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eClinical Forum 2011 Spring Meeting


        Cloud Computing:
        What It Is and
        How It Can Benefit
        Clinical Research

        Presented by Jim Haughwout
        April 13, 2011
Goals and Agenda of Today


       NIST Definition of Cloud Computing & Cloud Software
       Clarify the Distinction Between ASP, SaaS & Cloud
       Translate NIST’s Cloud Definition to the Clinical World
       Address Key Concerns Regarding
       Use of Cloud Software in Clinical Research
       Q&A




Cambridge, MA 11-13 April 2011   Copyright eClinical Forum 2009   2
Disclaimer

    About Me:
     – VP of Commercialisation and Operations for Cmed Technology
     – Formerly of Amgen (working in IS, Clinical Development and Regulatory
       Operations functions)
     – Architected, built, provided and bought ASP, SaaS, and cloud solutions for
       broad range of industries, but…
     – Also implemented on-premise systems when these were insufficient
                               premise
    About Cmed Technology
     – Provider of SaaS and on-premise eClinical solutions
                               premise
       using private and community-based cloud models
                                   based
    Role today
     – Sharing information on applicability cloud computing for clinical
       development, based on NIST definitions and general industry models
    None of cited sources have paid relationships with me or Cmed

Cambridge, MA 11-13 April 2011   Copyright eClinical Forum 2009              3
NIST Definition of Cloud Computing


          "Cloud Computing is a model for enabling convenient,
              on-demand network access to a shared pool of
                  demand
             configurable computing resources (e.g., networks,
          servers, storage, applications, and services) that can be
               rapidly provisioned and released with minimal
             management effort or service provider interaction"
           There are three Cloud Computing Service Models:
        Software, Platforms and Infrastructure Today focusing on
                                Infrastructure.
         Cloud Software (to concentrate at the application level)


                            How does this differ from other hosting models?

Source: Definition of Cloud Computing, Version 15, NIST, October 7, 2009. Download at http://csrc.nist.gov/groups/SNS/cloud-computing/cloud-def-v15.doc
      :

Cambridge, MA 11-13 April 2011                            Copyright eClinical Forum 2009                                                                  4
Clarifying the Buzzwords: How Cloud fits
               with ASP, SaaS and other models
                         On-Premise                      Third-Party Hosted

                     Customized                                     Off-the-Shelf
                (Source Code Changed)                           (As-Is and Configured)



                          ASP                                            SaaS
           (Application Service Provision)                     (Software-as-a-Service)



              Cloud Software Model                              Other SaaS Models

       Delivered via Cloud Software-as-a-Service.              All benefits of SaaS standardization
       SaaS is a NIST Service Model for Cloud Software         Range of architecture and provision models
       All benefits from SaaS standardization and…             May meet some NIST Essential Cloud
       From ALL 5 NIST Essential Cloud Characteristics         Characteristics


        Cloud Software is a sub-set of SaaS (Not all SaaS is Cloud Software)
      SaaS differentiated from ASP by assurance of off
                                                   off-the-shelf standardization

Cambridge, MA 11-13 April 2011          Copyright eClinical Forum 2011                                      5
Five Essential Characteristics
                     to Meet the Definition of a Cloud

1. On-demand Self-Service: Do it yourself, without vendor
                  Service:
2. Broad Network Access: Do it from anywhere
3. Resource Pooling: Immediate economies of scale
                   :
4. Rapid Elasticity: Scale on-
                             -demand, without penalty
5. Measured Service: Pay for what you use
                   :                  use—and no more




      Analogy: How we use of Electricity (vs. traditional business software)

Source: Definition of Cloud Computing, Version 15, NIST, October 7, 2009. Download at http://csrc.nist.gov/groups/SNS/cloud-computing/cloud-def-v15.doc
      :

Cambridge, MA 11-13 April 2011                            Copyright eClinical Forum 2009                                                                  6
Translating the Cloud Characteristics Into
                     Real-World Benefits for Clinical Research
                          World

  On-demand                     Clinical teams (on their own) can: set up trials, go-live, add sites or users,
  Self-Service                  perform mid-trial updates, process 3rd
                                             trial                  3rd-party data or extracts, etc.
                                Enables not just elimination of projects and fees, also associated delays
  Broad                         Enable all clinical trial users to access required clinical data and eClinical
  Network                       functionality from wherever needed, without requiring local IT install or setup
  Access                        Reduction of on-site (clinics thru main office) IT resource requirements
                                                  site
  Resource                      Same performance & reliability regardless of location, trial size, or portfolio size
  Pooling                       Architecture without any single points of failure, choke points, etc., …
                                Enabling maintenance without interrupting clinical trial operations
                                Inheriting investments in security, business continuity, and disaster recovery
  Rapid                         Automatically support increase (or decrease) in portfolio volume or study size…
  Elasticity                    Enable changes in user base to support of key milestones (e.g., DBL)…
                                Without need for capacity change projects and without change in performance
  Measured                      Inherent alignment of costs and fees with portfolio and/and trial progression,
  Service                       e.g., lower when trials or trial enrollment is delayed
                                Transparent reporting of fees, abstracted in terms aligned with clinical operation
                                (e.g., CRFs, subjects and users vs. servers, data and sockets)
Cross-reference with Definition of Cloud Computing, Version 15, NIST, October 7, 2009, at http://csrc.nist.gov/groups/SNS/cloud-computing/cloud-def-v15.doc
                                                  ,

Cambridge, MA 11-13 April 2011                            Copyright eClinical Forum 2009                                                                7
Use of Cloud Software in Clinical Research


Two common considerations and concerns:
1. Can it be regulatory-compliant?
                        compliant?
2. Is it secure?




   Understandable, given some of news on widely
                                         widely-used clouds, however…


Cambridge, MA 11-13 April 2011   Copyright eClinical Forum 2009    8
There Are Four Different Types of
                      Cloud Deployment Models
                                                                                                                    Most applicable for
      Private:                                                                                                      clinical research use
                                                                                                                    as of today
        – Cloud for one organization                                                                                Many large
                                                                                                                    companies
        – Think “In-house systems” and “dedicated ASP”
                    house                                                                                           exploring use of on-
                                                                                                                    premise private
      Community:                                                                                                    clouds
        – Cloud for organizations with similar mission and need                                                     Gartner Group
                                                                                                                    named Private
        – Think “Pharma Network” and “Biotech Clusters”                                                             Clouds a strategic
                                                                                                                    technology for 2011
      Public:
        – Cloud for general use by anyone
        – What most people think of when the hear, “Cloud Computing”
      Hybrid:                                                                                                       New enterprise
                                                                                                                    content solutions
        – Composite of multiple cloud solutions                                                                     that mix access to
        – Integrated implementations of multiple cloud solutions                                                    applications and
                                                                                                                    regulatory and
                                                                                                                    safety updates are
Sources: Definition of Cloud Computing, Version 15, National Institute of Standards & Technology, October 7, 2009
                                        ,                                                                           using hybrid models
Gartner Identifies the Top 10 Strategic Technologies for 2011, Gartner Group, October 19, 2010
                                                             ,

Cambridge, MA 11-13 April 2011                              Copyright eClinical Forum 2009                                        9
Can a Cloud Be Regulatory Compliant?

    A Cloud Software is a System, comprised of
                                            of—
       – SaaS software
       – Underlying shared infrastructure
       – Processes to manage it

    Compliance of Systems can be assured through CSV
    Nothing is new in application of CSV to Cloud Software
       – SaaS software and processes to manage it for customers have been
         validated for clinical operations for years
       – Shared infrastructure and processes manage it for customers have
         been validated for clinical operations for years

                           Many validated private and community clouds exist.
                           Regulators are exploring validation of public clouds*
Source: FDA has App Stores Under Surveillance, GigaOM, August 31, 2010


Cambridge, MA 11-13 April 2011                         Copyright eClinical Forum 2009   10
Are Clouds Secure?

     How clinical data are managed today: touched by sites,
     CROs and Sponsors across many channels:
       – Paper (shipped via public carriers)
       – Electronic (via third-party ASP and SaaS providers or
                               party
         on-premise in-house providers)
                        house

     Private or Community Cloud use does not change this
       – Community Cloud providers are same as SaaS providers
       – Private Cloud providers are same as ASP & on
                                                   on-premise providers

     Like today, both leverage economies of scale for greater
     investment in security infrastructure, often providing a
     higher level of security than on
                                   on-premise systems*
Sources: Cloud Computing is More Secure Than You Think, InfoWorld, May 4, 2010,
                                                          ,
Interview with Harold Moss, IBM, Chief Technology Officer of cloud computing strategy, February 27, 2011


Cambridge, MA 11-13 April 2011                            Copyright eClinical Forum 2009                   11
Questions & Answers


    Thank you!
    For additional information on clouds computing,
    especially in the regulatory space:
     – NIST: http://csrc.nist.gov/groups/SNS/cloud
             http://csrc.nist.gov/groups/SNS/cloud-computing/
     – Industry Analyst in cloud and utility computing:
            James Staten, Vice President and Principal Analyst at Forrester Research
            http://www.forrester.com/rb/analyst/james_staten and
            http://blogs.forrester.com/james_staten




Cambridge, MA, April 11-12 2011   Copyright eClinical Forum 2009             12

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Cloud computing: What is it and how it can benefit clinical research

  • 1. eClinical Forum 2011 Spring Meeting Cloud Computing: What It Is and How It Can Benefit Clinical Research Presented by Jim Haughwout April 13, 2011
  • 2. Goals and Agenda of Today NIST Definition of Cloud Computing & Cloud Software Clarify the Distinction Between ASP, SaaS & Cloud Translate NIST’s Cloud Definition to the Clinical World Address Key Concerns Regarding Use of Cloud Software in Clinical Research Q&A Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 2
  • 3. Disclaimer About Me: – VP of Commercialisation and Operations for Cmed Technology – Formerly of Amgen (working in IS, Clinical Development and Regulatory Operations functions) – Architected, built, provided and bought ASP, SaaS, and cloud solutions for broad range of industries, but… – Also implemented on-premise systems when these were insufficient premise About Cmed Technology – Provider of SaaS and on-premise eClinical solutions premise using private and community-based cloud models based Role today – Sharing information on applicability cloud computing for clinical development, based on NIST definitions and general industry models None of cited sources have paid relationships with me or Cmed Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 3
  • 4. NIST Definition of Cloud Computing "Cloud Computing is a model for enabling convenient, on-demand network access to a shared pool of demand configurable computing resources (e.g., networks, servers, storage, applications, and services) that can be rapidly provisioned and released with minimal management effort or service provider interaction" There are three Cloud Computing Service Models: Software, Platforms and Infrastructure Today focusing on Infrastructure. Cloud Software (to concentrate at the application level) How does this differ from other hosting models? Source: Definition of Cloud Computing, Version 15, NIST, October 7, 2009. Download at http://csrc.nist.gov/groups/SNS/cloud-computing/cloud-def-v15.doc : Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 4
  • 5. Clarifying the Buzzwords: How Cloud fits with ASP, SaaS and other models On-Premise Third-Party Hosted Customized Off-the-Shelf (Source Code Changed) (As-Is and Configured) ASP SaaS (Application Service Provision) (Software-as-a-Service) Cloud Software Model Other SaaS Models Delivered via Cloud Software-as-a-Service. All benefits of SaaS standardization SaaS is a NIST Service Model for Cloud Software Range of architecture and provision models All benefits from SaaS standardization and… May meet some NIST Essential Cloud From ALL 5 NIST Essential Cloud Characteristics Characteristics Cloud Software is a sub-set of SaaS (Not all SaaS is Cloud Software) SaaS differentiated from ASP by assurance of off off-the-shelf standardization Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2011 5
  • 6. Five Essential Characteristics to Meet the Definition of a Cloud 1. On-demand Self-Service: Do it yourself, without vendor Service: 2. Broad Network Access: Do it from anywhere 3. Resource Pooling: Immediate economies of scale : 4. Rapid Elasticity: Scale on- -demand, without penalty 5. Measured Service: Pay for what you use : use—and no more Analogy: How we use of Electricity (vs. traditional business software) Source: Definition of Cloud Computing, Version 15, NIST, October 7, 2009. Download at http://csrc.nist.gov/groups/SNS/cloud-computing/cloud-def-v15.doc : Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 6
  • 7. Translating the Cloud Characteristics Into Real-World Benefits for Clinical Research World On-demand Clinical teams (on their own) can: set up trials, go-live, add sites or users, Self-Service perform mid-trial updates, process 3rd trial 3rd-party data or extracts, etc. Enables not just elimination of projects and fees, also associated delays Broad Enable all clinical trial users to access required clinical data and eClinical Network functionality from wherever needed, without requiring local IT install or setup Access Reduction of on-site (clinics thru main office) IT resource requirements site Resource Same performance & reliability regardless of location, trial size, or portfolio size Pooling Architecture without any single points of failure, choke points, etc., … Enabling maintenance without interrupting clinical trial operations Inheriting investments in security, business continuity, and disaster recovery Rapid Automatically support increase (or decrease) in portfolio volume or study size… Elasticity Enable changes in user base to support of key milestones (e.g., DBL)… Without need for capacity change projects and without change in performance Measured Inherent alignment of costs and fees with portfolio and/and trial progression, Service e.g., lower when trials or trial enrollment is delayed Transparent reporting of fees, abstracted in terms aligned with clinical operation (e.g., CRFs, subjects and users vs. servers, data and sockets) Cross-reference with Definition of Cloud Computing, Version 15, NIST, October 7, 2009, at http://csrc.nist.gov/groups/SNS/cloud-computing/cloud-def-v15.doc , Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 7
  • 8. Use of Cloud Software in Clinical Research Two common considerations and concerns: 1. Can it be regulatory-compliant? compliant? 2. Is it secure? Understandable, given some of news on widely widely-used clouds, however… Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 8
  • 9. There Are Four Different Types of Cloud Deployment Models Most applicable for Private: clinical research use as of today – Cloud for one organization Many large companies – Think “In-house systems” and “dedicated ASP” house exploring use of on- premise private Community: clouds – Cloud for organizations with similar mission and need Gartner Group named Private – Think “Pharma Network” and “Biotech Clusters” Clouds a strategic technology for 2011 Public: – Cloud for general use by anyone – What most people think of when the hear, “Cloud Computing” Hybrid: New enterprise content solutions – Composite of multiple cloud solutions that mix access to – Integrated implementations of multiple cloud solutions applications and regulatory and safety updates are Sources: Definition of Cloud Computing, Version 15, National Institute of Standards & Technology, October 7, 2009 , using hybrid models Gartner Identifies the Top 10 Strategic Technologies for 2011, Gartner Group, October 19, 2010 , Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 9
  • 10. Can a Cloud Be Regulatory Compliant? A Cloud Software is a System, comprised of of— – SaaS software – Underlying shared infrastructure – Processes to manage it Compliance of Systems can be assured through CSV Nothing is new in application of CSV to Cloud Software – SaaS software and processes to manage it for customers have been validated for clinical operations for years – Shared infrastructure and processes manage it for customers have been validated for clinical operations for years Many validated private and community clouds exist. Regulators are exploring validation of public clouds* Source: FDA has App Stores Under Surveillance, GigaOM, August 31, 2010 Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 10
  • 11. Are Clouds Secure? How clinical data are managed today: touched by sites, CROs and Sponsors across many channels: – Paper (shipped via public carriers) – Electronic (via third-party ASP and SaaS providers or party on-premise in-house providers) house Private or Community Cloud use does not change this – Community Cloud providers are same as SaaS providers – Private Cloud providers are same as ASP & on on-premise providers Like today, both leverage economies of scale for greater investment in security infrastructure, often providing a higher level of security than on on-premise systems* Sources: Cloud Computing is More Secure Than You Think, InfoWorld, May 4, 2010, , Interview with Harold Moss, IBM, Chief Technology Officer of cloud computing strategy, February 27, 2011 Cambridge, MA 11-13 April 2011 Copyright eClinical Forum 2009 11
  • 12. Questions & Answers Thank you! For additional information on clouds computing, especially in the regulatory space: – NIST: http://csrc.nist.gov/groups/SNS/cloud http://csrc.nist.gov/groups/SNS/cloud-computing/ – Industry Analyst in cloud and utility computing: James Staten, Vice President and Principal Analyst at Forrester Research http://www.forrester.com/rb/analyst/james_staten and http://blogs.forrester.com/james_staten Cambridge, MA, April 11-12 2011 Copyright eClinical Forum 2009 12