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    WORKSHOP ON GOOD CLINICAL PRACTICE AND LATEST CHANGES

    IN INDIAN REGULATIONS

    (Schedule Y)

    Organised by

    APOLLO GLENEAGLES HOSPITAL,KOLKATA,

    58, Canal Circular Road,Kolkata-700054.

    Jointly with Novo Nordisk, India.

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    APOLLO GLENEAGLES HOSPITAL

    Located at 58, Canal Circular Road, Kolkata-54, Apollo Gleneagles Hospital is a 510-

    bedded multispecialty tertiary care hospital. Patients describes the experience with the

    Hospital as a perfect blend of technological excellence, complete infrastructure, competent

    care and heartfelt hospitality

    A joint venture of Apollo Group of Hospitals, India and Parkway Health of Singapore,

    Apollo Gleneagles Hospital has emerged as one of the most promising healthcare

    service provider in Eastern India. The Associated partner Parkway Group is a leading

    healthcare group in Asia. It provides more than 70% of private healthcare in Singapore. Its

    subsidiaries include Parkway Group Healthcare, which owns a network of regional

    hospitals and medical centers in Malaysia, India and Brunei and Parkway Hospitals

    Singapore, which owns three hospitals in Singapore - East Shore, Gleneagles, MountElizabeth Hospitals and Parkway Health Day surgery Centre.

    This thriving hospital houses 7 Center of Excellence (COE) namely Heart Institute,

    CancerInstitute,Neurosciences,Orthopedics,Gastroenterology,Transplant and Emergency.

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    APOLLO HOSPITALS

    EDUCATIONAL AND RESEARCH FOUNDATION

    The Apollo Hospitals Educational and Research Foundation(AHERF) is an independent

    entity recognized by the Department of Scientific and Industrial Research (DSIR) as a

    "Scientific and Industrial Research Organization (SIRO)", to carry out research,

    educational and training programs in quest of quality health care.

    AHERF aims to undertake and promote scientific and medical research programs that

    have a bearing on the health, social, economic and industrial needs of India.AHERF

    leverages the strength of Apollo Group of Hospital which lies in its competent cliniciansand clinical researchers, a large number and variety of patients, state of art diagnostic and

    therapeutic technologies and an excellent medical records system.

    Research of the highest quality can only be carried out by trained investigators. The

    Institutions vision is also to create educational programs in basic and specialized areas, in

    areas where qualified human resources are much needed.

    Clinical trials

    AHERF is Indias single largest site solutions organization having experience ofcoordinating conduct of over650 clinical trials across several therapeutic areas over the

    last decade. AHERF comprises ofalmost 80 Clinical Research Coordinators, almost

    200 Principal Investigators on its panel across 11 sites. AHERF conducts trials in

    phase 2, 3 and 4 wherein over 80% of clinical trials coordinated are international

    multi-centric trials.

    AHERF has established a benchmark in terms of ethics compliance and standards

    across its sites. For multi-centric trials, AHERF has established a central ethics

    committee which is registered with the Office of Human Resource Protection

    (OHRP), US Department of Health whilst its institutional ethics committees at Chennai

    and Hyderabad are also OHRP registered. AHERF also has built an in-house capability in

    ethics and quality assurance for clinical trials across multiple sites.

    Currently, AHERF is in the process of further consolidating new centers within the Apollo

    Hospitals wherein almost 11 new centers are likely to be part of AHERF sites for clinical

    trials in order to promote clinical research in a best-in-class trials management framework.

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    The Kolkata site over a span of seven years has been able to achieve excellence in

    clinical research.

    Clinical trials-Kolkata.

    The clinical trials and research department, Apollo Gleneagles Hospital Limited(AGHL),

    Kolkata was started in the year 2005. Ever since more than 100 clinical trials has been

    conducted at the site.

    The ethical aspects of the trials are collectively supervised and analyzed by the

    Institutional Ethics committee (IEC). Composed of some of the most esteemed and

    illustrious personalities of the society, the IEC have become a sign of pride for our

    Clinical Research Activities.

    At AGHL, Kolkata the clinical trials are very efficiently and smoothly carried out on the

    Hospital premises. Owing to the availability of most premium level of infrastructuralsupport along with Investigators of the most qualified levels, several renounced clinical

    research and trials outfits of the likes of Elli Lily, Novartis, Novo-nordisk, Sanofi have

    chosen Apollo Gleneagles Hospital.

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    Investigators:

    There are about 20-35 consultants out of a full house of 110 highly trained and

    experienced consultants who actively participate and practice clinical trials/research.

    Therapeutic areas covered are Oncology (Medical and Radiation), Diabetics,

    Gastroenterology, cardiology, Neurology Medicine and Critical Care.

    Support staff:

    Clinical research Co-ordinators:

    The clinical trial department takes pride in its team of clinical research associates,

    coordinators. Coming from diverse educational background such as Social sciences,

    Hospital management, Clinical and Biotechnological background, the teams only anthem

    is patient safety and well being.

    They work in close collaboration with the Principle Investigator and have gathered

    expertise in all clinical trials activities.

    All of them attend regular protocol training sessions conducted by the concerned study

    monitor and respective Contract Research Organizations(CRO) along with frequent off

    the shore training workshop as and when required. They conduct all activities according to

    Cardiology

    21%

    Diabetology

    19%

    Gastroenterology

    19%

    Oncology(medica

    l and Radiation)

    18%

    O and G

    6%

    Neurology

    9%

    Critical Care

    8%

    Clinical trials

    -Therapeutic

    area, 2006-

    2013.

    Kolkata.

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    the applicable Institutional Standard operating protocols and work processes. The team

    promotes guidelines compliance.

    Pharmacy:A very well equipped pharmacy department takes care of all drug storage and drug

    associated clinical research regulations. At AGHL, Clinical and Research pharmacist are

    key fundamental members of the Clinical research study team. Their extensive skill in drug

    dealing becomes immensely important while dealing with pharmacological aspect of a trial

    like drug composition, dosage, contraindications, adverse effect and interactions of

    ID(Investigational drugs). Along with the research coordinator, research pharmacist also

    attends trainings from time to time.

    AHERF Clinical Research Certification course at Kolkata:Apollo Gleneagles Hospital being part of AHERF started clinical research certification

    course from July 2011. The first batch saw involvement of ten postgraduate students from

    different allied Life Sciences field join the training. Faculties from highly esteemed

    education institutions like Indian Statistical Institute; Kolkata, National Institute of

    Epidemiology, Chennai trained and oriented the trainee towards the vast field of clinical

    research.

    Comprehensive modules were designed which meet all the current trend of the field and

    groomed the trainees to embrace clinical research industry in the best of spirits.

    With the successful completion of the first batch, AHERF Kolkata is now training the

    second batch of intern. Over the last two years AHERF Kolkata has been instrumental in

    emphasizing the importance of Ethics and Good clinical practice in clinical research

    through regular workshops and CMEs on Good Clinical Practices and Ethical Issues in

    Clinical research.

    LLaammpp lliigghhttiinngg aatt AAHHEERRFF,, KKoollkkaattaa CCoonnvvooccaattiioonn,, 77tthhJJuullyy 22001122..

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    On 7th July 2012, AGHL along with Eli Lilly

    organized a Workshop on CCuurrrreenntt

    PPeerrssppeeccttiivvee aanndd GGuuiiddaannccee oonn CClliinniiccaall

    RReesseeaarrcchh ... A team From Eli Lilly

    spearheaded by Senior Directors along

    with Clinical research department debated

    and deliberated on the flip and flops of

    Clinical Research and trial industry. The

    main objectives of deliberations were,

    A). ICF and protocols should be very

    effective scrutinized and reviewed by IEC

    before granting approval. There was

    extensive discussion and both Ethics

    committee member and Investigatoractively participated in the discussion.

    B) Conflict of Interest and how we can handle them.

    C)Assessment of SAE causality and compensation- So even before the DCGI, CDSCO

    amendments were incorporated, We at AHCL had debated incessantly on compensation.

    D) The path ahead- While closing the workshop, the entire forum agreed that there is a lot

    to do in clinical research and we need to stick to guidelines and strive to achieveexcellence in it.

    This endeavor was very successful and plan was immediately in place to keep hosting

    such workshops once in a year.

    On 19TH October 2012, we had the second GCP training BBAASSIICC GGOOOODD CCLLIINNIICCAALL

    PPRRAACCTTIICCEE PPRROOGGRRAAMM in a row, this time it was organized in collaboration with

    Sanofi India.We had Senior Director, Clinical Quality and Research from Sanofi

    addressing sessions on overview of the Clinical research Industry , Importance of Good

    Clinical Practice, Informed consents and Safety reporting. Her session wascomplemented with input from our Clinical research and Quality Head, who threw some

    light on the flips and flops of the research industry.

    CCuurrrreenntt PPeerrssppeeccttiivvee

    aanndd GGuuiiddaannccee oonn

    CClliinniiccaall RReesseeaarrcchh ...

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