scholarly journals Innovation in biosafety oversight: The Harvard Catalyst Common Reciprocal IBC Reliance Authorization Agreement

2020 ◽  
Vol 4 (2) ◽  
pp. 90-95
Author(s):  
Rebecca Caruso ◽  
Theodore Myatt ◽  
Barbara E. Bierer

AbstractIncreasingly, basic, translational, and clinical research has become more collaborative, resulting in multi-institutional studies that involve common approaches to a central question. For multi-institutional projects that involve recombinant or synthetic nucleic acids, Institutional Biosafety Committee (IBC) review is generally required at each separate site. Duplicative review may result in both administrative costs and delays, without evidence of increased safety or protections, and investigator frustration. To address these inefficiencies, IBC leaders drafted a collaborative IBC Reliance Authorization Agreement. The Agreement allows one or more institutions to cede IBC review to a reviewing IBC that accepts the responsibility. The ability to cede IBC review, and the ability to rely on one decision on behalf of all collaborating institutions for a given protocol, removes delays in approval of multi-center protocols, and collaborating principal investigators are able to focus on research rather than administrative tasks. In the process, we found promotion of this collaborative model led to stronger connections among institutions and among IBC members. The requirement for IBC member representation from the local community, however, limits its broader dissemination; we make several recommendations to mitigate this challenge.

2021 ◽  
Author(s):  
Moataz Dowaidar

Nucleic acid-based therapeutics such as siRNA and miRNA employ the silencing capabilities of the RNAi mechanism to affect the expression of one gene or several genes in target cells. Nucleic acid-based therapies enable accurate, targeted administration and overcoming drug resistance in diverse cancer cells. Several studies have shown that they can be utilized alongside pharmacological therapy to increase the efficacy of existing therapies. In addition, nucleic acid-based therapies have the potential to widen the spectrum of druggable targets for a range of diseases and emerge as a novel therapeutic technique for treating a number of diseases that are today untreatable. Nucleic acids are dependent on their effective distribution to target cells, which need correct complexation and encapsulation in a delivery mechanism. Although nucleic acids exist in a variety of forms and sizes, their physical and chemical commonality allow them to be loaded into a wide range of delivery vehicles. The primary biomaterials used to encapsulate genetic components were cationic lipids and polymers. Furthermore, the experiments focused particularly on effective transfection in target cells.Recent breakthroughs in NP-based RNA therapeutics have spurred a flood of clinical research, facing many challenges. In vivo, pharmacokinetics of different RNA-based medications must be researched to establish the viability and therapeutic potential of nucleic acid-based therapeutics. The U.S. Food and Drug Administration recently authorized many NP-based gene therapy. In 2019, Novartis authorized Zolgensma (onasemnogene abeparvovec-xioi) to treat spinal muscle atrophy. The first clinical research employing siRNA began in 2004 and is considered a milestone in nucleic acid-based drug development. Thirty clinical investigations have subsequently been completed. In 2018, the US FDA cleared Onpattro (Patisiran, Alnylam Pharmaceuticals) for the treatment of polyneuropathy caused by transthyretin amyloidosis.Several new generations of nucleic acid compositions employing polymer nanoparticles or liposomes are presently undergoing clinical testing. If allowed, the debut of nucleic acid-based treatments would represent a watershed event in immunotherapy. Advances in the design and development of biocompatible nanomaterials would allow us to overcome the above-mentioned problems and so show the potential to deliver nucleic acids in the treatment of a number of illnesses.


1992 ◽  
Vol 31 (4) ◽  
pp. 211-214 ◽  
Author(s):  
Charles H. Pegelow

A questionnaire was sent to principal investigators of NIH-sponsored clinical research in sickle cell disease. Twenty of 21 respondents indicated they used parenteral narcotic analgesics for pain episodes sufficiently severe to warrant hospitalization. Eleven used meperidine; seven, morphine; and one each, nalbuphine, hydromorphone, and acetaminophen with codeine. They gave the agents at frequent, regular intervals or by continuous infusion. A total of 41 of more than 3,500 patients required chronic transfusion for pain control. Complications included meperidine-associated convulsions reported by nine respondents and addiction by six. This information indicates that vigorous pain-control methods are used at institutions having a special interest in providing medical care for children with sickle cell disease.


2008 ◽  
Vol 31 (5) ◽  
pp. 222 ◽  
Author(s):  
Malathi Raghavan ◽  
J Dean Sandham

Purpose: Despite international concerns about declining numbers of clinical researchers, the number of clinical researchers in Canada remains undocumented. Methods: The number and geographic distribution of clinical researchers in Canada and the scope of their research activities were estimated using, as an indicator, the data on clinical research projects funded by the Canadian Institutes for Health Research (CIHR). Results: Between fiscal years 1999-00 and 2006-07, 1,041 individual researchers—approximately 130 per year—were principal investigators (PIs) on clinical research grants. One hundred and 26 researchers received salary awards; 449 supervisors oversaw the clinical research activities of 230 fellows and 223 students with trainee awards. An additional 2,305 individuals served only as co-investigators on grants. Most (863 [83%]) PIs received funding for operating grants; 196 (19%) PIs received funding for randomized controlled trials. The institute of neurosciences, mental health and addiction funded the highest number of researchers (187 [18%] PIs, 40 [17%] fellows, and 73 [33%] students). Among provinces, Quebec led the nation with the highest number (45) of PIs per million population. Ontario had the highest number of clinical research fellows (10 per million population) while Quebec and Saskatchewan each hosted more students (11 per million). Conclusion: The number of Canadian investigators with funding for clinical research from CIHR was low. Although the ideal ratio of clinical to basic research capacity is not known, the possibility that the gap between laboratory-based research and clinical research is larger in Canada than in the United States is discussed.


ESMO Open ◽  
2020 ◽  
Vol 5 (3) ◽  
pp. e000662 ◽  
Author(s):  
Jose Luis Perez-Gracia ◽  
Ahmad Awada ◽  
Emiliano Calvo ◽  
Teresa Amaral ◽  
Hendrik-Tobias Arkenau ◽  
...  

During the last years, there has been a dramatic increase in the administrative and bureaucratic burden associated with clinical research, which has clearly had an impact on its overall efficiency and on the activity of clinical investigators and research teams. Indeed, the supervision of the adherence of clinical research to Good Clinical Practice (GCP) guidelines and legal regulations is of the utmost importance. Yet, while such regulations have remained largely unchanged during recent years, the number of administrative tasks and their complexity have grown markedly, as supported by the results of a survey performed among 940 clinical investigators that we report in this manuscript. Therefore, many investigators believe that it has become necessary to undertake a rigorous analysis of the causes and consequences of this issue, and to create a conduit to channel the advice from experienced investigators regarding clinical research procedures, in order to improve them. Based on these premises, ESMO has launched the ESMO Clinical Research Observatory (ECRO), a task force that will analyse different aspects of clinical research. ECRO will aim to provide the views of ESMO on clinical research procedures based on the feedback from clinical investigators, under complete adherence to the Declaration of Helsinki, the GCP guidelines and any other applicable legal regulations, while at the same time showing profound respect for all the stakeholders involved in clinical research. This manuscript provides the background and rationale for the creation of ECRO, its planned activity and an analysis of the current administrative burden in clinical research with recommendations to rationalise it. Indeed, we expect that this effort shall lead to a relevant improvement in the care of patients and in the development of clinical research.


2013 ◽  
Vol 20 (3) ◽  
pp. 22-27 ◽  
Author(s):  
Hannah Reay ◽  
Jackie Sears

2021 ◽  
Vol 18 (1) ◽  
pp. 59-78
Author(s):  
Jagad Aditya Dewantara ◽  
Efriani Efriani ◽  
La Ode Topo Jers ◽  
AdityWibowo Heru Prasetiyo ◽  
Sulistyarini Sulistyarini

Some peatland management cases, particularly in Kalimantan, cause serious environmental problems, especially in flammable land. Local people around the area are the first to receive the impacts. Therefore, peatland management needs to be prudent and requires sustainable environmental management. This study aims to find a model for peatland management carried out by the government and local communities through BUMDes program. According to the interview results and field observations, peatland management with a collaborative model between the government (state) and the local community in Rasau Jaya Village is found in the form of Maju Jaya Village-owned Enterprises (BUMDes). This research includes planning, utilization, management, and supervision of the peatland area. The government provides funds and legality, while the local communities carry out peatland utilization, management, and maintenance through mutual cooperation culture. In this study, peatland functions as a tourist attraction managed by the local community (ecotourism). Real implementation government collaboration with the local community has opened up new livelihoods for communities without undermining peatlands' ecological ecosystem.


2017 ◽  
Vol 1 (S1) ◽  
pp. 51-52
Author(s):  
Victoria Straughn ◽  
Erin Haynes ◽  
Emma Jones ◽  
Jacqueline Knapke

OBJECTIVES/SPECIFIC AIMS: The goal of this innovative course is to provide community members with sufficient information to either join or decline participation in clinical research. We anticipate that they will gain knowledge in why research is conducted, the ways participants are recruited, the history of research, regulations that guide research today, participant protections, understand the consent process, their risks and benefits of participating in clinical research. METHODS/STUDY POPULATION: We will recruit interested community members via flyers placed at the training location and at other local community centers and agencies that receive heavy foot traffic. The course is listed in the Communiversity catalogue which is distributed in hardcopy (over 30,000) and email each semester. The course will be taught by a longstanding community member and research coordinator at the University of Cincinnati. Each session will be highly interactive including videos, role-play, and discussion of the presented research topics. Evaluation will occur both pre and post-session, along with pre and post-course. RESULTS/ANTICIPATED RESULTS: We anticipate 20–30 participants at each of the 4 sessions. We anticipate that we will learn current perceptions of clinical research and barriers to their participation to enable improved research recruitment. In addition, we will gain new insights into clinical research needs of the community. DISCUSSION/SIGNIFICANCE OF IMPACT: Through these interactive sessions, we will learn why community members participate in research and their barriers to participating. Understanding the perception of research by the target community is critical when developing clinical research recruitment strategies. We will also be developing a more educated community towards clinical research. We will also gain great insight into new clinical research directions as indicated by community members.


2016 ◽  
Vol 11 (4) ◽  
pp. 166-175 ◽  
Author(s):  
Sanna-Maria Nurmi ◽  
Mari Kangasniemi ◽  
Arja Halkoaho ◽  
Anna-Maija Pietilä

Background Administrative staff, including principal investigators, administrative managers, and elected officials, have a crucial role in ensuring the ethical conduct of the clinical research that occurs in their organisations. However, only few studies have focused on their perspectives. Aim This study describes the ethical aspects of clinical research from the perspectives of the administrative staff at university hospitals in Finland. Methods Qualitative data were collected with semi-structured face-to-face interviews ( n = 31), and subjected to content analysis. Results Four core perspectives emerged: human subject autonomy and its acknowledgement in clinical practice, increased tension between the regulations and practice of clinical research, concerns about a changing research environment, and factors that promote ethical research conduct in hospitals. Conclusion Ethics always extends beyond the law. Therefore it is important to strengthen researchers’ ethical sensitivity through education. Furthermore, we should reinforce elements such as organisational culture, cooperation, and a workable research infrastructure that support good research ethics in hospitals.


Author(s):  
Bridget Dincher ◽  
Melissa McGrath ◽  
Julie Griffith

The purpose of this project was to provide a reflection on four students’ collaborative research experience implementing Constraint-Induced Aphasia Therapy and highlight the importance of student involvement in research opportunities. Guided reflections were completed and analyzed through a collaborative model to generate common themes of: 1) increased confidence in cuing and 2) adapting individualized treatment. Student engagement in clinical research enhances the quality of their educational experience by fostering clinical competence and confidence.


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