CTSA REGULATORY KNOWLEDGE WORKGROUP September 12, 2007 DTMI representatives Wesley Byerly, PharmD - Presenter Bruce Burnett, PhD Deborah Roth Judith Kramer, MD Jennifer Holcomb Wajeeh Bajwa, PhD Sue Avery 1 9/12/2007 Duke Translational Medicine Institute (DTMI) Duke Translational Organizational Research Institute Structure (DTRI) DTMI Administration Duke Clinical Research Institute (DCRI) Duke Center for Community Research (DCCR) Education and Training Ethics Pediatrics Biomedical Informatics Biostatistics Nursing Core Laboratories Regulatory Affairs Project Leaders and the Portal Office Site Based Research (SBR) Duke Clinical Research Unit (DCRU) New molecule First-in-human 2 Preclinical development 9/12/2007 Application in the community Phase II / III Initiatives Site Based Research (SBR) DCRI Regulatory Services and QA/RC DTMI Regulatory Affairs Research Review Process 3 9/12/2007 Vehicle for Organizing Site Based Research (SBR) SBR Charters/Strategic Plan Study evaluation and selection processes Coordination of Site Initiation activities Financial management and accountability/billing activities Personnel management Communication activities Annual reports Subject Registry QA (GCP and financial) 4 9/12/2007 DCRI Regulatory Services and Quality Assurance and Regulatory Compliance DCRI Regulatory Services Preparation, regulatory filing, and maintenance of drug and device clinical trial applications Regulations regarding submissions and clinical trials Resource for GMP testing, validation Resource for CMC content and writing of CMC sections for INDs as needed (e.g. when new dosage forms or placebos are required) Fully developed Quality Assurance and Regulatory Compliance function 5 9/12/2007 DTMI Regulatory Affairs Consulting and project planning throughout full translational cycle IND/IDE Preparation, regulatory filing, and maintenance of drug and device clinical trial applications Draft Institutional Policy for IND/IDE submissions Develop tools and resources for PIs 6 9/12/2007 Research Process Review Process Mapping Identify improvement opportunities Optimize operational and time efficiencies Implement identified process changes 7 9/12/2007 Additional Current Initiatives Centralized focus for Translational Pilot Projects Outside consulting for key functions Pilot Projects Technology Cores (e.g. Cell Therapy) Regulatory support for technology core initiatives (imaging, biorepository, genomics) Reshape Research Subject Advocacy function Multi-national project support 8 9/12/2007 Barriers and Challenges Culture change Streamlining business processes Determining scope of decentralized regulatory support Pre-clinical development 9 9/12/2007 Thank You for Your Attention 10 9/12/2007