Produktbild: Design, Execution, and Management of Medical Device Clinical Trials

Design, Execution, and Management of Medical Device Clinical Trials

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Beschreibung

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

01.09.2009

Verlag

John Wiley & Sons

Seitenzahl

272

Maße (L/B/H)

24/16,1/2,1 cm

Gewicht

612 g

Auflage

1. Auflage

Sprache

Englisch

ISBN

978-0-470-47426-6

Beschreibung

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

01.09.2009

Verlag

John Wiley & Sons

Seitenzahl

272

Maße (L/B/H)

24/16,1/2,1 cm

Gewicht

612 g

Auflage

1. Auflage

Sprache

Englisch

ISBN

978-0-470-47426-6

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  • Produktbild: Design, Execution, and Management of Medical Device Clinical Trials
  • List of Abbreviations xi

    Preface xv

    Acknowledgments xxi

    1 An Overview of Clinical Study Tasks and Activities 1

    Key Clinical Study Tasks and Activities 2

    Discussion of Key Tasks and Activities 3

    Management of Key Clinical Tasks and Activities 9

    Example of the Spread Sheet for Managing Clinical Study Activities 10

    The Clinical Research Team 10

    2 Development of Clinical Protocols, Case Report Forms, Clinical Standard Operating Procedures, Informed Consent Form, Study Regulatory Binder, Study Research Agreement, and Other Clinical Materials 15

    Clinical Protocol 17

    Case Report Forms (CRFs) 28

    Example of the Case Report Form Template 32

    Informed Consent Form (ICF) 35

    Instructions for Use of Device 38

    Study Regulatory Binder 39

    Study Research Agreement 40

    Research Agreement Template 43

    Research Contract Challenges 50

    Clinical Forms and Certificates 51

    Clinical Standard Operating Procedures (SOPs) 54

    3 Qualification/Selection of Study Investigators and Study Monitoring Visits 63

    Qualification and Selection of Investigators 64

    Monitoring Visits 67

    Monitoring Reports 73

    Interim Monitoring Visit Report Template 75

    4 Adverse Events Definitions and Reporting Procedures 81

    Adverse Event Definitions 83

    Policies, Regulations, and Guidelines Regarding Adverse Event Reporting 84

    Adverse Event Reporting Pathway 84

    Terms for Causality Assessment 85

    GAPS/Challenges in Adverse Event Reporting 86

    Adverse Event Reporting Time Periods (21 CFR 803) 88

    Differences between the United States and Europe in Reporting Adverse Events 88

    Serious Adverse Event Narratives 89

    Classification of Adverse Events 90

    Special Requirement for Reporting Certain Adverse Events 92

    Case Example 92

    Mandatory Device Reporting for FDA-Approved Devices 92

    5 Statistical Analysis Plan (SAP) and Biostatistics in Clinical Research 93

    Statistical Analysis Plan (SAP) 94

    Selection of Study Endpoints 97

    Biostatistics in Clinical Research 101

    6 Final Clinical Study Report 113

    Final Clinical Report's Outline 114

    Discussion of Sections in the Final Clinical Report 116

    7 Medical Device Regulations Combination Product, Study Committees, and FDA-Sponsor Meetings 127

    Medical Device Regulations 129

    Combination Products 164

    Study Committees 168

    FDA-Sponsor Meetings 170

    Registration of Clinical Trials 174

    Implementation of the HIPAA Privacy Rule in Clinical Research 175

    Institutional Review Boards (IRB) 180

    FDA's Oversight of Clinical Trials (Bioresearch Monitoring) 191

    Code of Federal Regulations of Medical Devices 194

    8 Design Issues in Medical Devices Studies 195

    Design of the Clinical Trial 196

    Assumptions and Parameters of Clinical Trial Design 196

    Clinical Trials' Design Issues and Data Analysis Issues 202

    Use of Historic Controls as the Control Group in IDE Studies 206

    Summary of Recommendations When Using Historic Controls 218

    9 Investigator-Initiated Clinical Research 221

    Definition and Examples of Investigator-Initiated Clinical Research 222

    Development, Conduct, and Management of Investigator-Initiated Clinical Research 224

    Regulation of Investigator-Initiated Clinical Research 225

    Required Infrastructure for Investigator-Initiated Clinical Research 226

    Clinical Research Sponsored by NIH 227

    10 Ethical Conduct for Human Research 229

    The Nuremberg Code (1947) 230

    World Medical Association-Declaration of Helsinki (1964-Present) 231

    National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1974) 231

    The Belmont Report (1978) 232

    Special Ethical Concerns in Clinical Research on Use of Placebo 232

    Glossary of Clinical Trial and Statistical Terms 235

    References 249

    Index 255