Updates on the new EU Clinical Trial Portal - 3rd Annual Clinical Trials Quality & Compliance 13-14 September 2018 - EUCROF
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3rd Annual Clinical Trials Quality & Compliance 13-14 September 2018 Updates on the new EU Clinical Trial Portal Dr. Stefano Marini EUCROF Vice-President European Contract Research Organization Federation 13-14 September 2018
European CROs Federation EUCROF - Status September 2018 • EUCROF is a non-profit organisation founded on 2005 • Members are registered legal entities : • Associations of CROs, or • Private companies working in Clinical Research Support National Member Associations Country N. CROs 1. ACRO-CZ Czech Republic 18 Associate Members 2. ACRON The Netherlands 45 1. Albania 3. AECIC Spain 28 2. Austria 4. AFCROs France 70 3. Bulgaria 4. Denmark 5. AICRO Italy 23 5. Germany 6. ASCRO Sweden 13 6. Portugal 7. BeCRO Belgium 29 7. Serbia 8. Switzerland 8. BVMA Germany 42 9. Ukraine 9. CCRA United Kingdom 36 10. United Kingdom 10. HACRO Greece 10 11.SAKDER Turkey 26 Partner Members 12. SACROP Slovakia 21 1. Algeria 2. Israel 3. Lebanon TOTAL: >352 Companies, 23 Countries , over 23.000 employees 2
EUCROF September – 2018 Geographic Representativeness EUCROF Members & Associates EUCROF Partners Relationship in development
Number of Clinical Studies in EU Eudract Eudract Numbers issued in EU YEAR Numbers 7.000 issued in EU 6.000 5.000 4.000 2011 6.011 Eudract Numbers issued 3.000 in EU 2012 5.399 2.000 1.000 2013 5.406 0 2014 5.549 2015 5.526 2016 5.144 Nov 2017 4.742* Aug 2018 3.309 * Data on Dec 2017 not available 4
EU Clinical Trial Portal definition • The portal and database is the most ambitious IT development project so far required by the EU pharmaceutical legislation. • The objective is one over-arching IT system that can connect the various systems in place in the Member States and enables them to talk to each other. It requires different types of access and actions depending on the user (MSs (NCAs/Ethics committees), sponsors (industry/academia), general public). • Given that every new clinical trial in the EU will have to pass through the portal and database, it is essential that the system is fit for purpose from day one to fulfil the goals of the Clinical trial Regulation. • EMA, the Commission , the Member States and Sponsor representatives carried out intensive testing on an intermediate release (0.6) of the system during UAT in November 2017 8
What should the Agency deliver? • Single EU entry point for clinical trial applications • Collaboration in the evaluation and supervision at EU level EU PORTAL • Provides workspace collaboration tools, workflow and AND DATABASE document management capabilities (Art 80-84) • Provides publicly available information • Delivers a module for the electronic reporting of suspected SAFETY unexpected serious adverse reactions (SUSARs) REPORTING • Delivers an electronic reporting system for annual safety (Art. 40 and 44) reports (ASRs) EUDRACT LEGACY • Delivers transition between the current and new systems (Art 98) 9 Implementation of the new Clinical Trial Regulation (EU) No 536/2014 - EMA perspective
Collaborative working The EMA is working collaboratively Presented by Anabela Marcal Head of Committees and Inspections Department European Medicines Agency EUROPEAN EUROPEAN MEDICINES COMMISSION AGENCY STAKEHOLDERS MEMBER STATES - Sponsors & ETHICS - CROs COMMITEES - Health Care Professionals - Patient Representatives to develop systems to implement the regulation 10 EU Portal and Database Update
EU portal and database – High Level System Overview (2/2) CT Portal/ EU DB Sponsors NCAs and Ethics Committees EC EMA MA Applicant Public Open Secure Access Access Business Create Application Evaluate Application Supervise CT Manage Reports Submit CSR Disseminat e CT Info Processes Issue Submit Manage Manage Access CT Notification Results Users Publication Info Sponsors Authority System Workspace Interfaces Workspace BI Reports UI Public Website CT Industry Authority Business CT Public System System Intelligence Register Systems Sponsor’s Workflow MS Interface Engine Interface CT DB Public DB 11 EU Portal and Database Update
EU portal and database – System Interfaces MSs Sponsors CT Portal/EU DB WHO Business EMA Processes System Interfaces User Master Data Registration Management & Security (RMS/OMS) (IAM) CT Systems CT DB Public DB Data Document Warehouse Management EV Human 12 (DWH) (DMS)
Sponsor Workspace Overview -Key Features for Sponsors Confidential work area where Sponsors can prepare and compile data and information to Sponsors Workspace submit via the EU portal to the EU database as well as access already submitted data for their Trials. • Search for trials I have access to • View detailed application dossier (data • Trials current status overview and documents) My CTs • Access CT Application Dossier CT • Manage my Trial (Complete application Overview & Application dossier for new / updated trial, issue • Submit new Applications Search Dossier Notifications etc) • Download data and documents • See formal or informal requests for • Invite users to access trials information from Member States and My • Assign roles to users for trials respond Requests for User • See deadlines for responses • 2 different approaches: Organisation Information Management • Prepare responses to RFI Centric vs CT centric • See all alerts and notices for all my trials • Imports CT Applications, Notifications and My • Get reminders for important deadlines Trial Results to the Sponsor Workspace Notices & Sponsors Alerts Interface 13 EU Portal and Database Update
Actions by the user Left inside Right inside navigation navigation
What the public sees 17
How to search in the database Ricerca avanzata 18
Results of the search 19
Introduction to User Acceptance Testing (UAT) What is User Acceptance Testing (UAT)? • UAT is the validation of business functions and the system flow against business requirements • UAT is carried out by end users of the system • Other types of testing are carried out prior to UAT. These verify that the functionality and features of the system conform to the documented requirements • UAT is planned to be carried out every three months within the CT programme UAT verifies the system has the right features Other test types verify the system has no significant bugs 20
UAT66Summary UAT Update (1/2) UAT 6 – Recap and participation The key focus of on-site testing was the interaction between sponsors and member states as part of specific end-to-end scenarios. For example, a pair of sponsor delegates worked together to create, populate and submit a clinical trial application which was then assessed by a corresponding pair of member state testers. For off-site testing, test scenarios and support materials were provided to the focal point of each organisation. Focal points then co-ordinated testing and testers within their respective organisations. On-site Participation • A total of 35 individual testers executed on-site testing at the EMA facilities; - 15 of these testers were representatives from across 8 different sponsor organisations. - 20 of these testers were delegates from across 20 different member states. Off-site Participation • A total of 8 sponsor organisations submitted feedback for off-site sponsor test scenarios. • A total of 14 member states submitted feedback for off-site member state test scenarios. • The European Commission (EC) also completed the off-site member state test scenarios. UAT update Feb-2018
UAT66Summary UAT Update (1/2) UAT 6 – Total number of Bugs & CT Changes Issue Category Number of Issues Raised* Bugs 242 CT Change 214 Total 456 *A full list of issues (bugs and CT changes) raised as part of UAT 6 will be available in the UAT 6 Completion Report. • The above table details the total number of bugs and CT changes which have been recorded internally at the EMA as a result of UAT 6 testers feedback. This total is comprised of issues raised by both sponsors and member states. • Details on some of the most commonly raised issues related to sponsor functionality within the EUPD Industry workspace are listed on the following slide. UAT update Feb-2018
UAT66Summary UAT Update (1/2) UAT 6 – Snapshot of key issues reported* Issue Issue description Area of the EUPD system Related use ID case CTCS-5824 The user is not able to download search results in csv CT Public 1041 Public Search format in the public workspace, only txt format is available. CTCS-5686 Notices & alerts section needs to be more user friendly. Authority System, Sponsor System 1040 Manage tasks The current layout is confusing to the user e.g. not in and messages chronological order, no links to corresponding EUCT, no sort functionality etc. CTCS-5796 Different results in search operation when pressing only CT Public 1041 Public Search "search" button on public workspace versus pressing "enter" key. CTCS-5392 Not all mandatory fields are marked with an asterisk Sponsor System, UI 1005 Populate which results in the CTA being incomplete. country-dependent CTA info CTCS-5416 Notices and alerts does not show which country the Sponsor System, UI 1040 Manage tasks notification was submitted for. and messages CTCS-5369 Navigation section on left-hand side of the clinical trial Authority System, Sponsor System, 1005 Populate application should be improved e.g. the countries below UI country-dependent Part II should be indented, any fields that cannot be CTA info selected e.g. Part II should be greyed out. CTCS-5309 Clinical trial sites and other sections do not show latest Sponsor System 1005 Populate information if two testers are working on the same trial. country-dependent Conflict in information occurs and data is lost. CTA info CTCS-5503 Document upload should be automatic when selecting Authority System, Sponsor System 1006 Upload CTA corresponding file from local drive. Too many clicks to *A detailed breakdown of key issues will be included document in the UAT 6 Completion Report upload document on the CT system. UAT update Feb-2018 CTCS-5611 Suggestion to have additional filters and details in "my Authority System, Sponsor System 1014 Invite users and roles" section e.g. search by specific role or employer assign roles
UAT 7 Update I. Introduction to the UAT MS representatives II. Role of the UAT MS representatives in test scenario development III. UAT 7 On-site test scenario scope IV. UAT 7 Off-site approach V. Proposed Pre-UAT 7 dates for Oct-2018 VI. UAT 7 Timeframe is currently planned for November 2018 VII. UAT next steps 28/6/2018
I. Introduction to the UAT MS champions Selection Process 1. Devise a list of scenarios with Business The EMA outlined input the need for 5 Member State representatives who could work closely with the UAT team during the development of the Test Scenarios for UAT 7. The CTFG nominated 5 representatives who would be involved in this capacity. 25
II. Role of the UAT MS representatives in test scenario development Step 01 1. UAT Devise a team devised list ofdraft list of a first end-to-end scenarios scenarios. Step 02 with Business 1. Devise Involved UATa MS input list of representatives to consult on end- Step 03 scenarios to-end scenarios with in greater detail. 1. Deviseand Discussed a Business updated list of the test input scenarios with scenarios UAT MS Step 04 with representatives. Business 1. Devise Final review a of input list of the test scenarios with the UAT MS Step 05 scenarios representatives. with 1. Devise Send out theafinal Business list of test scenarios to input the wider testing scenarios audience. with Business input Overview - UAT team created high level end-to-end test scenarios which were then discussed and agreed with UAT MS representatives. - UAT MS representatives assisted with the elaboration of these test scenario details for test scripts which will now be written by the UAT team. 26
V. Proposed Pre-UAT 7 dates for Oct-2018 Pre-UAT 7 Sep-2018 Oct-2018 Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We 03 04 05 06 07 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 01 02 03 04 05 08 09 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30 31 Pre-UAT Pre-UAT 7 start 7 finish Pre-UAT 7 execution & issues Data raising (5 days) Centre(s) Business / UAT MS relocation representatives Pre-UAT 7 issues consolidation/triag e (5 days) Revise and review UAT 7 test Business / UAT MS scripts representatives UAT / Business Preparation for Pre-UAT 7 & UAT 7 (incl. test scripts/guidance/system Preparation for UAT 7 (incl. on-site logistics/guidance/system testing/accounts/environment/known issues etc.) testing/accounts/environment/known issues etc.) UAT / UAT MS representatives / Business / IT / BA / IT4U UAT / UAT MS representatives / Business / IT / BA / IT4U Pros 1. Includes involvement of UAT Member States champions for Pre-UAT 7 execution. 2. Pre-UAT 7 will occur two weeks after the data centres relocation – less of a risk in facing configuration issues after data centre relocation. Cons 1. Severely reduced time for issues consolidation and test scripts updates before UAT 7. 27
VI: UAT 7 Timeframe is currently planned for November 2018 UAT 7 Nov-2018 Dec-2018 Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo 01 02 05 06 07 08 09 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 03 04 05 06 07 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 31 UAT 7 UAT 7 start finish Provisional list of Final list of bugs bugs agreed agreed UAT 7 off-site UAT 7 off-site UAT 7 on-site execution execution execution TBC (Week 1 & Week 2) (Week 3) (Week 4) UAT 7 off-site training* *Offsite feedback is not collected during this period UAT 7 issues consolidation* & triage UAT 7 issues consolidation* & triage (Cont’d) *Number of resources to be confirmed (after PoC) *Number of resources to be confirmed Notes 1. UAT 7 to be conducted in Nov-2018 2. On-site execution is currently planned two weeks from 05-Nov to 16-Nov – off-site testers will be able to access the system for training but not provide feedback during this time. 3. Off-site execution will not overlap with on-site and is currently planned to take place from the 19-Nov to 23rd-Nov- 2018 4. Possibility to extend UAT 7 is currently being considered. 5. UAT 7 Completion Report cannot be completed until early 2019 – a snapshot of findings (as in UAT 6) can be presented in Jan-2019. 28
Audit of the Clinical Trials EU portal and EU database • EC framework contract for audit services • Audit scope: ‒ to confirm that the EU Portal and Database meet the functional specifications as endorsed by the EMA MB, ‒ evaluate that the system implements the use cases including the must (auditable or non-auditable)requirements, ‒ that the system is fully functional. 29 28/6/2018
Post Releases R0.7 content: Release 0.8 • System to System interfaces for Sponsors (Submission through the Gateway) • Integration with Document Management System • Audit findings & Prioritised CRs Release 0.9 • Cooperation on Safety Reporting (19 UCs) & Prioritised CRs Releases 8 and 9 have limited capacity for additional scope , some prioritised CRs (Prioritised CRs will be identified in a holistic manner from UAT 6 and UAT 7 feedback, Should requirements, WSs, functionality to address the transition phase etc) Release 1.0 (Content to be decided )- Series of Workshops organised to come up with a proposal
Summary of the status of The Clinical Trial Portal (1/2) • The project is running according to the plan, to deliver a fully functional IT system, which has been reviewed by the IT task force (EMA and the external development team). • The coming into effect of the EU Clinical Trial Regulation is dependent on the availability of a fully functioning portal and database, as verified by an independent audit. • Development of the auditable release (0.7) is progressing and this has now entered the technical testing phase that precedes the User Acceptance Testing (UAT). • The schedule of this UAT is affected by the relocation of EMA’s data centre at a different time than originally planned and the UAT for release 0.7 is now foreseen for November 2018. 31
Summary of the status of The Clinical Trial Portal (2/2) • Taking into account the relocation of the Agency in early March 2019 and the possible staff loss, the potential impact on the precise timing of the audit is currently being assessed • Release 0.8 is primarily focused on addressing audit findings, and prioritised change requests from UATs 6 and 7, focussing on those necessary for a successful audit outcome. • EMA will provide more precise information on overall timelines after the audit. 32
File posted by EMA on July 25th 2018 33
Training approach Support through guidance documentation Support through E-Learning Detailed guidance documentation Most of the training will be and user guides will be produced to delivered via information videos. explain the functionality of each These will be produced in house module detailing step by step how and will consists of approximately the system should be used. All the 15 e-learning modules with some documents will be made available modules comprised of multiple E-learning through the EMA corporate website. videos. The videos will be In addition, ‘contextual help’ published on the EMA corporate information will be available online website and the Network Training User guides/ in the EUPD Web interface. Centre (NTC) over the course of Supporting 2018 and 2019. doc Integrated learning materials Face to face Webinars Support through webinars A series of webinars will be organised over the Support through face to face course of Q4 2018/Q1 2019 targeted at MSs Face to face training will be EUPD and sponsors/MAHs. Participants will be training course for MSs and reminded 10 days in advance to provide industry. Train the trainer questions (this will help us to start the webinar sessions will be planned with DIA session) and they will have the opportunity to to to deliver in-house training. ask questions during the webinars.
Thank you Questions? 35
Critical points of CTR Archive of essential documents for 25 years Single site Investigator Initiated trial in small hospitals requires specific skills to activate the procedure through the Portal 36
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