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Pre-Conference Tutorials, Monday, March 8, 2010, 09:00

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This is a preliminary programme. New speakers and sessions will be added. Visit www.diahome.org for the most recent additions to the programme.<br />

Adaptive Development: A leap forward in efficiency<br />

Michael J Rosenberg, <strong>Pre</strong>sident and CEO, Health Decisions Inc., USA<br />

Logical Considerations in the Implementation of Adaptive Trial Designs<br />

Eva R. Miller, Director, Biostatistics, ICON Clinical Research, USA<br />

Wednesday, <strong>March</strong> 10, <strong>2010</strong><br />

<strong>09</strong>:<strong>00</strong> Session 0106<br />

INNOVATION IN EARLY AND LATE PHASE CLINICAL TRIALS II<br />

Session Chair:<br />

Michael Krams, Vice <strong>Pre</strong>sident, Adaptive Trials and Applied Program<br />

Strategies, Wyeth Research, USA<br />

• What impact can adaptive designs have on timelines and cost?<br />

• Can innovative trial design reduce risk?<br />

Adaptive Design in Confirmatory Trials: A way forward<br />

Solange Corriol Rohou, Director, Regulatory Affairs, AstraZeneca, France<br />

Flexible Trial Design: New techniques in interim analysis<br />

John Whitaker, Vice <strong>Pre</strong>sident, Biostatistics and Scientific Programming, Kendle,<br />

USA<br />

Exploiting Scientific Intent of ICH Guidelines to Accelerate Proof of Concept<br />

Richard Williams, Vice <strong>Pre</strong>sident, Regulatory and Strategic Drug Development,<br />

INC Research, USA<br />

Adaptive Trials: Too complicated for too little return?<br />

Bill Byrom, Senior Director, Product Strategy, Perceptive Informatics, UK<br />

11:<strong>00</strong> Session 0107<br />

HAVE THE BENEFITS OF TRANSLATIONAL MEDICINE BEEN REALISED?<br />

Session Chair:<br />

Damian O’Connell, Vice <strong>Pre</strong>sident, Clinical R&D, Global Research and<br />

Development, Pfizer, Ltd. UK<br />

Developments in translational medicine, triggered in response to the<br />

pharmaceutical industry's ongoing attrition, have come to the centre of many<br />

companies exploratory development paradigms. These translational strategies<br />

have been highlighted by both the European Innovative Medicines' and FDA’s<br />

Critical Path Initiatives as means to catalyse new opportunities for innovation in<br />

early clinical R&D and help select mechanisms most likely to lead to<br />

breakthrough therapies. This session will look at how various companies have<br />

implemented translational medicine strategies in different therapeutic areas to<br />

make better and more informed choices around candidates to accelerate from<br />

research to proof of concept and the impact of translational medicine on their<br />

success rates in achieving positive POCs.<br />

<strong>Pre</strong>-Clinical and Clinical Development of Anticancer Pharmaceuticals<br />

Klaus Olejniczak, Scientific Director, Department of Drug Toxicology, BfArM,<br />

Germany<br />

Translational Research in the Pharmaceutical Industry: From theory to reality<br />

Damian O’Connell, Vice <strong>Pre</strong>sident Clinical R&D, Global Research and<br />

Development, Pfizer, Ltd. UK<br />

Experimental Models of Pain<br />

Boris Chizh, Platform Director, Pain & Neurophysiology, GlaxoSmithKline, UK<br />

14:<strong>00</strong> Session 0108<br />

INNOVATION TO REDUCE ATTRITION<br />

Session Chair:<br />

Jackie Hunter, Senior Vice <strong>Pre</strong>sident, Science Environment Development,<br />

GlaxoSmithKline, UK<br />

Theme 1 - Theme 2<br />

• <strong>Pre</strong>dictive validity in animal models<br />

• Innovations in target discovery and validation<br />

• Updates on clinically relevant animal models<br />

• Novel methods to identify clinically important new treatments pre-clinically<br />

Addressing the Impact of Protocol Complexity on Clinical Trial Performance<br />

Kenneth A. Getz, Senior Research Fellow, Center for the Study of Drug<br />

Development, Tufts University; Chairman, CISCRP, USA<br />

Regulatory View<br />

Spiros Vamvakas, Head of Scientific Advice, Technical Coordinator for ICH,<br />

European Medicines Agency, EU<br />

Theme 2<br />

Staying in Business: How to make sure you comply with all<br />

rules and regulations, quality, compliance and external<br />

challenges<br />

Theme Leaders:<br />

Beat Widler, Global Head, Clinical Quality Assurance, F. Hoffman-La Roche<br />

AG, Switzerland<br />

Gabriele Schwarz, Head, GCP Inspection Services, BfArM, Germany<br />

In the EU, the Pharmaceutical Package and in other countries, other new rules<br />

and regulations have created new obligations. Also, advocacy groups, the<br />

public and the media – the scientific as well as the general press – are<br />

becoming more active and questioning. This makes the development of new<br />

medicines more and more demanding, not only from a clinical and scientific<br />

perspective but also from a process and regulatory aspect. Globalisation is, for<br />

instance, seen by some as progress as patients in developing countries are<br />

getting access to innovative medicines through earlier involvement in clinical<br />

trials and because of a strengthening of local economies through improved<br />

healthcare systems. Others are fearful that there is a shift in the focus of clinical<br />

development from industrialised countries to Asia and Latin America, thus<br />

depriving investigators in these “traditional” regions of access to clinical trials,<br />

and trials in developing countries are a new form of colonialism and result in the<br />

exploitation of vulnerable populations. The counter argument to this is a not<br />

uncommon topic in the debate about development: protection of patients in<br />

developing countries by well-intentioned and often self-nominated advocates<br />

from the so-called industrialised countries is nothing other than paternalism.<br />

Two sessions will look at this conflict and give background information about<br />

patients, the healthcare system and risks and benefits when conducting clinical<br />

trials in India and Latin America. In this context the expectations by the public<br />

for transparency do not come as a surprise and will be the topic of another<br />

session. Misuse of medicines and counterfeiting are other facets of globalisation<br />

and closely linked to the widespread use of the Internet. A session will review<br />

the so far rather neglected topic of misuse of therapeutic agents in doping.<br />

Doping would not be made so easy without manufacturing capacities in<br />

countries with weaker regulatory controls and e-commerce, and this leads to<br />

another session about counterfeiting. New regulations and mounting pressure<br />

are also an opportunity for smarter strategies and the use of “intel-ligence” for<br />

study management and quality oversight: progress of the Clinical Trial<br />

Transformation Initative (CTTI), innovative approaches to quality risk<br />

management that make extensive use of computerised processes and in the<br />

management of partners will be the focus of three sessions.<br />

<strong>Monday</strong>, <strong>March</strong> 08, <strong>2010</strong><br />

16:30 Session 0201<br />

TRANSPARENCY: A PANDORA’S BOX OR A PANACEA?<br />

Session Chair:<br />

Greg Koski, Associate Professor of Anesthesia, Massachusetts General Hospital<br />

Partners Healthcare System, USA<br />

19

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