08/02/2022
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The Medicines and Healthcare products Regulatory Agency (MHRA) announced its plans to strengthen regulations for medical devices within the United Kingdom (UK).
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The guidance breaks down the roles and responsibilities of the investigator, sponsor, and Institutional Review Board (IRB) in regards to monitoring, mitigating, reporting, and evaluating protocol deviations (PDs). The investigator, who is responsible for the conduct of the trial and protection of the rights, safety, and welfare of the participants must report all PDs to the sponsor, highlighting the important PDs.
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On January 6, 2025, the International Council of Harmonisation’s ICH E6(R3) for Good Clinical Practices (GCP) reached step four of the formal ICH procedure. This means that the ICH E6(R3) draft guidelines, since its release in May of 2023, were submitted to and approved by the ICH Regulatory Members of the ICH Assembly for adoption as an ICH Harmonised Guideline replacing E6(R2).
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On December 30, 2024, the US Food and Drug Administration (FDA) released the draft guidance for industry titled “Protocol Deviations for Clinical Investigations of Drugs, Biological Products, and Devices” to help trial sponsors, investigators, and institutional review boards (IRB) define, identify, and report protocol deviations.
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The Health Research Authority (HRA) announced that England and Wales have begun implementing changes to their clinical trial regulations on June 1st, 2024. These changes include the removal of the requirement for trials to submit annual progress report to their Research Ethics Committee (REC) and the process of submitting safety reports. Scotland and Northern Ireland, following review, also implemented these changes to their regulations making the updates now applicable in all four of the UK nations as of August 1st, 2024.
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The Medicines and Healthcare products Regulatory Agency (MHRA) announced its plans to strengthen regulations for medical devices within the United Kingdom (UK).
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The US Food and Drug Administration (FDA) released a draft guidance “Evaluation of Therapeutic Equivalence” July 2022 on how it evaluates therapeutic equivalence (TE) and assigns therapeutic equivalence codes. Therapeutic equivalence means that drugs are 1) pharmaceutically equivalent, 2) bioequivalent, and 3) have the same clinical effect and safety profile.
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Our article “CRO Oversight Essentials” was recently published in Clinical Leader. Following are some key points.
Oversight does not mean micromanagement. A CRO is contracted for its specific capabilities. It is important to allow the CRO to do whatever it does best and not to overcontrol how they implement.
The US Food and Drug Administration (FDA) released a draft guidance “Patient-Focused Drug Development: Selecting, Developing, or Modifying Fit-for-Purpose Clinical Outcome Assessments” June 2022. The focus of the draft guidance is on selecting, modifying, developing, and validating clinical outcome assessments (COA), such as patient reported outcome (PRO), that are meaningful to patients, with an emphasis on methods to ensure high quality measures are utilized.
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A recently posted investigator warning letter cited three separate findings. The first was issues with improperly randomizing participants to treatment arms. Participants received the investigational product (IP) instead of the protocol specified