Toward a global harmonization of service infrastructure in academic clinical trial units: an international survey

BackgroundClinicians around the world perform clinical research in addition to their high workload. To meet the demands of high quality Investigator Initiated Trials (IITs), Clinical Trial Units (CTUs) (as part of Academic Research Institutions) are implemented worldwide. CTUs increasingly hold a ke...

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Main Authors: Jean-Marc Hoffmann, Anette Blümle, Regina Grossmann, Henry Yau, Britta Lang, Cedric Bradbury
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1252352/full
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author Jean-Marc Hoffmann
Anette Blümle
Regina Grossmann
Henry Yau
Britta Lang
Cedric Bradbury
author_facet Jean-Marc Hoffmann
Anette Blümle
Regina Grossmann
Henry Yau
Britta Lang
Cedric Bradbury
author_sort Jean-Marc Hoffmann
collection DOAJ
description BackgroundClinicians around the world perform clinical research in addition to their high workload. To meet the demands of high quality Investigator Initiated Trials (IITs), Clinical Trial Units (CTUs) (as part of Academic Research Institutions) are implemented worldwide. CTUs increasingly hold a key position in facilitating the international mutual acceptance of clinical research data by promoting clinical research practices and infrastructure according to international standards.AimIn this project, we aimed to identify services that established and internationally operating CTUs – members of the International Clinical Trial Center Network (ICN) – consider most important to ensure the smooth processing of a clinical trial while meeting international standards. We thereby aim to drive international harmonization by providing emerging and growing CTUs with a resource for informed service range set-up.MethodsFollowing the AMEE Guide, we developed a questionnaire, addressing the perceived importance of different CTU services. Survey participants were senior representatives of CTUs and part of the ICN with long-term experience in their field and institution.ResultsServices concerning quality and coordination of a research project were considered to be most essential, i.e., Quality management, Monitoring and Project management, followed by Regulatory & Legal affairs, Education & Training, and Data management. Operative services for conducting a research project, i.e., Study Nurse with patient contact and Study Nurse without patient contact, were considered to be least important.ConclusionTo balance the range of services offered while meeting high international standards of clinical research, emerging CTUs should focus on offering (quality) management services and expertise in regulatory and legal affairs. Additionally, education and training services are required to ensure clinicians are well trained on GCP and legislation. CTUs should evaluate whether the expertise and resources are available to offer operative services.
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spelling doaj.art-cce963ba77e24c34a1b60b67376e9a3b2023-10-12T16:49:53ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-10-011010.3389/fmed.2023.12523521252352Toward a global harmonization of service infrastructure in academic clinical trial units: an international surveyJean-Marc Hoffmann0Anette Blümle1Regina Grossmann2Henry Yau3Britta Lang4Cedric Bradbury5Clinical Trials Center, University of Zurich and University Hospital Zurich, Zurich, SwitzerlandClinical Trials Unit, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, GermanyClinical Trials Center, University of Zurich and University Hospital Zurich, Zurich, SwitzerlandClinical Trials Centre, The University of Hong Kong, Pokfulam, Hong Kong SAR, ChinaClinical Trials Unit, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, GermanyClinical Trials Unit, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, GermanyBackgroundClinicians around the world perform clinical research in addition to their high workload. To meet the demands of high quality Investigator Initiated Trials (IITs), Clinical Trial Units (CTUs) (as part of Academic Research Institutions) are implemented worldwide. CTUs increasingly hold a key position in facilitating the international mutual acceptance of clinical research data by promoting clinical research practices and infrastructure according to international standards.AimIn this project, we aimed to identify services that established and internationally operating CTUs – members of the International Clinical Trial Center Network (ICN) – consider most important to ensure the smooth processing of a clinical trial while meeting international standards. We thereby aim to drive international harmonization by providing emerging and growing CTUs with a resource for informed service range set-up.MethodsFollowing the AMEE Guide, we developed a questionnaire, addressing the perceived importance of different CTU services. Survey participants were senior representatives of CTUs and part of the ICN with long-term experience in their field and institution.ResultsServices concerning quality and coordination of a research project were considered to be most essential, i.e., Quality management, Monitoring and Project management, followed by Regulatory & Legal affairs, Education & Training, and Data management. Operative services for conducting a research project, i.e., Study Nurse with patient contact and Study Nurse without patient contact, were considered to be least important.ConclusionTo balance the range of services offered while meeting high international standards of clinical research, emerging CTUs should focus on offering (quality) management services and expertise in regulatory and legal affairs. Additionally, education and training services are required to ensure clinicians are well trained on GCP and legislation. CTUs should evaluate whether the expertise and resources are available to offer operative services.https://www.frontiersin.org/articles/10.3389/fmed.2023.1252352/fullinternational harmonizationGCPquality managementclinical researchacademic researchorganizational efficiency
spellingShingle Jean-Marc Hoffmann
Anette Blümle
Regina Grossmann
Henry Yau
Britta Lang
Cedric Bradbury
Toward a global harmonization of service infrastructure in academic clinical trial units: an international survey
Frontiers in Medicine
international harmonization
GCP
quality management
clinical research
academic research
organizational efficiency
title Toward a global harmonization of service infrastructure in academic clinical trial units: an international survey
title_full Toward a global harmonization of service infrastructure in academic clinical trial units: an international survey
title_fullStr Toward a global harmonization of service infrastructure in academic clinical trial units: an international survey
title_full_unstemmed Toward a global harmonization of service infrastructure in academic clinical trial units: an international survey
title_short Toward a global harmonization of service infrastructure in academic clinical trial units: an international survey
title_sort toward a global harmonization of service infrastructure in academic clinical trial units an international survey
topic international harmonization
GCP
quality management
clinical research
academic research
organizational efficiency
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1252352/full
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