Preface |
|
ix | |
About the editors |
|
x | |
Contributors |
|
xii | |
Abbreviations |
|
xiv | |
|
1 Introduction to Good Clinical Practice |
|
|
1 | (14) |
|
|
2 Regulatory requirements |
|
|
15 | (26) |
|
|
|
|
|
|
15 | (1) |
|
International Conference on Harmonisation requirements |
|
|
15 | (2) |
|
The United States (US) regulatory framework |
|
|
17 | (10) |
|
The European Union regulatory framework |
|
|
27 | (10) |
|
|
37 | (4) |
|
|
41 | (22) |
|
|
|
|
|
42 | (2) |
|
Regulations and guidelines |
|
|
44 | (1) |
|
Introduction to form and process |
|
|
44 | (7) |
|
Liability, understanding, therapeutic misconception |
|
|
51 | (3) |
|
Developing a `gold standard' |
|
|
54 | (3) |
|
|
57 | (1) |
|
|
57 | (3) |
|
|
60 | (3) |
|
4 Investigator responsibilities |
|
|
63 | (14) |
|
|
|
|
|
64 | (1) |
|
Assessment of the research |
|
|
65 | (2) |
|
Communication with the Institutional Review Board or Independent Ethics Committee |
|
|
67 | (1) |
|
Communication with sponsor |
|
|
68 | (1) |
|
Protecting safety, rights, and welfare of subjects |
|
|
68 | (3) |
|
|
71 | (2) |
|
|
73 | (1) |
|
|
73 | (1) |
|
Documentation and record retention |
|
|
74 | (1) |
|
|
75 | (1) |
|
Inspections by health authorities |
|
|
75 | (1) |
|
|
75 | (2) |
|
5 Sponsor responsibilities |
|
|
77 | (14) |
|
|
|
77 | (1) |
|
|
78 | (1) |
|
|
79 | (1) |
|
|
80 | (1) |
|
|
81 | (2) |
|
|
83 | (3) |
|
|
86 | (1) |
|
|
86 | (2) |
|
Registration of clinical trials |
|
|
88 | (1) |
|
Reporting of clinical trial results |
|
|
88 | (1) |
|
|
89 | (2) |
|
|
91 | (18) |
|
|
|
|
91 | (1) |
|
What is clinical research? |
|
|
91 | (1) |
|
Historical perspective on clinical research |
|
|
92 | (1) |
|
Why is clinical research needed? |
|
|
92 | (1) |
|
The phases of drug development |
|
|
93 | (2) |
|
Where does clinical research begin? |
|
|
95 | (1) |
|
Critical concepts in clinical research |
|
|
95 | (1) |
|
Approaches to the design of clinical research studies |
|
|
95 | (3) |
|
Bias in clinical research |
|
|
98 | (2) |
|
Type I error, Type II error, and sample size |
|
|
100 | (2) |
|
Equlvalency/non-inferiority versus superiority in clinical trials |
|
|
102 | (2) |
|
Clinical equipoise in controlled clinical trials |
|
|
104 | (1) |
|
Comparison of placebo versus the best-available control group in controlled clinical studies |
|
|
105 | (1) |
|
Challenges in conducting clinical research |
|
|
105 | (1) |
|
The interpretation and Integration of clinical research into clinical practice |
|
|
106 | (3) |
|
|
109 | (12) |
|
|
Selection and qualifications of the monitor |
|
|
109 | (1) |
|
|
110 | (2) |
|
|
112 | (2) |
|
|
114 | (3) |
|
|
117 | (2) |
|
|
119 | (2) |
|
8 Institutional Review Boards and Independent Ethics Committees |
|
|
121 | (28) |
|
|
Composition, procedures, and function |
|
|
122 | (3) |
|
Protection of human subjects |
|
|
125 | (3) |
|
Review of the protocol, Investigator's Brochure, and informed consent |
|
|
128 | (10) |
|
Qualifications of the investigator and investigative team |
|
|
138 | (1) |
|
|
139 | (5) |
|
|
144 | (1) |
|
|
145 | (4) |
|
|
149 | (18) |
|
|
|
|
|
149 | (1) |
|
|
150 | (3) |
|
Reporting guidelines and timeline |
|
|
153 | (6) |
|
|
159 | (2) |
|
|
161 | (2) |
|
|
163 | (4) |
|
10 Clinical trial registration and reporting |
|
|
167 | (16) |
|
|
|
|
|
167 | (3) |
|
Clinical trial registration |
|
|
170 | (5) |
|
Clinical trial results databases |
|
|
175 | (2) |
|
Legislation and regulatory requirements |
|
|
177 | (1) |
|
Clinical trial disclosure implications for future therapeutic development |
|
|
178 | (2) |
|
|
180 | (3) |
|
|
183 | (20) |
|
|
|
183 | (1) |
|
|
184 | (1) |
|
Auditing: purpose of auditing |
|
|
185 | (1) |
|
|
186 | (2) |
|
|
188 | (1) |
|
|
188 | (12) |
|
|
200 | (3) |
|
12 Future implications of Good Clinical Practice |
|
|
203 | (12) |
|
|
Globalization of clinical research |
|
|
203 | (2) |
|
|
205 | (2) |
|
|
207 | (1) |
|
|
208 | (2) |
|
|
210 | (2) |
|
|
212 | (3) |
Appendix 1 The Nuremberg Code |
|
215 | (2) |
Appendix 2 World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects |
|
217 | (6) |
Appendix 3 The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research |
|
223 | (12) |
Glossary |
|
235 | (10) |
Index |
|
245 | |