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PROGRAMME
PLANNING
Dr Sarah Garner
Project Director
Adaptive Licensing
CAMI
sarah.garner@nice.org.uk
Workstreams
1.    Evaluation and set up
2.    Context
3.    Methodology
4.    Patient and Public engagement
5.    Asset identification
6.    NHS pilot site identification
7.    Health informatics
8.    Regulatory
9.    Reimbursement
10.   Retrospective analysis
11.   Other?
Evaluation and set up

1. Expression of Interest
2. Advisory Group
3. Working Party
4. Communication Materials
5. Work plan
6. Funding
7. Risk management strategy
8. Meetings
9. Legalities
10. Risk sharing agreement
Patient and Public engagement
  Projects                Objectives              Potential Funding?   Partners

                          To raise awareness of
                          the public role in the
                          current ecosystem and
                          to mitigate any
  1. Public and drug
                          concerns that public
  development and                                 Wellcome Trust       AMRC
                          will be exposed to risk
  adaptive licensing
                          (including personal
                          information leaking).
                          This will also support
                          recruitment.
                          To ensure fully formed
                          consent when
                                                 Wellcome Trust        AMRC
  2. Decision Support     participating in
                                                 Companies             Companies
                          adaptive licensing
                          study
                          To ensure that all the
                          necessary aspects of
                          impact are captured in
  3. Patient Experience                            ?                   Oxford Primary Care
                          the pilot. This has been
                          identified as inadequate
                          in current trials.
Context
WORKSTREAM          OBJECTIVES                 FUNDING    PARTNER                OUPTS




                    To ensure all aspects of                                     Workshop and white
1. Ethics                                    Required     Ethox
                    the pilot are ethical                                        paper




                    To look at the wider
                                                          NHS                    Workshop and white
                    implications of system
2. Sustainability                              Required   Sustainability/David   paper
                    development including
                                                          Pencheon
                    economic impact




                    To examine the legal       Required                          Workshop and white
                    implications of adaptive                                     paper
3. Legalities       licensing.                            EMA/MHRA/DH
Methodology
• IMI 7th call: incorporating real-life clinical data into drug
 development
  • ‘GetReal’ expression of interest submitted
• MRC engagement



Health Informatics
• To create and implement the Health Informatics that will
  be needed to support real-life data collection
• To enable the real-time monitoring to be collected by
  clinicians and patients
Asset identification
Funding required
Partners: NEWDIGS, ABPI, BIO, NICE, EMA,
MHRA, companies
1. Discussion with EMA/MHRA
2. Call for assets
3. Collate Master list of potential assets
4. First round selection
5. Establish selection criteria
6. Match assets against criteria to select second round
7. Explore first round candidates
8. Workshop first round candidates
9. Final selection
Pilot site identification
1. Evaluation criteria
2. Identify potential sites/ lead investigators
3. Identify further requirements
4. Funding
5. Agreements
Regulatory
• To identify the regulatory pathway/ requirements to
  ensure project aligns
• EMA/MHRA/CAMI




Reimbursement
• To identify the reimbursement pathway/requirements to
  ensure project aligns with needs
• Set up infrastructure for real-life data collection
• NICE/DH/NIHR/NHS/CAMI
Retrospective analysis
• To explore the impact/potential of AL by simulation
 informed by retrospective analysis of potential candidates.

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CASMI Presentation15 Oct 2012

  • 1. PROGRAMME PLANNING Dr Sarah Garner Project Director Adaptive Licensing CAMI sarah.garner@nice.org.uk
  • 2. Workstreams 1. Evaluation and set up 2. Context 3. Methodology 4. Patient and Public engagement 5. Asset identification 6. NHS pilot site identification 7. Health informatics 8. Regulatory 9. Reimbursement 10. Retrospective analysis 11. Other?
  • 3. Evaluation and set up 1. Expression of Interest 2. Advisory Group 3. Working Party 4. Communication Materials 5. Work plan 6. Funding 7. Risk management strategy 8. Meetings 9. Legalities 10. Risk sharing agreement
  • 4. Patient and Public engagement Projects Objectives Potential Funding? Partners To raise awareness of the public role in the current ecosystem and to mitigate any 1. Public and drug concerns that public development and Wellcome Trust AMRC will be exposed to risk adaptive licensing (including personal information leaking). This will also support recruitment. To ensure fully formed consent when Wellcome Trust AMRC 2. Decision Support participating in Companies Companies adaptive licensing study To ensure that all the necessary aspects of impact are captured in 3. Patient Experience ? Oxford Primary Care the pilot. This has been identified as inadequate in current trials.
  • 5. Context WORKSTREAM OBJECTIVES FUNDING PARTNER OUPTS To ensure all aspects of Workshop and white 1. Ethics Required Ethox the pilot are ethical paper To look at the wider NHS Workshop and white implications of system 2. Sustainability Required Sustainability/David paper development including Pencheon economic impact To examine the legal Required Workshop and white implications of adaptive paper 3. Legalities licensing. EMA/MHRA/DH
  • 6. Methodology • IMI 7th call: incorporating real-life clinical data into drug development • ‘GetReal’ expression of interest submitted • MRC engagement Health Informatics • To create and implement the Health Informatics that will be needed to support real-life data collection • To enable the real-time monitoring to be collected by clinicians and patients
  • 7. Asset identification Funding required Partners: NEWDIGS, ABPI, BIO, NICE, EMA, MHRA, companies 1. Discussion with EMA/MHRA 2. Call for assets 3. Collate Master list of potential assets 4. First round selection 5. Establish selection criteria 6. Match assets against criteria to select second round 7. Explore first round candidates 8. Workshop first round candidates 9. Final selection
  • 8. Pilot site identification 1. Evaluation criteria 2. Identify potential sites/ lead investigators 3. Identify further requirements 4. Funding 5. Agreements
  • 9. Regulatory • To identify the regulatory pathway/ requirements to ensure project aligns • EMA/MHRA/CAMI Reimbursement • To identify the reimbursement pathway/requirements to ensure project aligns with needs • Set up infrastructure for real-life data collection • NICE/DH/NIHR/NHS/CAMI
  • 10. Retrospective analysis • To explore the impact/potential of AL by simulation informed by retrospective analysis of potential candidates.