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PROTOCoL DESIGN Presented by: RUCHIR JAIN ANKIT DESAI PGDCTM-2009
[object Object]
Protocol is the most important of all clinical trial documents
It is also the first to be prepared and discussed with the investigators.“ It is a confidential document since it contains information on drug “ ,[object Object],A document that states the background, objectives, rationale, design, methodology (including the methods for dealing with AEs,withdrawals etc) and statistical considerations of the study. It also states the conditions under which the study shall be performed and managed. “ ICH GCP E-6 1.44 ”
[object Object],To study the effect of oral sulfonylurea in patient with type -2 diabetes mellitus not previously treated with drug therapy. ,[object Object],To assess the effectiveness of oral sulfonylurea in patients with type-2 diabetes diagnosed keeping in view that the patient is receiving medication for the first time. ,[object Object]
 Open Label,
Treatment (Glimepiride)
Active Control,
Safety/Efficacy Study,[object Object]
blood glucose levels rise due to 		1) Lack of insulin 	production 		2) Insufficient insulin action
[object Object],Glimepiride is a medium-to-long acting sulfonylureaanti-diabetic drug. It is marketed as Amaryl by Sanofi-Aventis and Glyree by Ipca. Glimepiride is the first third-generation sulfonylurea, and is very potent. It is sometimes classified as third-generation, and sometimes classified as second-generation. Mechanism of action: ,[object Object]
Extra-pancreatic effect
Pancreatic effect:
Increase insulin release from pancreas
Suppress secretions of Glucagon

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Protocol design for type 2 diabetes study