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Sanjeevani Clinical Research Academy
SYLLABUS OF
                     PROGRAM
                 IN CLINICAL TRIAL,
          RESEARCH AND DATA MANAGEMENT


                        Module–I
     Clinical Trials and Clinical Trials Environment
                        Module-II
              Statistics for Clinical Trials
                        Module-III
               Clinical Data Management
                        Module-IV
                    Contract Research
                        Module-V
 Regulatory Affairs, GCP, Pharmacovigilance and Ethics
                       Module-VI
     Practical Medical Writing and Documentation
                     Module-VII
                   Research Study
PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
MODULE-I



  CLINICAL TRIALS & CLINICAL TRIALS ENVIRONMENT

 Clinical trials are conducted to allow safety and efficacy data to be collected
 for new drugs or devices. These trials can only take place once satisfactory
 information has been gathered on the quality of the product and its non-clinical
 safety, and Health Authority/Ethics Committee approval is granted in the country
 where the trial is taking place.




  CONTENT


 About Introduction, Features of clinical trials, Bioavailability Studies,
  Designing of Clinical Trials Studies, Clinical Trials Delivery Model,
  Clinical Trial Environment, Non-Clinical Safety Studies,
  Choice of Control Group, Patient Recruitment,
  Case Studies & Audit Of Clinical Trials.

     PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
MODULE-II



   STATISTICS FOR CLINICAL TRIALS

  Statistics play an essential part throughout any clinical trial, from planning,
  conduct, interim analysis and final analysis and reporting. The statistician devises
  the randomization schedules. Advice on sample size; criteria for measuring treatment
  differences and analysis of response rates are all the responsibility of the statistician.
  Time to an event of interest is often used as an endpoint for evaluation of therapies in
  clinical trials. Time to recurrence of disease, duration of complete remission, and overall
  survival are examples.



   CONTENT


 About Types of Data, Descriptive Statistics, measure of
 central tendency, percentiles variability measure, normal distribution,
 statistical inference, sampling distribution, The Central Limit theorem,
 interval estimation-distribution, types of error, ANOVA, chi- square,
 The randomized complete block design, regression and correlation.
     PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
MODULE-III



  CLINICAL DATA MANAGEMENT
  A Clinical Data Management System or CDMS is used in clinical research
  to manage the data of a clinical trial. The clinical trial data gathered at the
  investigator site in the Case Report Form are stored in the CDMS. To reduce the possibility
   of errors due to human entry, the systems employ different means to verify the entry.
  The most popular method being double data entry.

  Once the data has been screened for typographical errors, the data can be
  validated to check for logical errors. An example is a check of the subject's age to
  ensure that they are within the inclusion criteria for the study. These errors are raised
  for review to determine if there is an error in the data or clarification from the
  investigator is required.

  CONTENT

 Introduction, data definition, clinical databases and types,
 Computers in clinical trials, Data Acquisition and storage,
 Electronic Data Capture, CRF (clinical research form),
 coding of data, software tools,SAS programming,
 program documentation, program validation,
 and development of data entry platforms.
      PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
MODULE-IV



  CONTRACT RESEARCH

  A Contract Research Organization (CRO) is an organization that offers clients a wide range
  of pharmaceutical research services. In the Code of Federal Regulations (CFR), the U.S.
  Food and Drug Administration Regulations state that a CRO is "a person [i.e., a legal
  person, which may be a corporation] that assumes, as an independent contractor with the
  sponsor, one or more of the obligations of a sponsor, e.g., design of a protocol, selection
  or monitoring of investigations, evaluation of reports, and preparation of materials to be
  submitted to the Food and Drug Administration



  CONTENT


 Introduction of Contract Research Organization, Contract Research
 Areas, Delivery Models, Business Environment, Information Source,
 IT and Contract Research, Regulatory affairs and contract research and
 case- studies.

       PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
MODULE-V


Regulatory affairs, Good clinical Practices, Pharmacovigilance and Ethics

  Good Clinical Practice is an international quality standard that is
  provided by International conference of Harmonization (ICH),
  an international body that defines standards, which governments can
  transpose into regulations for clinical trials.

  Pharmacovigilance is the science of collecting, monitoring, researching,
  assessing and evaluating information from healthcare providers and
  patients on the adverse effects of medications, herbalism and
  traditional medicines with a view to identifying new information about
  hazards associated with medicines preventing harm to patients.


  CONTENT

 Schedule-Y, application of permission, approval of clinical trials,
  responsibility of sponsor, informed consent, principles of ICH-GCP,
  Institutional Review Board/Independent Ethics Committee (IRB/IEC),
  Bioethics, Ethics, Pharmacovigilance, Drug approvals ,
  Drug Registry and safety.

     PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
MODULE-VI



  Practical Medical Writing and documentation
  Medical writing is the activity of writing scientific documentation by
  someone who is a specialized writer (a medical writer) and is generally
  not one of the scientists or doctors who performed the research.
  A medical writer is anyone engaged in communication in the medical or
  allied professions and sciences.

  The purpose of medical writing is to have a writing specialist work together
  with the people who produce the scientific data in order to create documents
  that effectively and clearly express the messages the data have to tell.
  The medical writer also serves to make sure that the documents comply
  with any regulatory, journal or other guidelines in terms of content, format and structure.



   CONTENT

Preparation of Protocol, Design a Research Study,
 Tabulation of Data, Analysis, Technical writing of a Report and
 Drafting of the protocol for clinical trial study.

     PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
MODULE-VII



       RESEARCH STUDY


To provide skills to scrutinize information, to critically analyze
and carry out research, and to communicate effectively.

To describe the uses and applications of the main types of
intervention studies: clinical trials and community trials.

To describe the essential features and stages in the conduct of a clinical trial,
and the role of randomization, use of placebo, blinding / masking and
intention-to-treat analysis.

To discuss the ethical issues involved in the conduct of a clinical trial.

Arranging site visits for practical exposure of the students.




    PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
CAREER PROSPECTS AND JOB PROFILES IN CLINICAL RESEARCH



Career prospects include a professional career in Clinical Research industry
either as a clinical investigator, site coordinator in at a hospital conducting
clinical investigations or CRO (Clinical Research Organization).
Jobs are also available in pharmaceutical industry, drug development,
 medical writing, biostatistics or as a Manager of Clinical Project,
Clinical Research Business Development, Clinical Operations,
Data Management, Regulatory Affairs and Auditing of Clinical Trials.
You can build up your carrier in clinical trials as:

  Clinical Research Associate

The main function of a clinical research associate is to monitor clinical trials.
  He or she may work directly with the sponsor company of a clinical trial, as
 an independent freelancer or for a Contract Research Organization (CRO).
 A clinical research associate ensures compliance with the clinical trial protocol,
 checks clinical site activities, makes on-site visits, reviews
 Case Report Forms (CRF) and communicates with
 clinical research investigators.

        …………………..CAREER PROSPECTS…………………
Clinical Research Investigator

  Conduct BA/BE studies as per cGCP guidelines, Writing/revising
   SOP for clinical operations. Review of protocols, Investigators Brochures,
   ICF and CRFs Protocol, CRF and ICF preparation Plan & conduct of
   BA/BEIEC/IRB affairs-GC.



          Study Coordinator

Study coordinators work directly with study volunteers, providing them safety
 and protection while collecting and managing the study data.
 They promote, advertise, and conduct telephone and face-to-face
 screenings to recruit volunteers. During the study process, they assess
 volunteer condition and coordinate ongoing clinical/laboratory testing
 and physical exams. Coordinators may assess vital signs (height, weight,
 blood pressure, pulse), and some are trained to collect blood/urine specimens
 and perform lung function testing. Study coordinators follow up with volunteers
 after the study and manage a great deal of paperwork, electronic
 correspondence and data.




        …………………..CAREER PROSPECTS…………………
Data Manager / Biostatistician

Biostatisticians collaborate with researchers to design studies that
 may show the seriousness of a disease, predict a specific disease's
 seriousness, evaluate a new treatment, assess the safety and
 effectiveness of medications and increase knowledge of environmental issues.
 Additionally, biostatisticians participate in research design, data collection,
 choosing and implementing appropriate methodologies,
 and interpreting the results.

     Regulatory Affairs Manager

Responsible for review & registration of documents as per
 country specific guidelines for export. Evaluation of technical data &
 answer to various related queries as per regulated & semi – regulated
 requirements. Liaison with regulatory authorities.

       Clinical Trials Auditor
Conducts audits for the regulatory/QA function within the Clinical Trials
 Department in order to help assure compliance with GLP/GCP in
 accordance with established FDA regulations and company policies and
 standard operating procedures Job Requirements Normally B.A./B.S. in
 Science w/1-2 years of experience.

        …………………..CAREER PROSPECTS…………………
Clinical Project Manager

Responsible for ensuring compliance across projects to all
 applicable Clinical Trial regulations, guidelines, SOPs Protocols and
 procedures. Coordinate project start-up, project maintenance and project
 close-out activities, Serve as the primary contact for the Sponsor and
 all project team members, Direct supervisory responsibility for project
 Coordinators, project Assistants, CRAs, etc.
      Clinical Research Manager

Manage interdisciplinary clinical research projects, as Project.
 Supervise, train, and mentor Clinical Research staff, Approve investigator
 study budgets and contracts, Review and approve regulatory and
 administrative documents, develop protocols and approve
 Case Report Forms (CRFs), Review Tables and Listings generated
 from study data. Author Clinical Study Reports. Train CRAs on monitoring,
 internal procedures, and query, resolution.

    Business Development Manager

Identify potential clients & establish business relations &
 convert into real business. Responsible for all Business Development
 functions Meeting new clients, following up on leads, CRM.
 Continuously monitor the Competition and Global Market.

         …………………..CAREER PROSPECTS…………………
Drug Safety Associate

Manage and relay drug safety information, maintain current knowledge
 of global drug safety regulations, summaries clinical safety data, participate
 in meetings with potential and actual study sponsors, write narratives with
 medical input from a physician, report SADRs to the Regulatory Authorities,
 participate in the training of operational staff on drug safety issues, quality control
 work of other staff in the department, take on any other task as assigned by the manager
 or Medical Director within the capabilities of the Drug Safety Associate.

           Medical Writer
To prepare high quality documents, manuscripts, abstracts and
 other communication tools (slide presentations, posters etc.) for
 publishing in indexed scientific/medical journals or for presentation
 in scientific/Health Authority meetings.

       Clinical Data Manager

 The Clinical Data Manager (CDM) ensures complete, accurate
 and consistent data for reporting to regulatory bodies. A CDM is involved
 in the setting up, running and reporting of clinical trials.
 The CDM processes data using a range of computer applications
  and database systems to support collection, cleaning
 and management of patient data.

         …………………..CAREER PROSPECTS…………………

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Careers In Clinical Research

  • 2. SYLLABUS OF PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT Module–I Clinical Trials and Clinical Trials Environment Module-II Statistics for Clinical Trials Module-III Clinical Data Management Module-IV Contract Research Module-V Regulatory Affairs, GCP, Pharmacovigilance and Ethics Module-VI Practical Medical Writing and Documentation Module-VII Research Study PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
  • 3. MODULE-I CLINICAL TRIALS & CLINICAL TRIALS ENVIRONMENT Clinical trials are conducted to allow safety and efficacy data to be collected for new drugs or devices. These trials can only take place once satisfactory information has been gathered on the quality of the product and its non-clinical safety, and Health Authority/Ethics Committee approval is granted in the country where the trial is taking place. CONTENT  About Introduction, Features of clinical trials, Bioavailability Studies, Designing of Clinical Trials Studies, Clinical Trials Delivery Model, Clinical Trial Environment, Non-Clinical Safety Studies, Choice of Control Group, Patient Recruitment, Case Studies & Audit Of Clinical Trials. PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
  • 4. MODULE-II STATISTICS FOR CLINICAL TRIALS Statistics play an essential part throughout any clinical trial, from planning, conduct, interim analysis and final analysis and reporting. The statistician devises the randomization schedules. Advice on sample size; criteria for measuring treatment differences and analysis of response rates are all the responsibility of the statistician. Time to an event of interest is often used as an endpoint for evaluation of therapies in clinical trials. Time to recurrence of disease, duration of complete remission, and overall survival are examples. CONTENT  About Types of Data, Descriptive Statistics, measure of central tendency, percentiles variability measure, normal distribution, statistical inference, sampling distribution, The Central Limit theorem, interval estimation-distribution, types of error, ANOVA, chi- square, The randomized complete block design, regression and correlation. PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
  • 5. MODULE-III CLINICAL DATA MANAGEMENT A Clinical Data Management System or CDMS is used in clinical research to manage the data of a clinical trial. The clinical trial data gathered at the investigator site in the Case Report Form are stored in the CDMS. To reduce the possibility of errors due to human entry, the systems employ different means to verify the entry. The most popular method being double data entry. Once the data has been screened for typographical errors, the data can be validated to check for logical errors. An example is a check of the subject's age to ensure that they are within the inclusion criteria for the study. These errors are raised for review to determine if there is an error in the data or clarification from the investigator is required. CONTENT  Introduction, data definition, clinical databases and types, Computers in clinical trials, Data Acquisition and storage, Electronic Data Capture, CRF (clinical research form), coding of data, software tools,SAS programming, program documentation, program validation, and development of data entry platforms. PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
  • 6. MODULE-IV CONTRACT RESEARCH A Contract Research Organization (CRO) is an organization that offers clients a wide range of pharmaceutical research services. In the Code of Federal Regulations (CFR), the U.S. Food and Drug Administration Regulations state that a CRO is "a person [i.e., a legal person, which may be a corporation] that assumes, as an independent contractor with the sponsor, one or more of the obligations of a sponsor, e.g., design of a protocol, selection or monitoring of investigations, evaluation of reports, and preparation of materials to be submitted to the Food and Drug Administration CONTENT  Introduction of Contract Research Organization, Contract Research Areas, Delivery Models, Business Environment, Information Source, IT and Contract Research, Regulatory affairs and contract research and case- studies. PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
  • 7. MODULE-V Regulatory affairs, Good clinical Practices, Pharmacovigilance and Ethics Good Clinical Practice is an international quality standard that is provided by International conference of Harmonization (ICH), an international body that defines standards, which governments can transpose into regulations for clinical trials. Pharmacovigilance is the science of collecting, monitoring, researching, assessing and evaluating information from healthcare providers and patients on the adverse effects of medications, herbalism and traditional medicines with a view to identifying new information about hazards associated with medicines preventing harm to patients. CONTENT  Schedule-Y, application of permission, approval of clinical trials, responsibility of sponsor, informed consent, principles of ICH-GCP, Institutional Review Board/Independent Ethics Committee (IRB/IEC), Bioethics, Ethics, Pharmacovigilance, Drug approvals , Drug Registry and safety. PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
  • 8. MODULE-VI Practical Medical Writing and documentation Medical writing is the activity of writing scientific documentation by someone who is a specialized writer (a medical writer) and is generally not one of the scientists or doctors who performed the research. A medical writer is anyone engaged in communication in the medical or allied professions and sciences. The purpose of medical writing is to have a writing specialist work together with the people who produce the scientific data in order to create documents that effectively and clearly express the messages the data have to tell. The medical writer also serves to make sure that the documents comply with any regulatory, journal or other guidelines in terms of content, format and structure. CONTENT Preparation of Protocol, Design a Research Study, Tabulation of Data, Analysis, Technical writing of a Report and Drafting of the protocol for clinical trial study. PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
  • 9. MODULE-VII RESEARCH STUDY To provide skills to scrutinize information, to critically analyze and carry out research, and to communicate effectively. To describe the uses and applications of the main types of intervention studies: clinical trials and community trials. To describe the essential features and stages in the conduct of a clinical trial, and the role of randomization, use of placebo, blinding / masking and intention-to-treat analysis. To discuss the ethical issues involved in the conduct of a clinical trial. Arranging site visits for practical exposure of the students. PROGRAM IN CLINICAL TRIAL, RESEARCH AND DATA MANAGEMENT
  • 10. CAREER PROSPECTS AND JOB PROFILES IN CLINICAL RESEARCH Career prospects include a professional career in Clinical Research industry either as a clinical investigator, site coordinator in at a hospital conducting clinical investigations or CRO (Clinical Research Organization). Jobs are also available in pharmaceutical industry, drug development, medical writing, biostatistics or as a Manager of Clinical Project, Clinical Research Business Development, Clinical Operations, Data Management, Regulatory Affairs and Auditing of Clinical Trials. You can build up your carrier in clinical trials as: Clinical Research Associate The main function of a clinical research associate is to monitor clinical trials. He or she may work directly with the sponsor company of a clinical trial, as an independent freelancer or for a Contract Research Organization (CRO). A clinical research associate ensures compliance with the clinical trial protocol, checks clinical site activities, makes on-site visits, reviews Case Report Forms (CRF) and communicates with clinical research investigators. …………………..CAREER PROSPECTS…………………
  • 11. Clinical Research Investigator  Conduct BA/BE studies as per cGCP guidelines, Writing/revising SOP for clinical operations. Review of protocols, Investigators Brochures, ICF and CRFs Protocol, CRF and ICF preparation Plan & conduct of BA/BEIEC/IRB affairs-GC. Study Coordinator Study coordinators work directly with study volunteers, providing them safety and protection while collecting and managing the study data. They promote, advertise, and conduct telephone and face-to-face screenings to recruit volunteers. During the study process, they assess volunteer condition and coordinate ongoing clinical/laboratory testing and physical exams. Coordinators may assess vital signs (height, weight, blood pressure, pulse), and some are trained to collect blood/urine specimens and perform lung function testing. Study coordinators follow up with volunteers after the study and manage a great deal of paperwork, electronic correspondence and data. …………………..CAREER PROSPECTS…………………
  • 12. Data Manager / Biostatistician Biostatisticians collaborate with researchers to design studies that may show the seriousness of a disease, predict a specific disease's seriousness, evaluate a new treatment, assess the safety and effectiveness of medications and increase knowledge of environmental issues. Additionally, biostatisticians participate in research design, data collection, choosing and implementing appropriate methodologies, and interpreting the results. Regulatory Affairs Manager Responsible for review & registration of documents as per country specific guidelines for export. Evaluation of technical data & answer to various related queries as per regulated & semi – regulated requirements. Liaison with regulatory authorities. Clinical Trials Auditor Conducts audits for the regulatory/QA function within the Clinical Trials Department in order to help assure compliance with GLP/GCP in accordance with established FDA regulations and company policies and standard operating procedures Job Requirements Normally B.A./B.S. in Science w/1-2 years of experience. …………………..CAREER PROSPECTS…………………
  • 13. Clinical Project Manager Responsible for ensuring compliance across projects to all applicable Clinical Trial regulations, guidelines, SOPs Protocols and procedures. Coordinate project start-up, project maintenance and project close-out activities, Serve as the primary contact for the Sponsor and all project team members, Direct supervisory responsibility for project Coordinators, project Assistants, CRAs, etc. Clinical Research Manager Manage interdisciplinary clinical research projects, as Project. Supervise, train, and mentor Clinical Research staff, Approve investigator study budgets and contracts, Review and approve regulatory and administrative documents, develop protocols and approve Case Report Forms (CRFs), Review Tables and Listings generated from study data. Author Clinical Study Reports. Train CRAs on monitoring, internal procedures, and query, resolution. Business Development Manager Identify potential clients & establish business relations & convert into real business. Responsible for all Business Development functions Meeting new clients, following up on leads, CRM. Continuously monitor the Competition and Global Market. …………………..CAREER PROSPECTS…………………
  • 14. Drug Safety Associate Manage and relay drug safety information, maintain current knowledge of global drug safety regulations, summaries clinical safety data, participate in meetings with potential and actual study sponsors, write narratives with medical input from a physician, report SADRs to the Regulatory Authorities, participate in the training of operational staff on drug safety issues, quality control work of other staff in the department, take on any other task as assigned by the manager or Medical Director within the capabilities of the Drug Safety Associate. Medical Writer To prepare high quality documents, manuscripts, abstracts and other communication tools (slide presentations, posters etc.) for publishing in indexed scientific/medical journals or for presentation in scientific/Health Authority meetings. Clinical Data Manager The Clinical Data Manager (CDM) ensures complete, accurate and consistent data for reporting to regulatory bodies. A CDM is involved in the setting up, running and reporting of clinical trials. The CDM processes data using a range of computer applications and database systems to support collection, cleaning and management of patient data. …………………..CAREER PROSPECTS…………………