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The Product Lifecycle: - ICON plc

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Clinical Research<br />

Clinical Development Support<br />

Patient-reported data is an important source of information in<br />

registration studies. We provide multiple services supporting<br />

Phase I–III global clinical trials:<br />

• Development and Validation of Patient Reported<br />

Outcomes (PROs)<br />

• Translation and Cultural Adaptation of PROs to be<br />

included in clinical trials<br />

• PRO dossier and document submissions for the FDA<br />

• Selection of Endpoints for Patient or Economic Outcomes<br />

• PRO Data Collection (electronic and paper)<br />

• Data Analysis of PRO and Economic Endpoints<br />

• Site Support for PRO data collection<br />

• ROC analysis for PMAs<br />

Post-Approval Research<br />

We can provide advice and operational support for clinical and<br />

commercial activities after drug registration in the following areas:<br />

• <strong>Product</strong> Registries<br />

• Community Surveys<br />

• Epidemiologic Studies and Prospective Disease Registries<br />

• Safety Surveillance<br />

• Retrospective Chart Reviews<br />

• Administrative Claims Analyses<br />

• Reimbursement Support<br />

• Decision-Analytic Models<br />

• Comparative Effectiveness Studies<br />

• Non-interventional Phase IV Clinical Trials<br />

• Educational Interventions for Providers or Patients<br />

• Post-Hoc Analysis of Registrational Studies<br />

Challenge:<br />

Our client wished to submit a PRO claim (to be submitted<br />

to the FDA) related to patient reported symptoms associated<br />

with an investigational therapy. <strong>The</strong> PRO instrument was<br />

selected for the Phase III trial prior to <strong>Lifecycle</strong> Sciences<br />

group involvement.<br />

Challenge:<br />

Our client asked <strong>Lifecycle</strong> Sciences group to evaluate<br />

an educational intervention to improve compliance<br />

with treatment guidelines for patients receiving care at<br />

community-based oncology practices.<br />

Solution:<br />

• Provided strategic consulting for obtaining a PRO label<br />

• Developed the conceptual model, endpoint model, and<br />

conceptual framework to support the instrument selection<br />

• Conducted targeted literature searches<br />

• Convened several Scientific Advisory Panel meetings to review<br />

study materials<br />

• Adapted, validated, and pilot tested the instrument to be used in<br />

the clinical trials<br />

• Conducted the statistical analysis of the PRO data<br />

• Developed a comprehensive PRO dossier for submission to<br />

the FDA<br />

Solution:<br />

• Provided strategic consulting on study design and<br />

implementation, including design of the chart review study<br />

pre- and post-intervention<br />

• Assisted with development of protocol and case report forms<br />

(CRFs) for both pre- and post-intervention data collection<br />

• Trained and provided oversight to chart abstractors who<br />

abstracted data pre- and post-educational intervention<br />

• Managed data collection<br />

• Developed the statistical analysis plan and analyzed the data<br />

• Developed multiple abstracts and a published manuscript<br />

3

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