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 Institute of Tropical Medicine (NEKKEN), Center for International Collaborative Research (CICORN), Nagasaki University, Japan and Faculty of Allied Health Sciences, Thammasat University, Thailand in cooperation with Graduate School of Pharmaceutical Science, The University of Tokyo, Japan, Chulalongkorn University, Thailand, China Second Military Medical University, China, Universidad de Antioquia, Colombia Supported by Nagasaki University and UNICEF-UNDP- World Bank WHO Special Programme for Research and Training in Tropical Diseases (TDR) 10 October 1 November, 2011 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 17days course consisting of lectures, open discussions, group activity, site visit and practical exercises on specific activities. Course Directors and Coordinators: Professor Dr. Kenji Hirayama Dean, Institute of Tropical Medicine (NEKKEN) Email: hiraken@nagasaki-u.ac.jp +81-95-819-7801 Professor Dr. Kesara Na-Bangchang Director, Graduate Program in Biomedical Sciences, Thammasat University Deputy Dean, Faculty of Allied Health Sciences, Thammasat University Email: kesaratmu@yahoo.com Tel: 662-9869207 Venue: Institute of Tropical Medicine (NEKKEN), Nagasaki University (Sakamoto Campus)

Registration Fee: Participants of the allied universities (Thammasat University, Chulalongkorn University, China Military Medical University, Universidad de Antioquia, University of Tokyo, Nagasaki University): Free of charge Participants from International Organization or private sector: 1,000 USD for the whole course or 100 USD/day. Student participants: 800 USD for the whole course (20% discount). No. Participants Category Whole course 1 Day Note* 1. Ordinary 1,000 USD 100 USD - 2. International Organization/Private Sector 1,000 USD 100 USD - 3. Student 800 USD 80-USD - 4. Partial(Module 1 or 6 only) - - 100 USD 5. Partial (Module 2 only) - - 400 USD 6. Partial (Module 3 only) - - 300 USD 7. Partial (Module 5 only) - - 200 USD 8. Partial (Module 4 or 7 only) - - 100 USD Registration deadline: 31 August, 2011 (We also accept onsite registration however registration kit material including tea breaks are not guaranteed) Administration Office Secretary, Department of Immunogenetics, NEKKEN Tel: +81-95-819-7820, FAX: +81-95-819-7821

Module1: Introduction Objective: Recognize the concept needs of PRD in medical and global view of health. October 10, Monday (Day 1) 09:00-09:15 Welcome address Professor Dr. Kenji Hirayama, Dean, Institute of Tropical Medicine, Nagasaki University, Japan 09:15-09:30 Objectives of the course and expectation Professor Dr. Kenji Hirayama, Institute of tropical Medicine, Nagasaki University, Japan 09:30-10:30 Overview of product research and development Professor Dr. Juntra Karbwang, Quality management, WHO/TDR, Geneva, Switzerland 10:30-10:45 Tea break 10:45-11:45 Key medical and public health issues, and the need for new products Professor Dr. Kenji Hirayama, Nagasaki University, Japan 11:45-12:45 Stakeholders in Product Research and Development Dr. Kihito Takahashi, R&D Department, GSK Japan, Japan 12.45-13.45 Lunch Module 2: Discovery and Development Session 1: Drug Discovery Objective: To describe the pharmacological process for drug discovery and to identify the process to protect intellectual property. 13:45-14:15 History and overview of drug discovery process Dr. Nobuhiro Noro, Head, Vaccine Clinical Development, Glaxo Smith Kline, Japan 14:15-15:15 The role of pharmacology in drug Discovery

Dr. Nobuhiro Noro, Head,Vaccine Clinical Development, 15.15-15.30 Tea break 15:30-16:30 Genomics and bioinformatics Dr. Nobuhiro Noro, Head,Vaccine Clinical Development, October 11, Tuesday (Day 2) 9:00-10:00 High throughput screening Dr. Nobuhiro Noro, Head,Vaccine Clinical Development, 10:00-10:15 Tea break 10:15-11:30 The role of Chemistry in Drug Discovery Dr. Nobuhiro Noro, Head,Vaccine Clinical Development, 11:30-12:30 Lunch 12:30-13:30 Novel Anti-TB drug development Dr. Hiroshi Ishikawa, Otsuka Pharmaceutical Co.,Ltd. Japan 13:30-13:45 Tea break 13:45-15:00 Drug development for Neglected Tropical Diseases Professor Dr. Kiyoshi Kita, Department of Biomedical Chemistry, Graduate School of Medicine, The University of Tokyo, Japan 15:00-16:30 Publications, IPR, & Patents Dr. Kenichi Osawa, Banyu Pharmaceutical Co., LTD, Japan October 12, Wednesday (Day 3) Session 2: Chemistry, Manufacturing and Control (CMC) Objective: To describe different processes of CMC. 9:00-9:30 Formulation of drug products Dr. Rumiko Shimazawa, Clinical Pharmacology, Faculty of Medicine, Nagasaki, Japan

9:30-12:45 Overview of CMC, development of specifications, QA/QC, Regulatory, naming the new chemical entity, Stability for drug substance and drug product Dr. Rumiko Shimazawa, Clinical Pharmacology, Faculty of Medicine, Nagasaki, Japan, Japan 12:45-13:45 Lunch Session 3: Pre-clinical Development Objective: To describe the process of pharmacological development. 13:45-14:30 Overview, Pharmacological data in new drug application Dr. Hiroyuki Itoh, Astellas Pharma Inc., Japan 14:30-15:30 Methods in pharmacological R&D Dr. Hiroyuki Itoh, Astellas Pharma Inc., Japan 15:30-15:45 Tea break 15:45-17:00 The role of pharmacokinetics and drug metabolism Professor Dr. Eiji Uchida, Showa University, Japan October 13, Thursday (Day 4) Session 4: Toxicology Objective: To describe the toxicological methods. 9:00-10:00 Overview Associate Professor Dr. Wongwiwat Tassaneeyakul, Dean, Faculty of Pharmaceutical Sciences, Khon Kaen University, Thailand 10:00-11:00 Toxicological tests: in vitro & in vivo Associate Professor Dr. Wongwiwat Tassaneeyakul, Dean, Faculty of Pharmaceutical Sciences, Khon Kaen University, Thailand 11:00-13:00 Tea break & Lunch 13:00-14:30 Necessary facility to Toxicology Visit animal facility for medical research Professor Dr. Kazutaka Osawa, Laboratory Animal Center for Biomedical research, Nagasaki University

Session 5: Traditional Medicine Objective: To underline the importance of traditional medicine in PRD. 14:45-15:45 Introduction of Traditional Medicine Professor Dr. Kiichiro Tsutani, Graduate School of Pharmaceutical Science, The University of Tokyo, Japan 15:45-16:00 Tea Break 16:00-17:00 Regulation for traditional medicine development Dr. Ichiro Arai, Manager, Tsumura Drug Information Library, Tsumura & Co., Japan 17:00-18:00 Guidance on herbal medicine Professor Dr.Kiichiro Tsutani, Graduate School of Pharmaceutical Science, The University of Tokyo, Japan October 14, Friday (Day 5) Session 6: Clinical Development Objective: To explain the different phases for clinical trials, explain the critical role of pharmacokinetics/pharmacogenomics and safety monitoring, and explain the regulatory aspects for Clinical Trials 9:00-10:00 Overview of clinical development Dr. Hanako Mihara, Cancer Information Services and Surveillance Division, Center for Cancer Control and Information Services National Cancer Center, Japan 10:00-10:15 Tea break 10:15-11:45 Investigational phases of clinical research (Phases I-IV) Dr. Hanako Mihara, Cancer Information Services and Surveillance Division, Center for Cancer Control and Information Services National Cancer Center, Japan 11:45-12:45 Lunch 12:45-13:45 Study design (ethical aspects, control, patient population, design techniques to avoid bias) Dr. Hanako Mihara, Cancer Information Services and Surveillance Division, Center for Cancer Control and Information Services National Cancer Center, Japan

13:45-14:45 Statistical consideration Dr. Hanako Mihara, Cancer Information Services and Surveillance Division, Center for Cancer Control and Information Services National Cancer Center, Japan 14:45-15:00 Tea Break 15:00-16:00 Safety monitoring and reporting in clinical trials Dr. Kimihiro Kasamo, UCB Japan Co.Ltd, Japan October 17, Monday (Day 6) 9:00-10:00 Human pharmacokinetics Professor Dr. Kesara Na-Bangchang, Thammasat University, Thailand 10:00-11:00 Pharmacogenomics Dr. Shyh-Yuh Liou, Takeda Pharmaceutical Company Limited Head Office, Japan 11:00-11:15 Tea Break 11:15-12:15 Regulatory aspects of clinical development Dr. Ayako Mikami, Tokai University, Japan 12:15-13:15 Lunch 13:15-14:15 Effective Use of Microdosing and PET Studies in the New Drug Development Professor Dr.Yuichi Sugiyama, Dean, The University of Tokyo Graduate School of Pharmaceutical Science, Department of Pharmaceutical Technology, Japan 14:15~ Review and Exam 1 (Module 2) Professor Dr. Kenji Hirayama and Professor Dr. Kesara Na-Bangchang October 18, Tuesday (Day 7) 10:00-17:00 Field Trip to Hisamitsu Pharmaceutical Co., Inc Mr. Hideyuki Nakano, Manager, Clinical Development Dpt., Hisamitsu Pharmaceutical Co., Inc, Japan

October 19, Wednesday (Day 8) Module 3: Vaccine Development Session 1: Discovery Objective: To describe the principles of basic immunology and the process of vaccine discovery 9:00-10:00 Historical overview of vaccine Discovery Professor Dr. Kenji Hirayama, Institute of Tropical Medicine, 10:00-11:00 Basic immunology Professor Dr. Kenji Hirayama, Institute of Tropical Medicine, 11:00-11:15 Tea break 11:15-12:15 Basic immunology (continued) Professor Dr. Kenji Hirayama, Institute of Tropical Medicine, 12:15-13:15 Lunch 13:15-15:00 Basic immunology (continued) Professor Dr. Kenji Hirayama, Institute of Tropical Medicine, 15:00-15:15 Tea break 15:15-16:30 Basic immunology (continued) Professor Dr. Kenji Hirayama, Institute of Tropical Medicine, October 20, Thursday (Day 9) 9:00-10:30 Basic immunology (continued) Professor Dr. Kenji Hirayama, Dean, Institute of Tropical Medicine, 10:30-10:45 Tea break

11:45-12:30 Basic immunology (continued) Professor Dr. Kenji Hirayama, Dean, Institute of Tropical Medicine, 12:30-13:30 Lunch 13:30-15:00 Overview of modern vaccine development Professor Dr. Kenji Hirayama, Dean, Institute of Tropical Medicine, 15:00-15:15 Tea break 15:15-16:30 Mucosal Immunity Dr. Takeshi Arakawa, Faculty of Medicine, Ryukyu University Japan October 21, Friday (Day 10) Session 2: Pre-Clinical Development Objective: To describe the process of pre-clinical development of vaccine 9:00-10:00 CMC Dr. Nobuhiro Noro, Head,Vaccine Clinical Development, 10:00-10:15 Tea break 10:15-12:15 Immunogenicity and protect activity assessment Dr. Nobuhiro Noro, Head, Vaccine Clinical Development, 12:15-13:15 Lunch 13:15-14:15 Safety assessment: Toxicity test in animals: regional complications, systemic toxicity Dr. Nobuhiro Noro, Head, Vaccine Clinical Development, 14:15-15:15 Regulatory Dr. Shoji Ikeda, sanofi pasteur vaccine division, sanofi-aventis KK. Tokyo, Japan

15:15-15:30 Tea Break 15:30-17:30 Examples of pre-clinical development Dr. Nobuhiro Noro, Head, Vaccine Clinical Development, October 24, Monday (Day 11) Session 3: Clinical Development Objective: To describe the process of vaccine clinical development 9:00-10:00 Assessment of pre-clinical information Dr. Daisuke Tsuzuki, Sanofi Pasteur Vaccine Division, Sanofi-Aventis KK. Tokyo, Japan 10:00-10:15 Tea break 10:15-12:15 Clinical development plan Dr. Daisuke Tsuzuki, Sanofi Pasteur Vaccine Division, Sanofi-Aventis KK. Tokyo, Japan 12:15-13:15 Lunch 13:15-14:15 Dose selection and regimen Dr. Daisuke Tsuzuki, Sanofi Pasteur, Vaccines Division, Sanofi-Aventis KK. Tokyo, Japan 14:15-14:30 Tea break 14:30-16:30 Examples of clinical trials Professor Dr. Kenji Hirayama 16:30~ Review and Exam 3 (Module 3) Professor Dr. Kenji Hirayama and Professor Dr. Kesara Na-Bangchang October 25, Tuesday (Day 12) Module 4: Diagnostic Development Objective: To describe the process of discovery and development of diagnostic tools 9:00-10:00 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 Tea break 10:45-12:45 Scale-up, manufacture and control Dr. Masato Sasaki, QIAGEN, Japan 12:45-13:45 Lunch 13:45-14:45 Development of kits Dr. Masato Sasaki, QIAGEN, Japan 14:45-15:00 Tea break 15:00-16:00 Quality assurance/quality control: evaluation of efficacy after application Dr. Masato Sasaki, QIAGEN, Japan 16:00-16:30 Clinical development: validate prototype, manufacture pilot lot, initiate clinical trial Dr. Masato Sasaki, QIAGEN, Japan 16:30-17:00 Clinical development: Supply chain logistics and production, Statistical consideration, regulatory issues Dr. Masato Sasaki, QIAGEN, Japan 17:00~ Review and Exam 4 (Module 4) Professor Dr. Kenji Hirayama and Professor Dr. Kesara Na-Bangchang October 26, Wednesday (Day 13) Module 5 Good Clinical Practice Objective: To describe the concepts of GCP, Recognise the principles of Ethics in research and the functions of Ethics Committee 9:00-10:00 Good Clinical Practice and Quality Management in clinical research Professor Dr. Juntra Karbwang-Laothavorn, TDR, Switzerland 10:00-10:15 Tea break

10:15-12:15 Responsibilities: Sponsor, investigators, IRB, monitors, DSMB Dr. Allan Johansen, Roche Products Pty limited, Australia 12:15-13:15 Lunch 13:15-14:15 Ethics codes and guidelines Professor Dr. Cristina Torres, Thammasat University, FERCAP Coordinator, Thailand 14:15-14:30 Tea break 14:30-15:30 Principles of research ethics Dr. Kenji Matsui, Project Senior Lecturer Assistant Professor Dr. Shimon Tashiro, University of Tokyo, Japan 15:30-16:30 Case studies October 27, Thursday (Day 14) 9:00-10:00 Case study presentation (Group work) Dr. Kenji Matsui, Project Senior Lecturer Assistant Professor Dr. Shimon Tashiro, University of Tokyo, Japan 10:00-10:15 Tea break 10:15-11:15 Human subject protection and ethics committees Professor Dr.Young-Moo Koo, Korea 11:15-12:15 Monitoring and auditing Ethics Committee Professor Dr. Cristina Torres, Thammasat University, FERCAP Coordinator, Thailand 12:15-13:15 Lunch 13:15-14:15 Data and Safety Monitoring Board DSMB Professor Dr. Cristina Torres, Thammasat University, FERCAP Coordinator, Thailand 14:15-14:30 Tea break 14:30-15:30 Audit and inspection Dr. Allan Johansen, Roche Products Pty limited, Australia 15:30~ Review and Exam 5 (Module 5) Professor Dr. Kenji Hirayama and Professor Dr. Juntra Karbwang-Laothavorn, TDR, Switzerland

October 28, Friday (Day 15) Module 6: Clinical Data Management Objective: To describe clinical data management processes; describe how to write a good SOP for CDM 9:00-10:00 Overview of clinical data management Professor Dr. Kesara Na-Bangchang, Director, Graduate program in Biomedical Sciences, and Director Clinical Coordination and Training center, WHO-TDR Collaborating Center, Thammasat University, Thailand 10:00-11:00 Protocols, Case Report Form (CRF), Standard Operating Procedures (SOPs) Professor Dr. Kesara Na-Bangchang, Director, Graduate program in Biomedical Sciences, and Director Clinical Coordination and Training center, WHO-TDR Collaborating Center, Thammasat University, Thailand 11:00-11:15 Tea break 11:15-12:30 Data management (Practical Session) Ms. Panida Kongjam, System Manager, Thammasat University Clinical Data Management Center, Thailand 12:30-13:30 Lunch 13:15-16:15 Data management (Practice) Ms. Panida Kongjam, System Manager, Thammasat University Clinical Data Management Center, Thailand 16:30~ Review and Exam 6 (Module 6) Professor Dr. Kenji Hirayama and Professor Dr. Kesara Na-Bangchang October 31, Monday (Day 16) Module 7: Post-registration Activities Objective: To describe post-registration activities for medicinal products

9:00-10:00 Overview Professor Dr.Chitr Sitthi amorn, Chulalongkorn University, Thailand 10:00-11:00 Post-marketing product vigilance Dr. Yupin Lawanprasert, Ministry of Public health, Thailand 11:00-11:15 Tea Break 11:15-12:15 Improving the quality of new products in health systems: International network of rational use of drugs Professor Dr.Chitr Sitthi amorn, Chulalongkorn University, Thailand 12:15-13:15 Lunch 13:15-14:15 Global spread of health technology assessment (HTA) in healthcare policies Ms.Mie Kasai, Eisai Co., Ltd., Japan 14:15-15:15 Stakeholders to be involved in making product development work for the intended beneficiaries Professor Dr. Chitr Sitthi Amorn, Chulalongkorn University, Thailand 15:15-15:30 Tea Break 15:30-16:30 Protection of intellectual property rights in developing countries Dr. Hiroko Yamane, National Graduate Institute for Policy Studies, Japan 16:30~ Review and Exam 2 (Module 7) Professor Dr. Kenji Hirayama and Professor Dr. Kesara Na-Bangchang November 1, Tuesday (Day 17) FINAL EVALUATION. COURSE ASSESMENT Professor Dr. Juntra Karbwang-Laothavorn, TDR, Switzerland CLOSING CEREMONY Professor Dr. Kenji Hirayama, Institute of Tropical Medicine, Nagasaki University, Japan