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European Pharmaceutical Contractor

Ten of the Best

Top ten lists are an increasingly fashionable resource in the business world. Joseph Anderson at Waife & Associates Inc applies the principle to pharmacovigilance

Few areas in pharma can benefit more from a top ten list than that of pharmacovigilance (PV). Ongoing developments in areas like E2B formats, potential FDA tome requirements, data-mining, DSM Boards needs, Eudravigilance, and EDI gateways have made the world a complex and challenging place for PV professionals today. In that context, a top 10 list devoted to pharmacovigilance can be of great service, either as a planning tool – for those wondering how to respond to these challenges – or as an internal check-up – for those looking to make a mid-course correction. So here’s my top 10 tips relating to PV. It is my way of organising the PV world into an action list.

1. THINK PAPERLESS

Yes, ‘paperless’ can be a cliché, but within clinical development, it is more and more of a reality. EDC systems collect data at sites without paper case report forms. Field monitors produce trip reports ‘online’ within their company’s clinical trial management system. The same reports are reviewed and signed electronically by management. On the back-end of the clinical process, data managers and even medical monitors are reviewing the data with online tools that provide sorting, graphing and searching capabilities.

Yet in the PV world, case processing still consists of piles of folders, passed physically from one desk to another. Red folders for ‘hurry’; blue folders for ‘no hurry’; the whole scene could come from an office in the 1950s. Searching the files of vacationing colleagues for needed documents is a typical story that only magnifies the sense of deja vu.

It is ironic that today’s adverse events systems allow electronic routing of cases, scanning and storage of external documents and other capabilities that make the folders obsolete. Yes, you can still print a document or a listing as a working copy, but the official record remains within the validated, secure system. The technology supporting this is mature and ready to be used.


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Joseph S Anderson, Principal Associate at Waife & Associates Inc, focuses on the issues surrounding technology choice, with a special expertise in technology implementation, the financial analysis of clinical research software adoption and process change. Joseph joined Waife & Associates in 1998 and also leads the company’s drug safety operations optimisation practice. He has over 15 years’ experience in the pharmaceutical industry, including nine years consulting to European and US pharmaceutical companies, while living in Germany.
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Industry Events

4th Annual Patient Recruitment and Retention in Clinical Trials

13-15 October 2008, Amsterdam

Patient recruitment is now consuming thirty percent of clinical trial time - more time than any other clinical trial activity - and almost half of all trial delays result from patient recruitment problems. As the recruiting culture becomes more sophisticated and the forces affecting patient enrollment grow more numerous and complex, pharmaceutical companies are striving to discover new strategies to facilitate enrollment in clinical trials. With increasing industry pressure to develop, test and market greater numbers of new drugs faster, pharmaceutical companies need to perform clinical trials as quickly as possible. Inefficient patient recruitment processes is a formidable barrier to pharmaceutical companies' success in launching new products. Improving the patient recruitment process is imperative to avoid wasted investments and eliminate costly delays in bringing new drugs to market -- today and even more so in the not-so-distant future. Improved patient recruitment presents one of the largest opportunities for pharmaceutical companies to eliminate delays in clinical trials, thereby making it possible to reduce time to market.  With patent time limits and large overheads meaning that any delays in the development timeline can be disastrous, a good understanding of how to successfully recruit patients for trials is vital for any company looking to succeed.
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