Clinical Trials in Oncology


November 30, 2010
SKU: ARNA6542875
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Synopsis

The proceedings from VIB Pharma's 2010 Clinical Trials in Oncology conference

Summary

VIBpharma delivered cutting edge conference content for professionals in pharmaceutical and biotech companies concerned with clinical trials in oncology. Now you can secure the latest information in this space without venturing outside your office.

Our packages include audio and presentation materials from the keynote speeches, industry-leading case studies and insightful Q&A sessions; ensuring you and your colleagues remain at the forefront of this rapidly developing industry.

Scope
  • Expediting and strengthening Phases I
  • III through innovative and effective proven methods of improving suitability of trial setup
  • Optimising candidate and investigator engagement and patient recruitment within varying European guidelines
  • Exploiting opportunities, possibilities and rewards of biomarker
  • led drug development
  • Achieving optimal trial development through full understanding of regulation, exploitation of regulatory advisory services and tips on time
  • effective application and submission


Optimizing patient recruitment, data capture and trial design to ensure faster regulatory approval


Keynote address: From design to decision-making from a clinical development perspective: effective project management techniques for ensuring your study runs smoothly


Ensuring overall project management of trials in order to contribute to R&D excellence
Managing the team: what makes a good compound leader and how to coordinate the internal teams and external stakeholders
Establishing effective approaches to solve strategic problems and address challenges effectively
Implementing trial design into practice: making the right decisions to boost strategic effectiveness of your trials within drug development


Panteli Theocharous, Senior Clinical Project Scientist (Associate Director), J & J Global Clinical Development, JOHNSON & JOHNSON


De-risking oncology clinical development: mitigating risk from phase I to III


Phase I trial design: single agent or combination studies? Solid or haematological tumours? All tumour types or disease specific patient populations?
Cost effective phase I studies: maximizing the information collected to inform decisions about phase II design and working with the right phase I sites
Phase II study designs: the pros and cons of randomized phase II studies: indications and dilemmas
Enriching patient populations in phase II development using biomarkers and genetics
Feasibility assessments: how to ensure that recruitment rates quoted during feasibility are accurate
Mitigating the risk to patient recruitment in phase II studies
The decision to move into phase III
Going for gold: moving straight to phase III from an expanded phase I program


Clare Wareing, CEO, NEXUS ONCOLOGY
Panel discussion: Improving the communication and cooperation between trial sponsors, academic research networks and study sites to maximize patient enrolment


Complying with the study sites’ requirements from a sponsor’s perspective to ensure a smooth enrolment process
Identifying key obstacles with sites and sponsors to cooperate with each other in terms of patient recruitment and how to overcome them
Specifying actions to be taken by sponsors to help the site recruit
Assessing how networks can work more closely with sponsors and physicians on-site to enroll patients effectively
Handling competition between oncology trials at one site: how to build a strong sponsor-site-relationship o tackle this issue successfully
Identifying crucial action points to prevent delays with patient enrolment in order to guarantee the study starts on time


Chair: Clare Wareing, CEO, NEXUS ONCOLOGY


Panellist: Prof. Christian Ohmann, Member of the Board, Network of Coordinating Centers for Clinical Trials, KKS NETWORK Elmar Stridde, Head of Clinical Study Centre, Clinical Centre of the Ludwig Maximillians University Munich Denis Mir, Senior Manager, Clinical Operations - Oncology, EISA, Global Clinical Development


Assessing the feasibility of oncology clinical trials to ensure trials stay on track at any development stage
Establishing the need for a feasibility assessment and the crucial points to consider to ensure an accurate measure
Evaluating the benefits of feasibility surveys and how to measure them
Outlining the sources of data that can be used to help plan oncology studies whilst ensuring the data quality is maintained
Providing access to the data needed: presenting a PPD case study


Martin Lee, Executive Director, Feasibility Services, Board Certified, Internal Medicine and Medical Oncology, PPD


Understanding new regulatory considerations surrounding cancer clinical trials


Explaining amendments to clinical trials guidelines in terms of continuous safety monitoring and reporting requirements


Clarifying Eudralex Volume 10:
New additions: Q&A document on safety reporting
Detailed guidance on the collection, verification and presentation of adverse reaction reports arising from clinical trials on medicinal products for human use
Guidance on Investigational Medicinal Products (IMPs) and other medicinal products used in clinical trials
International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH): exploring the revision of the Development Safety Update Report guideline


Janet Schriever, Unit Clinical Trials, BFARM
Establishing innovative trial marketing approaches involving academic research networks and study sites to maximize patient enrolment


Realistically forecasting the number of patients to be recruited to enable efficient trial execution
Assessing the means to proactively communicate with sites in order to accelerate the process of finding appropriate patients
Defining the role and responsibilities of CRAs in the recruitment process: how they manage to motivate and effectively communicate with sites in order to get them actively involved
Working with CROs to optimize the recruitment process
Facilitating cooperation between academic research organizations and the industry to inform the maximum number of experts and patients
Outlining options to inform patients directly about a trial to encourage them to contact a clinician
Ensuring compliance with ethics committee guidelines
Leveraging eHealth affinity of cancer patients
Finding new ways of cancer clinical trial marketing


Jody Spooner, Business Development Associate, CMED
Case study: Addressing the challenge of historical efficacy data in the design of a phase III study for a placebo-controlled chemotherapy trial


Ensuring effective product development and understanding the resulting clinical efficacy data for adjuvant instillation therapy of gemcitabine in patients with non-muscle-invasive bladder cancer (NMIBC): An analysis following the outcome of a phase III trial: single postoperative instillation of gemcitabine in patients with NMIBC, reviewing the results of a randomized, double-blind, placebo-controlled phase III multicentre study
Creating an effective study design based on an in vitro cell line, animal data, phase II data of the experimental drug and understanding of the phase III data for the control arm
Presenting an overview of an unplanned interim analysis: follow-up during the study was terminated after only approximately 50% of recurrences occurred at the initially planned follow-up-period
Understanding why final results showed not different but unexpected high rates for (recurrence-free survival RFS) in both arms
Clarifying contributing factors to results: exploring the “experimental” setting of the placebo arm (instillation of saline)


Clemens Stoffregen, Internist, Regional Tumour Team Leader, European Platform, Oncology, Medical Advisor, Lilly


Moving towards personalized cancer therapies to increase the potential value of a medicine with respect to reimbursement


Case study: Overcoming the operational challenges of implementing a personalized healthcare strategy in early phase oncology studies


Developing medicines with improved and more predictable outcomes, thereby allowing the clinician to optimize the therapy
Selecting biomarkers of interest in the context of novel molecules and identifying appropriate analytical laboratories and assay validation
Burden on both the patient and investigational sites in the collection, processing and management of multiple samples which can be particularly challenging in the context of serial tumour biopsies
Integrating laboratory based biomarker assessments with radiological assessments such as CT/PET or DCE-MRI within the same protocol
Ensuring a high level of compliance consistency in sample collection both within and across clinical centers
Obtaining the necessary ethical and regulatory approvals
Receiving patient informed consent


Thomas Pepper, Clinical Research and Exploratory Development(CRED), Operations Leader - Oncology (COL), Clinical Program Management - Study Management Group (PDEC-S), ROCHE PRODUCTS


Identifying diagnostic testing methods to evaluate the results of your oncology trial effectively through the use of the right endpoints


Keynote address: Exploring the amended guidelines of RECIST 1.1 (Response Evaluation Criteria in Solid Tumours) and learning how to adapt them accurately


Understanding its use and benefits in clinical trials with a primary endpoint of objective response
Evaluating the tumour response: assessing tumour shrinkage and disease progression based on the sum of diameters without anatomical-based imaging
Outlining the relevant changes: Number of lesions to be assessed, measurement of pathological lymph nodes, confirmation of response, disease progression and imaging guidance
Exploring remaining issues to be defined
Identifying how to adapt RECIST 1.1 and leverage benefits


Robert A. Morgan, Senior vice President, Regulatory Affairs, Quality, and Clinical Development, ZIOPHARM ONCOLOGY


Uncovering independent central review (ICR) for oncology clinical trials: challenges and lesson learned
Assessing endpoints in oncology trials and ensuring verification for regulatory approval
Identifying the process of an ICR as well as resources involved
Why ICR: outlining potential purposes and how to produce greater consistency in image interpretation
Clarifying operational considerations
Explaining discordance between local and central interpretations and how to handle this
Overcoming challenges regarding protocol requirements


Karoline Meurer, Managing Director, RADPHAR004D
Case study: Moving beyond simple procedures like computed tomography (CT) to positron emission tomography (PET): highlighting advances of tumour development analysis


Molecular imaging: making it real
Imaging the hallmark of cancer with PET
Angiogenesis, apoptosis, proliferation
Enhanced amino acid transport
Quality control in imaging clinical trials
The importance of sophisticated analysis tools


Jonathan Allis, Head Global Imaging Network, GE HEALTHCARE
Explaining Primary Systemic Therapy (PST) or Neo adjuvant (Chemo) Therapy (NA(C)T) in invasive breast cancer: state-of-the-art, current issues, and future perspectives for drug development


Explaining Primary Systemic Therapy (PST) or Neo adjuvant (Chemo) Therapy (NA(C)T) in invasive breast cancer: state-of-the-art, current issues, and future perspectives for drug development
Broadening the indication for PST or NA(C)T from downsizing locally advanced, inoperable breast cancers to smaller breast cancers in order to allow breast conserving therapy (BCT) and to yield better cosmetic results
Outlining the results of the large, randomized, pivotal phase III neo adjuvant trials NSABP B-18 and NSABP B-27 and explaining the advantages and disadvantages of neo adjuvant chemotherapy
Using NA(C)T for in-vivo chemo sensitivity testing and as innovative platform for the in-vivo testing of new drugs, e.g. cytotoxic and molecularly targeted agents and their combinations
Accomplishing a pathologic complete response (pCR), i.e. the absence of invasive tumour in the breast specimen and/or in the axillary lymph nodes, which shows PST to be a surrogate end point for recurrence and survival
Testing in-vivo chemo sensitivity of new drugs and drug combinations in the neo adjuvant setting using the PCR-rate as a surrogate end point (i.e. substituting recurrence-free (RFS) and overall survival (OS) in the adjuvant setting) in order to speed up drug development in early breast cancer
Presenting large, ongoing, neo adjuvant clinical trials applying this new paradigm in drug development in primary breast cancers according to their molecularly defined subtypes


Wolfgang Hamm, MD, PhD, Senior Clinical Research Physician, HARRISON CLINICAL RESEARCH


ADAPTIVE AND SEAMLESS DESIGNS FOR LATE STAGE ONCOLOGY STUDIES: examining actual interim analysis trial case studies and their impact on our industry and your own development efforts


Assessing why adaptive approaches are increasingly common in early clinical studies, but only beginning to be utilized at the all important confirmatory stage
Designing and implementing seamless phase 2 / 3 trials - defining the opportunities and challenges
Re-estimating sample size and events for survival endpoints
Determining efficacy and futility stopping rules in cancer trials
Clarifying what to expect from regulators: best practices from recent experiences


Yannis Jemiai, Ph.D., Associate Director of Biostatistics, CYTEL INC.


Learning from case studies on novel therapeutic approaches: highlighting targeted, antibody and supportive care therapies


Case study: A phase I-directed, non-clinical development strategy for a CDK-/kinase inhibitor: establishing nonclinical data to give guidance on phase I trial design in terms of the determination of safety/efficacy relevant endpoints and early warning signs for adverse effects


A non-clinical testing strategy: an overview (PD, PK and toxicology)
Specific aspects of individual non-clinical safety studies
Dealing with drug-specific, non-clinical study findings
Non-clinical study results and their impact on phase I clinical trial designs
Regulatory feedback and overcoming related issues


Thorsten Meyer, Associate Director, GPC BIOTECH
Case study: IPH 2101, a novel anti-Natural Killer Immunoglobulin like Receptor (KIR) monoclonal antibody that enhances NK cells cytotoxicity: preclinical and phase I studies results in various hematological malignancies


NK cell activation as a novel immunotherapy approach for the treatment of hematological cancers
Pre-clinical development: pharmacodynamic and pharmacokinetic aspects and relevance of preclinical models
Modelisation for dose ranging to be tested in phase I
Designing the first in man study: selecting safe starting dose and escalation scheme
Selection of indications to be tested in phase II and impact of potential surrogate endpoints


Patrick Squiban, Chief Medical Officer, EVP Medical and Regulatory Affairs, INNATE PHARMA


Overcoming operational challenges in large phase III oncology studies


Choosing and managing CROs by proactively building a strong relationship with them
Gaining access to laboratory and imaging data in a timely manner
Considering the use of pharmacogenomics when running global clinical trials in order to evaluate scientific differences accurately
Describing new testing systems and trial strategies based on the genetic differences of patients
Monitoring the trial processes and increasing investigator site performance and productivity
Understanding regulatory issues: how to get the right information and guarantee compliance with data guidelines
Exploring approaches to speed up clinical operations processes to optimise the trial outcome
Denis Mir, Senior Manager, Clinical Operations - Oncology, EISAI GLOBAL CLINICAL DEVELOPMENT


Case study: Phase II trial designs in oncology: what really matters to ensure an optimum outcome using common and innovative methods and prevent failure of the trial at a later stage


Establishing the purpose of phase II trials
Assessing the success rate of phase III trials
Outlining factors to reduce the number of failures
Benefitting from using innovative ways to assess tumour burden
Setting up statistical trial designs for phase II
Validating biomarkers effectively
Christiane Langer, Group Director Early Oncology, BRISTOL-MYERS SQUIBB EUROPE


Supportive care in oncology: challenges and opportunities in drug development to improve outcomes for patients
Emerging areas of toxicity with new therapies
Meaningful endpoints in supportive care
Specific challenges in running supportive care studies
Patient reported outcomes and the regulatory perspective
Old drugs for new problems


Julian D. Howell, Head of Clinical Development, PROSTRAKAN
Case study: Outlining skin toxicity of targeted therapies: epidemiology and management
Understanding cancer epidemiology and clinical presentation
Managing skin toxicity from a scientific c perspective
Clarifying international guidelines
Skin toxicities in clinical trials: presenter’s experience
Establishing a guide for patients
Investigator education


Thomas Bogenrieder, Clinical Director Oncology, Oncology Centre of Excellence, Europe, Asia-Pacific, Japan & Emerging Markets, GLAXOSMITHKLINE


Combining targeted cancer therapies successfully: what are the possibilities, crucial factors to be considered and solutions to benefit from?


Deciding whether to combine targeted therapies or run sequential therapies: outlining the benefits of combination
Explaining how to handle toxicity issues when complying with safety guidelines
Leveraging synergetic effects of combined targeted therapies: how to make your targeted therapies more effective
Exploring how to maximise the effectiveness of a targeted therapy choosing the right complementary therapy
Outlining the combination opportunities between targeted therapy and radiotherapy: decisive parameters for an optimal combination
Combining targeted therapy and chemotherapy: how to merge schedules effectively
Creating strategies for reaching a balance between efficacy
and safety to optimise the overall outcome of the combined targeted therapy


Murray Yule, vice President Clinical Development, ASTEX THERAPEUTICS

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