DeNDRoN offers two levels of service
to support start up of an industry trial:
1) Initial FEASIBILITY Review
If the
sponsor needs to obtain sufficient top-line information to commit to UK participation and patient numbers, DeNDRoN
can help facilitate this.
Once a
confidentiality agreement has been signed off with UKCRN, DeNDRoN will conduct
a Feasibility assessment on the sponsor’s behalf, commenting on issues within
the Clinical Study Outline (CSO)/ draft protocol which may impact upon
recruitment, including reviewing the number of patients that could expect to be
recruited within the specified timeframe. This can be worked down to the number
of patients an average site would be able to recruit, although there is no
commitment at this stage for investigators to participate in the study.
The CSO
is sent out to each Local Research Network (LRN) manager to obtain information
from their pool of experienced investigators; the information is then fed back
to the DeNDRoN co-ordinating centre. In parallel the CSO is sent to the
Clinical Study Group chair or delegate, to provide a top level review of any
protocol issues that may impact upon recruitment e.g./ use of placebo, disallowed
medication, drug naivety etc.
We
therefore guarantee to be able to gain the input of at least three experienced
investigators to comment upon feasibility of your clinical study
outline/protocol.
This
information from both sources is then collated and provided to the sponsor. We
appreciate that this request is usually at short notice, so we aim to provide a
feasibility report back to you within two weeks, following sign off of the
UKCRN confidentiality agreement.
The
benefit to gaining DeNDRoN input at this early stage is to identify any major
protocol issues that could be addressed before release of the final protocol
and raise the awareness of the forthcoming trial to UK investigators.
At no
point during this process has any commitment been made to adopt or support the
trial within any of the LRNs.
2) Full
FEASIBILITY & CAPABILITY review for adoption
Once the
sponsor has confirmed that the study will run in the UK and a final draft protocol is
available, the sponsor should contact Clare Morgan to discuss requirements and
expectations of study adoption. A UKCRN confidentiality agreement must be
signed off before any confidential documents can be forwarded to DeNDRoN;
therefore we strongly recommend finalising a generic agreement with UKCRN at
the earliest opportunity.
The full feasibility
& capability review process is ideally performed before MREC application or
at least in parallel, so that we can identify investigators (if required) and capture
information for you to complete COREC Site Specific Assessments (SSAs). The
study will then be adopted or rejected from the study portfolio based on this
comprehensive information.
In order for the Industry Trials Adoption Panel to
consider a study for adoption, a copy of the study protocol must be submitted
to the DeNDRoN Coordinating Centre via UKCRN. This may be a final draft
protocol or current final protocol, however full review will not be carried out
on clinical study outlines/protocol synopses.
In addition, the UKCRN Industry Trials Submission form should
be completed; much of the information requested on this form is routinely
provided on the COREC and CTA application forms.
DeNDRoN
will then perform a full feasibility & capability review to determine the
commitment the LRNs can make to the study and ensure that we can help deliver
patients into the trial. The LRN managers will confirm interested investigators,
the number of patients each site can recruit and review the ongoing capacity in
their LRN to provide support. The information from each LRN manager is collated
into an LRN capability report by the DeNDRoN co-ordinating centre.
The CSG
chair will also review the protocol and disseminate it, as appropriate to other
expert members of the CSG. They will assess the feasibility of the protocol
from a practical perspective, identifying any areas which may impact upon
recruitment (concomitant medications, number and intensity of assessments etc);
the information will be collated into a protocol feasibility report.