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Developing a Study Budget and Contract - Temple University

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<strong>Developing</strong> a <strong>Study</strong> <strong>Budget</strong><br />

<strong>and</strong> <strong>Contract</strong><br />

Arleen Wallen<br />

Department Administrative Director<br />

HSC ‐ Office of Clinical Trials<br />

Administration<br />

February 14, 2013


Overview<br />

•Types of Agreements<br />

•Sponsor <strong>Budget</strong>s<br />

•Considerations<br />

•Sample Sponsor <strong>Budget</strong>s<br />

•Sample TU Clinical Trial <strong>Budget</strong>s


Confidentiality Agreements<br />

• A CDA is an agreement between the sponsor <strong>and</strong> the<br />

<strong>University</strong> which allows the sponsor to provide a protocol<br />

to the investigator. It is intended to maintain<br />

confidentiality of the protocol.<br />

• In order to protect the <strong>University</strong> <strong>and</strong> the investigator,<br />

this agreement must be reviewed <strong>and</strong> approved by<br />

OCT/HSC Legal Counsel.<br />

• Clinical Trials Administration will process the CDA on<br />

behalf of the Institution


LOI’s <strong>and</strong> LOA’s<br />

• LOI – Agreement between <strong>University</strong> <strong>and</strong> Sponsor<br />

for Indemnification subject injury protection for<br />

Institution <strong>and</strong> Subject when CRO is signing the CTA<br />

• LOA – Letter of Authority when CRO signing for<br />

Sponsor <strong>and</strong> CTA includes Indemnification <strong>and</strong><br />

subject injury clauses.


CTA – Clinical Trial Agreement<br />

Typical <strong>Contract</strong> Structure<br />

•General Provisions<br />

•Special Provisions<br />

•Miscellaneous Provisions<br />

•Exhibits & Addenda


Who are the SPONSORS?<br />

• Pharmaceutical/Medical Device<br />

Companies<br />

• Biotech Companies<br />

• CRO (<strong>Contract</strong> Research Organization)


Master Agreements (15)<br />

• Abbott Vascular<br />

• Amgen<br />

• Biogen<br />

• Celgene<br />

• Duke Rapid Start<br />

Network<br />

• Genentech (Roche)<br />

• GlaxoSmithKline<br />

• Intermune<br />

• Medtronic<br />

• Merck<br />

• Novo Nordisk<br />

• Novartis<br />

• Sanofi<br />

• Scripps Consortium for<br />

Liver Research<br />

• St. Jude


General Provisions<br />

• Scope of Work: describes the work in<br />

summary form <strong>and</strong> incorporates the <strong>Study</strong><br />

Protocol.<br />

• Personnel: Identify PI & Sub‐investigators<br />

<strong>and</strong> what will be done if PI is no longer<br />

affiliated with institution.<br />

• Term: Length of study either by date or by<br />

completed action required under the<br />

contract.


General Provisions<br />

• Recordkeeping <strong>and</strong> Access: Describe the terms<br />

under which the sponsor will have access to original<br />

study documents <strong>and</strong> to audit (usually normal<br />

business hours with reasonable notice).<br />

• Notice: Who to contact in the event particular info is<br />

needed from either the Institution or the Sponsor<br />

<strong>and</strong> how notice is effectuated.


General Provisions<br />

• Assurances: That the Site meets regulatory<br />

requirements regarding things like Good Clinical<br />

Practices, IRB approval, HIPAA; Use of most recent IC<br />

• Independent <strong>Contract</strong>or: <strong>and</strong> specifically not an<br />

agent of the Sponsor;<br />

• Use of Name: That parties will not use each others<br />

names in any promotional activity with out consent;<br />

pre‐approval for use of website.


Costs <strong>and</strong> Payment Terms<br />

Payment terms<br />

• Incorporated in body of agreement<br />

• Or as Attachment<br />

• Sometimes negotiated with<br />

separate person<br />

• Sometimes requires separate PI<br />

signature


Additional Issues with <strong>Contract</strong>s<br />

• Use of Clinicaltrials.gov Registry<br />

• IC<br />

• Insurance<br />

• Choice of Governing Law<br />

• Sufficient Payment for Overhead, Coordinator,<br />

<strong>and</strong> Hidden Expenses


ClinicalTrials . Gov<br />

Listing in ClinicalTrials.gov. now required by law<br />

Stephanie Brictson (2-9190) can assist with Registering<br />

Non-Industry sponsored trials


Sample Publication Clauses<br />

• Sponsor shall (without written authorization)<br />

allow Institution to list the <strong>Study</strong> title,<br />

Sponsor’s name <strong>and</strong> Participating Investigator<br />

on the Institution’s website (to encourage<br />

patient enrollment).


Miscellaneous Provisions<br />

• Governing/Controlling law<br />

• Amendments & Severability<br />

• Assignment<br />

• Return of drugs/devices<br />

• Record retention for “x” years<br />

• Debarment warranty<br />

• Alternative Dispute Resolution


Exhibits/Amendments<br />

• Itemized cost breakdown<br />

• Schedule of payments<br />

• Protocol –by reference<br />

• Investigator’s Agreement/Acknowledgement<br />

• LOI – Letter of Indemnification


Costs <strong>and</strong> Payment Terms<br />

• Cost <strong>and</strong> payment terms of the<br />

contract<br />

• Start‐up costs (non‐refundable, administrative)<br />

• incentives (enrollment & time targets)<br />

• administrative fees (institutional overhead)<br />

• infrastructure costs (IRB, advertising,<br />

pharmacy, radiology set up)<br />

• In the event of early termination what will be<br />

paid for work completed <strong>and</strong> obligated costs?


Costs <strong>and</strong> Payment Terms<br />

• Cost <strong>and</strong> payment terms (continued)<br />

• Location <strong>and</strong> Payee Information<br />

• Payment Schedule (Usually separate)<br />

• Per Subject Fee<br />

• Screen Failure<br />

• Optional payments<br />

• Additional fees ( Translation, SAE’s,<br />

Monitoring, Closeout)


Sample Payment terms<br />

Visits/Procedures Completed:<br />

• Baseline $880.10<br />

• Week 1 $795.60<br />

• Week 2 $2,214.10<br />

• Week 3 $711.10<br />

• Week 6 $2,090.50<br />

• Week 12 $425.10


Sample Payment Terms<br />

• Variable Patient Fees.<br />

Screen Failure Fee. ….a rate of ONE THOUSAND, SIX<br />

HUNDRED SEVENTY‐FIVE DOLLARS ($1,675) per patient, up to<br />

a maximum of two (2) screen failures for every seven (7)<br />

Evaluable Patients<br />

• CT Scan Fee. …on a pass through basis, for the actual <strong>and</strong><br />

reasonable cost of any <strong>Study</strong> related CT scans performed at<br />

Visit 12 …Under no circumstances will CT Scan Fee<br />

reimbursement exceed ONE THOUSAND, TWO HUNDRED<br />

DOLLARS ($1,200.00). Institute shall provide …with all<br />

necessary documentation in support of the CT Scan Fees.


<strong>Budget</strong> Samples<br />

• Imbedded <strong>Budget</strong><br />

• Total by procedures<br />

• Spreadsheet by visit<br />

• Appendix Payment Schedule/<strong>Budget</strong>


Imbedded<br />

MDP, on behalf of Sponsor, agrees to<br />

provide financial support for ACHD QuERI<br />

in the amount of one thous<strong>and</strong> <strong>and</strong> two<br />

hundred dollars ($1,200.00) (U.S. Dollars)<br />

per evaluable subject according to Exhibit<br />

B (hereinafter known as “<strong>Budget</strong>”), the<br />

terms of which are incorporated herein <strong>and</strong><br />

made a part of this Agreement. Payments<br />

will be provided quarterly <strong>and</strong> will be based<br />

on the number of subject case report forms<br />

that have been completed for subject visits,<br />

as described in <strong>Budget</strong>, in a given quarter.


Sample by Visit<br />

Visits Completed:<br />

• Baseline $ 880.10<br />

• Week 1 $ 795.60<br />

• Week 2 $ 2,214.10<br />

• Week 3 $ 711.10<br />

• Week 6 $ 2,090.50<br />

• Week 12 $ 425.10


Spread sheet by Frequency<br />

Procedure Description Cost Frequency Cost/Patient<br />

IC 60 1 60<br />

Hist/Phys <strong>and</strong> pelvic1 (enrollment) 250 1 250<br />

Hist/Phys <strong>and</strong> pelvic (3 visits) 150 3 450<br />

Urine Pregnancy Test 35 1 35<br />

Trichomonas 70 1 70<br />

Chlamydia trachomatis DNA test 70 1 70<br />

Neisseria Gonorrhoeae DNA test 70 1 70<br />

Blood test at each visit to test for copper levels GoldenCare Group 31 4 124<br />

Vaginal yeast culture2 73.5 4 294<br />

H<strong>and</strong>ling fee 60 4 240<br />

CRF completion <strong>and</strong> diary review 50 4 200<br />

Patient incentive – visit 1, visit 2 25 2 50<br />

Patient incentive – visit 3, visit 4 50 2 100<br />

Colposcopy Examination for GoldenCare Group 350 3 1050<br />

SubTotals 3063<br />

Totals inc. 35% institutional overhead 4135.05


Spread Sheet by Procedure<br />

Day 1 2‐7 180 194<br />

Hospital<br />

Phone visit<br />

Procedure Hospital Admission Admission stay discharge Clinic Visit 2 5 TOTAL<br />

Informed Consent $74 $74<br />

Medical HX $74 $74<br />

Inclusion/Exclusion $0<br />

Full Physical Exam $147 $147<br />

Vitals & Weight $0<br />

Medication history $30 $30 $30 $90<br />

Smoking history $0<br />

Blood Tests<br />

Lab Collection <strong>and</strong><br />

$53 $53 $106<br />

Processing $5 $5 $10<br />

Urine Pregnancy Test $13 $13 $26<br />

Total $322 $0 $104 $101 $0 $527<br />

35% Overhead $112.82 $0.00 $36.40 $35.35 $0.00 $184.57<br />

TOTAL PROJECT COST $435 $0 $140 $136 $0 $712


How to calculate a clinical trial<br />

budget?<br />

• Starts with procedures of the project


Sample Schedule of Events<br />

<strong>Study</strong> Procedures Table Screening Visit 1 Visit 2<br />

Consent x<br />

Physical Exam x x x x<br />

Vitals x x x x<br />

Concomitant Medication x x x<br />

Serum Pregnancy Test x x x<br />

Chemistry Profile x<br />

Hematology Profile x x x x<br />

Drug Accountability x x x<br />

Adverse Events x x x x<br />

Looks like spread sheet without prices<br />

Early<br />

<strong>Study</strong><br />

D/C


St<strong>and</strong>ard Calculations (by OCT)<br />

• Coordinator Time (for per subject fee) ‐ % effort<br />

• 5 hrs for screening visit to cover pre‐screening unless paid<br />

separately<br />

• 1 –2 hr additional per visit for sample processing if<br />

required<br />

• Add up time for questionnaires<br />

• Generally 1 hr for visit plus additional time for drug<br />

administration/monitoring if required<br />

• 40 hrs. for pre‐study work/ total number of subjects<br />

• 5 monitoring visits @ 8 hrs ea / number of subjects per<br />

year


Estimation of time –Other activities to<br />

• Pre‐study activities<br />

include<br />

• Site Qualification Visit<br />

• Attend Investigator Meeting<br />

• IRB application preparation<br />

• <strong>Budget</strong> submission (if completing it)<br />

• Process other regulatory documents


<strong>Study</strong> activities<br />

• <strong>Study</strong> initiation visit<br />

• Recruit subjects<br />

• Conduct staff in services<br />

• Screen subjects<br />

• Consent subjects/guardian<br />

• Schedule subjects<br />

• Administer trial medications


• PI time<br />

St<strong>and</strong>ard Calculations<br />

• 1 hr for IRB submission/review<br />

• 1 hr for IC<br />

• 1 hr first physical<br />

• ½hr each additional physical<br />

• ¼hr for just signing off CRF per visit<br />

• Additional time as needed for procedures


St<strong>and</strong>ard requests when starting Industry<br />

Negotiations<br />

• Non‐refundable administrative start up fee<br />

• St<strong>and</strong>ard ‐ $5,000<br />

• Registry study ‐ $2,500<br />

• Pharmacy set up fee $2,000 (includes both start up ($1,500<br />

<strong>and</strong> $500 close out)<br />

• $250‐$500 Radiology or Laboratory start up fee if numerous<br />

procedures or considerable set up work<br />

• $100 per SAE at our institution <strong>and</strong> $50 per IND safety report<br />

• $2,500 record storage fee<br />

• $60 per hour for monitor visits with coordinator or $250 per<br />

visit


IRB fees – Industry Funded only<br />

• External IRB (WIRB) paid directly including translations;<br />

$2000 for translations estimated<br />

• Local IRB fees<br />

– $2,800 for the initial review<br />

– $1,200 Each annual review<br />

– $490 each change/amendment/external request<br />

• Administrative IRB review fees when sponsor pays WIRB<br />

directly<br />

– Initial Review ‐ $500<br />

– Annual Review ‐ $200<br />

– Each amendment or change $100


Internal <strong>Budget</strong> ‐ Industry<br />

• Time of Coordinator, PI<br />

• Procedure Costs<br />

• Patient Stipend<br />

• Supplies<br />

• Miscellaneous/Residual (Final <strong>Budget</strong> only)<br />

• OCT fee ‐ 10% of Direct or 8.3% of total<br />

• Direct total<br />

• <strong>University</strong> Overhead –20% of Direct Total –or 16.7% of total<br />

• Total – [Per Subject plus allocated start up fee] * [# subjects]


Internal <strong>Budget</strong> of Costs<br />

Item Notes/# CPT Hosp. TUP Per subject 50 Subjects<br />

Coordinator - hrs 15 50 $750.00 $37,500.00<br />

PI - hrs 2 100 $200.00 $10,000.00<br />

Chest X ray 2 71030 $53.63 $16.67 $140.60 $7,030.00<br />

Supplies $5.00 $250.00<br />

Record Storage $10.00 $500.00<br />

Patient Stipend $10.00 $500.00<br />

Subtotal $1,115.60 $55,780.00<br />

Miscellaneous $384.40 $19,220.00<br />

OCT 10% $166.67 $8,333.33<br />

Direct $1,666.67 $83,333.33<br />

F&A 20% $333.33 $16,666.67<br />

Total $2,000.00 $100,000.00


Clinical Procedures: Research only<br />

• Industry Funded Trials<br />

• 150% of Medicare rate; $50 separate surcharge<br />

for MRI’s, Scans, to cover additional work <strong>and</strong><br />

measurements<br />

• Grants/ Federal, Unfunded Department<br />

Research<br />

• [Hospital current charge master] * [agreed upon<br />

percentage in federal negotiated rate sheet]<br />

• On‐Line (Research Accounting Services)


Internal <strong>Budget</strong> of Costs<br />

Item Notes/# CPT Hosp. TUP Per subject 50 Subjects<br />

Coordinator - hrs 15 50 $750.00 $37,500.00<br />

PI - hrs 2 100 $200.00 $10,000.00<br />

Chest X ray 2 71030 $53.63 $16.67 $140.60 $7,030.00<br />

Supplies $5.00 $250.00<br />

Record Storage $10.00 $500.00<br />

Patient Stipend $10.00 $500.00<br />

Subtotal $1,115.60 $55,780.00<br />

Miscellaneous $384.40 $19,220.00<br />

OCT 10% $166.67 $8,333.33<br />

Direct $1,666.67 $83,333.33<br />

F&A 20% $333.33 $16,666.67<br />

Total $2,000.00 $100,000.00


Final Internal <strong>Budget</strong><br />

Item Notes/# CPT Hosp. TUP Per subject 50 Subjects<br />

Coordinator - hrs 15 50 $750.00 $37,500.00<br />

PI - hrs 2 100 $200.00 $10,000.00<br />

Chest X ray 2 71030 $53.63 $16.67 $140.60 $7,030.00<br />

Supplies $5.00 $250.00<br />

Record Storage $10.00 $500.00<br />

Patient Stipend $10.00 $500.00<br />

Subtotal $1,115.60 $55,780.00<br />

Miscellaneous $384.40 $19,220.00<br />

OCT 10% $166.67 $8,333.33<br />

Direct $1,666.67 $83,333.33<br />

F&A 20% $333.33 $16,666.67<br />

Total $2,000.00 $100,000.00


Additional study activities<br />

• Maintain drug accountability documentation<br />

• Vital signs<br />

• Obtain/Process lab specimens<br />

• Interview (AE assessment, diaries, questionnaires)<br />

• CRF Forms<br />

• Preparing source document forms<br />

• Enter data into electronic data system


Additional study activities<br />

• Resolve data queries<br />

• Coordinate/Attend monitoring visits<br />

• Monitor/Code/Interpret SAE forms<br />

• IRB correspondence<br />

• Protocol amendments<br />

• Sponsor correspondence<br />

• Update regulatory documents<br />

• Monitor payments from sponsor<br />

• Coordinate/attend study termination visit


Hidden activities:<br />

• Clarification of protocol<br />

• Telephone patient screening<br />

• Communicating with referral sources<br />

• Preparing <strong>and</strong> faxing enrollment<br />

• Receiving <strong>and</strong> managing clinical supplies<br />

• Processing stipend checks<br />

• Rescheduling subject visits


Coordinator/PI Role<br />

• Identify for OCT if time estimates seem<br />

incorrect


Pharmacy Charges<br />

Included in Internal <strong>and</strong> Negotiated <strong>Budget</strong><br />

• R<strong>and</strong>omization<br />

• Administration<br />

• Drug<br />

• Inventory<br />

• Close out if not in start up


eSPAF –for Industry Trials<br />

• Requested when project received so not waiting<br />

when hard copies received; we will change budget<br />

• Need to process agreement for signature<br />

• Direct, Indirect <strong>and</strong> Total budgets usually highlighted<br />

in yellow on Internal budget<br />

• Attach Internal <strong>Budget</strong> sent to you if done after<br />

completion of negotiations<br />

• For Industry trials –don’t need all PI’s on eSPAF to<br />

process for signature. Need PI, Administrator <strong>and</strong><br />

Chair<br />

• Always clinical trials contract; 20% overhead –F&A<br />

• Unless $0 budget


Grant Projects<br />

• Same Considerations but need to know the<br />

difference between:<br />

• Direct costs<br />

• Modified Direct Costs<br />

• Indirect costs<br />

• Total Costs<br />

• Indirect rate: FY 2013 – 54%<br />

FY 2014 – 55%


Determinantion of Staffing <strong>and</strong><br />

Percent Efforts<br />

• First year or start‐up time<br />

• F/U years or study implementation years<br />

• Last year or close out period


Other categories of expense<br />

• Office Supplies<br />

• Equipment<br />

• Postage<br />

• Photocopy/Printing<br />

• Patient Care Costs –Clinical procedures<br />

• <strong>Study</strong> Start‐up <strong>and</strong> close out fees<br />

• Monitoring in IND or IDE studies


Other considerations cont.:<br />

• Professional Meetings <strong>and</strong> Travel<br />

• Patient Incentives <strong>and</strong> Reimbursements<br />

• Software<br />

• Computing Costs<br />

• Consultants


<strong>Study</strong> Timeline Example<br />

Task<br />

Finalize <strong>Study</strong><br />

Protocol/Irb<br />

Approval x<br />

Hire <strong>and</strong> Train<br />

Personnel x<br />

Develop CRF's <strong>and</strong><br />

<strong>Study</strong> Manuals x<br />

Year 1 Year 2 Year 3<br />

Develop <strong>Study</strong><br />

Database<br />

Recruitment <strong>and</strong><br />

x<br />

R<strong>and</strong>omization<br />

Intervention<br />

x x<br />

Implementation<br />

Data Collection at<br />

x x<br />

<strong>Study</strong> Visits x x<br />

Data cleaning x x x<br />

DSMB<br />

Meetings/Reports<br />

Final analysis <strong>and</strong><br />

x x x<br />

Manuscripts x


Grant Year (Y1, Y2, etc) Y1 Y2 Y3 Y4 Y5<br />

Account Description<br />

Fringe<br />

Rate<br />

Account<br />

Expense<br />

Code<br />

Full Time Faculty Salaries 33.1% 6001 $ 106,761 $ 109,964 $ 113,263 $ 116,661 $ 120,161<br />

AY Faculty Salaries (Main Campus Faculty) 33.1% 6001 $ ‐<br />

Full Time Technical Professional 33.1% 6520 $ 45,788 $ 47,161 $ 48,576 $ 50,033 $ 51,534<br />

Part Time Faculty Salary 8.4% 6201 $ ‐<br />

Clinical Faculty 19.6% 60xx $ ‐<br />

Part Time Technical Professional 8.4% 6620 $ ‐<br />

Full Time Administrative Salaries 33.1% 6500 $ ‐<br />

Full Time Clerical Salaries 33.1% 6550 $ ‐<br />

Part Time Clerical Salaries 8.4% 6650 $ ‐<br />

Post Doc 27.3% 6580 $ 41,076 $ 42,309 $ 43,578 $ 44,885 $ 46,232<br />

Visiting Scholar 6660 $ ‐<br />

FT Temporary Salaries 0.0% 6672 $ ‐<br />

TA/GA Salaries 23.0% 63xx $ ‐<br />

Student Workers/Workstudy 0.0% 67xx $ ‐<br />

Fringe Benefits 6990 $ 61,707 $ 63,559 $ 65,465 $ 67,429 $ 69,452<br />

Consultants 7305


Office Supplies 7208<br />

Publications 7375<br />

General Supplies (Lab) 7200<br />

Chemicals for Lab Tests 7251<br />

Computer Software 7201<br />

Computer Equipment < $5,000 7218<br />

Telephone Services 7421<br />

Travel ‐ Domestic 7500<br />

Travel ‐ Foreign 7505<br />

Food 7602<br />

Participant Support 7357<br />

Data Communications 7424<br />

Equipment Expendable < $5000 7214<br />

Animal Purchase 7264<br />

Animal Care & Use 7151<br />

Drugs 7255<br />

Shared Resources 7159<br />

Subcontracts ≤ $25,000 7386<br />

Miscellaneous 7600<br />

Sub‐Total<br />

F&A Costs (Indirect): Adjust formula according to rate(s) effective during period of award 7623<br />

Equipment‐Fixed >$5,000 7880<br />

Equipment‐Movable > $5,000 7870<br />

Subcontracts > $25,000 7387<br />

Patient Care Costs 7150<br />

Tuition 7611<br />

Total


<strong>Budget</strong>ing for a Clinical Trial<br />

• Develop budget based on actual costs<br />

• Develop budget for recovery of all costs <strong>and</strong><br />

at a reasonable margin<br />

• Consider Delayed Cash Flow in Industry Trials<br />

–i.e. 10% holdback till the end of the trial.


Questions

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