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The Clinical Trial Supply chain: Best practice to ensure ... - Almac

The Clinical Trial Supply chain: Best practice to ensure ... - Almac

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Approaches <strong>to</strong> clinical trial supply management: tips for<br />

improvement<br />

Moni<strong>to</strong>r s<strong>to</strong>ck level data<br />

Once a trial starts and recruitment gets in<strong>to</strong> gear, supply s<strong>to</strong>ck levels can often start <strong>to</strong><br />

deplete at a different rate than expected. Add <strong>to</strong> this the needs of expiry date<br />

management and soon supplies can start <strong>to</strong> dwindle. It is essential that s<strong>to</strong>ck level data<br />

is moni<strong>to</strong>red throughout the entire supply <strong>chain</strong>, but due <strong>to</strong> multiple parties and<br />

systems involved this is not a straightforward process.<br />

Some large Sponsor companies have inven<strong>to</strong>ry and management systems capable of<br />

moni<strong>to</strong>ring various portions of the supply <strong>chain</strong>. When the decision has been made <strong>to</strong><br />

outsource portions of the supply <strong>chain</strong>, Sponsor companies can suddenly find a<br />

gaping hole in any materials management systems. In many cases, once shipped<br />

globally, supplies can disappear <strong>to</strong>tally from the Sponsor’s radar, therefore creating a<br />

reliance on unconnected reports from other systems (mostly 3rd party), which require<br />

manual manipulation of data <strong>to</strong> forecast future supply needs and manufacturing<br />

requirements.<br />

Meet with sponsor companies and vendors<br />

It is useful <strong>to</strong> note that as kit inven<strong>to</strong>ry is moni<strong>to</strong>red by whatever means selected by<br />

the <strong>Clinical</strong> Managers, plans must be included <strong>to</strong> make the information available <strong>to</strong><br />

each participant in the supply <strong>chain</strong>. This means that outsourcing partners need <strong>to</strong> be<br />

involved in relevant data exchanges that may affect the availability of additional<br />

supplies, and that this involvement occurs in a timely fashion. In our experience, joint<br />

meetings involving Sponsor companies and associated vendors prior <strong>to</strong> study<br />

commencement are invaluable. Such meetings can present a platform <strong>to</strong> examine<br />

interface exchanges and possible alternative approaches <strong>to</strong> the study design. Also, it is<br />

possible <strong>to</strong> have one vendor responsible for multiple areas of the supply <strong>chain</strong>,<br />

therefore enhancing control and reducing management concerns.<br />

<strong>Supply</strong> <strong>chain</strong> management<br />

A variety of different approaches are available for management of the supply <strong>chain</strong><br />

when the study goes live, but the <strong>Trial</strong> <strong>Supply</strong> Manager must link the inven<strong>to</strong>ry data<br />

back in<strong>to</strong> the complete <strong>chain</strong>. Examples of inven<strong>to</strong>ry management include:<br />

<strong>The</strong> manual approach<br />

Many Sponsor companies employ a manual approach <strong>to</strong> the supply <strong>chain</strong>. Generally<br />

this will mean pre-defining set amounts <strong>to</strong> ship <strong>to</strong> each site on activation and then<br />

another set amount for further supplies. This can result in reduced visibility of the<br />

inven<strong>to</strong>ry and provide difficulties if sites take on a different level of activity than<br />

predicted. Supplies are usually manufactured/ packaged with at least of 100%

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