The Global Health Network
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1 The Global Health Network Sourcing, Preparing and Accounting for Investigational Products Nicky Kramer and Wynand Smythe 19TH SEPTEMBER 2014
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4 IMP/IP IMP (Investigational Medicinal Product) / IP (Investigational Product) 1. Sourcing and Receipt 2. Storage 3. Dispensing/Blinding 4. Randomisation 5. Disposal/Destruction
5 IMP/IP IMP (Investigational Medicinal Product) / IP (Investigational Product) 1. Sourcing and Receipt 2. Storage 3. Dispensing/Blinding 4. Randomisation 5. Disposal/Destruction
6 Sourcing and Receipt Sponsor-driven Phase I: New IMP & Formulation Sponsor arranges manufacture Importing Investigator-led Phase III: Typically Locally-Marketed Product Pharmacist sources IMP Source of Accountability: Delivery waybills, Prescrip9ons, Invoices, Receipt Accountability
7 Receipt Accountability Sourcing and Receipt Sponsor-driven Phase I: New IMP & Formulation Sponsor arranges manufacture Importing Investigator-led Phase III: Typically Locally-Marketed Product Pharmacist sources IMP Source of Accountability: Delivery waybills, Prescrip9ons, Invoices, Receipt Accountability
8 IMP/IP IMP (Investigational Medicinal Product) / IP (Investigational Product) 1. Sourcing and Receipt 2. Storage 3. Dispensing/Blinding 4. Randomisation 5. Disposal/Destruction
9 Storage Certificate of Analysis (COA) à light, temperature, humidity Rigorous Control à E.g. fridges, air-con, probes, light protection Unique Storage Space Back-Up Plan Sources of Accountability: Temperature Logs, Calibra9on Cer9ficates, SOPs, COAs
10 IMP/IP IMP (Investigational Medicinal Product) / IP (Investigational Product) 1. Sourcing and Receipt 2. Storage 3. Dispensing/Blinding 4. Randomisation 5. Disposal/Destruction
11 Dispensing Dispensing Licence Expiry Dates IP prep (e.g. reconstitution, infusion) Labelling requirements à e.g. Participant ID, Study/Protocol/Investigator ID, Quantity Dispensed, Mode of Delivery, Storage Condition, Exp./Lot/Batch # s Blinding implication for dispensing directly to patient Unblinding procedure Source of accountability: MCC documenta9on, Pharmacy Manual (accountability, labels, pa9ent dispensing logs)
12 Store Accountability Sourcing and Receipt Sponsor-driven Phase I: New IMP & Formulation Sponsor arranges manufacture Importing Investigator-led Phase III: Typically Locally-Marketed Product Pharmacist sources IMP Source of Accountability: Delivery waybills, Prescrip9ons, Invoices, Receipt Accountability
13 IMP/IP IMP (Investigational Medicinal Product) / IP (Investigational Product) 1. Sourcing and Receipt 2. Storage 3. Dispensing/Blinding 4. Randomisation 5. Disposal/Destruction
14 Randomisation Treatment Allocation/Dispensing Generated by statistician/pharmacist (sponsor or site produced), stored in secure location e.g. pharmacy file à Randomisation schedule or Automated system e.g. IVRS Randomisation log Source of accountability: Randomisa9on schedule and Randomisa9on logs
15 Randomisa9on Schedule Accountability Sourcing and Receipt Sponsor-driven Phase I: New IMP & Formulation Sponsor arranges manufacture Importing Investigator-led Phase III: Typically Locally-Marketed Product Pharmacist sources IMP Source of Accountability: Delivery waybills, Prescrip9ons, Invoices, Receipt Accountability
16 Randomisa9on Log Accountability Sourcing and Receipt Randomization Log for: ACTIVE IMP Randomization Log for: PLACEBO FOR IMP Sponsor-driven Phase I: New IMP & Formulation Sponsor arranges manufacture Importing Investigator-led Phase III: Typically Locally-Marketed Product Pharmacist sources IMP Source of Accountability: Delivery waybills, Prescrip9ons, Invoices, Receipt Accountability
17 IMP/IP IMP (Investigational Medicinal Product) / IP (Investigational Product) 1. Sourcing and Receipt 2. Storage 3. Dispensing/Blinding 4. Randomisation 5. Disposal/Destruction
18 Return/disposal At conclusion of study, final inventory and reconciliation Sponsor-driven: return to sponsor for disposal or site arranges disposal Arrange with waste disposal company Source of accountability: Disposal/Destruc9on Log
19 Destruc9on Log Accountability Sourcing and Receipt Sponsor-driven Phase I: New IMP & Formulation Sponsor arranges manufacture Importing Investigator-led Phase III: Typically Locally-Marketed Product Pharmacist sources IMP Source of Accountability: Delivery waybills, Prescrip9ons, Invoices, Receipt Accountability
20 SUMMARY Importance of pharmacy role: maintains accountability of IMP from start to finish, ensuring right dose given to right patient at the right time Accountability is a continuous process from start of study until closure Inform/involve pharmacy at the outset Resources available on CRC website -
21 SUMMARY Importance of pharmacy role: maintains accountability of IMP from start to finish, ensuring right dose given to right patient at the right time Accountability is a continuous process from start of study until closure Inform/involve pharmacy at the outset Resources available on CRC website -
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23 Questions? IMP MANAGEMENT GHTSA WORKSHOP 19 SEP 2014
IMP Management and Accountability
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