Head of Clinical Trials Unit

Job Title: Head of Clinical Trials Unit Department: Research Governance and Support Faculty: MRC Unit The Gambia Location: Fajara, The Gambia FTE: Full Time Grade: Grade 7 Accountable to: Head of Governance and Research Support Services. Job Summary: The Head of Clinical Trials Unit is the operational lead for clinical trials at MRCG at LSHTM. S/he will facilitate and support researchers to develop quality and will ensure that researchers receive high quality and adequate research support during the conduct of trials.

GENERAL INFORMATION

The London School of Hygiene & Tropical Medicine

The London School of Hygiene & Tropical Medicine is a world-leading centre for research and postgraduate education in public and global health. Our mission is to improve health and health equity in the UK and worldwide; working in partnership to achieve excellence in public and global health research, education and translation of knowledge into policy and practice. Founded in 1899, the School has expanded in recent years at its two main sites on Keppel Street and Tavistock Place. Our staff, students and alumni work in more than 150 countries in government, academia, international agencies and health services.

Research income has grown to more than £180 million per year from national and international funding sources including UK government and research councils, the European Union, the Wellcome Trust, Gates Foundation and other philanthropic sources. Our diverse research talents, skills and experience, underpin our position as a leader in public and global health. These range from the molecular to the global, the theoretical to the applied, the analytical to the political. Our staff are conducting research in more than 100 countries.

We have 3,300 staff based all around the world with core hubs in London and at the MRC Units in The Gambia and Uganda, which joined LSHTM in February 2018. Our outstanding, diverse and committed staff make an impact where it is most needed - deploying research in real time in response to crises, developing innovative programmes for major health threats, or training the next generations of public and global health leaders and researchers.

Working in partnership is central to achieving our mission. Our strategic collaborations in the UK and across high-, middle- and low-income countries deliver health and socioeconomic benefits across the world, especially in the most disadvantaged communities.

LSHTM is also a member of the M8 Alliance of Academic Health Centers, Universities and National Academies, the Association of Schools of Public Health in the European Region, and the Consortiumof Universities for Global Health.

We deliver research-led educational programmes to future health leaders, managers and researchers across the world. We have more than 1,200 face-to-face Master's and Doctoral students, 3,000 studying by distance learning, and 1,000 each year on short courses and continuous professional development. Our free online courses are studied by more than 70,000 participants globally.

LSHTM performs strongly in various global university league tables. In the 2019 CWTS Leiden Ranking LSHTM is ranked the UK’s top university for the proportion of academic research with women listed as authors, first in Europe for publishing open access research, and first in Europe and eighth in the world for research impact in sciences (for the proportion of its total publications ranking in the top 10% of most cited research).

In the US News Best Global Universities Ranking 2019, we ranked ninth in the UK overall and 13th in the world in the fields of social sciences and public health. We ranked 27th for medicine in the 2019 QS World University Rankings. In 2017, the inaugural Centre for World University Rankings by Subject placed LSHTM first in the world for tropical medicine research, second for parasitology and seventh for infectious diseases, public, environment and occupational health, and social sciences and biomedical.

LSHTM was named University of the Year 2016 by Times Higher Education and awarded a Queen's Anniversary Prize for Higher and Further Education in 2017 in recognition of our response to the 2014 Ebola epidemic in West Africa. LSHTM does not appear in the Times Higher Education World University Rankings as universities are excluded if they do not teach undergraduates.

We seek to foster and sustain a creative and supportive working environment based upon an ethos of respect and rigorous scientific enquiry. We embrace and value the diversity of our staff and student population and seek to promote equality as an essential element in contribution to improving health worldwide.

LSHTM is one of around 20 specialist institutions that receive institution specific funding from the Office for Students (OfS). This funding recognises the additional costs that LSHTM incurs because of its unique range of teaching, specialist facilities, and the scale of its contributions to national and international agencies.

FACULTY INFORMATION

The Council Unit The Gambia, that joined the London School of Hygiene and Tropical Medicine in February 2018, has an international reputation for ground-breaking research into some of the leading causes of morbidity and mortality in the tropics, particularly in The Gambia and the West African region. The Unit’s overall goal is to improve the health of people in Low- and Middle-Income Countries (LMIC) by aiming for excellence in research, health care and training. Its research program spans from basic scientific research (immunology, microbiology and molecular biology) to clinical studies, large epidemiological studies, intervention trials and translational research.

The field and laboratory-based work draws on excellent research and clinical facilities and attracts international funding. The Unit has about 150 scientists, clinicians and senior administrative staff from many parts of the world, as well as visiting researchers, and over 1000 support staff. There are also field stations – Basse, Keneba and Walikunda - each in a different ecological setting, providing varied research opportunities.

The Unit’s research portfolio is organized under three themes: Disease Control & Elimination; Nutrition; Vaccines & Immunity. These themes have been selected to target health needs of LMIC, to reinforce sub-regional and international collaborations and to address some of the major current priorities in the Sustainable Development Goals. All research activities are supported by external competitive grants and by core facilities funded by the MRC UK.

OTHER INFORMATION

The Unit has a strong history of having conducted phase 1 - 4 clinical trials which addressed some of the major health priorities in the world.

The Clinical Trials Unit is a rapidly evolving department which provides operations support to clinical trials. This includes but not limited to submission to local regulatory authorities for approvals, conducting pre-study, SIV, monitoring and closeout visits and audits for quality assurance. The Unit is introducing an Academic Research Organisation (ARO)-Contract Research Organisation (CRO) model in its Clinical Trials Unit to build its capacity to manage large clinical trials and strengthen partnership with industry. The head of this department will progress the implementation of this model and at the same time ensure that researchers are provided with high quality and adequate research support during the conduct of trials.

JOB DESCRIPTION

Main Activities and Responsibilities

Strategic Planning and Management

• Set the strategy and objectives of the Clinical Trials Unit and establish tools for delivery of the strategy.

• Jointly with the Head of Governance and Research Support Services, be accountable for the strategic growth of the Clinical Trials Unit.

• Develop a roadmap for the transitioning of the department into a service providing business for the sub-region.

• Incorporate cross functional teams in the operations of the Clinical Trials Unit such as statistics, informatics, data management and high-performance computing.

• Promote the ARO-CRO model for improved partnership with industry, enhanced leadership and improved oversight for large clinical trials.

• Develop, establish and promote the ARO-CRO services of the Clinical Trials Unit in the region thereby contributing to implement the vision of being a research hub and centre of excellence for clinical research in the region.

Clinical Operations

• Serve as the expert on best practices for clinical trials, their management and operations and regulatory requirements

• Responsible for the strategic planning, organization, and oversight of clinical trials in the Unit, including regulatory compliance, performance and quality improvement, operational efficiency, and team engagement.

• Manage the expansion of clinical research activities to field/satellite sites and support researchers in developing strategies for recruiting study participant.

• Develop the clinical trials infrastructure and capability of the Unit to successfully operate an ARO-CRO model.

• Harmonise the existing Unit clinical research policies with corresponding LSHTM clinical research policies.

• Collaborate with PIs and field teams to develop a robust study protocols, participate in site selection and conduct feasibility site studies, develop patient recruitment strategies that deliver recruitment targets.

• Facilitate SIVs before the start of trials and ensure that trial oversight teams are setup.

• Lead the development of terms of reference for outsourced services, vendor selection, and oversight for vendor collaboration and performance especially for monitoring and audits.

• Keep oversight of trials to ensure that safety concerns, critical deviations are properly reported and tracked. Work with the Quality and trials team to develop a CAPA for any critical deviations.

• Ensure accuracy of clinical trial information in all Clinical Trials Management Systems, clinical trial databases, and tracking systems. Ensure quality, timely, and accurate data and report submission to regulatory authorities.

Governance and Regulatory Compliance

• Accountable for the conduct of clinical trials in compliance with ICH GCP, relevant local and international regulations, policies and ethical standards.

• Oversee regulatory compliance across all studies.

• Ensure clinical trial team and clinical trial sites are trained and in compliant with Unit policies and SOPs, SSPs, regulations, ICH GCP guidelines, and study .

• Represent MRCG at LSHTM externally to sponsors, partner institutions and regulatory authorities.

Quality Assurance

• Participate in all clinical trials and ensure compliance to GCP regulations.

• Assure that studies are carried out according to the study protocol, SOPs, SSPs and GCP regulations.

• Plan and coordinate with other departments all quality assurance activities and ensure site readiness for audit visits.

• Participate in the design, development and review of clinical trials protocols, amendments, informed consent forms, study guides, forms, and any other clinical research related documents and study reports.

Resource Management

• Manage delegated budget and resources assigned to the Clinical Trials Unit.

• Develop and enhance the clinical trials resources that supports the conduct of clinical research and ensures quality and compliance.

• Ensure that all clinical researches are properly resourced for the provision of research related services.

Leadership

• Lead the development of operations and work plans evaluating the alignment level of team’s capacity with the department’s vision and strategy.

• Lead and supervise the work of the Clinical Trials Unit to ensure that adequate systems and procedures are in place for the conduct of clinical trials. This involves appropriate planning, management and coordination of activities across clinical trials.

Reporting

• Ensure that up to date and accurate records of clinical trials and their statuses are maintained for the Unit.

• Provide regular summary reports and guidance to Head of Governance and Theme Leaders for the analysis of activities for wider dissemination.

• Analyse and interpret outputs and performance of research sites and devise performance improvement strategies as appropriate.

• Disseminate and create awareness of Unit policies and procedures as appropriate to researchers and research support staff, including participating in Unit seminars, providing training for staff on an ad hoc basis.

Other

• Be personally responsible for managing self and reporting to Head of Governance on complex matters of policy, legal or financial matters.

• Perform any other duty as commensurate with the post following consultation.

• Undertake all work following the relevant safety rules and regulations as laid down in the MRCG at LSHTM Safety policy.

PERSON SPECIFICATION

Title: Head of Clinical Trials Unit

1. Essential • A Master’s degree in biomedical sciences or a relevant field with a professional qualification. • Proven experience leading and/or coordinating multiple clinical trials. • Proven experience in an ARO-CRO model setting • Excellent knowledge of ICH GCP guidelines, international guidelines and policies on the conduct of clinical research, MCA regulations. • Experience in risk-based and statistical monitoring of clinical trials. • Self-guided, strong organizational and planning skills. Able to work independently and under pressure. • Experience in electronic and paper file management, including maintenance and archiving of Trial Master Files and other clinical trial documents in compliance with applicable guidelines and regulations • Must have strong and influential leadership skills with proven ability to lead internal and external team members at all levels. • Able to manage multiple priorities and pay attention to detail. • Work collaboratively with internal and external partners such as regulatory authorities, project sponsors and funders. • Excellent written and oral communication skills. • Skilled at writing policies, SOPs and developing work tools for efficient conduct of clinical trials. • Must be actively committed to continuous personal development with a positive attitude towards work and willing to adapt to change in the work environment. • Promote a quality research culture through leadership and personality. • Excellent MS Unit skills with good knowledge of database and/or systems applications.

2. Desirable

• A doctorate degree in biomedical science or a relevant field. • Strong medical background • Outstanding knowledge of clinical trials conduct in a resource limited setting, GDPR, good clinical research practice, clinical trial agreements. • Lead and motivate a diverse and multi-functional team with high levels of coaching, mentoring, capacity building, team management. • Proven ability to work in a culturally diverse and fast-paced work environment.