Diploma Course on Research & Development of Products to Meet Public Health Needs

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Diploma Course on Research & Development of Products to Meet Public Health Needs Organized by Nagasaki University, Japan and Faculty of Allied Health Sciences, Thammasat University, in cooperation with Graduate School of Pharmaceutical Science, The University of Tokyo, Japan, Chulalongkorn University,, China Second Military Medical University, China, Universidad de Antioquia, Colombia 28 October 9 November, 2013 Objective: To provide basic knowledge and skills of the different steps in the whole process of PRD to research scientists, post-graduate students, medical doctors involved in PRD, regulatory authorities, professionals. Output: At the end of the course, the participants will be able to: 1. Describe the development activities related in the PRD process. 2.Integrate the various components needed for PRD and 3. Disseminate the knowledge to other scientists and institutions working in any aspect of PRD in order to work together Outcome: Increase research activity on PRD in DEC (Disease Endemic Countries) institutions Participants: Research scientists, post-graduate students, medical doctors involved in PRD, regulatory authorities, professionals. Research scientists/professionals: (1) Diploma degree in science (2) Involved as a member of the team in any aspect of PRD (3) Good track record- work ethics and ability to work as a team/recommendation letter from supervisor (4) Conversant in English Post-graduate students: (1) Accepted in the post-graduate program (2) Good track record- work ethics and ability to work as a team/recommendation letter from supervisor (3) Conversant in English

Medical doctors: (1) Degree in medicine (2) Involved as a member of the team in any aspect of PRD (3) Good track record- work ethics and ability to work as a team/recommendation letter from supervisor (4) Conversant in English Regulatory authorities: (1) Diploma degree (2) Member of the regulatory in the country (3) Good track record- work ethics and ability to work as a team/recommendation letter from supervisor (4) Conversant in English Course Language: English Course format: This is 12 days course consisting of lectures, open discussions, group activity, site visit and practical exercises on specific activities. Course Directors : Professor Dr. Juntra Laothavorn Institute of Tropical Medicine (NEKKEN) Nagasaki University, Nagasaki, Japan Email: karbwangj@nagasaki-u.ac.jp Tel: +81-95-819-7285 Professor Dr. Kenji Hirayama Institute of Tropical Medicine (NEKKEN) Nagasaki University, Nagasaki, Japan Email: hiraken@nagasaki-u.ac.jp Tel: +81-95-819-7818 Professor Dr. Kesara Na-Bangchang Director, Clinical Coordination and Training Center, Thammasat University Faculty of Allied Health Sciences, Thammasat University Email: kesaratmu@yahoo.com Tel: +66-2-9869207

Venue: Seminar Room No. 125, Institute of Tropical Medicine (NEKKEN), Nagasaki University (Sakamoto Campus) Registration deadline: 15 October, 2013 (We also accept onsite registration however registration kit materials are not guaranteed) Administration Office The information should be sent to Ms. Ikumi Frizt secretary, Diploma Course Office, Institute of Tropical Medicine, Nagasaki University e-mail: fritz@nagasaki-u.ac.jp

Module 1: Introduction Recognize the concept needs of PRD in medical and global view of health October 28, Monday (Day 1) 09:30-09:45 Welcome address Professor Dr. Kenji Hirayama, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Japan 09:45-10:00 Objective of the course and expectation, Pre-test 10:00-10:15 Break Professor Dr. Kenji Hirayama, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Japan 10:15-11:15 Overview of product research and development and stakeholders Professor Dr. Juntra Karbwang-Laothavorn, Nagasaki University, Japan 11:15-12:15 Key medical and public health issues, and the need for new products 12:15-14:00 Lunch Professor Dr. Kenji Hirayama, Institute of Tropical Medicine (NEKKEN) Nagasaki University, Japan Module 2: Drug Discovery and Development Session 1: Discovery Phase Describe the pharmacological process for drug discovery. Identify the process to protect intellectual property. 14:00-14:30 History and overview of drug discovery process Dr. Nobuhiro Noro, GlaxoSmith Kline, K.K., Japan 14:30-15:00 The role of Genomics and bioinformatics Dr. Nobuhiro Noro, GlaxoSmith Kline, K.K., Japan 15:00-15:30 High throughput screening: Pre-requisite of HITS systems, Assay Development & Validation, Biochemical & Cell-based assay, Assay Readout & Detection Dr. Nobuhiro Noro, GlaxoSmith Kline, K.K., Japan 15:30-15:45 Break 15:45-16:15 The role of Chemistry in Drug Discovery:-Lead Identification,

-Lead Generation Libraries (Combinatiorial Chemistry, Computational Approches), -Lead Optimization Dr. Nobuhiro Noro, GlaxoSmith Kline, K.K., Japan 16:15-16:45 Pharmacokinetic Issues in Drug Discovery: - Designs and Purposes of DMPK Profiles of Lead & Drug Candidates - DMPK studies in Drug Discovery (Late lead identification & Early lead optimization, Mid lead optimization, Late lead optimization) - Prediction of DMPK and PKPD Correlation - Prediction of Toxicity Dr. Nobuhiro Noro, GlaxoSmith Kline, K.K., Japan Session 2: Pre-clinical Development Describe the process of pharmacological development 16:45-17:45 Pharmaceutical Development and CMC Professor Dr. Hitoshi Sasaki, Nagasaki University Hospital, Japan October 29, Tuesday (Day 2) 09:00-09:45 The role of Pharmacology - Pharmacological Evaluations (Selectivity screening, Pharmacological profiling, Testing in animal models of disease, Safety pharmacology) - Examples 09:45-10:15 Biopharmaceuticals Professor Dr. Yoshimasa Tanaka, Nagasaki University, Japan - Development of Biopharmaceuticals - Type of Biopharmaceuticals - Issues Related to the use of Biopharmaceuticals (Antigenicity, Stability, Drug delivery) 10:15-10:30 Break 10:30-11:30 Drug Discovery in Academia

11:30-12:30 Patents in Drug Discovery: - Publication VS Patents - Patent system - Type of Patent Professor Dr. Hiroshi Kato, Nihon University, Japan 12:30-13:30 Lunch Session 2: Pre-clinical Development Describe the process of pharmacological development 13:30-14:00 Overview: Pre-clinical study requiments for human clinical studies 14:00-15:00 Assessing of Drug Safety: the role of toxicology - Objective and Type of Toxicology - Exploratory Toxicology - Regulatory Toxicology - Toxicity Measures and Toxicity Test Professor Dr. Kesara Na-Bangchang, Thammasat University, 15:00-15:15 Break 15:15-16:15 Pharmacokinetics October 30, Wednesday (Day 3) Session 3: Clinical Development 09:00-09:30 Overview of clinical development

Professor Dr. Juntra Karbwang-Laothavorn, Nagasaki University, Japan 09:30-11:00 Investigational Phases of Clinical Research (I-IV) and Study Design Professor Dr. Juntra Karbwang-Laothavorn, Nagasaki University, Japan 11:00-11:15 Break 11:15-12:15 Regulatory Framework Dr. Shimokawa Masafumi, Coordination Division Office of Planning and Coordination Pharmaceuticals and Medical Devi ces Agency 12:15-13:30 Lunch 13:30-14:00 Clinical Development Plan Professor Dr. Juntra Karbwang-Laothavorn, Nagasaki University, Japan 14:00-14:30 Pharmacogenomics - Anticipated Benefits - Polymorphisms in Drug Targets - Polymorphisms in ADME - Pharmacogenomics Testing - Pharmacogenomics in Clinical Trials - Examples Dr.Shyh-Yuh Liou, Takeda Pharmaceutical Company Limited Head Office, Japan 14:30-15:00 Pharmacokinetics in Clinical Development Extrapolation from animal to human pharmacokinetics Dr.Shyh-Yuh Liou, Takeda Pharmaceutical Company Limited Head Office, Japan 15:00-15:15 Break Session 4: Traditional Medicine Underline the importance of traditional medicine in PRD

15:15-16:10 Introduction of Traditional Medicine and Guidance on herbal medicine Professor Dr. Kiichiro Tsutani, The University of Tokyo, Japan 16:10-17:00 Regulation for traditional medicine development Dr. Ichiro Arai, Tsumura & Co., Japan 17:00-17:45 Rev and Exam 1 (Module 2) Professor Dr. Hirayama or Professor Dr. Kesara October 31, Thursday (Day 4) 10:00-17:00 Field Trip to Hisamitsu Pharmaceutical Co.,Inc Mr. Hiroyuki Hidaka, Hisamitsu Pharmaceutical Co.,Inc Module 3: Vaccine Development November 1, Friday (Day 5) Session 1: Discovery Describe the principles of basic immunology. Describe the process of vaccine discovery 09:00-09:30 Historical overview of vaccine Discovery Professor Dr. Kenji Hirayama, Nagasaki University, Japan 09:30-10:30 Vaccines for infection control Professor Dr. Kenji Hirayama, Nagasaki University, Japan 10:30-10:45 Break 10:45-12:15 Vaccines for infection control Professor Dr. Kenji Hirayama, Nagasaki University, Japan 12:15-13:30 Lunch 13:30-14:30 Vaccine Platform Technology and Adjuvant Development Dr. Takeshi Arakawa, University of the Ryukyus, Japan Session 2: Pre-Clinical Development Describe the process of pre-clinical development of vaccine 14:30-15:00 CMC Dr. Takeshi Arakawa, University of the Ryukyus, Japan 15:00-15:15 Break 15:15-15:45 Immunogenicity and protect activity assessment

Dr. Takeshi Arakawa, University of the Ryukyus, Japan 15:45-16:30 Safety assessment:toxicity test in animals: regional complications, systemic toxicity Dr. Takeshi Arakawa, University of the Ryukyus, Japan November 4, Monday (Day 6) Session 3: Clinical Development Describe the process of vaccine clinical development 09:00-10:00 Assessment of pre-clinical information TBD 10:00-10:30 Clinical development plan TBD 10:30-10:45 Break 10:45-11:45 Dose selection and regimen TBD 11:45-13:30 Lunch 13:30-15:45 Case studies Professor Dr. Kenji Hirayama, Nagasaki University, Japan 15:45-16:00 Break 16:00-17:00 Rev and Exam 3 (Module 3) Professor Dr. Kenji Hirayama, Nagasaki University, Japan Module 4: Diagnostic Development November 5, Tuesday (Day 7) Describe the process of discovery and development of diagnostic tools 09:00-10:00 Discovery and development of diagnostic tools Dr. Masato Sasaki, QIAGEN, Japan 10:00-10:30 Prototype production and assessment Dr. Masato Sasaki, QIAGEN, Japan

10:30-10:45 Break 10:45-11:45 Scale-up, manufacture and control Dr. Masato Sasaki, QIAGEN, Japan 11:45-12:30 Development of kits Dr. Masato Sasaki, QIAGEN, Japan 12:30-13:45 Lunch 13:45-14:45 Quality assurance/quality control: evaluation of efficacy after application Dr. Masato Sasaki, QIAGEN, Japan 14:45-15:45 Clinical development: validate prototype, manufacture pilot lot, initiate clinical trial Dr. Masato Sasaki, QIAGEN, Japan 15:45-16:00 Break 16:00-16:30 Clinical development: Supply chain logistics and production, Statistical Dr. Masato Sasaki, QIAGEN, Japan 16:30-17:00 Rev and Exam 4 (Module 4) Professor Dr. Kenji Hirayama and Professor Dr.Kesara Na- Bangchang Professor Dr. Kenji Hirayama, Nagasaki University, Japan Module 5: Good Clinical Practice November 6, Wednesday (Day 8) Describe the concepts of GCP, Recognise the principles of Ethics in research and the functions of Ethics Committee 09:00-09:30 Concept of Good Clinical Practice Professor Dr. Juntra Karbwang, Nagasaki University, Japan 09:30-10:30 Principles of Research Ethics and Ethics codes and Guidance Professor Dr. Juntra Karbwang, Nagasaki University, Japan 10:30-10:45 Break

10:45-11:45 Responsibilities: Sponsor, Monitors, audit, DSMB Professor Dr. Juntra Karbwang, Nagasaki University, Japan 11:45-12:30 Responsibilities of EC Professor Dr. Juntra Karbwang, Nagasaki University, Japan 12:30-13:30 Lunch 13:30-16:00 Case studies Professor Dr. Juntra Karbwang, Nagasaki University, Japan 16:00-16:30 Break 16:30-17:00 Review and Exam Professor Dr. Juntra Karbwang, Nagasaki University, Japan Module 6: Clinical Data Management November 7, Thursday (Day 9) Describe clinical data management processes, Describe how to write a good SOP for CDM 09:00-10:00 Overview, Protocol, CRF, SOPs Professor Dr. Kesara Na-Bangchang, Thammasat University 10:00-11:00 Data management process I 11:00-11:15 Break 11:15-11:45 Data management process I (Demo) 11:45-12:15 Data management process II 12:15-13:15 Lunch 13:15-13:45 Data management II (Demo) Ms. Panida Kongjam, Thammasat University Clinical Data

Management Center, 13:45-14:15 Data management process III 14:15-15:15 Data management process III (Practice) Ms. Panida Kongjam, Thammasat University Clinical Data Management Center, 15:15-16:15 Statistical analysis and sample size estimation 16:15-16:45 Rev and Exam 6 (Module 6) Module 7: Post-registration Activities November 8, Friday (Day 10) Describe post-registration activities for medicinal products 09:00-10:00 Overview Professor Chitr Sitthi-amorn, Chulalongkorn University, Bangkok, 10:00-11:00 How to solve Access to Medicines (ATM) problems in developing countries Professor Chitr Sitthi-amorn, Chulalongkorn University, Bangkok, 11:00-11:15 Break

11:15-12:15 Improving the quality of new products in health systems: International network of rational use of drugs Professor Chitr Sitthi-amorn, Chulalongkorn University, Bangkok, 12:15-13:15 Lunch 13:15-14:15 Post-marketing product vigilance Professor Chitr Sitthi-amorn, Chulalongkorn University, Bangkok, 14:15-15:15 Stakeholders to be involved in making product development work for the intended beneficiaries Professor Chitr Sitthi-amorn, Chulalongkorn University, Bangkok, 15:15-15:30 Break 15:30-16:30 Intellectual Property Rights Protection in Developing Countries Professor Hiroko Yamane, Teikyo University, Japan 16:30-17:00 Rev and Exam 2 (Module 7) Professor Dr. Kenji Hirayama, Nagasaki University, Japan November 9, Saturday (Day 11) 9:00-11:00 FINAL EVALUATION. COURSE ASSESSMENT Professor Dr. Kenji Hirayama, Nagasaki University, Japan Professor Dr. Juntra Karbwang, Nagasaki University, Japan, Course Director 11:00-12:00 CLOSING CEREMONY Professor Dr. Kenji Hirayama, Institute of Tropical Medicine (NEKKEN) Nagasaki University, Japan