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The Canadian Clinical
Trials Asset Map
(CCTAM)
Shurjeel H Choudhri, MD, FRCPC
Senior Vice President & Head, Bayer Inc

Alison Orth, BBA, CCRC
Project Management Consultant, BCCRIN
Global Patient Recruitment by Region
Clinical Trials by Country:

Percent Change from 2005 to 2010
Japan

160%

Percentage of Change

180%

China

140%

Russian Confederation

120%

Poland

100%

Australia

CANADA

80%
60%

Argentina

40%

Germany

20%
0%
-20%

2

3

4

5

6

7

8

9

1

10

11

France
12

13

14

15

16

Brazil
India

Country by Rank from 1 to 16
Clinical Trial Sites by Country:
Percent Change from 2005 to 2010

250%
Japan

Percentage of Change

200%

India
China

150%

Russian Confederation
Argentina

100%

Poland

CANADA

50%

Brazil
Australia
South Africa

0%
1

2

3

4

5

6

7

8

9

-50%

10

11

United Kingdom
12

13

14

15

16

Spain
France

Country by Rank 1 to 16
Health Canada CTAs

CTA = Clinical Trial Applications
Clinical Trial Density & Growth
Rate

Nature Biotechnology January 2012
Initiatives in the US

TransCelerate BioPharma Initiative

DrugDev.org
Canada’s Strengths in Clinical
Trials
• 
• 
• 
• 
• 
• 
• 

High reputation of researchers, organizations & outputs
Diverse population
Disease & population-specific networks & health charities
National progress on operational barriers
Interested public
Publically-funded healthcare & provincial funding for health
Federal & provincial leadership
Clinical Trials Summit 2011
•  The first ever clinical trial steering committee meeting (Sep 2011)
•  150 experts from Government, Academia, Clinical Sites & Industry
•  Topics critical to the Canadian clinical trial environment:
• 
• 
• 
• 
• 

Ethics review process
Recruitment, patient retention & follow-up (administrative databases, e-records)
Cost structure
Administrative (contracts, standard operating procedures, education, training)
Future – what strengths can Canada develop that would make a difference in 5-10
years?
Clinical Trials Action Plan

http://www.acaho.org/?policy_2012
http://www.canadapharma.org/en/our-industry/clinical-trial-
Clinical Trials Action Plan
Vision: Canada to become a premier country globally for
conducting industry led clinical trials (CT)
Strategic Goals:
1.  Establish short & longer term implementation capacity for this action
plan & coordination of other CT improvement activities

2.  Improve business operations through better cost, quality, & speed of
clinical trial start-up times

3.  Shape a positive future business environment & signal Canada’s interest
globally with information & incentives
What is Canadian Clinical Trials Asset
Map (CCTAM)?
  Component of Strategic Goal # 3 of Action Plan
  Web-based “living”, easily searchable, interactive

database of Canadian clinical research capabilities

  Broad umbrella of stakeholders including Rx&D &

member companies, CIHR, DFAIT, Health Canada,
Industry Canada, ACAHO, BCCRIN, CTO, N2 and
independent research centers
CCTAM

Objectives
  Improve capacity for both the academic &

commercial sectors to conduct clinical studies in
Canada

  Position Canada globally as an attractive destination
for clinical trial investments
CCTAM: Design Principles
•  Consider from view of both end user’s & the sites
•  Ensure it meets evolving stakeholder
requirements
•  Optimize scope & application of the tool
•  Leverage & integrate experiences from existing
asset maps where possible to avoid duplication
of effort
Features of CCTAM
  Bilingual
  Comprehensive data set
  Regular updates
  Easy to search
  No cost to contributors to use
Who Stands to Benefit?
  Academic Research Sites
  Independent Research Sites
  Government
  Industry
  Academia
  Canadians
Progress to Date
  Key audiences & stakeholders identified & engaged
  Existing asset maps audited to identify unmet needs &
potential data sources

  British Columbia Clinical Research Infrastructure
Network’s (BCCRIN) Asset Map (http://
assets.bccrin.ca/ is being considered as a base
framework for CCTAM

  Initial data points to be included identified
Progress to Date contd.
  Work underway to enhance existing BCCRIN asset
map

  Agreement in principle across RX&D member
companies to contribute data

  Part I of communication strategy developed
 
Changing	
  the	
  landscape	
  for	
  clinical	
  research	
  in	
  BC.	
  

www.bccrin.ca	
  
A	
  collabora7ve	
  partnership	
  
of	
  provincial	
  health	
  
authori7es,	
  universi7es,	
  
industry	
  associa7ons	
  and	
  
funding	
  agencies.	
  

Focused	
  on	
  transforming	
  the	
  
clinical	
  research	
  landscape	
  
in	
  BC.	
  

A@ract	
  increased	
  investment	
  
into	
  BC;	
  provide	
  improved	
  
access	
  to	
  innova7ve	
  
medicines	
  and	
  diagnos7cs.	
  

Develop	
  first	
  in	
  class	
  
research	
  processes	
  and	
  
infrastructure	
  to	
  support	
  
clinical	
  research	
  personnel	
  
and	
  ac7vi7es.	
  

This	
  network	
  has	
  the	
  
poten7al	
  to	
  profoundly	
  alter	
  
the	
  clinical	
  landscape	
  in	
  
Canada	
  and	
  become	
  a	
  gold	
  
standard	
  center	
  for	
  clinical	
  
research	
  worldwide.	
  

www.bccrin.ca	
  
www.bccrin.ca	
  
  Online, searchable database with interactive elements
  Information on clinical trials investigators, sites, research units, ethics
boards in BC
  Captures BC biomedical, clinical, health services policy, population and
public health and medical device researchers
  Includes academic, institutional and community/independent sites from
across the province
  Industry standard: PHP, MySQL, Javascript. Allows for future updates
and extensions

	
  
www.bccrin.ca/	
  

www.bccrin.ca	
  
Summary
  CCTAM initiative only possible due to the extraordinary

participation & commitment of groups & individuals across
industries, sectors & geographical locations in Canada

  Significant progress over the past 18 months in developing the
CCTAM

  Once complete, CCTAM will be a comprehensive one-stop tool for
both local & global entities considering Canada as a site for
clinical research

  CCTAM will continue to evolve & develop true to its living tool
concept
For more information…
Please email:
cctam@canadapharma.org
 	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Thanks!
Questions?
You can tell whether a man is clever by his
answers.
You can tell whether a man is wise by his
questions.
Naguib Mahfouz

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The Canadian Clinical Trials Asset Map (CCTAM) - Shurjeel H Choudhri and Alison Orth

  • 1. The Canadian Clinical Trials Asset Map (CCTAM) Shurjeel H Choudhri, MD, FRCPC Senior Vice President & Head, Bayer Inc Alison Orth, BBA, CCRC Project Management Consultant, BCCRIN
  • 2.
  • 4. Clinical Trials by Country: Percent Change from 2005 to 2010 Japan 160% Percentage of Change 180% China 140% Russian Confederation 120% Poland 100% Australia CANADA 80% 60% Argentina 40% Germany 20% 0% -20% 2 3 4 5 6 7 8 9 1 10 11 France 12 13 14 15 16 Brazil India Country by Rank from 1 to 16
  • 5. Clinical Trial Sites by Country: Percent Change from 2005 to 2010 250% Japan Percentage of Change 200% India China 150% Russian Confederation Argentina 100% Poland CANADA 50% Brazil Australia South Africa 0% 1 2 3 4 5 6 7 8 9 -50% 10 11 United Kingdom 12 13 14 15 16 Spain France Country by Rank 1 to 16
  • 6. Health Canada CTAs CTA = Clinical Trial Applications
  • 7. Clinical Trial Density & Growth Rate Nature Biotechnology January 2012
  • 8. Initiatives in the US TransCelerate BioPharma Initiative DrugDev.org
  • 9. Canada’s Strengths in Clinical Trials •  •  •  •  •  •  •  High reputation of researchers, organizations & outputs Diverse population Disease & population-specific networks & health charities National progress on operational barriers Interested public Publically-funded healthcare & provincial funding for health Federal & provincial leadership
  • 10. Clinical Trials Summit 2011 •  The first ever clinical trial steering committee meeting (Sep 2011) •  150 experts from Government, Academia, Clinical Sites & Industry •  Topics critical to the Canadian clinical trial environment: •  •  •  •  •  Ethics review process Recruitment, patient retention & follow-up (administrative databases, e-records) Cost structure Administrative (contracts, standard operating procedures, education, training) Future – what strengths can Canada develop that would make a difference in 5-10 years?
  • 11. Clinical Trials Action Plan http://www.acaho.org/?policy_2012 http://www.canadapharma.org/en/our-industry/clinical-trial-
  • 12. Clinical Trials Action Plan Vision: Canada to become a premier country globally for conducting industry led clinical trials (CT) Strategic Goals: 1.  Establish short & longer term implementation capacity for this action plan & coordination of other CT improvement activities 2.  Improve business operations through better cost, quality, & speed of clinical trial start-up times 3.  Shape a positive future business environment & signal Canada’s interest globally with information & incentives
  • 13. What is Canadian Clinical Trials Asset Map (CCTAM)?   Component of Strategic Goal # 3 of Action Plan   Web-based “living”, easily searchable, interactive database of Canadian clinical research capabilities   Broad umbrella of stakeholders including Rx&D & member companies, CIHR, DFAIT, Health Canada, Industry Canada, ACAHO, BCCRIN, CTO, N2 and independent research centers
  • 14. CCTAM Objectives   Improve capacity for both the academic & commercial sectors to conduct clinical studies in Canada   Position Canada globally as an attractive destination for clinical trial investments
  • 15. CCTAM: Design Principles •  Consider from view of both end user’s & the sites •  Ensure it meets evolving stakeholder requirements •  Optimize scope & application of the tool •  Leverage & integrate experiences from existing asset maps where possible to avoid duplication of effort
  • 16. Features of CCTAM   Bilingual   Comprehensive data set   Regular updates   Easy to search   No cost to contributors to use
  • 17. Who Stands to Benefit?   Academic Research Sites   Independent Research Sites   Government   Industry   Academia   Canadians
  • 18. Progress to Date   Key audiences & stakeholders identified & engaged   Existing asset maps audited to identify unmet needs & potential data sources   British Columbia Clinical Research Infrastructure Network’s (BCCRIN) Asset Map (http:// assets.bccrin.ca/ is being considered as a base framework for CCTAM   Initial data points to be included identified
  • 19. Progress to Date contd.   Work underway to enhance existing BCCRIN asset map   Agreement in principle across RX&D member companies to contribute data   Part I of communication strategy developed
  • 20.   Changing  the  landscape  for  clinical  research  in  BC.   www.bccrin.ca  
  • 21. A  collabora7ve  partnership   of  provincial  health   authori7es,  universi7es,   industry  associa7ons  and   funding  agencies.   Focused  on  transforming  the   clinical  research  landscape   in  BC.   A@ract  increased  investment   into  BC;  provide  improved   access  to  innova7ve   medicines  and  diagnos7cs.   Develop  first  in  class   research  processes  and   infrastructure  to  support   clinical  research  personnel   and  ac7vi7es.   This  network  has  the   poten7al  to  profoundly  alter   the  clinical  landscape  in   Canada  and  become  a  gold   standard  center  for  clinical   research  worldwide.   www.bccrin.ca  
  • 23.   Online, searchable database with interactive elements   Information on clinical trials investigators, sites, research units, ethics boards in BC   Captures BC biomedical, clinical, health services policy, population and public health and medical device researchers   Includes academic, institutional and community/independent sites from across the province   Industry standard: PHP, MySQL, Javascript. Allows for future updates and extensions   www.bccrin.ca/   www.bccrin.ca  
  • 24. Summary   CCTAM initiative only possible due to the extraordinary participation & commitment of groups & individuals across industries, sectors & geographical locations in Canada   Significant progress over the past 18 months in developing the CCTAM   Once complete, CCTAM will be a comprehensive one-stop tool for both local & global entities considering Canada as a site for clinical research   CCTAM will continue to evolve & develop true to its living tool concept
  • 25. For more information… Please email: cctam@canadapharma.org
  • 26.                                        Thanks! Questions? You can tell whether a man is clever by his answers. You can tell whether a man is wise by his questions. Naguib Mahfouz