libxml-ruby 1.1.2-x86-mswin32-60 → 1.1.3-x86-mswin32-60
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- data/CHANGES +20 -0
- data/ext/libxml/build.log +4 -4
- data/ext/libxml/extconf.rb +278 -278
- data/ext/libxml/libxml.c +77 -77
- data/ext/libxml/ruby_xml.c +80 -42
- data/ext/libxml/ruby_xml.h +1 -0
- data/ext/libxml/ruby_xml_attr.c +352 -352
- data/ext/libxml/ruby_xml_attr_decl.c +1 -1
- data/ext/libxml/ruby_xml_attributes.c +3 -3
- data/ext/libxml/ruby_xml_cbg.c +86 -86
- data/ext/libxml/ruby_xml_document.c +936 -915
- data/ext/libxml/ruby_xml_dtd.c +1 -1
- data/ext/libxml/ruby_xml_error.c +5 -4
- data/ext/libxml/ruby_xml_html_parser_context.c +18 -0
- data/ext/libxml/ruby_xml_node.c +131 -177
- data/ext/libxml/ruby_xml_node.h +2 -3
- data/ext/libxml/ruby_xml_parser_context.c +32 -2
- data/ext/libxml/ruby_xml_version.h +3 -3
- data/ext/mingw/libxml_ruby.dll.a +0 -0
- data/ext/mingw/libxml_ruby.so +0 -0
- data/lib/libxml/node.rb +11 -0
- data/test/tc_document.rb +13 -2
- data/test/tc_dtd.rb +5 -4
- data/test/tc_node.rb +1 -1
- data/test/tc_node_edit.rb +28 -4
- data/test/tc_xml.rb +12 -0
- data/test/tc_xpath.rb +0 -10
- metadata +2 -3
- data/test/cro_events.html +0 -740
data/ext/libxml/ruby_xml_node.h
CHANGED
@@ -1,4 +1,4 @@
|
|
1
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-
/* $Id: ruby_xml_node.h
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1
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+
/* $Id: ruby_xml_node.h 850 2009-03-21 22:21:14Z cfis $ */
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2
2
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|
3
3
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/* Please see the LICENSE file for copyright and distribution information */
|
4
4
|
|
@@ -8,7 +8,6 @@
|
|
8
8
|
extern VALUE cXMLNode;
|
9
9
|
|
10
10
|
void rxml_init_node(void);
|
11
|
-
void
|
11
|
+
void rxml_node_mark(xmlNodePtr xnode);
|
12
12
|
VALUE rxml_node_wrap(xmlNodePtr xnode);
|
13
|
-
VALUE check_string_or_symbol(VALUE val);
|
14
13
|
#endif
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@@ -1,4 +1,4 @@
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|
1
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-
/* $Id: ruby_xml_parser_context.c
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1
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+
/* $Id: ruby_xml_parser_context.c 851 2009-03-21 22:21:36Z cfis $ */
|
2
2
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|
3
3
|
/* Please see the LICENSE file for copyright and distribution information */
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4
4
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|
@@ -55,6 +55,16 @@ static VALUE rxml_parser_context_document(VALUE klass, VALUE document)
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|
55
55
|
xmlDocDumpFormatMemoryEnc(xdoc, &buffer, &length, xdoc->encoding, 0);
|
56
56
|
|
57
57
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ctxt = xmlCreateDocParserCtxt(buffer);
|
58
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+
|
59
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+
if (!ctxt)
|
60
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+
rxml_raise(&xmlLastError);
|
61
|
+
|
62
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+
/* This is annoying, but xmlInitParserCtxt (called indirectly above) and
|
63
|
+
xmlCtxtUseOptionsInternal (called below) initialize slightly different
|
64
|
+
context options, in particular XML_PARSE_NODICT which xmlInitParserCtxt
|
65
|
+
sets to 0 and xmlCtxtUseOptionsInternal sets to 1. So we have to call both. */
|
66
|
+
xmlCtxtUseOptions(ctxt, rxml_libxml_default_options());
|
67
|
+
|
58
68
|
return rxml_parser_context_wrap(ctxt);
|
59
69
|
}
|
60
70
|
|
@@ -70,9 +80,16 @@ static VALUE rxml_parser_context_document(VALUE klass, VALUE document)
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|
70
80
|
static VALUE rxml_parser_context_file(VALUE klass, VALUE file)
|
71
81
|
{
|
72
82
|
xmlParserCtxtPtr ctxt = xmlCreateURLParserCtxt(StringValuePtr(file), 0);
|
83
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+
|
73
84
|
if (!ctxt)
|
74
85
|
rxml_raise(&xmlLastError);
|
75
86
|
|
87
|
+
/* This is annoying, but xmlInitParserCtxt (called indirectly above) and
|
88
|
+
xmlCtxtUseOptionsInternal (called below) initialize slightly different
|
89
|
+
context options, in particular XML_PARSE_NODICT which xmlInitParserCtxt
|
90
|
+
sets to 0 and xmlCtxtUseOptionsInternal sets to 1. So we have to call both. */
|
91
|
+
xmlCtxtUseOptions(ctxt, rxml_libxml_default_options());
|
92
|
+
|
76
93
|
return rxml_parser_context_wrap(ctxt);
|
77
94
|
}
|
78
95
|
|
@@ -95,10 +112,16 @@ static VALUE rxml_parser_context_string(VALUE klass, VALUE string)
|
|
95
112
|
|
96
113
|
ctxt = xmlCreateMemoryParserCtxt(StringValuePtr(string),
|
97
114
|
RSTRING_LEN(string));
|
98
|
-
|
115
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+
|
99
116
|
if (!ctxt)
|
100
117
|
rxml_raise(&xmlLastError);
|
101
118
|
|
119
|
+
/* This is annoying, but xmlInitParserCtxt (called indirectly above) and
|
120
|
+
xmlCtxtUseOptionsInternal (called below) initialize slightly different
|
121
|
+
context options, in particular XML_PARSE_NODICT which xmlInitParserCtxt
|
122
|
+
sets to 0 and xmlCtxtUseOptionsInternal sets to 1. So we have to call both. */
|
123
|
+
xmlCtxtUseOptions(ctxt, rxml_libxml_default_options());
|
124
|
+
|
102
125
|
return rxml_parser_context_wrap(ctxt);
|
103
126
|
}
|
104
127
|
|
@@ -125,12 +148,19 @@ static VALUE rxml_parser_context_io(VALUE klass, VALUE io)
|
|
125
148
|
(void*)io, XML_CHAR_ENCODING_NONE);
|
126
149
|
|
127
150
|
ctxt = xmlNewParserCtxt();
|
151
|
+
|
128
152
|
if (!ctxt)
|
129
153
|
{
|
130
154
|
xmlFreeParserInputBuffer(input);
|
131
155
|
rxml_raise(&xmlLastError);
|
132
156
|
}
|
133
157
|
|
158
|
+
/* This is annoying, but xmlInitParserCtxt (called indirectly above) and
|
159
|
+
xmlCtxtUseOptionsInternal (called below) initialize slightly different
|
160
|
+
context options, in particular XML_PARSE_NODICT which xmlInitParserCtxt
|
161
|
+
sets to 0 and xmlCtxtUseOptionsInternal sets to 1. So we have to call both. */
|
162
|
+
xmlCtxtUseOptions(ctxt, rxml_libxml_default_options());
|
163
|
+
|
134
164
|
stream = xmlNewIOInputStream(ctxt, input, XML_CHAR_ENCODING_NONE);
|
135
165
|
|
136
166
|
if (!stream)
|
@@ -1,9 +1,9 @@
|
|
1
1
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/* Don't nuke this block! It is used for automatically updating the
|
2
2
|
* versions below. VERSION = string formatting, VERNUM = numbered
|
3
3
|
* version for inline testing: increment both or none at all.*/
|
4
|
-
#define RUBY_LIBXML_VERSION "1.1.
|
5
|
-
#define RUBY_LIBXML_VERNUM
|
4
|
+
#define RUBY_LIBXML_VERSION "1.1.3"
|
5
|
+
#define RUBY_LIBXML_VERNUM 113
|
6
6
|
#define RUBY_LIBXML_VER_MAJ 1
|
7
7
|
#define RUBY_LIBXML_VER_MIN 1
|
8
|
-
#define RUBY_LIBXML_VER_MIC
|
8
|
+
#define RUBY_LIBXML_VER_MIC 3
|
9
9
|
#define RUBY_LIBXML_VER_PATCH 0
|
data/ext/mingw/libxml_ruby.dll.a
CHANGED
Binary file
|
data/ext/mingw/libxml_ruby.so
CHANGED
Binary file
|
data/lib/libxml/node.rb
CHANGED
@@ -312,6 +312,17 @@ module LibXML
|
|
312
312
|
self.to_s
|
313
313
|
end
|
314
314
|
|
315
|
+
# --- Deprecated DOM Manipulation ---
|
316
|
+
def child_add(node)
|
317
|
+
warn('Node#child_add is deprecated. Use Node#<< instead.')
|
318
|
+
self << node
|
319
|
+
end
|
320
|
+
|
321
|
+
def child=(node)
|
322
|
+
warn('Node#child= is deprecated. Use Node#<< instead.')
|
323
|
+
self << node
|
324
|
+
end
|
325
|
+
|
315
326
|
# --- Deprecated Namespaces ---
|
316
327
|
def namespace
|
317
328
|
warn('Node#namespace is deprecated. Use Node#namespaces instead.')
|
data/test/tc_document.rb
CHANGED
@@ -31,7 +31,7 @@ class TestDocument < Test::Unit::TestCase
|
|
31
31
|
}
|
32
32
|
end
|
33
33
|
|
34
|
-
def
|
34
|
+
def test_compression
|
35
35
|
if XML.enabled_zlib?
|
36
36
|
0.upto(9) do |i|
|
37
37
|
assert_equal(i, @doc.compression = i)
|
@@ -98,5 +98,16 @@ class TestDocument < Test::Unit::TestCase
|
|
98
98
|
xhtml_dtd = XML::Dtd.new "-//W3C//DTD XHTML 1.0 Transitional//EN", "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd", nil, doc, true
|
99
99
|
assert doc.xhtml?
|
100
100
|
end
|
101
|
-
|
101
|
+
|
102
|
+
def test_import_node
|
103
|
+
doc1 = XML::Parser.string('<nums><one></one></nums>').parse
|
104
|
+
doc2 = XML::Parser.string('<nums><two></two></nums>').parse
|
105
|
+
|
106
|
+
node = doc1.root.child
|
107
|
+
|
108
|
+
doc2.root << doc2.import(node)
|
109
|
+
|
110
|
+
assert_equal("<nums>\n <two/>\n <one/>\n</nums>",
|
111
|
+
doc2.root.to_s)
|
112
|
+
end
|
102
113
|
end
|
data/test/tc_dtd.rb
CHANGED
@@ -11,7 +11,7 @@ class TestDtd < Test::Unit::TestCase
|
|
11
11
|
EOS
|
12
12
|
@doc = xp.parse
|
13
13
|
end
|
14
|
-
|
14
|
+
|
15
15
|
def teardown
|
16
16
|
@doc = nil
|
17
17
|
end
|
@@ -41,7 +41,7 @@ class TestDtd < Test::Unit::TestCase
|
|
41
41
|
assert_equal "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd", xhtml_dtd.uri
|
42
42
|
assert_equal "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd", xhtml_dtd.system_id
|
43
43
|
end
|
44
|
-
|
44
|
+
|
45
45
|
def test_external_subset
|
46
46
|
xhtml_dtd = XML::Dtd.new "-//W3C//DTD XHTML 1.0 Transitional//EN", "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd", nil
|
47
47
|
assert xhtml_dtd.name.nil?
|
@@ -55,7 +55,7 @@ class TestDtd < Test::Unit::TestCase
|
|
55
55
|
assert_equal "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd", xhtml_dtd.uri
|
56
56
|
assert_equal "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd", xhtml_dtd.system_id
|
57
57
|
end
|
58
|
-
|
58
|
+
|
59
59
|
def test_valid
|
60
60
|
assert(@doc.validate(dtd))
|
61
61
|
end
|
@@ -104,7 +104,7 @@ class TestDtd < Test::Unit::TestCase
|
|
104
104
|
doc = XML::Parser.string(xml).parse
|
105
105
|
assert_equal(0, errors.length)
|
106
106
|
|
107
|
-
errors
|
107
|
+
errors.clear
|
108
108
|
XML.default_load_external_dtd = true
|
109
109
|
doc = XML::Parser.string(xml).parse
|
110
110
|
assert_equal(1, errors.length)
|
@@ -117,6 +117,7 @@ class TestDtd < Test::Unit::TestCase
|
|
117
117
|
assert_equal("Warning: failed to load external entity \"test.dtd\" at :1.",
|
118
118
|
errors[0].to_s)
|
119
119
|
ensure
|
120
|
+
XML.default_load_external_dtd = false
|
120
121
|
XML::Error.reset_handler
|
121
122
|
end
|
122
123
|
end
|
data/test/tc_node.rb
CHANGED
data/test/tc_node_edit.rb
CHANGED
@@ -10,19 +10,19 @@ class TestNodeEdit < Test::Unit::TestCase
|
|
10
10
|
def teardown
|
11
11
|
@doc = nil
|
12
12
|
end
|
13
|
-
|
13
|
+
|
14
14
|
def first_node
|
15
15
|
@doc.root.child
|
16
16
|
end
|
17
|
-
|
17
|
+
|
18
18
|
def second_node
|
19
19
|
first_node.next
|
20
20
|
end
|
21
|
-
|
21
|
+
|
22
22
|
def third_node
|
23
23
|
second_node.next
|
24
24
|
end
|
25
|
-
|
25
|
+
|
26
26
|
def test_add_next_01
|
27
27
|
first_node.next = XML::Node.new('num', 'one-and-a-half')
|
28
28
|
assert_equal('<test><num>one</num><num>one-and-a-half</num><num>two</num><num>three</num></test>',
|
@@ -97,6 +97,30 @@ class TestNodeEdit < Test::Unit::TestCase
|
|
97
97
|
@doc.root.to_s.gsub(/\n\s*/,''))
|
98
98
|
end
|
99
99
|
|
100
|
+
def test_append_existing_node
|
101
|
+
doc = XML::Parser.string('<top>a<bottom>b<one>first</one><two>second</two>c</bottom>d</top>').parse
|
102
|
+
node1 = doc.find_first('//two')
|
103
|
+
|
104
|
+
doc.root << node1
|
105
|
+
assert_equal('<top>a<bottom>b<one>first</one>c</bottom>d<two>second</two></top>',
|
106
|
+
doc.root.to_s)
|
107
|
+
end
|
108
|
+
|
109
|
+
def test_wrong_doc
|
110
|
+
doc1 = XML::Parser.string('<nums><one></one></nums>').parse
|
111
|
+
doc2 = XML::Parser.string('<nums><two></two></nums>').parse
|
112
|
+
|
113
|
+
node = doc1.root.child
|
114
|
+
|
115
|
+
error = assert_raise(XML::Error) do
|
116
|
+
doc2.root << node
|
117
|
+
end
|
118
|
+
|
119
|
+
assert_equal(' Nodes belong to different documents. You must first import the by calling XML::Document.import.',
|
120
|
+
error.to_s)
|
121
|
+
end
|
122
|
+
|
123
|
+
|
100
124
|
# This test is to verify that an earlier reported bug has been fixed
|
101
125
|
def test_merge
|
102
126
|
documents = []
|
data/test/tc_xml.rb
CHANGED
@@ -46,9 +46,11 @@ class TestXml < Test::Unit::TestCase
|
|
46
46
|
def test_default_keep_blanks
|
47
47
|
XML.default_keep_blanks = false
|
48
48
|
assert(!XML.default_keep_blanks)
|
49
|
+
assert_equal(XML::Parser::Options::NOBLANKS, XML.default_options)
|
49
50
|
|
50
51
|
XML.default_keep_blanks = true
|
51
52
|
assert(XML.default_keep_blanks)
|
53
|
+
assert_equal(0, XML.default_options)
|
52
54
|
|
53
55
|
XML.default_keep_blanks = false
|
54
56
|
assert(!XML.default_keep_blanks)
|
@@ -72,9 +74,11 @@ class TestXml < Test::Unit::TestCase
|
|
72
74
|
def test_default_substitute_entities
|
73
75
|
XML.default_substitute_entities = false
|
74
76
|
assert(!XML.default_substitute_entities)
|
77
|
+
assert_equal(0, XML.default_options)
|
75
78
|
|
76
79
|
XML.default_substitute_entities = true
|
77
80
|
assert(XML.default_substitute_entities)
|
81
|
+
assert_equal(XML::Parser::Options::NOENT, XML.default_options)
|
78
82
|
|
79
83
|
XML.default_substitute_entities = false
|
80
84
|
assert(!XML.default_substitute_entities)
|
@@ -97,9 +101,11 @@ class TestXml < Test::Unit::TestCase
|
|
97
101
|
def test_default_validity_checking
|
98
102
|
XML.default_validity_checking = false
|
99
103
|
assert(!XML.default_validity_checking)
|
104
|
+
assert_equal(0, XML.default_options)
|
100
105
|
|
101
106
|
XML.default_validity_checking = true
|
102
107
|
assert(XML.default_validity_checking)
|
108
|
+
assert_equal(XML::Parser::Options::DTDVALID, XML.default_options)
|
103
109
|
|
104
110
|
XML.default_validity_checking = false
|
105
111
|
assert(!XML.default_validity_checking)
|
@@ -108,9 +114,11 @@ class TestXml < Test::Unit::TestCase
|
|
108
114
|
def test_default_warnings
|
109
115
|
XML.default_warnings = false
|
110
116
|
assert(!XML.default_warnings)
|
117
|
+
assert_equal(XML::Parser::Options::NOWARNING, XML.default_options)
|
111
118
|
|
112
119
|
XML.default_warnings = true
|
113
120
|
assert(XML.default_warnings)
|
121
|
+
assert_equal(0, XML.default_options)
|
114
122
|
|
115
123
|
XML.default_warnings = false
|
116
124
|
assert(!XML.default_warnings)
|
@@ -209,4 +217,8 @@ class TestXml < Test::Unit::TestCase
|
|
209
217
|
def test_libxml_parser_features
|
210
218
|
assert_instance_of(Array, XML.features)
|
211
219
|
end
|
220
|
+
|
221
|
+
def test_default_options
|
222
|
+
assert_equal(0, XML.default_options)
|
223
|
+
end
|
212
224
|
end
|
data/test/tc_xpath.rb
CHANGED
@@ -163,16 +163,6 @@ class TestXPath < Test::Unit::TestCase
|
|
163
163
|
assert_equal('Envelope', nodes.first.name)
|
164
164
|
end
|
165
165
|
|
166
|
-
def foo
|
167
|
-
puts nodes.length
|
168
|
-
doc = nil
|
169
|
-
assert_equal(4, nodes.length)
|
170
|
-
GC.start
|
171
|
-
node = nodes.first
|
172
|
-
nodes = nil
|
173
|
-
GC.start
|
174
|
-
end
|
175
|
-
|
176
166
|
def test_xpath_namespace_nodes
|
177
167
|
doc = XML::Document.string('<feed xmlns="http://www.w3.org/2005/Atom" xmlns:xhtml="http://www.w3.org/1999/xhtml"><entry/></feed>')
|
178
168
|
nodes = doc.find('//atom:entry|namespace::*', :atom => "http://www.w3.org/2005/Atom")
|
metadata
CHANGED
@@ -1,7 +1,7 @@
|
|
1
1
|
--- !ruby/object:Gem::Specification
|
2
2
|
name: libxml-ruby
|
3
3
|
version: !ruby/object:Gem::Version
|
4
|
-
version: 1.1.
|
4
|
+
version: 1.1.3
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<h1>Innovation in a Reduced Cost and Enhanced Efficiency Environment</h1>
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<p>With the increasing cost of doing business and budget constraints, clinical
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professionals need to do more than ever before with less, while still increasing
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productivity and maintaining quality. Sponsors are operating with fewer resources
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and need to outsource more but must do so with less money. And with a high number
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of product failures, available dollars for outsourcing are being threatened
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– this being especially true in smaller companies. Due to the increase in outsourcing,
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CROs and Labs have a surplus of business right now and rate structures and pricing
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have risen because of this. To top it all off, ever-rising turnover for both
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sponsors and providers causes increased time and cost to complete studies. Centerwatch
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reports that 94% of projects run over either or both time and budget. How can
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we do better? </p>
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<p>How can CROs and Sponsors collaborate to reduce non-value added activities
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so that more and better resources can be directed to more important work?</p>
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<p>How is large pharma employing cost saving innovations internally as well
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as externally e.g. Flexible staffing from CROs for monitoring , data management,
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safety, off-shoring, etc</p>
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<p>How can suppliers be more proactive in creating new business models to reduce
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costs and maintain quality? </p>
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<p>Forecasting outsourcing demand and matching capacity increases with demand
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growth and managing that growth - better planning with more transparency allows
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partners to more effectively forecast the outsourcing demand and its impact
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on both parties</p>
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<p>Identifying and implementing operational efficiencies to contain cost and
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keep on timelines</p>
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</td>
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<h1>Wall Street’s 2009 Forecast and Analysis of Outsourcing Trends</h1>
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<p>Back by popular demand and with double the dedicated time, our Wall Street
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perspective offers an assessment of the outsourcing environment from 2008-2009
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as well as an outlook for the next few years. Our presenters each offer a brief
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commentary to kick off this very interactive session that welcomes audience
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questions and comments. Special focus is given to the following issues, with
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a</p>
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<p>Wall St and Private Equity view on:</p>
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<p>The CRO industry, summarizing 2008 financial trends</p>
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<p>Outlook for 2009 and beyond</p>
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<p>The issue of CRO consolidation and the trade-offs of being public vs. private,
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given the growing role of private equity finance</p>
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<p>Assessment of the pharmaceutical landscape and how it impacts CROs</p>
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<p>Other industry trends such as risk-sharing, etc.</p>
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<p>'</p>
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<h1>Defining and Managing Quality in Clinical Trials </h1>
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<p>Timelines to get drugs to market are being shortened, budgets are being decreased,
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and quality expectations are increasing. Most of outsourcing focus is on time,
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cost and scope but a major challenge is in the quality of the process and the
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major deliverables. There is no doubt quality is front of mind with drug companies
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and regulatory agencies alike. Though it must be conceded that many current
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practices were reactively triggered in response to quality problems, the future
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will require that quality management be more proactively and comprehensively
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integrated into study planning and execution. Quality must be considered not
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as something imposed upon us, but as something that helps us. But how does one
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go about defining quality, changing the mindset, specifying quality standards
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and managing a team to those standards? This session sets out to explore this
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key question and others including: </p>
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<p>How can quality be defined and measured? </p>
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<p>How do we manage the apparent contradiction between increasing quality and
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reducing cost? </p>
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<p>How can teams focus on quality while dealing with competing priorities on
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multiple studies they are managing?</p>
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<p>What skills/characteristics are needed for team leaders and team members
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(on both the Sponsor and Provider sides)?</p>
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<p>In a sourcing relationship who is primarily responsible for quality?</p>
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<p>How do partners work together to achieve quality goals?</p>
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<h1>Leading Virtual Teams Around the Globe</h1>
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<p>Companies are increasingly building teams, networks and groups that are working
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together virtually. </p>
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<p>How you manage and oversee outsourced work?</p>
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<p>How can we ensure regulations are being met with ex-US?</p>
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<p>Sourcing professionals and project managers need information on how to work
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with a virtual team with those sitting in other offices around the globe</p>
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<p>What does the future project manager/sourcing professional look like in today's
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complex trials?</p>
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<p>Are we providing team members with the right skills to work in these models?</p>
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<p>Having offices in global locations does not make you a "global company";
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how to harmonize teams for a global project</p>
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<h1>Standardization: The Holy Grail? The 2009 Update</h1>
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<p>A major frustration across the industry is the different methodologies for
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the operations, conduct and management of clinical trials, site recruitment
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and management, communications and performance, audit readiness (site and sponsor),
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clinical project management, and the use of metrics to manage studies and training
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of CTM personnel. The problem runs even deeper for small companies with less
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resources, infrastructure and tools. There is little to no consistency across
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companies which in turn affect costs dictated by service providers as they must
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work on different platforms. Can the pharma and CRO industries work together
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to inspire a new level of standardization? This lively panel is in follow up
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to last year's serious-minded out-of-the-box discussion on the formation of
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standards.</p>
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<h1>Developing Efficiencies Using a Central Lab & CRO Together</h1>
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<p>Pharmaceutical and biotech companies often independently select central lab
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and CRO suppliers. Considering the cross-industry tradition of achieving efficiencies
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in only two of the three project drivers, time – quality –cost, this session
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will present a case study of efficiencies realized in all three drivers when
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using a resource partner which provides both central lab and CRO services. Specifically
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discussed will be the unique efficiencies provided to the pharma client by the
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central lab and the CRO data vendor perform real-time date management via a
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proprietary connection. In addition, this session will highlight how resource
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partnerships are welcomed within a pharma company's support areas of finance
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and operations. </p>
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<h1>Ensuring Quality at the Sponsor, Site and CRO Levels </h1>
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<p></p>
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<p>Achieving quality in a highly regulated and scrutinized industry where time,
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patients, resources and sometimes funding are limited is a major challenge facing
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companies today. Choosing suppliers who deliver quality work, while following
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FDA and GCP guidelines, SOPs and monitoring plans and training to ensure personnel
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understand their responsibilities and are in compliance is at top of minds.
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This interactive discussion explores: </p>
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<p>How do you establish an appropriate quality standard? </p>
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<p>Is Quality Assurance/Management a standard part of your project team? </p>
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<p>Is quality management fee-for-service or the cost of doing business?</p>
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<p>Successfully partnering with CROs, labs, and sites to conduct efficient yet
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effective studies as quickly as possible and ensure data integrity</p>
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<p>Meeting regulatory expectations for quality and company expectations of timeliness
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and cost </p>
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<p>effectiveness</p>
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<p>Working with Project team and sites to educate sites on the importance of
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adhering to the Protocol</p>
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</td>
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<td valign="top">
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<h1>Successfully Applying Technology to Clinical Trials Across World Regions</h1>
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<p>Understand the application of technology in making traditional clinical research
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easier</p>
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<p>Identify cultural and infrastructural challenges</p>
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<p>Integrate modern technologies in developing nations</p>
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<p>Learn how to realistically integrate technology to local situations</p>
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<p>Manage technology globally at the site level</p>
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</td>
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<td valign="top">
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<h1>RFP Management & Contracting with CROs to Minimize Change Orders</h1>
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<p>What type of detail do CROs want in the RFP to help them get a better understanding
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of what is being outsourced?</p>
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<p>How to develop an RFP that allows the sponsor to compare like proposals while
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allowing the CRO to distinguish themselves and show creativity?</p>
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<p>Developing and creating contracts and RFPs that can be managed under metrics</p>
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<p>What type of information is useful to have in a proposal that is found lacking
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in the average CRO bid?</p>
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<p>The RFP and the budgeting process with government contracts</p>
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<p>RFP ethics – competitive underbidding with hidden change orders/equal sharing
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of information with all providers</p>
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<p>RFP process and budgeting for Big Pharma vs. smaller company </p>
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<p>Establishing the basis for paying sites</p>
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<p>Need for transparency in communication of the assumptions, responsibilities
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and budgeting process leads to more collaborative agreements</p>
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<h1>Early Sponsor/Supplier Team Collaboration for More Effective Design of Your
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Clinical Program </h1>
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<p>Large pharma companies are moving toward engagement on a strategic level
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in the early design and feasibility work by brining partners in early. As many
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are going into a new territory, whether geographic or therapeutic, with new
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molecules, they want the CRO input that much sooner. Smaller and mid size companies
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also want a more collaborative relationship with CROs because they don't have
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the throughput to gain the experience the CROs have and while there are large
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gaps in time between when they have to perform certain tasks, CROs are expected
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to keep up with regulations, etc. In addition, small companies want participation
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from CROs at time of RFP and appreciate the time, energy and thought put into
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proposals in addition to cost.</p>
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<p>Providing Sponsors with feedback based on experience and expertise versus
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making decisions on budgets </p>
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<p>Avoiding the 'cookie cutter' proposal</p>
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<p>Collaborating with suppliers in the planning stage to set the team up for
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success</p>
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</td>
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<td valign="top">
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<h1>Transforming Drug Development Outsourcing with a Virtual Model</h1>
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<p>Virtual companies essentially outsource every component of development. Historically,
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virtual companies have been comprised of only a handful of individuals (e.g.
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researchers who have come from larger companies) or venture capitalists. These
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new companies are being formed by those who are recognizing that the big pharma
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model is losing its sustainability, and so they move their ideas (brain trust)
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outside of the big company to start their own initiative. Now the model is beginning
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to move into a construct where there is a whole portfolio of products being
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managed virtually. As the industry aspires to a lower cost basis for drug development,
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CROs must find ways to accommodate this by having a real stake in the success
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of the client with risk-sharing models of rising interest. </p>
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<p>Is the rise of the Virtual Pharma business model a "fad" or a permanent change
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in the Pharma industry?</p>
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<p>Changing the mindset of those who have 'grown up' in big pharma to results
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driven vs. task driven</p>
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<p>Virtual pharma's expectation of the CRO</p>
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<p>CRO understanding of how the virtual model differs from traditional models
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and having an internal 'champion' looking out for the interests of the virtual
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pharma company</p>
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<p>Empowering CROs to drive the outcome of the outsourced work</p>
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<p>Lessons from virtual companies that can benefit big pharma</p>
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</td>
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<td valign="top">
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<h1>The Implications of Post-Marketing Requirements on the Future of Drug Development
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Partnerships </h1>
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<p>Post-marketing requirements (PMRs) required by FDA and other regulatory authorities
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are becoming more demanding and increasing in complexity. While the information
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ascertained by PMRs is crucial to expanding safety and efficacy information
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on the drug, they are not always adhered to. PRMs place a large burden on the
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R&D function already struggling to get new products launched and the cost of
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these added trials are great. While traditional Phase IV trials are done primarily
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for marketing purposes, FDA is now looking for signals in large scale studies
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for adverse events in real world situations. The parameters are not relative
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to Phase IV so companies can't use phase IV approach for PMRs. Instead, they
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are conducted by the same groups who do the initial pre-registration work. What
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is the best approach to get the work done effectively? Sponsors are looking
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to CROs to provide solutions, but many are still presenting their Phase IV teams
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for these demanding trials. What used to be the exception is increasingly becoming
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the rule for new drug approvals and the FDA will now have the ability to impose
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financial penalties on pharma companies who do not comply. This development
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is critical to the Pharma/CRO relationship as the CRO must be on board with
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the time commitments and deliverables.</p>
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<p>Managing post approval studies - what is the best approach with inherent
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regulatory uncertainty?</p>
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<p>Learning to perform these studies efficiently as the cost of these programs
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can exceed the cost of the drug registration program </p>
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<p>From a sourcing perspective, how do niche providers and CROs collectively
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work on this to support the PMR effort?</p>
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<p>Europe and other countries are also requiring more post-approval commitments
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– how are companies preparing?</p>
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</td>
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<td valign="top">
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<h1>Approaches to Address the Impact of Increasingly Complex Clinical Trials
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</h1>
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<p>Increasingly complex clinical trial protocols demand more of investigative
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sites and study volunteers, leading to longer cycle times, more AEs and increasing
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difficulty in recruiting and retaining patients, according to research by Tufts
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CSDD. Combining the influx of less experienced investigators from emerging markets
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and increasing churn among 'established' investigators with not only an increase
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in the number of trials but also an increase in their complexity opens up a
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major grey zone for clinical trial quality. What are some of the pragmatic approaches
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to overcome these challenges? This session explores the answers and sets the
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stage for introducing a proactive approach to predict and prevent protocol violations,
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both from a drug development service provider perspective, and from a site/investigator
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perspective. Key clinical trial success factors to be discussed include:</p>
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<p>Successfully leveraging emerging market investigators who may be less experienced
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for trials that are becoming more complex and demanding</p>
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<p>Architecting a site management plan that promotes primary data quality and
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consistency yet allows flexibility based on country-specific differences</p>
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<p>Best practice for investigators to absorb a clinical trial into regular site
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operations</p>
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<p>Reducing non-core activities to free up resources to focus on their key responsibilities</p>
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</td>
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<td valign="top">
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<h1>Developing Scope of Work for Solid Project Foundation and Minimal Project
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Setbacks</h1>
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<p>A solid scope provides the best project foundation and minimizes both the
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likelihood and impact of project upsets. </p>
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<p>Ripple effect beyond the contracting phase</p>
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<p>Avoiding costly change orders due to hurried or misinterpreted scopes</p>
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<p>Developing the scope with your partner leads to a well defined scope and
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strong foundation for success</p>
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<p>Proposal development as an exercise in collaborative solution seeking to
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develop a mutually agreeable and achievable plan</p>
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</td>
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</tr>
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<tr>
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<td valign="top">
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<h1>Shared Risk: Getting Beyond the Sponsor/Vendor Paradigm </h1>
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<p></p>
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<p>Trust can not be built on transactional relationships. It is built on transparency
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and commitments between companies where relationship management is blended with
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a very candid understanding of business interests for both CROs and Sponsors.
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When Sponsors and CROs do not share the same end goal (e.g. regulatory approval)
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or the same risks how can their interests be aligned? Would pharma companies
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be willing to put in significant incentives, monetary or otherwise, tied to
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approval if the CRO is charged with running a registration trial? Are Sponsors
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adept at identifying the risks appropriate to transfer to CROs? Are CROs prepared
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to take the risk burden or is it a gamble?</p>
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<p>Developing and maintaining relationships: sharing and understanding your
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partners' interests, and fostering a commitment to share risks</p>
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<p>Constructing an agreement that fosters shared risk and demonstrates a commitment
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to partnership</p>
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<p>How do you get to this level of trust with your supplier? </p>
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<p>KPIs for relationship building and performance management</p>
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</td>
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<td valign="top">
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<h1>Creating Collaborative Partnerships for Strategic Outsourcing, Forecasting
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and Decision Making</h1>
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<p>Otsuka Pharmaceutical Development and Commercialization (OPDC) has embarked
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on an ambitious plan to create collaborative partnerships with a very few CROs.
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This strategy includes a staffing forecasting model that allows Otsuka to forecast
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internal, outsource and outsource-management requirements and a risk reduction
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methodology for ensuring better project performance. This talk will focus on
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the research that led us to take this path, the approach we have used to select
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an initial partner and the relationship that we have built. Learn about OPDC's:</p>
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<p>Implementation and Methodology</p>
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<p>Supplier selection process</p>
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<p>Staffing model to forecast sponsor and partner needs based on the pipeline</p>
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</td>
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<td valign="top">
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<h1>Fulfilling Post-Marketing Requirements Utilizing Endpoint Trials</h1>
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<p>Post-Marketing Requirements are being imposed with greater frequency by the
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FDA and other regulating agencies, in many cases, to obtain additional safety
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data in a long-term or niche population. The more commercially-oriented Phase
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IV studies of the past are no longer sufficient to fulfill the scientific rigor
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required in the current regulatory environment. Endpoint point trials as a means
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of fulfilling these obligations are becoming more common, allowing evaluation
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of a treatment on mortality or major morbidity within a disease entity. There
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are challenges associated with the implementation of endpoint trials which require
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close collaboration to ensure the quality and consistency of the safety data
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collected. In this session, the following points will be discussed:</p>
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<p>What are the advantages of utilizing an endpoint trial to fulfill post-marketing
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commitments?</p>
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<p>What are the some of the challenges faced in designing and executing endpoint
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trials? And how can Sponsors and CROs effectively collaborate to overcome these
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challenges?</p>
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<p>What strategies have proven successful in implementing endpoint trials?</p>
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</td>
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<td valign="top">
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332
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<h1>Clinical Trials: What Does Global Mean to You?</h1>
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<p>The first step in working with a global provider is analyzing whether working
|
334
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with one makes sense for your project. Once you've examined the criteria around
|
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your project's needs, you must carefully investigate the growing range of providers
|
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-
offering global service. There are many CROs claiming to be global, but what
|
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constitutes this?</p>
|
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-
<p>How many studies?</p>
|
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-
<p>How do you identify the right partner on a regional basis?</p>
|
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-
<p>How do you best evaluate your needs as a sponsor?</p>
|
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<p>How much of the global CRO staff belongs to a "partnering CRO"?</p>
|
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<p>If the partners become financially unstable, what recourse is there for the
|
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sponsor?</p>
|
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-
<p>Who manages the partners? Should the sponsor have to cover management fees
|
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for the primary CRO to manage/interact with their partners?</p>
|
346
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<p>Are CROs always up front about their global capabilities?</p>
|
347
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-
<p>Even though the "global" CRO carries the contractual relationship with their
|
348
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partner, do they take and hold responsibility for performance?</p>
|
349
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-
<p>What due diligence is expected from the sponsor of these partners? Should
|
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-
the primary CRO hold the responsibility? How will the regulators view this?</p>
|
351
|
-
</td>
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<td valign="top">
|
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-
<h1>Supplier Identification and Selection</h1>
|
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<p>Using RFIs, vendor days, and capability presentations to identify service
|
355
|
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provider options</p>
|
356
|
-
<p>Developing a vendor assessment and selection process</p>
|
357
|
-
<p>RFPs, bid grids, scorecards, bid defenses, and more</p>
|
358
|
-
<p>Successes/challenges of working with a functional outsourcing model</p>
|
359
|
-
<p>Necessary time and skill set to partner with new CROs that are a good fi
|
360
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t and provide what is expected without a</p>
|
361
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-
<p>number of change orders</p>
|
362
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<p>Selecting suppliers that really will do what the BD sales people promise</p>
|
363
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-
</td>
|
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-
</tr>
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<tr>
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<td valign="top">
|
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|
-
<h1>Streamlining the Outsourcing Process and Minimizing Internal Resources through
|
368
|
-
the Use of External Provider Management Teams</h1>
|
369
|
-
<p>In order to streamline the outsourcing process and the delivery of clinical
|
370
|
-
trials, AstraZeneca created External Provider Management Teams (EPMTs). EPMTs
|
371
|
-
are delivery teams comprised of a limited number of AstraZeneca and CRO members
|
372
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-
who direct CRO study teams to deliver a portfolio of studies. One external partner
|
373
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-
was selected to work with each therapy area EPMT to deliver all the outsourced
|
374
|
-
work within that area. While still in the early stages, the model has already
|
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-
provided substantial internal resource savings. This panel discussion will take
|
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you through the model and its current, as well as future, expected benefits.</p>
|
377
|
-
<p>No more RFPs!</p>
|
378
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<p>Save internal resources</p>
|
379
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-
<p>One outsourcing model</p>
|
380
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<p>Increase partnerships </p>
|
381
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<p>with external providers</p>
|
382
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<p>Maximize synergies and improved quality</p>
|
383
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</td>
|
384
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<td valign="top">
|
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|
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<h1>Creating a Competitive Advantage through Sourcing</h1>
|
386
|
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<p>The speaker will share his personal insights on how Sourcing can be a catalyst
|
387
|
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for driving transformational performance that can be seen and measured by the
|
388
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business. He will discuss how Sourcing professionals can increase their sphere
|
389
|
-
of influence within the businesses they service to enable change, how to gain
|
390
|
-
the endorsement of their business leaders, and important components of delivering
|
391
|
-
a successful outcome.</p>
|
392
|
-
<p>What is an SME</p>
|
393
|
-
<p>How collaboration makes the difference</p>
|
394
|
-
<p>Seizing the opportunity</p>
|
395
|
-
<p>Insuring a successful outcome</p>
|
396
|
-
</td>
|
397
|
-
<td valign="top">
|
398
|
-
<h1>Assuring Project Excellence through Quality Metrics Management</h1>
|
399
|
-
<p>At Paragon, we meet and exceed the expectations of our clients by focusing
|
400
|
-
on project excellence in all areas of service. To support our focus on project
|
401
|
-
excellence, we have adopted a global metrics management approach that allows
|
402
|
-
us to proactively identify potential problems and anticipate the need to develop
|
403
|
-
strategic management plans to assure project success. In this session we will
|
404
|
-
walk through our comprehensive approach to metrics management, share our Project
|
405
|
-
Management Dashboard and discuss how metrics can benefit you and provide you
|
406
|
-
peace of mind. </p>
|
407
|
-
<p>Defining metrics for a global project</p>
|
408
|
-
<p>Standardizing metrics tracking and reporting</p>
|
409
|
-
<p>Metrics tools: Project Management Dashboard </p>
|
410
|
-
<p>-Philosophy and Thresholds</p>
|
411
|
-
<p>Metrics management </p>
|
412
|
-
<p>-The Monthly Project Review</p>
|
413
|
-
<p>-Issue escalation</p>
|
414
|
-
<p>The benefit to you, the Sponsor</p>
|
415
|
-
<p>-Early detection of potential issues</p>
|
416
|
-
<p>-Proactive strategic planning to avoid project execution failures </p>
|
417
|
-
<p>-Identification of process inefficiencies</p>
|
418
|
-
<p>-Peace of mind</p>
|
419
|
-
</td>
|
420
|
-
<td valign="top">
|
421
|
-
<h1>Optimizing Science and Project Management to Minimize the Impact of Regulations,
|
422
|
-
Logistical Concerns and Economics on Managing Chinese Specimens in Global Trials</h1>
|
423
|
-
<p>Harnessing the right resources to balance the needs of global trials and
|
424
|
-
mitigate the pitfalls of Chinese specimen management: This session explores
|
425
|
-
the scientific and management issues that are often overlooked when sourcing
|
426
|
-
global trials that include Chinese specimens. The importance of ensuring strong
|
427
|
-
management and scientific methodologies is critical for success and Quality,
|
428
|
-
On-Time. Key factors for consideration are establishing clear understanding
|
429
|
-
of the regulatory and cultural environment, ease of management through a central
|
430
|
-
lab and oversight through a single global point of contact. This session will
|
431
|
-
explore the science, technologies and program management methodologies to maximize
|
432
|
-
the benefit and mitigate the pitfalls of conducting trials in China.</p>
|
433
|
-
<p>Chinese specimen & Regulatory roadblocks that impact global studies</p>
|
434
|
-
<p>Incorporating biomarker data to optimize study scientific investment</p>
|
435
|
-
<p>Harmonizing program management on global trials to avoid regional requirement
|
436
|
-
conflicts</p>
|
437
|
-
</td>
|
438
|
-
<td valign="top">
|
439
|
-
<h1>Impact of Global Currency Fluctuation on Project Budgets: Who Holds the
|
440
|
-
Risk?</h1>
|
441
|
-
<p>Global currency fluctuation has become an increasing challenge as more and
|
442
|
-
more trials are conducted outside the United States which impacts charge rates
|
443
|
-
regionally and daily. Multi-year contracts are becoming unwieldy, and R&D Finance
|
444
|
-
has added the management of the fluctuations to its already full load of responsibilities.</p>
|
445
|
-
<p>History and implications of currency fluctuations</p>
|
446
|
-
<p>What happens when a once-cost effective country becomes more expensive?
|
447
|
-
</p>
|
448
|
-
<p>How currency fluctuations are being managed </p>
|
449
|
-
<p>Operationalizing a plan to address this challenge </p>
|
450
|
-
<p>Overcoming any distrust between sponsor and provider caused by fluctuations
|
451
|
-
</p>
|
452
|
-
<p>What is in scope for consideration as a currency risk </p>
|
453
|
-
<p>Things to consider and "what if " scenarios </p>
|
454
|
-
<p>Who is at risk? </p>
|
455
|
-
<p>Strategies for managing risk: To hedge or not to hedge </p>
|
456
|
-
<p>How is VAT managed/payment and reimbursement?</p>
|
457
|
-
</td>
|
458
|
-
</tr>
|
459
|
-
</table>
|
460
|
-
<p><span></span></p>
|
461
|
-
<table border="1" cellpadding="0" cellspacing="0" summary="layout table">
|
462
|
-
<tr>
|
463
|
-
<td valign="top">
|
464
|
-
<h1>Adapting to Constant Change: How Partners are Working Through the Organizational
|
465
|
-
Stages </h1>
|
466
|
-
<p>Changes are more dramatic than ever before in today's pharmaceutical industry
|
467
|
-
with layoffs impacting resources and mergers effecting increased competition
|
468
|
-
and long periods of inactivity. The trickle down delay to CROs is frightening.
|
469
|
-
From a business development perspective dealing with change management as the
|
470
|
-
industry deals with ever increasing pressures on trial design, timelines and
|
471
|
-
budgets can be frustrating and costly when a study is delayed or cancelled,
|
472
|
-
or when new management comes in changing strategy and objectives. As Sponsors
|
473
|
-
increasingly share more responsibility with CRO partners and have less time/resources
|
474
|
-
for oversight, how are companies dealing with the changes that ensue? </p>
|
475
|
-
<p>Changing doers into managers - How providers need to change to respond to
|
476
|
-
this</p>
|
477
|
-
<p>Risk tolerance providers must bear in an uncertain environment </p>
|
478
|
-
<p>IP, manpower, time management </p>
|
479
|
-
<p>Dealing with sometimes inexperienced or difficult teams on both sides</p>
|
480
|
-
</td>
|
481
|
-
<td valign="top">
|
482
|
-
<h1>Evolving the Key Strategies of Clinical Development Sourcing -- Current
|
483
|
-
and</h1>
|
484
|
-
<h1>Future Direction</h1>
|
485
|
-
<p>Our presenters discuss ÉLAN and the alliance model resourcing strategy, including:</p>
|
486
|
-
<p>Decision point/ROI to move to this model from a clinical development strategy
|
487
|
-
perspective</p>
|
488
|
-
<p>Applying operational learnings from large to mid-size organizational strategies</p>
|
489
|
-
<p>Adoption curve to newer strategic resourcing directions</p>
|
490
|
-
<p>Measuring operational success and continuous opportunities</p>
|
491
|
-
<p>Governance and operating model with RPS</p>
|
492
|
-
</td>
|
493
|
-
<td valign="top">
|
494
|
-
<h1>Adaptive Clinical Trials: Innovations in Trial Design and Management</h1>
|
495
|
-
<p>With pharmaceutical companies facing the increasing challenge of diminishing
|
496
|
-
pipelines, drug developers are always looking for new methods to shave time
|
497
|
-
off of discovering and developing new molecules. Tools such as adaptive trial
|
498
|
-
designs allow clinicians the ability to "fail faster." This is accomplished
|
499
|
-
by utilizing accumulating data to direct potential modifications to the trial
|
500
|
-
as it progresses, while at the same time keeping the validity and integrity
|
501
|
-
of the study in tact. In addition to cost and time savings, adaptive trials
|
502
|
-
require fewer patients – a distinct benefit as patient enrollment is an ongoing
|
503
|
-
obstacle to speedy trial management. Planning and executing these trials, however,
|
504
|
-
can be much more intricate than traditional trial approaches and teams from
|
505
|
-
clinical operations and trial management, data management, statistics and must
|
506
|
-
align early in the process and work together judiciously for proper study conduct.</p>
|
507
|
-
<p>Discuss the advantages and disadvantages of adaptive designs</p>
|
508
|
-
<p>Learn how sponsors and suppliers are effectively collaborating on adaptive
|
509
|
-
trials</p>
|
510
|
-
<p>Understand the regulatory nuances of these special designs</p>
|
511
|
-
</td>
|
512
|
-
<td valign="top">
|
513
|
-
<h1>Outsourcing Clinical Trials in Emerging Regions</h1>
|
514
|
-
<h1>I. Outsourcing Clinical Trials in India and China</h1>
|
515
|
-
<p>Off shoring clinical trials to emerging markets around the world is receiving
|
516
|
-
increasing attention as a very attractive alternative in the clinical development
|
517
|
-
process. Do clinical research capabilities comparable to the US in terms of
|
518
|
-
sophistication and FDA-compliance exist anywhere else in the world? And if they
|
519
|
-
do, are they ready to handle the marked increase in demand from the US? Our
|
520
|
-
panelists discuss in detail the demographics, challenges and opportunities,
|
521
|
-
expertise of individual countries and the opportunities to optimize project
|
522
|
-
budgets and reduce development time and regulations with global implications
|
523
|
-
including:</p>
|
524
|
-
<p>How cost control and investor expectations is leading to increased off-shoring
|
525
|
-
opportunities</p>
|
526
|
-
<p>Understanding regulatory and operating environment of emerging markets as
|
527
|
-
well as cultural intricacies and how</p>
|
528
|
-
<p>to place and execute clinical trials there</p>
|
529
|
-
<p>How to offshore a project in such a manner that the work is seamless to the
|
530
|
-
end user, i.e. the offshored partner performs the work in the same manner as
|
531
|
-
an internal colleague</p>
|
532
|
-
<p>Complexity of protocols vis-a-vis emerging country capabilities / infrastructure
|
533
|
-
</p>
|
534
|
-
<p>Coordination of projects across multiple companies on a global basis</p>
|
535
|
-
<p>Must-have contractual requirements for commonly used international countries</p>
|
536
|
-
<p>Managing multi-national projects with fluctuating timelines (enrollment,
|
537
|
-
government regulations, IRB approvals, etc).</p>
|
538
|
-
<p>Global integration of data, processes and cultures</p>
|
539
|
-
<p>Utilization of low cost countries with available subject populations and
|
540
|
-
GCP trained investigators</p>
|
541
|
-
<p>Ethical considerations in deciding on trial placement</p>
|
542
|
-
</td>
|
543
|
-
<td valign="top">
|
544
|
-
<h1>The Functional Service Provider Model: Exploring the Challenges and Benefits</h1>
|
545
|
-
<p>As sponsor companies continue to feel the effects of increased performance
|
546
|
-
pressures with flat or negative headcount growth, loss of exclusivity with fewer
|
547
|
-
revenue replacement prospects, tightened regulatory environs with increasing
|
548
|
-
scrutiny of obligations, and more intense cost containment demands, alternative
|
549
|
-
sourcing paradigms are becoming the norm and no longer the exception. Specifically,
|
550
|
-
the Functional Service Provider model of outsourcing has continued to grow in
|
551
|
-
primarily large biopharmaceutical companies; however, mid and even small companies
|
552
|
-
are looking toward the FSP model as a way to respond to the changing development
|
553
|
-
environment. This session will focus on functional approaches seen in practice
|
554
|
-
and in theory to present for discussion the value platform proposed by this
|
555
|
-
model. From highly transactional, commodity-like services to the value-add hybrid
|
556
|
-
approach, the panel will seek to engage the audience to debate the challenges
|
557
|
-
and benefits in the FSP paradigm.</p>
|
558
|
-
</td>
|
559
|
-
</tr>
|
560
|
-
</table>
|
561
|
-
<table summary="layout table">
|
562
|
-
<tr>
|
563
|
-
<td valign="top">
|
564
|
-
<h1>Small BioPharma Partnerships: Challenges and Opportunities for Transactional
|
565
|
-
vs. Strategic Approaches</h1>
|
566
|
-
<p>Small pharma and biotech companies tend to bring in partners very early to
|
567
|
-
discuss development and often gravitate to biggest most global CROs who can
|
568
|
-
run the entire study. Is this the best operational choice? Small company clinical
|
569
|
-
operations look to the project manager at the CRO to be their virtual internal
|
570
|
-
clinical leader but CROs are not all set up to engage in this way. Many small
|
571
|
-
companies do not have the pipeline to engage in strategic relationships, and
|
572
|
-
must be transactional, but how do those companies get attention from a large
|
573
|
-
CRO? The issues are the same as those at Big Pharma, but large companies have
|
574
|
-
different perspectives and engage CROs on multiple strategic levels (feasibility,
|
575
|
-
expertise). Who is the person at the supplier who will advocate to their senior
|
576
|
-
management for your organization when things go wrong? How have small and mid-size
|
577
|
-
pharma/biotech partnered for success as they have more to lose if a trial and/or
|
578
|
-
provider relationship does not go well due to poor planning, miscommunication,
|
579
|
-
etc? When strategic outsourcing/partnerships don't resonate with small companies,
|
580
|
-
sponsors and suppliers must have a meeting of the minds on the challenges that
|
581
|
-
small companies face on a tactical level. </p>
|
582
|
-
<p>How emerging Biotechs have managed to stay top of mind when working with
|
583
|
-
a large CRO </p>
|
584
|
-
<p>What are the benefits and challenges of working with a smaller CRO? Or multiple
|
585
|
-
CROs (e.g. network of small regional CROs rather than one large global one)?</p>
|
586
|
-
<p>Is there any one right model or does it depend on what phase you're working
|
587
|
-
in?</p>
|
588
|
-
<p>How does the CRO get the right team to its clients?</p>
|
589
|
-
<p>How are CROs staffing their organizations to deliver to smaller companies?</p>
|
590
|
-
<p>What technology and infrastructure is needed among parties?</p>
|
591
|
-
</td>
|
592
|
-
<td valign="top">
|
593
|
-
<h1>How Do Mergers, Acquisitions and Licensing Impact Outsourcing Decisions
|
594
|
-
and the Role of the CRO?</h1>
|
595
|
-
<p>With so many Big Pharmas working within M&As and constantly changing portfolios,
|
596
|
-
mid-size companies no longer developing their own compounds but acquiring them
|
597
|
-
instead, and small companies seeking only enough drug registrations so that
|
598
|
-
another company can buy them out, there is a change in the business we need
|
599
|
-
to respond to which opens the door for thinking about sourcing differently.
|
600
|
-
The lack of history and emotional attachment which comes with acquired compounds
|
601
|
-
affords the opportunity for culture change. No matter what size company however,
|
602
|
-
for successful development, partners need to understand what the ultimate goal
|
603
|
-
is.</p>
|
604
|
-
<p>What can Big Pharma learn from small companies?</p>
|
605
|
-
<p>What is the role of the CRO is helping a sponsor develop a compound that
|
606
|
-
has been acquired or licensed?</p>
|
607
|
-
<p>After the service provider is chosen, how do you build trust – when in the
|
608
|
-
process of selecting, how much info are companies willing to provide and share
|
609
|
-
so they can collectively make a good decision?</p>
|
610
|
-
<p>How do IP and commercial implications factor in for more sophisticated portfolios
|
611
|
-
rather than simply a virtual company with one compound?</p>
|
612
|
-
<p>In the case of M&A, what happens to the Suppliers working with the company
|
613
|
-
being acquired? Does it affect their position/relationship with the company?
|
614
|
-
Does the company keep them informed about their status as the</p>
|
615
|
-
<p>event progresses? Are they in a more secondary role?</p>
|
616
|
-
<p>What if the M&A is on the CRO side?</p>
|
617
|
-
</td>
|
618
|
-
<td valign="top">
|
619
|
-
<h1>What Does FDA Expect Regarding Quality Oversight of Third Parties?</h1>
|
620
|
-
<p>Outsourcing of clinical research activities is increasingly common in FDA-regulated
|
621
|
-
medical product development.</p>
|
622
|
-
<p>Last year, Frost & Sullivan calculated that drug and biotech companies spent
|
623
|
-
$57 billion on outsourcing; contract research organizations (CROs) got almost
|
624
|
-
30 percent, or $17 billion. U.S. companies in particular outsourced 40 percent
|
625
|
-
of their clinical trials and that's expected to rise to 65 percent by 2013.
|
626
|
-
As a result, FDA has seen the emergence of an alarming trend regarding the submission
|
627
|
-
of unreliable clinical research data to the agency. Therefore, FDA's medical
|
628
|
-
device center began analyzing this trend and found some common threads that
|
629
|
-
lead to these unwanted situations. This presentation will uncover some of those
|
630
|
-
warning signals and outline methods employed by industry to mitigate their occurrence.</p>
|
631
|
-
</td>
|
632
|
-
<td valign="top">
|
633
|
-
<h1>II. Outsourcing Clinical Trials in Latin America</h1>
|
634
|
-
</td>
|
635
|
-
<td valign="top">
|
636
|
-
<h1>Educating Procurement and Outsourcing: How a Better Domain Knowledge Makes
|
637
|
-
Your Job Easier and More Effective</h1>
|
638
|
-
<p>Biomarkers is an innovative new tool that clinical operations and study management
|
639
|
-
teams are increasingly utilizing which afford them the ability to cut down on
|
640
|
-
costs and resources and make faster decisions within the overall drug development
|
641
|
-
programs for clinical trial endpoints and timelines. In many cases, however,
|
642
|
-
outsourcing/procurement professionals may not fully understand the use of such
|
643
|
-
procedures/services: 1) why they are necessary and being utilized within drug
|
644
|
-
development programs, 2) how the primary endpoints of a trial are enhanced by
|
645
|
-
their use, 3) what the Procedure/test/service/analysis actually is, and 4) the
|
646
|
-
variety of services that exist. As the first and sometimes only contact reaching
|
647
|
-
out to vendors, the education on the use of biomarkers and the impact they have
|
648
|
-
on the clinical trial progression and deliverables is crucial to having Sponsors
|
649
|
-
bulk up their knowledge of what's out there to better support their respective,
|
650
|
-
internal study management teams across all phases of trials. </p>
|
651
|
-
<p>Our speakers address:</p>
|
652
|
-
<p>Ramping up for increasing internal customers' request for Purchasing and
|
653
|
-
Outsourcing assistance in this area of biomarkers</p>
|
654
|
-
<p>Understanding and overcoming opposing needs; clinical operations' pursuit
|
655
|
-
of speed and quality vs. purchasing's directive to save money vs outsourcing's
|
656
|
-
requirement of consistency of performance and quality deliverables.</p>
|
657
|
-
<p>Understanding why certain services and capabilities exist and how these fit
|
658
|
-
or are necessary within clinical trial work and the drug development process</p>
|
659
|
-
<p>Building and maintaining alliances and relationships with internal stakeholders
|
660
|
-
and external service providers so you are in communication and with current
|
661
|
-
knowledge all the time</p>
|
662
|
-
<p>Becoming more proactive in anticipating and meeting clinical research needs
|
663
|
-
and the needs of the trial's and/or</p>
|
664
|
-
<p>program's needs</p>
|
665
|
-
</td>
|
666
|
-
</tr>
|
667
|
-
<tr>
|
668
|
-
<td valign="top">
|
669
|
-
<p>OPEN SESSION</p>
|
670
|
-
</td>
|
671
|
-
<td valign="top">
|
672
|
-
<h1>ACADEMIC OVERVIE W: "Sourcing 2015: Projecting Sponsor-CRO Relationships
|
673
|
-
of the Future"</h1>
|
674
|
-
<p>Biopharmaceutical R&D outsourcing is poised to change dramatically over the
|
675
|
-
next decade as sponsor companies look for additional capacity, standardization
|
676
|
-
and efficiency, and higher levels of infrastructure utilization. This session
|
677
|
-
looks at macroeconomic trends, strategies and practices as well as analogies
|
678
|
-
drawn from other R&D intensive industries to project where sponsor-CRO relationships
|
679
|
-
are headed. Particular emphasis will be placed on relationship models and their
|
680
|
-
implications for small, medium and large biopharmaceutical companies. </p>
|
681
|
-
<p>Review major trends impacting outsourcing relationships in biopharmaceutical
|
682
|
-
R&D</p>
|
683
|
-
<p>Project changes in discovery, preclinical, early clinical and later stage
|
684
|
-
clinical outsourcing</p>
|
685
|
-
<p>Discuss outsourcing strategies and practices in similar R&D intensive industries</p>
|
686
|
-
<p>Apply implications from outsourcing analogies</p>
|
687
|
-
</td>
|
688
|
-
<td valign="top">
|
689
|
-
<h1>Patient Recruitment: Understanding Internet Health Seekers and Why an Online
|
690
|
-
Strategy is Important</h1>
|
691
|
-
<p>Over 90% of clinical trials miss deadlines. Slow enrollment continues to
|
692
|
-
be a leading cause of study delays. Slow enrollment costs sponsors hundreds
|
693
|
-
of thousands of additional dollars every day. There are many factors and trends
|
694
|
-
impacting clinical trial recruitment including niche product development, competing
|
695
|
-
studies and protocol complexity.</p>
|
696
|
-
<p>To meet current and future enrollment needs, organizations need to expand
|
697
|
-
their strategies and reach out to a rapidly growing Internet health seeker audience.
|
698
|
-
Internet health searches are growing at three times the rate of the Internet.
|
699
|
-
More than 66% of users have searched online for health information and 33% search
|
700
|
-
monthly. It is also important to note that 25% visit the Internet prior to a
|
701
|
-
physician visit. Disease information along with alternative treatment options
|
702
|
-
are frequently researched topics. Through the use of actual survey data, this
|
703
|
-
presentation will enable individuals and organizations focusing on patient recruitment
|
704
|
-
to build effective Internet based recruitment programs.</p>
|
705
|
-
</td>
|
706
|
-
<td valign="top">
|
707
|
-
<h1>III. Outsourcing Clinical Trials in Eastern Europe </h1>
|
708
|
-
</td>
|
709
|
-
<td valign="top">
|
710
|
-
<h1>Improving Outsourcing Effectiveness and Quality Through the Use of Data
|
711
|
-
Standards</h1>
|
712
|
-
<p>Sponsors of clinical research sometimes do not achieve the benefits anticipated
|
713
|
-
from outsourcing because of many variations in processes from study to study.
|
714
|
-
The result is that sponsors spend a considerable amount of time trying to understand,
|
715
|
-
QC, reconcile and integrate supplier/CRO data. Data standards, while not a panacea,
|
716
|
-
can help address these issues. If data are exchanged/delivered via an industry
|
717
|
-
standard specification (e.g. the CDISC Study Data Tabulation Model (SDTM) or
|
718
|
-
LAB Model), costs to develop specifications for data exchange are lower, there
|
719
|
-
are few errors in specifications and less ambiguity as to what the biopharmaceutical
|
720
|
-
company wants their partner(s) to deliver. There also are fewer communication
|
721
|
-
breakdowns and hand-off delays, and it is easier to integrate data from a variety
|
722
|
-
of providers, including CROs, laboratories and EDC suppliers. In this presentation,
|
723
|
-
we will consider the benefits of standards to improving the effectiveness of
|
724
|
-
outsourcing by examining multiple different outsourcing scenarios or use cases
|
725
|
-
including (1) data exchange during various phases of clinical research between
|
726
|
-
a biopharmaceutical company and CRO(s); (2) laboratory data exchanged between
|
727
|
-
a biopharmaceutical company and an external central lab; and (3) data exchanged
|
728
|
-
between a biopharmaceutical company and an EDC supplier.</p>
|
729
|
-
<p>Understand the role of data standards in improving the effectiveness, efficiency,
|
730
|
-
and quality of clinical research outsourcing</p>
|
731
|
-
<p>Examine several scenarios or use cases that demonstrate how to best deploy
|
732
|
-
standards in support of outsourcing</p>
|
733
|
-
<p>Review best practices on when and how to use clinical data standards for
|
734
|
-
help in establishing and communication expectations to an outsourcer in a structured
|
735
|
-
way at project start</p>
|
736
|
-
</td>
|
737
|
-
</tr>
|
738
|
-
</table>
|
739
|
-
</body>
|
740
|
-
</html>
|