a data driven approach to coordinate challenging smallpox ...€¦ · a data driven approach to...

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A Data Driven Approach to Coordinate Challenging Smallpox Vaccine Logistics The Specific Situation A randomized, double-blind, placebo-controlled Phase III smallpox vaccine immunogenicity and safety study needed to enroll 4,000 healthy subjects across 34 sites in the US, for a trial lasting up to nine months. The Sponsor selected Chiltern to perform full services, including coordination of the Data Monitoring Committee. The study design required separate masked and unmasked personnel and study procedures and an atypical resourcing strategy given the uneven enrollment rates . How could the sponsor ensure appropriate CRA resource levels to handle complex, ongoing subject monitoring requirements? THE KEY QUESTION: Key Words: Anti-Infectives/Vaccines, Smallpox, Healthy Volunteers, Unmasked Monitoring, Collaborative Technologies Designed Around You

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Page 1: A Data Driven Approach to Coordinate Challenging Smallpox ...€¦ · A Data Driven Approach to Coordinate Challenging Smallpox Vaccine Logistics The Specific Situation • A randomized,

A Data Driven Approach to Coordinate Challenging Smallpox Vaccine Logistics

The Specific Situation

• Arandomized,double-blind,placebo-controlledPhaseIIIsmallpoxvaccineimmunogenicityandsafetystudyneededtoenroll4,000healthysubjectsacross34sitesintheUS,foratriallastinguptoninemonths.

• TheSponsorselectedChilterntoperformfullservices,includingcoordinationoftheDataMonitoringCommittee.

• Thestudydesignrequiredseparatemaskedandunmaskedpersonnelandstudyproceduresandanatypicalresourcingstrategygiventheunevenenrollmentrates.

HowcouldthesponsorensureappropriateCRAresourcelevelstohandlecomplex,ongoingsubjectmonitoringrequirements?

THE KEY QUESTION:

Key Words: Anti-Infectives/Vaccines, Smallpox, Healthy Volunteers, Unmasked Monitoring, Collaborative Technologies

Designed Around You

Page 2: A Data Driven Approach to Coordinate Challenging Smallpox ...€¦ · A Data Driven Approach to Coordinate Challenging Smallpox Vaccine Logistics The Specific Situation • A randomized,

North&LatinAmerica:+14239689533AsiaPacific&Europe:+44(0)1753512000

[email protected]

www.chiltern.com

A Customized Solution

• DeployacustomizedCollaborativeTechnologiessolutiontofacilitatestrictmaskedandunmaskeddatacontrolbasedonproject-specificrolesandresponsibilities.ThisincludedadaptingtheChilternSAFEeTMFforunblindedandblindeddocumentmanagement,settinguptheendpointIRTformedicationdistributionandnotificationsandestablishingsecureareasforcoordinatingandcommunicatingdirectlywiththeDataMonitoringCommittee(DMC).

• UsecustomizedEDCreportingtocalculatereal-timesourcedocumentverificationstatus.Compareactualmonitoringtimerequiredfrompriorvisitstoforecastoptimaltiminganddurationofsubsequentvisitsbasedondataavailabletomonitor.

• RampupanddownCRAresourcingatexactlytherighttimesbasedonpredictedmonitoring.Addco-monitorstosupplementeffortsathighvolumesitesandformaintainingmasked/unmaskedtasks.

• Developanddeliversite-specificrecruitmentplanspriortositeinitiationtoensureinvestigatorsandcoordinatorsbuy-intorecruitmentobjectives.Sendmonthlyenrollmentstatusnotificationstogeneratecompetitionamongsitesandholdsitesaccountablefortheirperformance.

The Positive OutcomesFocusingfromtheoutsetontheresourcesnecessaryforsuccessfulenrollmentandmonitoringledtocreationofaflexibleandextremelyeffectivestaffingmodel.Similarly,understandingthetechnologicalimplicationsofcombiningblindedandunblindedactivitiesenabledChilterntoimplementadatainfrastructurethatwasbothsecureandaccessible.

• Enrollmentwascompleted2monthsaheadofschedule.

• Proactiveprocessdevelopmentandsiteoutreachboostedsiteengagement.

• AccurateforecastingofthenumberandlengthofmonitoringvisitsallowedCRAresourcestobeadjustedinreal-timethroughoutthetrial.

• Chilternhasbeenselectedfor2subsequentprojects,andtheSponsorcontinuestoapproachChilternforrepeatbusiness.

Key Words: Anti-Infectives/Vaccines, Smallpox, Healthy Volunteers, Unmasked Monitoring, Collaborative Technologies

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