and making it more engaging and applicable to real-world clinical research scenarios.

CTTI to Focus on Three Key Areas of Clinical Research Improvement and Innovation at DIA 2019

At this year’s DIA 2019 Global Annual Meeting, CTTI will share insights from three key areas of its work dedicated to enhancing the quality and efficiency of clinical trials. At the event, which will take place in San Diego from June 23-27, CTTI will present its recommendations and resources for enhancing patient engagement, investigator qualification, and the use of mobile technology in clinical research. Please join us at the following presentations:

Presentation: Measuring the Impact of Patient Engagement Activities in Medicines R&D: A Way to Sustain Cultural Change

Date & Time: Tues., June 25, 2:00 – 3:15 p.m. PT (GMT-07:00)

Presenter: Jaye Bea Smalley (Celgene Corporation)

Related CTTI Project: Patient Groups & Clinical Trials

Presentation: Identifying High-Value Patient Engagement Opportunities: A Collaborative Three-Step Process for Sponsors and Patient Groups

Date & Time: Wed., June 26, 8:00 – 9:15 a.m. PT (GMT-07:00)

Presenters: Linda Brennan (Cystic Fibrosis Foundation) and Jaye Bea Smalley (Celgene Corporation)

Related CTTI Project: Patient Groups & Clinical Trials

Presentation: Improving Trial Quality by Better Preparing Site Teams

Date & Time: Wed., June 26, 8:00 – 9:15 a.m. PT (GMT-07:00)

Presenters: Sabrina Comic-Savic (The Medicines Company), Christine Hildebrand (Amici Clinical Research), Jimmy Bechtel (SCRS), Janette Panhuis (Population Health Research Institute, McMaster University), Ronnie Todaro (Parkinson’s Foundation)

Related CTTI Project: Investigator Qualification

Presentation: Demystifying Technology Selection in Mobile Clinical Trials

Date & Time: Wed., June 26, 8:00 – 9:15 a.m. PT (GMT-07:00)

Presenters: Aaron Coleman (Fitabase), Barry Peterson (Wearable Devices, Independent Consultant), Isaac Rodriguez-Chavez (FDA/CDER), and Thomas Switzer (Genentech―a member of the Roche Group)

Related CTTI Project: MCT Mobile Technologies

Presentation: A New Path Forward for Using Decentralized Clinical Trials

Date & Time: Wed., June 26, 4:15 – 5:30 p.m. PT (GMT-07:00)

Presenters: Gail Adinamis (GlobalCare Clinical Trials), Michael O’Brien (The Avoca Group), Laura Podolsky (Science 37), and Penny Randall (IQVIA)

Related CTTI Project: MCT Decentralized Clinical Trials

Webinar Now Available: CTTI’s New Recommendations to Improve Investigator Qualification

During a public webinar on Thurs., Nov. 15, CTTI released new recommendations that propose a fresh approach for investigator qualification. The webinar, now available online, explored how these new recommendations can move qualification activities beyond repetitive one-size-fits-all training to include individual experience and protocol-specific preparation.

Investigator Qualification Recommendations

While current FDA regulations state that sponsors and their delegates are responsible for selecting qualified investigators, no guidelines exist for how to meet this requirement. Good Clinical Practice (GCP) training is widely used as the industry standard, but there is little evidence that it sufficiently qualifies investigators and their delegates to conduct quality clinical trials.

 

CTTI convened a team of experts and leaders across the clinical trials enterprise to develop new recommendations and resources that can help to implement a more efficient and effective qualification process. CTTI’s recommended approach recognizes previous training and experience, identifies gaps in knowledge and skills, and improves understanding of how to apply GCP principles to the conduct of clinical trials.

 

“If we are to support successful clinical trial conduct, we can’t look at training in isolation,” said Sabrina Comic-Savic of The Medicines Company, who presented during the webinar. “These recommendations come as part of an overall approach that CTTI is taking to improve the whole ecosystem where sites operate in order to support the quality conduct of clinical trials.”

 

The webinar also featured Jimmy Bechtel of the Society for Clinical Research Sites (SCRS) and Kate Haratonik of Genentech—a member of the Roche Group.

Recommendations Now Available for Improving Investigator Qualification

CTTI released new recommendations proposing a new approach for investigator qualification today during a public webinar. This approach goes beyond repetitive one-size-fits-all training and includes individual experience and protocol-specific preparation.

 

Investigator Qualification Recommendations

While Good Clinical Practice (GCP) training is widely used as the industry standard for investigator qualification, there is little evidence that completion of GCP training alone sufficiently qualifies investigators and their delegates to conduct quality clinical trials. In fact, the most common deficiencies noted during investigator inspections are often directly related to GCP principles. Furthermore, redundant GCP training creates an unnecessary burden for site teams and limits the opportunity for more valuable, protocol-specific learning and preparation.

 

To address this challenge, CTTI convened a team of experts and leaders across the clinical trials enterprise to develop new recommendations and resources that can help in implementing a more efficient and effective means of qualification. CTTI’s recommended approach recognizes previous training and experience, identifies gaps in knowledge and skills, and improves understanding of how to apply GCP principles to the conduct of clinical trials.

 

By implementing CTTI’s recommendations, stakeholders could improve the execution of study protocols and ultimately the overall quality of trials. The recommendations can also help stakeholders create a culture of collaboration and provide ongoing support through formalized mentorship and knowledge-sharing platforms.

 

Recognizing that successful clinical trials require not only qualified site teams but also well-designed protocols and robust site-based infrastructure, CTTI encourages site teams to use these new recommendations in conjunction with its Quality by Design recommendations on protocol development and Investigator Community recommendations for a holistic approach to conducting quality clinical trials.