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Why should CTSAs be involved? . The CTSA Program was created to solve problems identified by clinical investigators:Lack of infrastructure and supportStudies take too long, cost too muchInvestigators engage in tasks for which they're not preparedRegulatory barriers
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1. Optimizing SynergiesCTSAs and ICs Mayo: need to review and overhaul entire system
NIH HSREP awards – getting the process started
Pfizer has unfavorable metrics for contract signing delays at AHCs compared with non-AHCs
Major opportunities for getting improvements
Eliminate waste
Should AHCs be doing phase 3 protocols?
AIDS protocols – Kagan – not only a US problem
Overestimation of enrollment rate is problem.
Really showing us that process analysis is important. NIH – at least NIAID – seems to be embarked on this.
Ford wants additional data with view to process improvements.
Re posting results, whose website? Identify institutions? What data? Averages? Type of study? Quality?
Mayo: need to review and overhaul entire system
NIH HSREP awards – getting the process started
Pfizer has unfavorable metrics for contract signing delays at AHCs compared with non-AHCs
Major opportunities for getting improvements
Eliminate waste
Should AHCs be doing phase 3 protocols?
AIDS protocols – Kagan – not only a US problem
Overestimation of enrollment rate is problem.
Really showing us that process analysis is important. NIH – at least NIAID – seems to be embarked on this.
Ford wants additional data with view to process improvements.
Re posting results, whose website? Identify institutions? What data? Averages? Type of study? Quality?
2. Why should CTSAs be involved? The CTSA Program was created to solve problems identified by clinical investigators:
Lack of infrastructure and support
Studies take too long, cost too much
Investigators engage in tasks for which they’re not prepared
Regulatory barriers & complexities are challenging
Lack of dedicated time for clinical research
The CTSA Consortium Strategic Plan identified “National Clinical & Translational Research Capability” as its #1 Priority
3. Clinical Research Management: a Priority CTSA program has run for 2 yrs 9 months
Protocol activation issues identified at outset
Many institutions start internal evaluations
Clinical Research Management prioritized 2007
Creation of CRM workgroup, first as subgroup of Regulatory Knowledge and then as KFC
CRM linked with Regulatory and PCIR KFCs in 2009 as “Clinical Innovation”
6. CTSAs and the strengths of a Consortium Willingness to speak with one voice
Post performance, peer pressure & the gold star reflex
Change community expectations through leadership
Share experiences and successes
Opportunity to form goal-driven subgroups
7. Examples of goal-directed CTSA groupings Informatics projects:
University of Washington, UCSF, UCDavis, Oregon HSU
Oregon HSU, Mayo, Vanderbilt
U. Wisconsin, U. Michigan, Case Western
Clinical Research Scholars
West Coast
Midwest
New York – Yale
Strategic Goal directed projects
8. Priority Setting Mechanisms for CTSA Consortium Activities: Criteria and Decision-making Top down:Steering Committee (PIs and NIH) identify a priority and create SGC to implement
Bottom up:Key Function Committee identifies a priority and secures PI & Steering Committee approval.
Outcomes must be evaluated
9. Additional Support for CTSA Projects Informatics – National web portal for research volunteers
Virtual Biobanks for Multicenter Research on Pediatric Rare Diseases
CTSA National Resource Database for Translational (T1) Research
2009: $5M for Research on Outcome Measures for Pediatric Clinical Trials : NOT-NCRR-09-005
2009: Approximately $60M of ARRA funds
10. NIH goals for CTSA program Have 60 CTSAs by the end of 2011
Provide a safe environment for human subjects research
Obtain objective evidence to judge the success of the program
Outreach to additional sites: IDeA states and other NIH programs