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Multicenter Study
. 2011 Feb;86(2):217-23.
doi: 10.1097/ACM.0b013e3182045059.

Support for investigator-initiated clinical research involving investigational drugs or devices: the Clinical and Translational Science Award experience

Marlene Berro  1 , Bruce K Burnett, Gregg J Fromell, Karen A Hartman, Eric P Rubinstein, Kathryn G Schuff, Lisa A Speicher; IND/IDE Taskforce of the Clinical and Translational Science Award Consortium
Affiliations
Multicenter Study

Support for investigator-initiated clinical research involving investigational drugs or devices: the Clinical and Translational Science Award experience

Marlene Berro et al. Acad Med. 2011 Feb.

Abstract

Purpose: Investigator-initiated research involving investigational drugs and devices is key to improving health. However, this requires the investigator to serve as a "sponsor-investigator," which can be complex and overwhelming. The Investigational New Drug/Investigational Device Exemption (IND/IDE) Taskforce of the Clinical and Translational Science Award (CTSA) consortium carried out a survey to examine how academic health centers (AHCs) assist sponsor-investigators with regulatory responsibilities.

Method: The 24 CTSA centers existing in 2008 were surveyed regarding regulatory oversight and support for sponsor-investigators. Responses were analyzed by descriptive statistics. The evaluation of survey responses yielded three models of institutional support/oversight.

Results: Nineteen centers and one affiliate responded. Eleven (55%) reported having an IND/IDE support office, increased from five (25%) prior to their CTSA award. The volume of investigator-initiated IND/IDE research was highly variable (measured by numbers of investigators, IND/IDE applications, and studies). Oversight, if done, was provided by either the IND/IDE office or elsewhere in the institution. Most IND/IDE offices assisted with IND/IDE submissions and preparation for external audits. Half reported advanced training for sponsor-investigators. Almost all reported a goal to increase IND/IDE research. Important issues include the need for robust training of investigator/staff, appropriate determination of IND-exempt research, and sufficient support for preparing IND/IDE applications.

Conclusions: Investigator-initiated research involving IND/IDEs is essential, but complex. AHCs should examine how they support sponsor-investigators in meeting the complex requirements. A model of either expert consultation/support or full service will minimize risks to participants and institutions, and regulatory noncompliance.

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