#338: Site Selection for Clinical Trials

Global Medical Device Podcast · 6 Oct 2023 · 54m · Episode 338

What this episode covers

Isabella Schmidt and Samantha Pickett from Proxima Clinical Research discuss the critical process of selecting clinical trial sites for medical devices. They emphasize starting with a complete protocol to guide feasibility questionnaires and site qualification visits, highlighting the importance of patient diversity, investigator bandwidth, and technological readiness. The experts warn against defaulting to Key Opinion Leaders (KOLs) without verifying their capacity and advise using central IRBs to accelerate startup timelines while ensuring diverse patient enrollment.

Other shows on the same ground, closest first.

  • Let's Combinate · 1h 13m

    038 - "Clinical Trials" with Dan Sfera

    Dan Sfera, founder of Yuma Clinical Trials and author of the Comprehensive Guide to Clinical Research, explains the operational realities of clinical trials, highlighting the conflict between 'patient-centric' technology and actual patient burden. He details the high screen-failure rates in Phase 2 and 3 trials, the critical role of the Investigator's Form 1572, and the specific risks of investigational product mix-ups during randomization. Sfera also discusses the dynamics between sponsors, CROs, and sites, arguing that direct sponsor involvement often yields better outcomes than using rigid CROs.

  • Let's Combinate · 8m

    Combi Crumbs: Clinical Trials 101 – From Safety to Strategy

    Archana Sah, a clinical development expert with over 30 years of experience, explains the critical phases of clinical trials for drug approval. She details how Phase 1 focuses on safety and PK/PD measurements, while Phase 2 and 3 assess efficacy in diverse populations, often comparing new drugs against standard-of-care treatments in oncology. Sah emphasizes the importance of protocol design, regulatory alignment with the FDA, and incorporating patient-reported outcomes to capture the patient experience. She also discusses the logistical complexities of patient recruitment, site selection, and the role of various vendors in executing decentralized or hybrid trial models.

  • Let's Combinate · 50m

    084 - Drug Discovery, Candidate Selection, Pre-Clinical Development, IND Submissions, Administration Route Selection, TPP and Toxicology with Marta New

    Marta New, CEO of Radyus Research, explains the rigorous pre-clinical development process for drug candidates, emphasizing the critical role of Target Product Profiles (TPP) and Product Development Plans (PDP) in de-risking programs before IND submission. She details the iterative selection of animal models, such as PDX models for oncology, and the strategic importance of pre-IND meetings with the FDA to align on toxicology studies and manufacturing plans. New highlights the high failure rate of academic spinouts and early-stage biotechs, noting that only a small fraction of molecules successfully navigate the funnel to clinical trials due to poor planning or lack of competitive advantage against standard of care.

  • Let's Combinate · 26m

    176 - The Fastest Way to Ruin Drug/Device Development (And How to Avoid It!) with Eric Sugalski

    Eric Sugalski, founder and CTO of Archimedic, explains that the fastest way to ruin drug-device development is premature concept lock and misaligned outsourcing strategies. He argues that companies must distinguish between needing overflow capacity versus specialized expertise, such as human factors or industrial design, to avoid the 'piecemeal approach' that destroys innovation. Sugalski emphasizes the importance of early, hands-on user research and open-source quality management systems to bridge the gap between engineering and clinical reality, warning that locking down requirements before validating use cases injects costly redo loops into the project.

  • Let's Combinate · 47m

    195 - Clinical Trial Design, Oncology Innovation & Decentralized Trials with Archana Sah

    Archana Sah, a clinical development thought leader with 30 years of experience at companies including Genentech/Roche, Bayer, and Medable, explains the rigorous design of oncology clinical trials, emphasizing the shift from placebo to standard-of-care comparators and the critical role of patient diversity. She details the evolution toward Decentralized Clinical Trials (DCTs) and the use of digital health technologies to overcome enrollment barriers and address historical mistrust in medical research. Sah argues that while DCTs introduce complexity for sponsors, they are essential for enrolling diverse populations, provided they are deployed in a 'fit for purpose' manner that balances data integrity with patient burden.

The summary, chapters and topics are generated from the episode’s audio by this directory, not written by Global Medical Device Podcast. The episode itself belongs to its publisher.