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