Bench-to-Bedside Overview |
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Drug
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Drug Discovery
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Drug Design
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Pharmacodynamics
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Pharmacokinetics
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Toxicity
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Therapeutic window
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Different factors involved in disease causation
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How pharmaceuticals work
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Perceptions versus realities of pharmaceutical companies’ profits and motives
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Drug development pipeline, timeline and costs
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“Eroom’s law”
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In vitro Diagnostics’ (IVD) role in the patient treatment scheme
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Challenges facing the IVD market
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Target Validation
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Different ways to choose a target
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Contrast the organization of basic research (disease specific) versus industry research (common targets for multiple indications)
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How common target approach can help eliminate lost revenue in clinical trials development
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Intellectual Property and Patenting
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Purpose of the patent is to encourage the sharing of ideas
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Rights a patent grants
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Different types of patents
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The requirements, cost and timeline for filing a patent
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Sections of a patent and key points to each, especially the “Claims” section
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Pre-clinical Development and IND- Enabling Studies
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The cost of development increases exponentially as it moves through the development process
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Pre-clinical development that is predictive of failure or success in clinical trials can lower the overall cost of drug development
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Efficacy and safety responsible for 80% of failures for drug candidates in clinical trials
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Where in the drug development pipeline diagram ADME, PK, bioavailability, toxicity and animal modeling determined
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Highlight the team science dynamic of drug development
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The PD properties of the drug, formulation and dosing
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The IND filing process: timing and cost of moving through the submission process
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Good Laboratory Practices: why there were started and the purpose they serve
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NCATS Clinical and Translational Science Award (CTSA) Program
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CTSA
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Translational science workforce
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TL1 research training grant
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KL2 mentored career development grant
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CTSA program is an innovative national network of medical research institutions working together to improve the translational process
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CTSA hubs train and cultivate the translational science workforce and provide opportunities for pre- and post-doctoral training in clinical translational science
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The CTSA program offers grant support for research training, mentored career development, and workforce development
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Training is provided in non-traditional skills such as regulatory science, entrepreneurship and team science
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Degrees (MS and PhD) are offered in clinical and translational science
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Clinical Trial and Drug Development Planning
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Drug Development Plan
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Phase I, II, III and IV
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Dose Tolerance
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Dose Escalation
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Dose range
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Dose limiting Toxicity
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Placebo
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Efficacy
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Standard of Care
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Surrogate endpoint
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Draft package insert
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cGMP
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Successfully taking a product through clinical trials requires preparation
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Requirements and determinations for each Phase (I–IV)
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Reasons to stop a trial in each phase and ramifications of such decisions
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Review the actual data from the clinical trial of Imatinib, emphasizing how unusual it is
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Consider how a drug development plan differs for a large pharmaceutical compared to a small company
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Emphasize the overall goal of the drug development plan is to submit a New Drug Approval to the FDA and receive approval
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FDA – New Drug Evaluation and Review
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NDA
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Fast Track
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Breakthrough Therapy
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Priority Review
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Accelerated approval
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Introduce the seven person review team assigned to each application
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Place the timing of submitting an NDA in the context of the entire drug development pipeline
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Lay out six step process of review: Pre-submission activities, Process the submission, Create a review plan, conduct the review, take official action and handle post action feedback
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Walk through a case study submission that raised concerns and how the concerns were addressed
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Different expedited programs and the consideration for each
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Marketing and Product Launch
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Marketing
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Sales
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Features
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Advantages
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Benefits
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Market Dynamics
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Product levers
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SWOT
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The critical elements of marketing
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Why marketing is important
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Differentiate between marketing and sales
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How market dynamics affect the product development
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How marketing levers drive a product’s market value
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Introduce marketing messages and the SWOT analysis.
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