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European Pharmaceutical Contractor

At the Hub

Dr Hans-Detlev Stahl at Clinpharm International GmbH, and Maria Sumner and Rob Nichols at Phase Forward Europe Ltd investigate the possibilities of optimising the management of clinical trials at Investigator Hub-SitesTM with electronic data capture

Central and Eastern Europe has become a region heavily populated with Investigator Hub-Sites (IHSs). The Hub-Site model (see Figure 1), traditionally encompasses a central investigative site with investigators and study nurses usually employed on a full-time basis and focusing exclusively on the conduct of clinical trials. Recruitment of patients is conducted through networks of general practitioners (GPs) and specialists in private practice, who use serial mailings on the letterheads of their private rooms to inform their patients of the option of participating in a clinical trial at the Hub-Site. Additionally, advertisements in the press raise public awareness for a particular study.

All study-specific activities, including informed consent, are usually performed by the investigator at the IHS. Electronic data capture (EDC) solutions are also incorporated into the IHS model, which allows sponsor companies and clinical research organisations (CROs) to outsource complete phase II/III studies to a single organisation. Each trial is undertaken by dedicated clinical staff trained in using this standardised EDC solution. This unique combination of innovative recruitment with modern technology sees both clinical and data management costs and timelines reduced.


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Hans-Detlev Stahl graduated in Medicine at der Medizinischen Hochschule in Hannover, Germany. Following completion of his MD thesis, he received a training fellowship of the Deutschen Forschungsgemeinschaft (DFG) to go to Melbourne, Australia. Having completed his PhD in Molecular Biology he commenced his training as a General Physician and Clinical Immunologist in Sydney. After a three-year tenure as Staff Specialist in Rheumatology in Basel/Switzerland, he held a tenured position as Staff Specialist in Clinical Immunology at the University Hospital in Leipzig, Germany. From 1998 onwards he pursued the development of speciality-specific doctor networks to jointly conduct clinical trials. In 2000 he founded ClinPharm to specialise in professional study centres for conducting preregistration clinical trials. Since 2004 Hans has been focusing exclusively on his activities as Chief Executive Officer of ClinPharm.

Maria Sumner is the International Marketing Manager at Phase Forward. Maria has worked within the clinical research service and software providers industry for over 11 years. She held positions within project management and clinical monitoring at the CRO ClinTrials Research, before moving into marketing. Maria is now responsible for corporate and product marketing within Europe and Asia Pacific.

Rob Nichols joined Phase Forward in 2007. His remit includes the development and enhancement of commercial strategies for both current and new markets. He has spent the last 10 years working in the pharmaceutical industry. Most recently he was part of the senior management team that led Quintiles Guy’s Drug Research Unit, a Phase I clinical trials unit. During this time he initiated a novel method of collecting data in early phase clinical trials using EDC software to capture data directly at bedside. He has been both the Chair and a Director of the Association of Clinical Data Managers. Previously, he was an academic statistician working on large international epidemiological projects that explored associations between diet and blood pressure. He has an MSc in Statistics from University College London.

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Hans-Detlev Stahl
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Maria Sumner
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Rob Nichols
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