Therapeutic Interventional Studies (FDA Regulated) at UCDHS – At-A-Glance Page 1 Updated 09/15/2015 Chapter #1 Complete Necessary Training Laws governing Clinical Research Read UC Davis Clinical Research Guidebook (current edition) Read Clinical Trials SOPs housed by CTSC CITI training UCDHS Mandatory Annual Training UCDHS Privacy and Security Training Dangerous Goods Shipping for Infectious Substances and Dry Ice Lab Safety training IRB New Submitter training CTSC Clinical Trials Education and Training Program In service training: Coverage Analysis and Budgets Chapter #2 Study Feasibility and Start Up CTSC Assistance with study start-up. Includes: IRB preparation, submission and approval; Coverage Analysis; Budget preparation and negotiation; IT Approval; Bridge completion IND and IDE Assistance CTSC Biostatistics CTSC Clinical Research Center (CCRC) CTSC Research Ethics CTSC Community Engagement CTSC Biomedical Informatics Chapter #3 IND and IDE Submissions Chapter #4 Additional reviews and approvals Contact CTSC for assistance with IND/IDE IT Technology Evaluation for studies with apps or software Learn about regulatory requirements for clinical studies involving a drug, biologic or dietary supplement Learn about regulatory requirements for clinical studies involving a device Preclinical Regulatory requirements Device Classification and SR vs NSR Determine if your study is exempt from IND requirements Investigational Device Exemptions (IDE) Investigational New Drug Application (IND) Abbreviated IDE and Exemptions Expanded Access to Investigational Drugs Emergency, Compassionate, Treatment Use New Drug Application (NDA) Dietary Supplements as Drugs Clinical Engineering Review Radiation Use Committee Biological use Authorization Stem Cell research oversight Scientific Review Committee (Cancer Center Only) Approvals granted Chapter #5 IRB review and approval Contact CTSC for assistance with IRB submissions Chapter #6 Budgets and Contracts Contact CTSC and Contracts for assistance with Coverage Analysis and Budgets Review IRB SOPs and Investigator manual Review CTSC SOPs 4-8, and13 Prepare IRB packet Submit the Initial Submission to IRB Respond to IRB comments and obtain IRB approval File the approvals in Regulatory Binder IRB Approval Learn about Sponsors, Investigators and Sponsor-Investigators and their responsibilities COI Training and Disclosure Recruitment and Retention Planning: CTPQ Recruitment Funnel Recruitment Resource Plan Recruitment Action Plan Best practices Advertisement Prepare internal budget: Unified Budget template Invoicable Fixed Costs Per Patient Costs Radiology Costs Pathology Costs IDS costs Negotiate External Budget with the Sponsor Budgets for grants / Department funded studies Clinical Trials Contracts: Confidentiality (non-disclosure) Agreements Clinical Trial Agreements (CTA) Informed Consent Patient Privacy and Data Security: HIPAA Cohort Discovery Tool Access to PHI Disclosure Tracking Database FDA Approval Post information on clinicaltrials.gov Chapter #8 EMR: Scheduling, Registration, Linking and Billing Chapter #9 Investigational Drug Pharmacy Contact CTSC for assistance with the Bridge and EMR Contact IDS for assistance and review IDS website Open DaFIS account Overview of Investigational Drug Management process Enter the information into the Bridge CTSC SOP#13 Research Study Maintenance: EMR Research Study Records Necessary for Billing Associate patient with the Research Study Associate encounters with the study Submit copy of consent to HIM Associate orders with the study Payments to subjects and W9 Billing Review Drawing blood for research CLIA waved Diagnostic Testing Create DSMB/Monitoring Plan Contract Executed Epic EMR Clinical Research Billing Courtesy of Beth Harper Complete Coverage Analysis PMA vs 510(k) Humanitarian use Devices Chapter #7 Subject Recruitment Subject Injury and Complications EMR Research Functionality Training Materials Distribution and maintenance of Investigational product Prescribing, dispensing and transportation of investigational drugs IDS charges Chapter #10 Clinical Research Regulatory Maintenance Contact CTSC for assistance with the regulatory reporting and preparation for audits Reporting to the IRB Reporting to the FDA and Sponsors Report New Information Report New Information Report Serious Harms Report Serious Adverse Events (IND/IDE Safety Reports) Report Protocol Deviations and Modifications Report Protocol Deviations Submit Continuing Review Progress Report Submit Annual Reports to CDER and CDRH Chapter #11 Sponsor Invoicing (industry-sponsored trials only) Verify bulk account statements, resolves issues w Patient Financial Services Maintain log of completed study procedures for billing/invoicing references Chapter #12 Study Closure Financial analyst closes DaFIS account IRB notified about permanent study closure IDS notified and study drug disposed Prepare invoice to the Sponsor HS Contracts notified PI minimum effort recovery in PRDRUG subfund trials Documents Archived Publications and PMCID Dietary supplements Compounding Investigational Drugs Maintain Study Documentation: Regulatory Binder Source Document Binder Case Report Forms Financial Binder IND/IDE Binder Study Monitoring and Audits: Monitoring, Auditing and Inspecting Monitoring by Industry Sponsors FDA Inspections Audits by Office of Research Compliance CTSC Monitoring and QA program Study Closed Legend Mandatory Highly Advised