Regulatory Knowledge and Support Program, Harvard Catalyst | The Clinical Translational Science Center, Harvard Medical School, Boston, Massachusetts, USA.
Clin Transl Sci. 2014 Apr;7(2):150-5. doi: 10.1111/cts.12146. Epub 2014 Jan 23.
The Food and Drug Administration (FDA) regulations require sponsors of clinical investigations involving an investigational drug or device to submit an Investigational New Drug (IND) or Investigational Device Exemption (IDE) application. Strict adherence to applicable regulations is vital to the success of clinical research. Unlike most major pharmaceutical sponsors, investigator sponsors often do not fully appreciate their regulatory obligations nor have resources to ensure compliance. As a result they can place themselves and their institutions at risk. Nevertheless, investigator-initiated clinical trials are vital to the further development of innovative drugs, biologics, and medical devices. The IND/IDE Subcommittee under the Regulatory Knowledge and Support Program at Harvard Catalyst, The Harvard Clinical and Translational Science Center worked in collaboration with Harvard and Harvard affiliated institutions to create and launch an IND/IDE Consult Service in a decentralized network of collaborating Academic Healthcare Centers (AHC). The IND/IDE Consult Service offers expertise, resources, and shared experiences to assist sponsor-investigators and IRBs in meeting regulatory requirements for conducting and reviewing investigator-initiated IND/IDE studies. The scope of the services provided by the Harvard Catalyst IND/IDE Consult Service are described, including the specifics of the service, lessons learned, and challenges faced, in a scalable model that builds inter-institutional capacity.
美国食品和药物管理局(FDA)的法规要求涉及研究性药物或器械的临床研究的发起人提交一份研究性新药(IND)或研究性器械豁免(IDE)申请。严格遵守适用法规对于临床研究的成功至关重要。与大多数主要制药赞助商不同,研究者赞助商往往不完全了解其监管义务,也没有资源来确保合规。因此,他们可能会使自己和他们的机构面临风险。然而,由研究者发起的临床试验对于创新药物、生物制剂和医疗器械的进一步发展至关重要。哈佛 Catalyst 的监管知识和支持计划下的 IND/IDE 小组委员会与哈佛及其附属机构合作,在一个分散的合作学术医疗中心(AHC)网络中创建并推出了 IND/IDE 咨询服务。IND/IDE 咨询服务提供专业知识、资源和共享经验,以协助发起研究者和 IRB 满足进行和审查由研究者发起的 IND/IDE 研究的监管要求。描述了哈佛 Catalyst IND/IDE 咨询服务提供的服务范围,包括服务的具体细节、经验教训和面临的挑战,以及一个可扩展的模型,该模型建立了机构间的能力。