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Problem Statement 

Early development (ED), first-in-human or small clinical trials (e.g. rare diseases) often have a complex and dynamic study design and are fast-paced. It can be challenging to find the appropriate balance in risk-based approaches and timing of implementation to assure value-added oversight.

Participant safety in first-in-human clinical trials is of utmost importance, which makes implementation of risk-based approaches challenging for the study teams and, therefore, often results in a conservative approach where everything is considered critical.

While trials that focus on rare diseases may not be fast-paced, they are challenging due to the limited data available to provide insights to into emerging risks.


Project Scope 

To discuss and focus on a robust strategy/process and best practises practices for:

  • Identifying critical items
  • Risk Based data review approaches
  • Risk Based Monitoring approach strategy (tSDV/tSDR)
  • Usage of analytical tools and methods for data review & central monitoring, including limitations on (statistical) methodologies
  • Identification of thresholds or equivalent on limited patient data
  • Targeted medical review
  • Strategy to adequately anticipate on highly dynamic data
  • Establish dataEstablish links with the other work streams on FIH/small studies focus



Project LeadsEmail

Agnes Verhoeven, Johnson & Johnson

Averho10@its.jnj.com

Alicja Budek Mark, Genmab

amar@genmab.com
Alex Pearce, PHUSE Project Assistant

alexandra@phuse.global


Status
colourBlue
titleCurrent Status
Q2 2024

  • New project approved currently calling for volunteers 



Objectives Timelines
Present at the PHUSE ConnectQ1 2025

White paper or guidance document with a mutually agreed process for RBQM on FIH/small studies

Q2 2025