Preface
Acknowlegements
Chapter 1: Testing Treatments in Humans
Karen L. Pellegrin, PhD, MBA
Lori A. Nesbitt, PharmD, MBA
Testing Drugs in Humans
Clinical Research--Not an Exact Science
Study Design
Elements of the Clinical Trial Protocol
Case Study: Evaluating the Protocol
Best Practices
Key Questions
References
Chapter 2: Bioethics and Human Advocacy
Daphne J. Childers, CCRC, CIM
Karen L. Pellegrin, PhD, MBA
The Evolution of Ethical Principles of Clinical Research
How the Ingestigator Applies Ethical Principles
Role of the Institutional Review Board
Why Do Investigators Need to Know about IRBs?
What IRB Members Should Know about Clinical Research
Risks Versus Benefit Analysis--The Human Advocate
Continuing Review and Monitoring of Data
Informed Consent--Not Just a Document
What the Site Should Kow About the IRB Process
Ethical Dilemmas in Clinical Research
Best Practices
Key Questions
References
Chapter 3: The Clinical Research Industry
Lori A. Nesbitt, PharmD, MBA
Clinical Trial Service Providers
Industry Trade Organizations and Support Devices
New Technologies for Discovery
Summary
Best Practices
Key Questions
References
Chapter 4: Clinical Trial Implementation
Lori A. Nesbitt, PharmD, MBA
Evaluating the Clinical Trial Protocol
Initiating the Clinical Trial Protocol
Executing the Clinical Trial Protocol
Summary
Best Practices
Key Questions
References
Chapter 5: Data Management
Karen L. Pellegrin, PhD, MBA
The Role of the Sponsor/CRO
The Role of the Investigative Site
Best Practices
Key Questions
Chapter 6: Quality Management and FDA Readiness
Karen L. Pellegrin, PhD, MBA
Quality Management
Creating a Culture of Quality
Ensuring FDA Readiness
Preparing for an Audit
Case Study: An FDA Audit
Best Practices
Key Questions
References
Chapter 7: The Research Participant
Eileen Myers, RD, MPH
Lori A. Nesbitt, PharmD, MBA
Vignette: The Skeptic
Vignette: The Pleaser
Vignette: The Information Seeker
Vignette: The Hopeless
Vignette: The Money Seeker
Vignette: The Professional Research Participant
Vignette: The High-Maintenance Participant
Vignette: The Noncompliant Participant
Summary
Best Practices
Key Questions
Chapter 8: The Business of Clinical Research
Ted Schmidt, RPh
Lori A. Nesbitt, PharmD, MBA
Evaluating and Negotiating Study Budgets
Contracting with Sponsors, CROs, and Service Providers
Funding Needs
Managing Cash Flow
Case Study: Managing the Growth
Best Practices
Key Questions
Chapter 9: The Clinical Research Site
Lori A. Nesbitt, PharmD, MBA
Prophet or Profit: Commitment and Motivation
Clinical Trial Core Competencies
Industry Affiliations
Key Clinical Research Personnel
Investigator and Research Personnel Training
Standard Operating Procedures
Humble Beginnings
Marketing Research Services
Best Practices
Key Questions