DOCSLIB.ORG

NIHR CRN GCP Resources Document

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
NIHR CRN GCP Resources Document NIHR CRN GCP Resource A compilation of links to useful on-line GCP quality tools and resources NIHR CRN Good Clinical Practice Reference Resource Acknowledgements This GCP Resource has been produced by Dr Stuart McCully of Compliance Healthcheck Consulting UK Ltd (www.chcuk.co.uk) on behalf on the National Institute of Health Research (NIHR) NIHR CRN Good Clinical Practice Reference Resource DISCLAIMER Although this GCP Resource contains information of a legal nature, it has been developed for information and education purposes only and does not constitute legal advice or opinions as to the current operative laws, regulations, or guidelines of any jurisdiction. In addition, because new standards are issued on a continuing basis, this GCP Resource is not an exhaustive source of all current applicable laws, regulations, and guidelines relating to non-interventional studies. While reasonable efforts have been made to assure the accuracy and completeness of the information provided, researchers and other individuals should check with the applicable National Competent Authorities and/or Research Ethics Committees before starting research activities. Copyright Information UK Statutory Instruments and Acts: Crown Copyright material is reproduced with the permission of the Controller of HMSO and the Queen’s Printer for Scotland. This information is licensed under the terms of the Open Government Licence (link) European Regulations, Directives and Guidelines: European Community Copyright material is reproduced with the permission of the European Commission. Version 3, May 2011 © NIHR CRN 2010 - 2011 3 NIHR CRN Good Clinical Practice Reference Resource Foreword The following document contains links to GCP-related articles, references, documents and websites and is aimed to serve as a resource to help develop and further your knowledge about Good Clinical Practice (GCP). For further details, or to add anything to this document, please contact the CRN Workforce Development team: CRN Workforce Development Team National Institute for Health Research Clinical Research Network Coordinating Centre 71-75 Clarendon Road, Leeds LS2 9PH T: 0113 343 0406 F: 0113 343 2300 E: [email protected] W: http://www.crncc.nihr.ac.uk/TRAINING Version 3, May 2011 © NIHR CRN 2010 - 2011 4 NIHR CRN Good Clinical Practice Reference Resource Table of Contents Acknowledgements .......................................................................................................... 2 DISCLAIMER ..................................................................................................................... 3 Copyright Information ............................................................................................................ 3 Foreword ......................................................................................................................... 4 Document History .......................................................................................................... 14 Good Clinical Practice – Recent Changes ......................................................................... 15 Changes to Legislation .......................................................................................................... 15 Clinical Trials Directive (2001/20/EC) (Beyond 2012) ...................................................... 15 Mandatory Electronic SUSAR Reporting (Sept 2010) ....................................................... 15 Updated Pharmacovigilance Requirements (July 2012) .................................................. 16 Regulation of Pharmacists, Pharmacy Technicians & Pharmacy Premises (Feb 2010) ... 16 Advanced Therapy Medicinal Products (ATMPs) (Aug 2010) .......................................... 17 Medical Devices (March 2010) ......................................................................................... 19 Changes to Procedures ........................................................................................................ 19 MHRA GCP Inspection Process (Oct 2009) ....................................................................... 19 Procedure for Investigating Research Misconduct (July 2009) ........................................ 20 Clinical Research Guidance .................................................................................................. 21 Electronic Source Data (Aug 2010) ................................................................................... 21 Guideline on Missing Data in Confirmatory Clinical Trials (Jan 2011) ............................. 21 Adults Lacking Capacity to Consent (Oct 2010) ............................................................... 23 Time to Consent (Sept 2010) ............................................................................................ 24 Good Practice in Research and Consent to Research (April 2010) .................................. 24 Future Direction of Clinical Research ................................................................................... 25 Equity and Excellence: Liberating the NHS (July 2010) .................................................... 25 Academy of Medical Sciences Report (Jan 2011) ............................................................. 25 UK Governments Plan for Growth (March 2011) ............................................................. 26 The Role of the NIHR CRN in Clinical Research ................................................................. 31 The National Institute for Health Research (NIHR) .............................................................. 31 Version 3, May 2011 © NIHR CRN 2010 - 2011 5 NIHR CRN Good Clinical Practice Reference Resource The Clinical Research Network (CRN) .................................................................................. 32 The Clinical Research Network Coordinating Centre (CRN CC) ........................................... 32 Key Documents Outlining the Role of Clinical Research in the NHS .................................... 33 NIHR Quality Tools & Templates .......................................................................................... 37 Investigator Site File Contents ......................................................................................... 37 Document Tracking Log .................................................................................................... 37 Milestone Summary ......................................................................................................... 37 Study Specific Training Log ............................................................................................... 37 Telephone Summary Template ........................................................................................ 38 File Note Template ........................................................................................................... 38 Treatment Allocation Log ................................................................................................. 38 Appointment Checklist ..................................................................................................... 38 Study Supplies Issues Log ................................................................................................. 39 Study Patient Visit Schedule ............................................................................................. 39 GCP: The Standards and Why We Have Them ................................................................. 40 Definitions ............................................................................................................................ 40 Good Clinical Practice (GCP) ............................................................................................. 40 Historical Foundation: Why Do We Need These GCP Standards? ....................................... 40 GCP History: The Nazi ‘Medical’ Experiments .................................................................. 40 GCP History: The Tuskegee Syphilis Study ....................................................................... 41 GCP History: Thalidomide................................................................................................. 42 Current Situation: We Still Need These GCP Standards! ..................................................... 44 Man Dies in Government Cancer Drug Trial (Oct 2007) .................................................. 44 US Investigator’s Lack of Oversight has Tragic Results (2009) ......................................... 46 Recent Examples of GCP Inspection Findings and GCP Misconduct ................................ 47 Global Clinical Trial Guidelines ........................................................................................ 50 Nuremberg Code (1947)....................................................................................................... 50 UN Declarations of Human Rights ........................................................................................ 50 UN Declaration of Human Rights (1948) .......................................................................... 50 UN Declaration on Bioethics and Human Rights (2005) .................................................. 51 UN Declarations on Human Genetic Data and Human Rights (1997 & 2003) ................. 51 Version 3, May 2011 © NIHR CRN 2010 - 2011 6 NIHR CRN Good Clinical Practice Reference Resource Declaration of Helsinki (1996, 2000, 2008) .......................................................................... 51
Load more

Recommended publications
  • Good Clinical Practice (GCP)
    Good Clinical Practice (GCP) Angela Del Vecchio 18 maggio 2018 1 Dichiarazione di trasparenza/interessi* Le opinioni espresse in questa presentazione sono personali e non impegnano in alcun modo l’AIFA Da 0 a Interessi nell’industria farmaceutica NO Attualmente oltre 3 anni precedenti 3 anni precedenti INTERESSI DIRETTI: 1.1 Impiego per una società: Ruolo esecutivo in una x obbligatorio società farmaceutica 1.2 Impiego per una società: Ruolo guida nello sviluppo x obbligatorio di un prodotto farmaceutico 1.3 Impiego per una società: altre attività x facoltativo 2. Consulenza per una società x facoltativo 3. Consulente strategico per una società x facoltativo 4. Interessi finanziari x facoltativo 5. Titolarità di un brevetto x facoltativo INTERESSI INDIRETTI: 6. Sperimentatore principale x facoltativo 7. Sperimentatore x facoltativo 8. Sovvenzioni o altri fondi finanziari x facoltativo 9. Interessi Familiari x facoltativo * Angela Del Vecchio, secondo il regolamento sul Conflitto di Interessi approvato dal CdA AIFA in data 25.03.2015 e pubblicato sulla Gazzetta Ufficiale del 15.05.2015 in accordo con la policy EMA /626261/2014 sulla gestione del conflitto di interessi dei membri dei Comitati Scientifici e degli esperti. N.B. <Per questo intervento non ricevo alcun compenso> DEFINITION Good Clinical Practice (GCP) is an international ethical and scientific quality standard for designing, conducting, recording and reporting trials that involve the partecipation of human subjects. Compliance with this standard provides public assurance that the rights, safety and well-being of trial subjects are protected and that the clinical trial data are credible. INTERNATIONAL CONFERENCE ON HARMONISATION (ICH) International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH) is unique in bringing together the regulatory authorities and pharmaceutical industry of Europe, Japan and the US to discuss scientific and technical aspects of drug registration.
    [Show full text]
  • E6(R2) Good Clinical Practice: Integrated Addendum to ICH E6(R1) Guidance for Industry
    E6(R2) Good Clinical Practice: Integrated Addendum to ICH E6(R1) Guidance for Industry U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) Center for Biologics Evaluation and Research (CBER) March 2018 Procedural OMB Control No. 0910-0843 Expiration Date 09/30/2020 See additional PRA statement in section 9 of this guidance. E6(R2) Good Clinical Practice: Integrated Addendum to ICH E6(R1) Guidance for Industry Additional copies are available from: Office of Communications, Division of Drug Information Center for Drug Evaluation and Research Food and Drug Administration 10001 New Hampshire Ave., Hillandale Bldg., 4th Floor Silver Spring, MD 20993-0002 Phone: 885-543-3784 or 301-796-3400; Fax: 301-431-6353 Email: [email protected] http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm and/or Office of Communication, Outreach and Development Center for Biologics Evaluation and Research Food and Drug Administration 10903 New Hampshire Ave., Bldg. 71, Room 3128 Silver Spring, MD 20993-0002 Phone: 800-835-4709 or 240-402-8010 Email: [email protected] http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) Center for Biologics Evaluation and Research (CBER) March 2018 Procedural Contains Nonbinding Recommendations TABLE OF CONTENTS INTRODUCTION ...............................................................................................................
    [Show full text]
  • Good Clinical Practice: from Review to Application
    Good Clinical Practice: From Review to Application by: Rebecca York, Clinical Research Associate, IMARC Research As clinical research professionals, we often hear phrases like, “It’s in the regs!” Or, “It’s GCP!” At times, it may seem as though by classifying our actions as “GCP,” we wave a magic wand that ensures regulatory compliance. But what is GCP, and what does it mean to be GCP compliant? In order to take “good” to “great,” it is important understand the conceptual framework that supports good clinical practice and be able to apply that understanding in daily research practice. Introduction and Literature Review Good clinical practice is an attitude of credible excellence in research that provides a standard for clinical study design, Good clinical practice is more implementation, conduct and analysis. Good clinical practice is more than any one document; rather, it is a collective than any one document; rather, compilation of many thoughts, ideas and learning moments it is a collective compilation spanning the globe over. Furthermore, good clinical practice of many thoughts, ideas and is a mindset that is absolutely essential to the protection of learning moments spanning the patients’ rights and the assurance of data integrity. globe over. A comprehensive representation of the development of good clinical practice can be found in a literature review of the Declaration of Helsinki, the Common Rule, the Belmont Report, the World Health Organization Guidelines for GCP, the International Conference on Harmonization, and the FDA Code of Federal Regulations. This is by far not a complete list of the regulatory documents that comprise GCP, but rather an excellent launch pad into the conceptual framework within which research professionals must comply.
    [Show full text]
  • Good Clinical Practice in Clinical Trials Kapil Verma* Amity Institute of Forensic Sciences (AIFS), Amity University, Uttar Pradesh, India
    Clin l of ica Verma, J Clin Trials 2013, 3:1 a l T n r r i u a o l s DOI: 10.4172/2167-0870.1000128 J Journal of Clinical Trials ISSN: 2167-0870 Review Article Open Access Base of a Research: Good Clinical Practice in Clinical Trials Kapil Verma* Amity Institute of Forensic Sciences (AIFS), Amity University, Uttar Pradesh, India Abstract This article illustrates the importance of Good Clinical Practice (GCP), defines and outlines the goals of GCP, presents a historical perspective on GCP and Outlines FDA regulations relating to GCP. Ongoing research shows that whether conducting research involving a new drug, a behavioral intervention, or an interview/survey, Good Clinical Practice (GCP) provides investigators and their study teams with the tools to protect human subjects and collect quality data. In this article, the author will define GCP, explain the benefits of following GCP for all types of human research and clinical trial studies, and provide some resources to assist investigators in implementing the tenets of GCP for their own research studies. This article reviews the impact of Good Clinical Practice (GCP) on clinical trials. GCP is likely to follow the International Conference on Harmonization of GCP guidelines in many aspects. GCP will enforce tighter guidelines on ethical aspects of a clinical study. Higher standards will be required in terms of comprehensive documentation for the clinical protocol, record keeping, training, and facilities including computers. Quality assurance and inspections will ensure that these standards are achieved. The additional requirements of GCP are discussed and any advantage to the study subject.
    [Show full text]
  • Safety Monitoring and Reporting for Clinical Trials in Europe
    Safety monitoring and reporting for clinical trials in Europe Ingrid Wallenbeck, Head Clinical Trials Unit, Medical Products Agency, Uppsala Sweden Overview of Safety work • Data from preclinical studies - what is expected and tolerable? • During administration to volunteers or patients - safety measures in study protocol - report whatever is reported or observed - serious- non-serious - serious and expected or serious and unexpected? • Reference Safety Information - Product specific - Investigator Brochure or SPC Obligations to report During Clinical Studies – Serious Unexpected Serious Adverse Reactions (SUSARs) – Annual SafetyReport (ASR) – New format: Development Safety Update Reports (DSUR For Marketed Prodcts – Periodic Safety Update Reports (PSUR) Study protocol work To be considered: – Protocol structure according to ICH E6 section 6 – Safety measures in protocol (ICH E6 section 6.8) – Special safety considerations (product related) – Need for data monitoring board – Safety reporting time after treatment termination To be reported All Adverse Reactions including – Severity (mild, moderate, severe) – Seriousness (serious, non-serious) – Relatedness (unrelated, possibly related, probably related) Definition of Adverse Reaction "Any untoward or unfavorable medical occurrence in a clinical research study participant, including any abnormal sign (e.g. abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participants’ involvement in the research, whether or not considered related to participation
    [Show full text]
  • Classification and Analysis of the GCP Inspection Findings of GCP Inspections Conducted at the Request of the CHMP (Inspection Reports to EMA 2000-2012)
    01 December 2014 INS/GCP/46309/2012 Compliance and Inspections Classification and analysis of the GCP inspection findings of GCP inspections conducted at the request of the CHMP (Inspection reports to EMA 2000-2012) 30 Churchill Place ● Canary Wharf ● London E14 5EU ● United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5505 Send a question via our website www.ema.europa.eu/contact An agency of the European Union © European Medicines Agency, 2014. Reproduction is authorised provided the source is acknowledged. TABLE OF CONTENTS 1. GLOSSARY .............................................................................................................................................................. 3 2. INTRODUCTION .................................................................................................................................................... 4 3. SCOPE AND AIMS .................................................................................................................................................. 6 4. METHOD .................................................................................................................................................................. 6 4.1. INFORMATION ABOUT FINDINGS ........................................................................................................................... 6 4.2. INFORMATION ABOUT THE APPLICATIONS ............................................................................................................ 7 4.3. INFORMATION ABOUT
    [Show full text]
  • Good Clinical Practice & Good Clinical Practice & Medical
    Good Clinical Practice & Medical Record Documentation Hanne Baekgaard Larsen & Terri Halverson Objectives: • Understand the history behind and define some key components of “Good Clinical Practice” • Identify barriers to data extraction and reporting • Explore some possible approaches for making data abstraction more efficient and accurate 2 Good Clinical Practice & Medical Record Documentation The history Rigshospitalet, Copenhagen, Denmark Hanne Baekgaard Larsen RN, MSc, p h. d. s tu den t 3 Pure Food and Drug Act of 1906 • The agricultural society and traditional medicine. • The Industrial Revolution. • The “Poison Squad” and the novel “The Jungle”. 4 1937 The Elixir Sulfanilamide Incident. • Sulfanilamide to treat Streptococcal infections • Diethylene glycol = antifreeze = dea dly poison (but pleasant taste) • 107 people died • Federal Food, Drug, and Cosmetic Act of 1938. 5 1941 U.S. vs. Dotterweich. • Buffalo Pharmacal Company charged with shipping adulterated and misbranded ppgroducts e.g. digitalis tablets • Responsible individuals can be held personally accountable for the quality of the products manufactured by their company. 6 1960 The Thalidomide Incident • Used, in Europe, to treat sleep disorder and morning sickness in pregnant women. • In Germany alone 5000 babies were born with birth defects. • 1962 Drug Amendment: safety requirements for testing on human subjects, information on experimental drugs, adverse effects during clinical trials, listing side effects as well as benefits. 7 1947 The Nuremberg Code • Voluntary consent
    [Show full text]
  • ICH E9 Guideline on Statistical Principles for Clinical Trials
    INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN USE ICH HARMONISED TRIPARTITE GUIDELINE STATISTICAL PRINCIPLES FOR CLINICAL TRIALS E9 Current Step 4 version dated 5 February 1998 This Guideline has been developed by the appropriate ICH Expert Working Group and has been subject to consultation by the regulatory parties, in accordance with the ICH Process. At Step 4 of the Process the final draft is recommended for adoption to the regulatory bodies of the European Union, Japan and USA. E9 Document History New First Codification History Date Codification November 2005 E9 Approval by the Steering Committee under Step 2 and 16 E9 release for public consultation. January 1997 Current Step 4 version E9 Approval by the Steering Committee under Step 4 and 5 E9 recommendation for adoption to the three ICH February regulatory bodies. 1998 STATISTICAL PRINCIPLES FOR CLINICAL TRIALS ICH Harmonised Tripartite Guideline Having reached Step 4 of the ICH Process at the ICH Steering Committee meeting on 5 February 1998, this guideline is recommended for adoption to the three regulatory parties to ICH TABLE OF CONTENTS I. INTRODUCTION ...............................................................................................1 1.1 Background and Purpose .....................................................................................1 1.2 Scope and Direction..............................................................................................2 II. CONSIDERATIONS FOR OVERALL
    [Show full text]
  • ICH E6: Good Clinical Practice: Consolidated Guideline
    _____________________________________________________________ 3CC1a ■ GOOD CLINICAL PRACTICE*) Guideline Title Good Clinical Practice*) Legislative basis Directive 75/318/EEC as amended Date of first adoption July 1990 This version July 1996 Date of entry into January 1997 force Status Last revised 1996 Previous titles/other ICH E6: Good Clinical Practice: Consolidated guideline, references CPMP/ICH/135/95 Additional Notes This note for guidance concerns the application of Part 4, sections B and C of the Annex to Directive 75/318/EEC as amended with a view to the granting of a marketing authorisation for a medicinal product. It established the principles for standards of Good Clinical Practice both within the European Community and within the ICH regions. It replaces the previous 1990 guideline entitled Good Clinical Practice for Trials on Medicinal Products in the European Community (III/3976/88), adopted May 1990. CONTENTS INTRODUCTION 1. GLOSSARY 2. THE PRINCIPLES OF ICH GCP 3. INSTITUTIONAL REVIEW BOARD / INDEPENDENT ETHICS COMMITTEE (IRB/IEC) 4. INVESTIGATOR 5. SPONSOR 6. CLINICAL TRIAL PROTOCOL AND PROTOCOL AMENDMENT(S) 7. INVESTIGATOR’S BROCHURE 8. ESSENTIAL DOCUMENTS FOR THE CONDUCT OF A CLINICAL TRIAL 3 _____________________________________________________________ 3CC1a ■ GOOD CLINICAL PRACTICE*) INTRODUCTION Good Clinical Practice (GCP) is an international ethical and scientific quality standard for designing, conducting, recording and reporting trials that involve the participation of human subjects. Compliance with this standard provides public assurance that the rights, safety and well-being of trial subjects are protected, consistent with the principles that have their origin in the Declaration of Helsinki, and that the clinical trial data are credible. The objective of this ICH GCP Guideline is to provide a unified standard for the European Union (EU), Japan and the United States to facilitate the mutual acceptance of clinical data by the regulatory authorities in these jurisdictions.
    [Show full text]
  • Good Clinical Practice - a Guide to Archiving
    Good Clinical Practice - A Guide to Archiving 2nd Edition July 2014 Foreword One of the fundamental requirements of the principles of Good Clinical Practice (GCP) is the need to ensure the integrity and secure retention of clinical trial documents for a period of time determined by legal, regulatory and business requirements. Essential Documents serve to demonstrate the compliance of the investigator, sponsor, and monitor with the standards of GCP and with all applicable regulatory requirements. The first version of this guidance was published in 2007. The second edition has been produced to reflect changes in regulations since then, and to address feedback received on the first version. The guidance and advice contained within this document are consistent with the requirements of EU Commission Clinical Trial Directive 2001/20/EC and supporting Directives, UK SI 1928:2006, US 21CFR312 and ICH GCP Guidelines. Acknowledgements The following members of the Scientific Archivists Group participated in the Working Party that produced this updated version of the guidance. Without their expertise and commitment, it could not have been produced. Chris Jones, March 2014 Jennifer Barnwell Liz Hooper Russell Joyce Mary Paul Eldin Rammell Cara Lax-Williams Chris Jones © Copyright 2014 by Scientific Archivists Group Limited All rights reserved. This book or any portion thereof may not be reproduced or used in any manner whatsoever without the express written permission of the publisher except for the use of brief quotations in a book review or scholarly journal. First Printing: 2007 Second Printing: 2014 ISBN 978-0-9557659-3-3 Scientific Archivists Group Limited Registered Office Berkeley Townsend, Hunter House, 150 Hutton Road, Shenfield, Essex, CM15 8NL, UK www.sagroup.org.uk Contents 1 SCOPE ..............................................................................................
    [Show full text]
  • An Overview of Good Clinical Practice (GCP)
    An Overview of Good Clinical Practice (GCP) Daniel Redline, BA, CCRP Director, Clinical/Pre-Clinical Affairs February 17, 2011 Objectives Explain the origin and purpose of Good Clinical Practice (GCP). Describe the International Conference on Harmonization’s Guideline for Good Clinical Practice (ICH GCP). Discuss the ICH GCP Guideline and its importance in conducting safe, ethical, and sound clinical research Objectives (Continued) Discuss the rationale for the development and implementation of Standard Operating Procedures (SOPs). Good Clinical Practice Is a standard for designing, conducting, performing, monitoring, auditing, recording, analyzing, and reporting clinical trials Provides assurance that data and reported results are credible and accurate and that the rights and confidentiality of subjects are protected Elements of Good Clinical Practice Federal Regulations Other government “The letter of the regulations law” State and local Regulatory Agency laws Guidelines Sponsor, site, ICH GCP Guideline ERC/EC/IRB, SOPs “The spirit of the Practice Acts and law” Licensure ISO 14155: 1 and 2 Standards of Care Relationship Between GCP Elements ICH (International Conference on Harmonization) Guideline for GCP Provide a unified standard for the European Union (EU), Japan, and the United States to facilitate the mutual acceptance of the clinical data by the regulatory authorities in these jurisdictions ICH Guideline for GCP The ICH Guideline is an effort to define GCP and to create and provide a unified standard for designing,
    [Show full text]
  • Overview ICH GCP E6(R2) Integrated Addendum
    ©2017 Biomedical Research Alliance of New York LLC CITI Program is a division of BRANY Overview ICH GCP E6(R2) Integrated Addendum www.citiprogram.org Introduction On 15 December 2016, the International Council for Harmonistion (ICH) adopted the revised E6 guideline, entitled “Integrated Addendum to Good Clinical Practice (GCP).” Now, regulatory implementation is carried out according to the same national/regional procedures that apply to other regulatory guidelines and requirements (ICH 2017). Who does the new guideline affect? The ICH E6 addendum affects the full clinical trial cycle and research enterprise. The revisions to the guideline mainly affect sponsors, stipulating a more proactive approach to study design, as well as risk management and study monitoring. However, Contract Research Organizations (CROs), that often delegated trial-related tasks by the sponsor, need to learn about the revised practice points in the guideline. Sponsor-investigators also need to be aware of the changes and their responsibilities associated with being a sponsor. The changes associated with being a sponsor. The changes are important to investigators, Institutional Review Board/ Independent Ethics Committee (IRB/IEC) members and administrators, study monitors, clinical research coordinators and professionals, and institutions/sites. Why revise the guideline? Research has modernized in the thirty years since the original E6(R1) guideline. However, E6(R2) still has the same goal of standardization. Standardization ensures that marketing applications to various “Lack o f harmon isation m ay n ot only slow regulatory agencies around the world can occur without the adoption of innovative approaches to clinical trial design, management, oversigh t, redundant testi ng.
    [Show full text]