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A PRESENTATION ON
  INTERNSHIP PROJECT REPORT
          ENTITLED AS
“PROCESS INVOLVED IN PLANNING
& CONDUCT OF DIABETES CLINICAL
            TRIAL”
                             BY
                     Mr. ARKA MOITRA
  P G DIPLOMA IN CLINICAL RESEARCH & REGULATORY AFFAIRS
                      BATCH – 2011-12
                  ROLL NO: PD2CRR 12-11
                   JADAVPUR UNIVERSITY

 INTERNSHIP FROM – NOVO NORDISK INDIA PVT LTD, BANGALORE
HIGHLIGHTS OF THE PRESENTATION
• Background of selecting the topic
• Activity performed during the project
• Unique characteristics in conduct of diabetes
  clinical trial
• Schematic presentation of whole conduct and
  progress of a clinical trial
• Features of site monitoring visit

PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
                                                        2
BACKGROUND OF SELECTING THE
                TOPIC
• Sponsor level project
• Sponsor responsible for planning and conduct
  of a clinical trial
• Novo Nordisk perform only diabetes clinical
  trial since they deals with insulin or insulin
  related product



 PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
                                                         3
ACTIVITY PERFORMED DURING THE
              PROJECT
• Involved in two new trial at initial phase of
  conduct
• Customization of ICD as per Indian regulation
• Translation process for ICD and other document
  which meant to be submitted to the subjects
• Collecting and compilation of essential
  documents required before initiation of clinical
  phases through communicating with site
  coordinators
  PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
                                                          4
……CONTINUED
• Preparation of EC submission dossier for EC
  approval
• Site monitoring for ongoing trial
• Preparation of monitoring visit report




  PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
                                                          5
UNIQUE CHARACTERISTICS IN
       CONDUCT OF DIABETES CLINICAL
                  TRIAL
• Indentifying potential investigators based on
  their prescribing pattern and choice of insulin
  or insulin related product
• Tracking of SMPG value through subject diary
• Special protocol defined guideline for
  intention to treat study design


PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA   6
7
PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
8
PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
FEATURES OF SITE MONITORING VISIT
•      Preparation monitoring visit
    o       Freezing of resolved query of last monitoring
    o       Generation of drug accountability sheet
    o       Reviewing last monitoring visit findings
•     Activity during monitoring
    o       Temperature monitoring of trial product, generation
            of query if deviation
    o       Source data verification, tallying eCRF data with
            original source document and laboratory
            findings, generation of query if deviation

PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
                                                                  9
……Continued
 o       Drug accountability of used, returned and
         unused trial product after randomization as per
         system generated sheet
 o       Stock checking of fresh trial product
 o       Reviewing the investigator trial master file for all
         the essential documents as consistent with the
         course of the study
 o       Debriefing meeting with investigator to highlight
         the monitoring activity, to discus the issues and
         raised queries and ask for clarification

PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA       10
…..Continued
• Post monitoring activity
    o Preparation of monitoring visit report
    o Forwarding a follow up letter to the site stating
      the findings and mentioning the timeline to
      resolve the queries




 PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
                                                          11
THANK YOU!




PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
                                                        12

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Process Involved in Planning and Conduct of Diabetes Clinical Trial

  • 1. A PRESENTATION ON INTERNSHIP PROJECT REPORT ENTITLED AS “PROCESS INVOLVED IN PLANNING & CONDUCT OF DIABETES CLINICAL TRIAL” BY Mr. ARKA MOITRA P G DIPLOMA IN CLINICAL RESEARCH & REGULATORY AFFAIRS BATCH – 2011-12 ROLL NO: PD2CRR 12-11 JADAVPUR UNIVERSITY INTERNSHIP FROM – NOVO NORDISK INDIA PVT LTD, BANGALORE
  • 2. HIGHLIGHTS OF THE PRESENTATION • Background of selecting the topic • Activity performed during the project • Unique characteristics in conduct of diabetes clinical trial • Schematic presentation of whole conduct and progress of a clinical trial • Features of site monitoring visit PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 2
  • 3. BACKGROUND OF SELECTING THE TOPIC • Sponsor level project • Sponsor responsible for planning and conduct of a clinical trial • Novo Nordisk perform only diabetes clinical trial since they deals with insulin or insulin related product PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 3
  • 4. ACTIVITY PERFORMED DURING THE PROJECT • Involved in two new trial at initial phase of conduct • Customization of ICD as per Indian regulation • Translation process for ICD and other document which meant to be submitted to the subjects • Collecting and compilation of essential documents required before initiation of clinical phases through communicating with site coordinators PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 4
  • 5. ……CONTINUED • Preparation of EC submission dossier for EC approval • Site monitoring for ongoing trial • Preparation of monitoring visit report PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 5
  • 6. UNIQUE CHARACTERISTICS IN CONDUCT OF DIABETES CLINICAL TRIAL • Indentifying potential investigators based on their prescribing pattern and choice of insulin or insulin related product • Tracking of SMPG value through subject diary • Special protocol defined guideline for intention to treat study design PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 6
  • 7. 7 PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
  • 8. 8 PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA
  • 9. FEATURES OF SITE MONITORING VISIT • Preparation monitoring visit o Freezing of resolved query of last monitoring o Generation of drug accountability sheet o Reviewing last monitoring visit findings • Activity during monitoring o Temperature monitoring of trial product, generation of query if deviation o Source data verification, tallying eCRF data with original source document and laboratory findings, generation of query if deviation PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 9
  • 10. ……Continued o Drug accountability of used, returned and unused trial product after randomization as per system generated sheet o Stock checking of fresh trial product o Reviewing the investigator trial master file for all the essential documents as consistent with the course of the study o Debriefing meeting with investigator to highlight the monitoring activity, to discus the issues and raised queries and ask for clarification PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 10
  • 11. …..Continued • Post monitoring activity o Preparation of monitoring visit report o Forwarding a follow up letter to the site stating the findings and mentioning the timeline to resolve the queries PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 11
  • 12. THANK YOU! PGDCRRA 2011-2012 / JADAVPUR UNIVERSITY / ARKA MOITRA 12