principles of gcp - intro
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Good Clinical Practices (GCP)
GCPs are a collection of regulations, guidelinesand practices
GCPs are a standard by which clinical trials aredesigned, implemented and reported to assurethat data are creditable and the trial subjects areprotected
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GCP regulations and guidelines
Investigator Responsibilities
Sponsor Responsibilities Monitoring
IRB/IBC Responsibilities
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GCP regulations and guidelines
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FDA (CFR Title 21 citations) www.fda.gov Part 11 Electronic Records; Electronic Signatures
Part 50 Protection of Human Subjects
Part 54 FinancialDisclosure by Clinical Investigators Part 56 Institutional Review Boards
Part 312 Investigational NewDrugApplication IND application (subpart B)
Administrative actions (subpart C)
Responsibilities of Sponsors and Investigators (subpart
D)
Part 314 New DrugApplication (NDA)
Part 600 Biological Products: General
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ICH www.ich.org ICH-E6 Good Clinical Practice
Principles of ICH GCP
IRB/IEC Investigator
Sponsor
Clinical trial protocol and amendments
Investigators brochure (IB)
Essential documents for the clinical trial Several other guidances (quality, safety, efficacy,
multidiscCTMlinary)
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FDA Guidances (some examples):
Guideline of Monitoring of Clinical Investigators
Computerized Systems used in Clinical Trials
FDAs internal Compliance Program Guidances(FDA/ORA)
FDA Information Sheets
Separate set of clinical investigator information sheets
NIH OBAwww4.od.nih.gov/oba NIH Guideline (April 2002)
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Need to submit an IND for each Clinical Trial Materialused in a clinical investigation Notice of Claimed Investigational Exemption for a NewDrug
FDA reviews an IND to ensure the safety, quality &efficacy of the product and to protect the safety &welfare of the human subjects
IND regulations are located in Title 21 CFR Part 312
Types of INDs: Traditional (sponsor initiated or sponsor-investigator initiated)
Treatment Use
Emergency Use
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Introductory statement and Generalinvestigational plan Overview of the objective for the intended clinical study/design
Investigators Brochure (IB) Essentially the beginning of the package insert
Clinical Protocol and Investigator qualifications Protocol, ICF, 1572, IRB approval documentation
Chemistry, Manufacturing and Controls (CMC)
Product information, manufacturing facility information Pharmacology and ToxicologyData
Pre-clinical data/studies
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Investigational new drugs may be used in a clinicaltrial if the following is met:
Sponsor submits IND and IND is in effect
Sponsor conducts investigation in compliance with GCPCFR regulations and guidances
Investigator conducts investigation in compliance with GCPCFR regulations and guidances