Clinical Research insights from CRfocus

Blogging for Clinical Research focus, the journal of The Institute of Clinical Research

EFGCP workshop on a single clinical trial application for pan-national studies

Posted by Andrew Smith on July 7, 2009

I’ve just worked out how long it’s been since I posted something here that hadn’t already been published elsewhere (ie, reportage or fresh comment rather than the Table of Contents of the current issue of Clinical Research focus). Things have been a bit manic here in the CRfocus office, with CRfocus and other ICR tasks (mostly related to our website and our 2010 conference) taking priority over blog-only posts. Hopefully, as the summer holiday season gets into full swing, I’ll be able to blog a bit more…

Ironically, today’s the day when I really would have preferred to reporting from Brussels on the EFGCP’s latest workshop, building on the ICREL workshop in December 2008 to discuss possible routes towards a single clinical trial application for multinational clinical studies. This could be of huge benefit to the efficiency of setting up large-scale clinical trials in Europe, and some of the contenders (eg, the “Voluntary Harmonisation Procedure” currently being piloted by the Clinical Trials Facilitation Group (CTFG) of the Heads of Medical Agencies) are very exciting indeed.

Unfortunately, my schedule is such that I couldn’t make it there without some incredibly long-winded travel plans that would have doubtless resulted in substandard reporting anyway…

I’m very supportive of this event, and this project overall. While I’m not able to report on it first-hand, I’m hoping to publish a brief report from someone else who is there today, and possibly arrange an interview or two with key participants over the coming weeks. This is too important a project not to do everything we can to engage everyone in the process.

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CRfocus: Table of Contents of July 2009 issue – 20(7)

Posted by Andrew Smith on July 6, 2009

CRfocus 20(07) – July 2009

This is the Table of Contents of Clinical Research focus 20(07) for July 200. Members of ICR can click the links below and log-in to read the full text of these articles

Outsourcing

The Evolution of Outsourcing: Contract Management Coming of Age

Andy Parrett

The contract management role in clinical development outsourcing is still a relatively young profession. The nature of the role can vary significantly between pharmaceutical companies. Andy Parrett, Chair of the Pharmaceutical Contract Management Group (PCMG) suggests that the most exciting developments in the role are occurring in today’s small to mid-sized companies, and looks at how the processes surrounding outsourcing and its successful management are being developed.

Features

EudraCT Upgrades to Version 7

Andrew Smith

An information day was held by the EMEA at the end of April, bringing together representatives of national Competent Authorities (CAs), pharma companies, CROs and non-profit stakeholder groups. The purpose of the day was to communicate the features and development timelines of the next few versions of the EudraCT database of clinical trials in the European Economic Area (EEA), which went live in mid-June. Andrew reports, based on blog postings made on the day of the meeting.

CDISC European Interchange 2009: Conference Sketch

Adam Jacobs FICR CSci

CDISC (the Clinical Data Interchange Standards Consortium) is a relatively new player in the world of clinical research, having been founded in 1997, but it is rapidly gaining in importance, and is here to stay. To keep up with some of the latest developments in the CDISC world, Adam reports from the European CDISC Interchange, held in Budapest in April 2009.

Quality Assurance: Friend or Foe? A Survey

Jan Robinson MICR CSci

No-one questions the need for quality assurance of clinical trial activities but as someone at the receiving end have you ever been asked your opinion of the process? In your view, is audit a positive force for improvement? Are they the best means of advancing best practice or should we be taking a different approach? Jan invites you to take part in a short survey, to be reported in CRfocus and at the BARQA annual conference later this year.

Writing Protocols: Collaboration & Compromise or Conflict & Confusion? ICR/EMWA Joint Symposium

Alex Dedman & Andrew Smith

The challenges of developing clinical trial protocols were the topic of the second annual symposium jointly hosted by the European Medical Writers’ Association (EMWA) and The Institute of Clinical Research (ICR) on 24 February 2009. Around 60 delegates discussed the difficulties associated with developing protocols that both meet sponsors’ scientific and regulatory requirements, and facilitate the practical conduct of the study. Alex and Andrew report for CRfocus and The Write Stuff, the EMWA members’ journal.

People

Why You Should Care About the Innovative Medicines Initiative: An Interview with Jackie Hunter

Edward Blair MICR

The EU Innovative Medicines Initiative (IMI) was established in 2007 and issued its first call for proposals in 2008. Funding for the successful proposal has been allocated and the work kicks off in June this year. So, the IMI is for real and is beginning to deliver, but how well known is it and why will it change the pharmaceuticals industry in ways that will benefit ICR members? To get a first-hand insight into the aspirations of the IMI, CRfocus talked to Dr Jackie Hunter of GlaxoSmithKline, who has seen the IMI develop from a twinkle in the eye of EFPIA into the operating entity that it is now.

Conference

We are pleased to include two more session reports from the ICR Annual Conference, which space prevented us from including in last month’s issue.

International inspections

Fergus Sweeney & Gunnar Danielsson

Reporter: Judit Varkonyi-Sepp MICR CSci

Organ Transplantation: Past, Present & Future

Prof. James Neuberger & Mr Simon Bramhall

Reporter: Ali Zataar MICR CSci

Regular update

The Board of Directors: Who Are They & What Do They Do?: Message from the Chair

Janette Benaddi MICR Csci

The Institute of Clinical Research has a legal status of “a company limited by guarantee” and this means that it has to be managed by a Board of Directors. As members, you may wonder from time to time what the ICR Board of Directors do, who they are and how they add value to ICR members. Janette answers these questions, explains how the Board operates, and confesses her early (now-achieved) professional ambition to be a Board Director herself.

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CRfocus: Table of Contents of June 2009 issue

Posted by Andrew Smith on June 3, 2009

CRfocus 20(06) – June 2009

CRfocus 20(06) front cover
This is the Table of Contents of Clinical Research focus 20(06) for June 2009. Members of The Institute of Clinical Research can click on the links to read the full text of each article.In previous years, we have endeavoured to publish reports on all conference sessions in this issue. However, due to constraints on page space and available reporters, we have decided to publish a balanced selection of reports in print, with others (and extended versions of printed reports) becoming available here during June.

Conference photo-gallery

Photos uploaded during the meeting, plus many additional images

Plenary sessions

Lively Debates & Votes:Day One Plenary Sessions

  • Niall Dickson, Prof. Karol Sikora, Prof. Nick Bosanquet, Francis Crawley & Colin Miller FICR CSci
  • Reporter: Suheila Abdul-Karrim MICR Csci

Pharma 2020: VirtualR&D

  • Kate Moss
  • Reporter: Andrew Smith

Lively Debates & Votes: Day Two Plenary Sessions [online only, coming soon]

Sharing knowledge

Off-Shoring in ClinicalResearch [extended version, online only]

  • Prof. David Jefferys & Paul Wathall MICR
  • Reporter: Wendy Tomlinson MICR

Stem Cells: Current Advances & Applications

  • Prof. Peter Andrews & Prof. Malcolm Alison
  • Reporter: Jane Pelly MICR Csci

Contracts in Global ClinicalTrials

  • Rebecca Sergeant & Sarah Watts
  • Reporter: Judit Varkonyi-Sepp MICR Csci

Electronic Data Capture (EDC): Issues & Practical Solutions [online only, coming soon]

The A-Z of Adaptive Study Design [online only, coming soon]

Fundamentals of PIPs [online only, coming soon]

Therapeutics

Oncology Care in the Future [extended version, online only]

  • Prof. Angus Dalgleish, Prof. Nicholas James, Prof. Jonathan Waxman & Prof. Will Steward
  • Reporter: Shethah Morgan MICR Csci

The Heart of Cardiology

  • Dr Mike Mullen & Dr Marcus Flather
  • Reporter: Sue Jackson RICR

The Heart of Cardiology [extended version, online only coming soon]

Organ Transplantation: Past, present & future [online only, coming soon]

Raising standards

The Impact of theDeclaration of Helsinki

  • Eva Nilsson Bagenholm MD & Bev Holt MD
  • Reporter: Rachael Winter RICR

Quality & Productivity:Can You Have Both?

  • Alison Messom MICR & Andrew Borrisow
  • Reporter: Wendy Tomlinson MICR

Evidence for Good Quality:The Hidden Cost of Inspection

  • Prof. Richard Gray & Joan Perou HonFICR
  • Reporter: Suheila Abdul-Karrim MICR Csci

International Inspections [online only]

  • Fergus Sweeney & Gunnar Danielsson
  • Reporter: Judit Varkonyi-Sepp MICR CSci

Putting a Price on Patient Value [online only, coming soon]

Inspectors: Why Do They Do It? [online only, coming soon]

Developing professionals

Medical Devices Workshop [online only, coming soon]

Image in Business: It’s Personal [online only, coming soon]

Project Management Workshop [online only, coming soon]

Leadership Workshop [online only, coming soon]

Regular updates

Session Reports from theICR Annual Conference: Message from the Chair

  • Janette Benaddi MICR Csci

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Look ahead to EUdraCT v8 and v9

Posted by Andrew Smith on April 30, 2009

This meeting at the EMEA earlier today concluded with a look ahead to future versions of EUdraCT, which will enable protocol summaries and results of clinical trials to be made available to the general public, in accordance with EU Regulations 726/2004 and 1901/2006. These will be done in v8 and v9 respectively.

Guidelines for the data fields to be published were finalised in July 2008 and February 2009 respectively.

Version 8 is intended to complete internal testing on September 1st 2009, with user testing in November to go live on November 30th 2009. It will make public specific fields from the protocol information as soon as a CA/REC decision has been input (ie, trials withdrawn before a decision will not be published), as initially entered (ie, mainly in English, although the coded terminology could be translated in the future). Data will still be entered to the database by the CAs with no direct sponsor access, although direct electronic submission by sponsors is being considered for a future version, as is ongoing maintenance of specific data items (eg, public contact point etc.).

Studies added from launch will be immediately available to the public, with a gradual backfill of older studies, although information not in the original submission will not be collected retrospectively, such as the public contact point that will be required from this version onwards.

The new data fields for public accessibility have been published by the EC.

For sponsors using the system, it will move from a wizard system to being more menu based, to enable use of modern smart form logic to hide un-needed questions, collection additional information if required, enable re-use of core sponsor details between studies etc.

To accomodate all of this, a substantial change will be made to the underlying database structure, and to the XML schema. This will have significant implications for sponsors and national systems (eg, IRAS) which interact directly with this dataset. Drafts will be circulated as soon as possible so other systems can be updated accordingly.

The other major change in v8 extends all of this functionality to accomodate paediatric studies being conducted in 3rd countries (ie, outside the EEA) but which are included in a Paediatric Investigation Plan (PIP).

Looking further ahead to v9, which is intended for user testing and launch around September 2010, this will make available information about the results of studies to the public. The details of this (ie, what level of summary/specifics) are still under discussion, although there is a desire to harmonise with similar initiatives outside the EU.

The regulations state that information on paediatric studies will be made public 6 months after completion of the study, with adult studies from Phase II onwards being published 12 months after completion (the regulation does not differentiate between Phase I studies with healthy volunteers and those with patients).

The programme of development to take EUdraCT from its current v6 to v9 over the next 18 months represents a significant amount of work, and a significant expansion of the usability and value of the EUdraCT system, to Competent Authorities, sponsors and the general public alike.

A further meeting is planned for Autumn 2009 to discuss the ongoing development and intended launch of v8, and we will continue to watch and report on this important area of development for clinical research being conducted in Europe.

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EUdraCT v7 preview

Posted by Andrew Smith on April 30, 2009

Version 7 of the EUdraCT database of clinical trials in the EU is expected to clear internal testing on June 1st 2009. User acceptance testing should take place from June 8th to 13th, in order to go live on June 18th.

At present, the database is designed for use by the Competent Authorities (CAs) throughout the EEA, with sponsor companies able to prepare study applications via a secure site, before making submissions to individual CAs by paper/CD-ROM. This basic purpose will not change in v7.

Among the functions of the new version are the inclusion of inspection data and automatic alerting to all CAs on refusal, interruption, conclusion or termination of a study. These were not discussed in depth at the meeting, with more focus on external functionality for sponsors.

The database currently provides sponsors with an online form to enter information about a study. This information is then saved to a local computer as an XML file, which populates the application form and is also sent to the CA for uploading to the database itself.

Important new functions that were demonstrated include the validation of the XML file, to ensure that all fields in the form have been completed appropriately. This validation will be performed using the ISO Schematron standard, and details of the rules will be published so companies can build prevalidation into their internal systems. To further aid validation, much more explanatory text will be added to the online forms, to aid completion. The validation report can also be saved as a PDF for inclusion with the application submission, and is tagged with the same identifier as the relevant version of the XML file. It will be possible to make a submission even if the validation check is not entirely passed, to permit novel types of study; in such cases, it will be obvious which fields are not validated, and these can be discussed in more detail between the sponsor and CA.

Another new function is the preparation of an application package, collating the raw XML file, the populated application form PDF and the PDF validation report in a single zip file, for writing to CDROM for inclusion with an application. All pages of each file are labelled with the XML identifier for version control. The files will be named to include the EUdraCT number for the study, the country being applied to and the date of preparation. One delegate highlighted that CAs have differing requirements for file names and structures on CDROM, but it was pointed out that the zipped files can easily be renamed, moved etc. accordingly.

The third major change in functionality enables users to compare two XML files (eg, two versions of the same application, applications for the same study to two CAs etc.) This provides a short summary which can be drilled through to see changes to individual data fields in a “tracked changes”-like format. In version 8, it will be possible to save this change report to a PDF file (although it can be simply printed out from v7 for temporary, informal analysis).

The final area of change in v7 will be an update to the terminology lists used to formalise usage throughout applications. In addition to updating MedDRA from v9 to its current version (v12), it will also include the EDQM lists of routes of administration and dosage, the ISO list of countries and the EudraVigilance list of active substances (eg, for comparators etc.) These will be updated monthly in v7, and dynamically linked in v8.

The following post will look further ahead to versions 8 and 9 of EUdraCT, which will enable study protocol information and results, respectively, to be made available to the general public.

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EUdraCT information day 1

Posted by Andrew Smith on April 30, 2009

I’ve just returned from an information day at the EMEA, bringing together representatives of national Competent Authorities (CAs), pharma companies, CROs and non-profit stakeholder groups.

The purpose of the day was to communicate the features and development timelines of the next few versions of the EUdraCT database of clinical trials in the European Economic Area (EEA). These developments stem from EU Regulations 726/2004 and 1901/2006, which require certain information about clinical trials to be made available to the public.

Version 7 provides improvements to current function (ie, for sponsors to prepare information to submit to CAs) and is planned to go live on June 18th 2009. Version 8 is centred around making protocol information available to the public, and should be live in November 2009, while version 9 will publish information on the results of studies and is in early development, aiming towards the middle of 2010 for launch.

The first section of the day introduced the legal background and gave some statistics on the growth of EUdraCT since its launch in 2004. To date, nearly 40,000 applications have been logged, corresponding to just over 19,000 studies. Of these, nearly 80% are commercially sponsored, 65% are multi-site, 60% include sites in multiple member states and 50% also includes sites outside the EEA.

Fergus Sweeney of the EMEA stated that for the current year he expects the EMEA to receive around 10,000 applications, that will equate to around 5,000 new trials.

The meeting was chaired by Fergus Sweeney and Brian Davis of the EMEA, with Fergus and IT Analyst Neil Cordwell giving the presentations.

The next two posts will contain more details about v7 and the future versions v8 and v9, respectively.

At the time of writing, screenshots have been requested, with the intention of appending them to this post when received. It is also intended to publish aspects of this report in CRfocus magazine, hopefully in the July issue.

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CRfocus: Table of Contents of May issue

Posted by Andrew Smith on April 29, 2009

This is the Table of Contents of Clinical Research focus 20(05) for May 2009. Members of The Institute of Clinical Research can click on the links to read the full text of each article.

Features

Strengthening Protection of Research Subjects: The 2008 Revision of the Declaration of Helsinki

John Poland FTOPRA

The Declaration of Helsinki was developed to underpin the ethical conduct of human clinical research. Eight years after its previous major update, which prompted two clarifications on contentious points, the Declaration was revised late in 2008 after a process lasting nearly 2 years. John Poland provides a detailed view of the latest revisions, which have provoked mixed responses from regulatory, ethics and clinical communities.

Lost in Translation? Challenges in Preparing Participant Information for Multilingual Studies

Nicky Dodsworth MICR CSci & Efraim Roe

An increasing number of studies are being performed in parts of the world whose first language is not English. There are challenges in translation and communicating science in a multilingual world dominated by the de facto language of English. Nicky and Efraim look at the issues surrounding translation of the patient information and informed consent forms.

People

A Career Championing UK Clinical Research: An Interview

Richard Tiner

Richard Tiner steps down as Medical Director of the Association of the British Pharmaceutical Industry (ABPI) at the end of May, after nearly 13 years in the post. Over that time, he has been a prominent speaker at ICR events, and was the first person we interviewed for CRfocus. As he prepares to move on, he reflects on the changes in the UK clinical trials landscape since the mid-1990s, in which he has been instrumental.

National update

Local & National Perspectives on Streamlining R&D: ICR Scottish Forum

Mary Mumford RICR

Mary reports on the October 2008 meeting of the ICR Scottish Forum. At the meeting, Dr Janet Messer, Deputy Director of the NHS R&D Forum, gave an overview of the initiatives to integrate and streamline R&D activities throughout the NHS, while Brian Rae, R&D Manager of the Greater Glasgow & Clyde NHS Trust, spoke about the successes and challenges in developing world-class clinical research structures in one of the most health-challenged regions of the UK.

Professional development

Spice Up Your Interview Technique

Shanoo Singh

Being interviewed can be a nightmare. Interviewing skills have been rapidly and continuously changing over the past decade. Having been both a candidate and an interviewer on many occasions, Shanoo reaches out to everyone, particularly those seeking their next strategic positions, and offers some tips on how to perform at your best in an interview situation.

Viewpoint

Always Compete on Value; Never on Cost

Andrew Smith

When the economic upturn comes, the individuals, organisations and indeed countries that will be best placed to succeed will be those that have continued developing through the lean times. As an industry, we’ve become very good at working costs out of our processes. However, focusing solely on this risks neglecting importance of creating additional value for companies, shareholders and society as a whole. The relative risk of trying to leap ahead through strategic innovation is actually lower now than in ‘boom’ years, those that innovate and survive will secure their place at the forefront of the industry for a generation.

Devices, Drugs, Directives & Directors

John Kolthammer HonFICR

To recognise that our new Chair of the ICR Board of Directors has a background in medical device development, John Kolthammer, former CEO of ICR, offers a respectful and somewhat light-hearted reminiscence to draw attention to the some of the interesting issues that have always been present at the interface between pharmaceuticals and medical devices.

Regular update

Uncertainty & Opportunity: Message from the Chair

Janette Benaddi MICR Csci

Janette inspires us to remain optimistic and look harder than we have ever done for opportunities, despite any current financial insecurities or media-fuelled gloom. To add personal despondency to this will surely reduce our individual ability to cope, and will probably also make the wider recession both longer and deeper. It’s challenging to look on the bright side, but she believes that there is a bright side for many of us, if we care to search for it.

It’s Not All Work, Work, Work…

Compiled by Andrew Smith

Our regular look at the lighter side of clinical research, including “Ten innovations that won’t add value to sponsors, shareholders or society” and engaging with patients in language that is a bit more “street”…

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Always Compete on Value; Never on Cost

Posted by Andrew Smith on April 23, 2009

The title was a maxim drummed into me at the start of my career. I’ve said before, as have many others, that a recession is not something to be simply ‘ridden out’, but as far as possible to be invested through. When the economic upturn comes, the individuals, organisations and indeed countries that will be best placed to succeed will be those that have continued developing through the lean times. Others, who might have survived by pulling in their horns, will need to adapt suddenly to an environment that has changed commercially, socially, demographically and scientifically. Simply minimising costs will not be enough.

We’ve seen wave after wave of initiatives to improve the efficiency of processes and as a result we’ve become very good trimming a few percentage points off the cost of delivering a study. If what’s important is completing Study X within budget, then this is ‘a good thing’, and many feel that this is the case. The problem is that it’s tempting for organisations to focus too exclusively on cost minimisation. When you’re very good at using a hammer, everything looks like a nail. However, this neglects the bigger picture and the importance of creating additional value for companies, shareholders and society as a whole.

In the short term, quality is better at creating value than cost minimisation. Data obtained cheaply but that is not robust is of no value, with rework outweighing any cost savings. (Improving quality to eliminate rework is one way that techniques such as Six Sigma reduce costs.)

In the medium term, speed is better at creating value than cost minimisation. For a treatment that makes it to market, a few extra months of on-patent sales will be worth far more than thousands of pounds saved during Study X. For a treatment that isn’t going to succeed, being able to make that decision earlier eliminates the cost of Studies Y and Z.

In the long term, strategy is better at creating value than cost minimisation. By far the best way to create value is to get better at planning the development programme. Compounds entering development now will face different challenges to demonstrate safety and efficacy, scientific developments enabling more precise targeting of responders and non-responders, traditional markets seeking more detailed analysis of socio-economic impact to justify pricing, new markets increasing dramatically in importance and patients being more vocal in specifying what they want from a treatment. Many of these factors will influence or even contradict each other, making it vital to have a detailed and integrated understanding of the entire picture. While some of these strategic insights will come from the clinical/regulatory sphere we are all familiar with, others will involve experts in economics and marketing.

Maximising value and minimising cost certainly aren’t exclusive. It could be argued, for example by CROs, that as long as someone is thinking about the bigger picture, then it’s okay to concentrate solely on containing costs. However, that’s could be short-sighted, because having efficient processes is of little long-term value if they can’t cope with the changing goals of future development programmes. In fact, with a broad view and portfolio of clients, being able to offer such strategic insights could be a deal-winner.

It might seem counter-intuitive, but when the overall level of business risk is high, the relative risk of trying to leap ahead through strategic innovation is actually lower than in ‘boom’ years. Some companies will fail, but some will fail anyway, and those that innovate and survive will secure their place at the forefront of the industry for a generation.

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CRfocus Twitter feed updated

Posted by Andrew Smith on April 3, 2009

I’ve just discovered Twitterfeed.com which has enabled me to automatically feed to Twitter whenever I post to this blog, or add an article or podcast to the CRfocus website…

So, now you can stay up to the minute with CRfocus simply by following us on Twitter.

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CRfocus: Table of Contents of April issue

Posted by Andrew Smith on April 1, 2009

CRfocus 20(04) – April 2009

This is the Table of Contents of Clinical Research focus 20(04) for April 2009. Members of The Institute of Clinical Research can click on the links to read the full text of each article.

Weathering the storm

Consolidation or Sea Change?

Andrew Smith

In the current economic climate, it’s easy to reach the conclusion that the recent high-profile mega-mergers (eg, Pfizer/Wyeth, Merck/Schering-Plough etc.) are simple industry consolidation. But, as we’ve pointed out in CRfocus previously, the link between the global economic turmoil and the changes in the pharmaceutical industry is perhaps less direct than one might think. Andrew explores…

What a Difference a Year Makes: Survey of Executive Confidence

Tim Ewbank

The past 12 months have seen economic turbulence on a scale no-one could have predicted. So how has this impacted on the pharma and biotech sectors? Harten Group’s seventh annual industry survey takes a look at the facts behind the headlines. Tim Ewbank presents some of the findings of this research.

Maintaining a Positive Outlook: Survey of Jobseekers

Jonathan Hart-Smith

Following a recent survey at the beginning of 2009, jobseekers within the UK pharmaceutical and biotechnology industries have a very positive outlook. Their positivity is a breath of fresh air in stark contract to the general mood for the economies of Western Europe and the USA. Jonathan Hart-Smith presents the findings of this survey.

Research integrity

Investigating Serious Non-Compliance: Planning & Conducting For-Cause Audits

Nigel Crossland FICR Csci

A for-cause audit is defined as an independent and objective examination of a clinical research study in order to confirm the circumstances of a reported incident of serious non-compliance. In this article, Nigel describes some of the principles and practicalities involved in ‘for-cause audits’ and shares some examples of their findings.

Research Integrity: A European Perspective: EFGCP conference report

Andrew Smith

This year’s EFGCP Annual Conference, held in Prague at the end of January, aimed to provide a European perspective on integrity in the conduct and publication of clinical research. Andrew was there, and presents commentary on selected presentations, as previously reported on the CRfocus blog.

Book review

“The Trouble with Medical Journals” by Richard Smith

Reviewed by Debbie Early MICR

Prof. development

Tools & Updates: CTA Workshop Report

Judi Eaton

Judi reports on the latest ICR CTA workshop, aiming to give CTAs everywhere ‘Tools & Updates’ as part of the ‘Maximise Your Potential’ series. Topics included the draft CTA Handbook, a regulatory and ethics update and the ongoing development of the Integrated Research Application System (IRAS).

Regular updates

Our Institute, Our Future: Message from the Chair

Janette Benaddi MICR Csci

In her first message as Chair of ICR, Janette pays tribute to her predecessor, Susan Ollier, and sets out her vision for the coming year. During difficult times, it is important that we continue to support you in your careers and ensure that we are meeting your expectations. Janette explains that we are going to embrace these challenging, changing times and continue to add value to the services we provide for members of ICR.

It’s Not All Work, Work, Work…

Andrew Smith

Our regular look at the lighter side of clinical research, including “Ten things we hope sales & marketing won’t say to clinical” and engaging with patients in a “hip hop stylee”…

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