Christopher Kratochvil, MD, Assistant Vice Chancellor for Clinical Research Deborah Vetter, MS, Director, Sponsored Programs Administration



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Christopher Kratochvil, MD, Assistant Vice Chancellor for Clinical Research Deborah Vetter, MS, Director, Sponsored Programs Administration Clinical Research Center Learn-At-Lunch Series October 13, 2011 1

Highlight SPA statistics Identify common o causes for delays Recommend strategies for reducing delays Introduce upcoming changes CDA: NDA: CTA: CRO: COI: CRC: SRC: ICF: Confidentiality Disclosure Agreement Non-Disclosure osu Agreement e Clinical Trial Agreement Contract Research Organization Conflict of Interest Clinical Research Center Scientific Review Committee Informed Consent Form 2

2.5 SPA contract negotiators FTE 78 SPA contracts finalized in FY10-11* 23 SPA agreement types * excluding CDAs/NDAs 3

464 Longest negotiation period* 13 Shortest negotiation period* 54.5 Average days in negotiation with master agreement in place (i.e., work order) 15 SPA master agreements * excluding CDAs/NDAs MASTER CLINICAL TRIAL AGREEMENTS (CTAs) Existing: Finalized Bayer Healthcare Pharmaceuticals Biogen Idec, Inc. Celgene Corp. Discovery Life Sciences General Electric Company Genzyme Corp. Lilly USA, L.L.C. L Millenium Novartis Pharmaceuticals Novo Nordisk Pharmaceuticals Corp. Existing: Finalized (continued) Pfizer Pharmacyclics, Inc. Philips Medical Systems MR, Inc. Sanofi Aventis Myrexis, Inc. Pending: Actively Negotiating InterMune MASTER CONFIDENTIALITY AGREEMENTS (CDA) Abbott Quintiles Siemens [to be negotiated] 4

CDA/NDA Clinical Trial Material Transfer Master Work Order Registry Subcontract/ Intra-institutional Testing/Research Services Research International Emergency Use C-GMP (Good Manufacturing) State of Nebraska Federal flow through Non-federal Data Use Core Facility Cooperative Subcontracts Other 111 All agreement types 143 With CRO involved 97 Without CRO involved * excluding CDAs/NDAs 5

71 Phase 1 Clinical Trial Agreement 125 Phase 2 Clinical Trial Agreement 143 Phase 3 Clinical Trial Agreement 168 Phase 4 Clinical Trial Agreement * excluding CDAs/NDAs SPA brings expertise to contract negotiations Our practices match standards for academic/commercial sponsor agreements Our goal is to... establish long-term relationships with our customers (i.e., you)...and with your sponsor 6

Barbara Mattson, M.P.A., Contracts Specialist Education Bachelor of Science in Biology, minor in Chemistry Master of Public Administration Completion of 72 hours towards Juris Doctorate Relevant experience Intellectual Property Licensing and Business Development Legislative issues analysis and management 8 years as a Research Technologist at UNMC 7 years experience in SPA contract negotiation 13 Kara Schmidt, M.P.A., Contracts Specialist Education Bachelor of Arts in Sociology Master of Public Administration Relevant experience 7 years in SPA as specialist Administering grants and contracts 6 years SPA contract negotiation experience 7

Tara Scrogin, J.D., Contracts Specialist Education Bachelor of Science in Biology, with Chemistry and Psychology minors Juris Doctorate Relevant experience Molecular biology research Medical negligence defense litigation Special investigations for an insurance company 3 years experience in SPA contract negotiations 8

Delays can result WHEN... Your CTA includes sub-sites (i.e., subcontracts) You are providing a CRO function You are conducting a device study Study sponsor is under a corporate integrity agreement Sponsor is working through a CRO Your study requires a COI Management Plan Sponsor doesn t understand the UNMC/TNMC/UNMC-P structure 9

Determine if study is a right fit before moving forward Consider availability of subjects, staff, space, time, $ If study is complex, consider meeting with SPA early in the process e.g. multiple sites, a device study, CRO function If you have concerns, communicate them to us via phone, email or one-on-one Some studies are creating first-time experiences for the PI, coordinators, and SPA Learning together has advantages None of us is as smart as all of us Become familiar with the SPA process SPA uses first-come, first-serve and prioritization SPA consults with multiple UNMC offices Compliance Office Legal Counsel IRB Risk Management More... Look for study events that involve TNMC TNMC wants to understand the true cost of research TNMC wants to participate in managing risk 10

If you have several contracts under negotiation, prioritize the order in which they should be negotiated and let SPA staff know If you change your mind about a study and no longer want to participate, remember SPA staff need to know, too. This action maximizes limited resources Understand d the differing perspectives held by the sponsor vs. SPA Sponsor Sponsored Programs Administration Principal Investigator Feasibility assessment Population Resources Risk Timelines Cost SPA Contract Negotiation <100 days = UNMC Target Recruiting Protocol training Site initiation Clock Starts Clock Starts Clock >>>>>>>>>>>>>>>>>>>>>Stopsp SPA DEFINITION = Day contract package received in SPA SPA DEFINITION = Day contract is fully-executed Clock >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Stops SPONSOR DEFINITION = Day materials sent to department SPONSOR DEFINITION = Day of first subject enrollment 11

Development of Master Agreements Active collaboration between VCR office and SPA Creation of Assistant Vice Chancellor for Clinical Research Renovation of CRC Preparation for EPIC Establishment of Advisory Board(s) Implementation of Strategic Planning Goal <100 days Continuation as Quintiles Prime Site 12

Take Home Tips SPA negotiations do not begin until SPA has key components: Sponsor s contract template in editable form i.e., Word document Sponsor s point of contact for legal negotiations Name and contact info SPA Contract Questionnaire Form available on SPA web page SPA s automated system (via ADIS) is designed to SPA s automated system (via ADIS) is designed to increase efficiencies Ensures required documents (i.e., key components) have been sent and received 13

Contract negotiation can take place in parallel with: Regulatory reviews [IRB and SCR] Negotiation of the budget [Department] Submission of COI Disclosures Contacts at the company can be valuable PI contacts have helped move stalled contracts Staying in touch with SPA may improve outcomes Keep us informed of budget negotiations and status of COI, IRB and/or SRC approvals Location: Academic and Research Services Building (ARS), Room 2000 Phone: 559-7456 Web page: www.unmc.edu/spa Email: spadmin@unmc.edu 28 14

Barbara Mattson, M.P.A., Contracts Specialist Phone: 559-7156 Email: bmattson@unmc.edu Tara Scrogin, J.D., Contracts Specialist Phone: 559-7479 Email: tscrogin@unmc.edu Kara Schmidt, M.P.A., Contracts Specialist Phone: 559-5659 Email: kaschmidt@unmc.edu 29 Click below for a script of the October 13, 2011 Q&A. http://www.unmc.edu/media/spa/october_2011_learn_at_lunch_presentation_qas.pdf 15