Leitfaden für die Erstellung von ausführlichen Projektskizzen zur "Richtlinie zur Förderung von Translationsprojekten Personalisierte Medizin" ...
←
→
Transkription von Seiteninhalten
Wenn Ihr Browser die Seite nicht korrekt rendert, bitte, lesen Sie den Inhalt der Seite unten
Leitfaden für die Erstellung von ausführlichen Projektskizzen zur „Richtlinie zur Förderung von Translationsprojekten Personalisierte Medizin“ – Modul 2 – Der vorliegende Leitfaden enthält Informationen für die Erstellung und Einreichung von beurtei- lungsfähigen ausführlichen Projektskizzen. Er ergänzt die am 02. März 2020 im Bundesanzeiger veröffentlichte o.g. Förderrichtlinie (http://www.gesundheitsforschung-bmbf.de/de/10048.php). Es wird dringend empfohlen, zur Beratung mit dem DLR Projektträger Kontakt aufzunehmen. Ansprechpartnerinnen sind: Frau Dr. Kathrin Ackermann Frau Dr. Alexandra Becker Frau Dr. Christine Hasenauer Frau PD Dr. Ute Preuß Telefon: 0228-3821 1210; E-Mail: indimed@dlr.de Entscheidungsverfahren In diesem Modul sind zwei fachliche Begutachtungsschritte vorgesehen. Zunächst waren Kurzskizzen einzureichen, die von einem unabhängigen Begutachtungsgremium bewertet wor- den sind. Antragstellende, deren Kurzskizzen durch dieses Gremium positiv bewertet wurden, werden nun zur Einreichung von ausführlichen formlosen Projektskizzen (full proposals) auf- gefordert. Diese werden in einem zweiten fachlichen Begutachtungsschritt erneut durch ein un- abhängiges Begutachtungsgremium bewertet. Die Projekte können in der Regel für einen Zeit- raum von bis zu fünf Jahren gefördert werden. Die Bewilligung der Vorhaben wird zunächst auf drei Jahre befristet. Nach ca. zweieinhalb Jahren werden die Vorhaben einer Zwischenevaluation unterzogen. Antragstellende können den DLR Projektträger aus Gründen direkter Konkurrenz bitten, Exper- tinnen oder Experten bestimmter Unternehmen und Einrichtungen von der Begutachtung auszu- nehmen. Was wird gefördert? In Modul 2 soll der Aufbau bzw. die Weiterentwicklung einer begrenzten Zahl von Integrierten Forschungsplattformen in definierten Krankheitsgebieten gefördert werden, die gezielt die Um- setzung personalisierter Behandlungsansätze in die klinische Praxis angehen. Im Rahmen der Integrierten Forschungsplattformen werden interdisziplinär angelegte, translational ausgerich- tete Projekte im Sinne einer Verbundforschung gefördert, die zur Implementierung personali- sierter Behandlungsansätze in der klinischen Praxis beitragen und ihre Sicherheit und Wirksam- keit nachweisen wollen. Ein maßgebliches Ziel der Integrierten Forschungsplattformen ist die Bündelung und Vernetzung aller notwendigen Kompetenzen, Akteure und Ressourcen zur Er- reichung dieser Ziele. In den Integrierten Forschungsplattformen soll sich eine kritische Masse an Akteuren aus Wis- senschaft, Klinik, Industrie, Zulassungsbehörden, Krankenkassen sowie Patientinnen und Pati- enten zusammenschließen. Dabei ist die Beteiligung von Wissenschaft, Klinik, Industrie und Patienten obligatorisch; die Einbindung von Zulassungsbehörden und Krankenkassen ist ausdrücklich erwünscht, aber optional. Eine Integrierte Forschungsplattform soll eine Seite 1 von 19
Koordinatorin bzw. einen Koordinator benennen und eine Geschäftsstelle einrichten, die die Ak- tivitäten der Forschungsplattform koordiniert und bündelt sowie als Kontaktpunkt nach außen fungiert. Gefördert werden diejenigen Schritte der klinischen Forschung, die aufgrund des Standes von Forschung und Entwicklung nötig sind, um personalisierte Ansätze in Diagnostik und Therapie bei der Implementierung in die klinische Praxis und zum Nutzen für die Patientinnen und Patien- ten deutlich voranzubringen. Kernstück der Förderung ist die Durchführung einer frühen klini- schen Studie, entweder einer klinischen Studie der Phasen I bis IIb für personalisierte Thera- pien oder eine prospektive diagnostische Studie zur klinischen Validierung von innovativen Bio- markern bzw. Biomarker-Signaturen. Darüber hinaus muss jede geförderte Integrierte For- schungsplattform mindestens zwei weitere der in der Förderbekanntmachung genannten klini- schen Forschungsschritte abdecken. Allgemeine Hinweise Nachfolgende Hinweise sind bei der Planung und Einreichung der ausführlichen Projektskizzen zu beachten. Wissenschaftliche Standards Die Antragstellenden sind verpflichtet, nationale und internationale Standards zur Qualitätssiche- rung von klinischer Forschung einzuhalten. Bei Förderanträgen für klinische Studien sind die nachfolgenden Dokumente in der jeweils geltenden Fassung zu berücksichtigen: • Deklaration von Helsinki1, • ICH-Leitlinie zur Guten Klinischen Praxis (ICH-GCP)2, • EU-Richtlinie 2005/28/EG und EU-Verordnung Nr. 536/20143, • CONSORT-, STARD- und PRISMA-Statements4. Zudem sind die „Grundsätze und Verantwortlichkeiten bei der Durchführung klinischer Studien“ des BMBF verpflichtend zu beachten: http://www.dlr.de/pt/Portaldata/45/Resources/Dokumente/GF/Grundsaetze_Verantwortlichkei- ten_Klinische_Studien.pdf . Die Registrierung von klinischen Studien im nationalen oder in einem internationalen Studienre- gister ist vorzusehen und vor Beginn der Studie nachzuweisen. Bitte bedenken Sie: Die meisten Anträge scheitern an mangelnden oder wenig aussagekräfti- gen Angaben. Im Falle der Validierung eines Biomarkers scheitern Anträge oft an einem man- gelhaften oder fehlendem biostatistischen Validierungskonzept. Denken Sie also daran, substanzielle Aussagen zu den in den Mustervorlagen aufgeführten Gliederungspunkten zu treffen. Aufgrund der methodischen Herausforderungen bei einer Biomarker-Validierung wie auch bei einer klinischen Studie sollte das Projekt von einem auf diesem Gebiet erfahrenen Biometriker bzw. einer Biometrikerin begleitet werden. Zugänglichkeit des Studienprotokolls und der Forschungsdaten und -ergebnisse 1 Deklaration von Helsinki: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-princip- les-for-medical-research-involving-human-subjects/ 2 ICH-GCP: https://ichgcp.net/ 3 EU-Richtlinie 2005/28/EG: https://eur-lex.europa.eu/legal-content/DE/TXT/?uri=CELEX%3A32005L0028 , EU-Verordnung Nr. 536/2014: https://eur-lex.europa.eu/legal-con- tent/de/TXT/?uri=CELEX%3A32014R0536 4 CONSORT- und STARD-Statements: http://www.consort-statement.org¸ http://www.equator-net- work.org/reporting-guidelines/stard/ Seite 2 von 19
Um Transparenz über die durchgeführte Forschung zu erreichen, ist bei Förderung das Studien- protokoll inklusive aller Dokumentationsformulare (CRF) in einer einschlägigen wissenschaftli- chen Fachzeitschrift zu veröffentlichen. Des Weiteren müssen die Ergebnisse der Studie inner- halb von einem Jahr nach Schließen der Datenbank im Deutschen Register Klinischer Studien (DRKS) eingestellt werden. Zusätzlich müssen die Ergebnisse der Studie innerhalb eines weite- ren Jahres publiziert werden. Dies beinhaltet mindestens die Publikation der Ergebnisse auf ei- nem wissenschaftlichen Kongress und die Publikation der Ergebnisse (auch negativer Ergeb- nisse) in einer einschlägigen wissenschaftlichen Fachzeitschrift. Die Veröffentlichung des Studienprotokolls sowie der aus dem Forschungsvorhaben resultieren- den Ergebnisse soll in einer wissenschaftlichen Zeitschrift so erfolgen, dass der Öffentlichkeit der unentgeltliche elektronische Zugriff (Open Access) auf den Beitrag möglich ist. Für eine Open Access Veröffentlichung der Vorhabenergebnisse können nur solche Zeitschriften ausgewählt werden, deren Beiträge unmittelbar mit Erscheinen über das Internet für Nutzer entgeltfrei zu- gänglich sind und die im jeweiligen Fach anerkannte, strenge Qualitätssicherungsverfahren an- wenden. Publikationsgebühren für Open Access Publikationen sind zuwendungsfähig. Partizipation Die Beteiligung und der Einbezug relevanter Akteure – insbesondere von Vertreterinnen und Ver- tretern aus Patienten- und Bürgerschaft – erhöhen Qualität und Nutzen der Gesundheitsfor- schung. Deshalb sind partizipative Ansätze in der Planung, Durchführung und an der Verwertung der Ergebnisse des Vorhabens vorzunehmen bzw. einzuplanen. Wir verweisen in diesem Zusam- menhang auf Hinweise von INVOLVE, einer Organisation, die sich im Auftrag des National Insti- tute for Health Research im Vereinigten Königreich intensiv mit der Einbindung von Öffentlichkeit und Patientinnen bzw. Patienten in die Forschung befasst („Briefing Notes for Researchers“; http://www.invo.org.uk/resource-centre/resource-for-researchers/). Verwertungs- und Nutzungsmöglichkeiten Die Aussichten für eine klinische Anwendbarkeit sind in der ausführlichen Projektskizze darzu- stellen. Zudem sind die für eine weitere klinische Entwicklung bzw. Umsetzung in die Versor- gungspraxis notwendigen nächsten Schritte zu konzipieren. Die Antragstellenden haben darzu- legen, ob sie eigene Schutzrechte haben und ob Schutzrechte existieren, die der weiteren Ent- wicklung im Weg stehen. Darüber hinaus ist darzustellen, inwieweit die Erlangung weiterer Schutzrechte angestrebt wird. Die Antragstellenden sollen bereits ein Unternehmen in die Platt- form eingebunden haben, dass sich aktiv beteiligt und bei positiven Ergebnissen die weiteren Schritte der klinischen Entwicklung übernimmt. Falls kein oder nur in Teilen ein kommerzielles Interesse an einer Weiterentwicklung besteht, müssen andere Wege zur Weiterentwicklung dar- gestellt werden. Alle für die Umsetzung der Ergebnisse in die Praxis relevanten Nutzer und Ak- teure müssen frühzeitig als Kooperationspartner in die Vorhaben eingebunden werden. Unter dem Transfer von Forschungsergebnissen in die Praxis werden hier alle Aktivitäten verstanden, die über die wissenschaftsimmanente Verwertung (z. B. Publikationen in Fachmedien, Vorträge auf Fachkongressen) hinausgehen und die konkrete Implementierung von Forschungsergebnis- sen in der Praxis umsetzen. Bonität Unternehmen der gewerblichen Wirtschaft können nur dann gefördert werden, wenn die Bonität des Unternehmens gesichert ist. Der Förderer behält sich daher vor, geeignete Unterlagen (z. B. testierte Jahresabschlüsse, Lageberichte, Betriebswirtschaftliche Auswertung) bei Vorlage des förmlichen Förderantrages anzufordern, durch die nachzuweisen ist, dass die in den Vorhaben aufgeführten Ressourcen der Antragsteller für die gesamte Laufzeit der Förderung aufgebracht werden können. Einreichen der ausführlichen Projektskizzen Seite 3 von 19
Die ausführlichen Projektskizzen sind elektronisch unter https://ptoutline.eu/app/transla- tion_pm_m2 spätestens bis zum 15. September 2021 23.59 Uhr (CEST) einzureichen. Eine vollständige ausführliche Projektskizze umfasst eine Projektübersicht (aus- gefülltes und verbindlich eingereichtes PT-Outline Internet-Formular) und die Projektbeschrei- bung in englischer Sprache (in einem PDF-Dokument zusammengefasste ausgefüllte Muster- vorlagen). Außerdem sind zwei Zusammenfassungen der beantragten Forschungsplattform bei der elekt- ronischen Einreichung in PT-Outline einzugeben – eine englischsprachige Zusammenfas- sung sowie eine deutsche Zusammenfassung in laienverständlicher Sprache. Die Zusam- menfassungen müssen klar und verständlich sowie für ein breites Publikum leicht zugänglich sein. Hoch wissenschaftliche Begriffe sind zu vermeiden. Die Zusammenfassungen sollen die Ziele, das Design, die erwarteten Ergebnisse und das Potenzial der Ergebnisse für die Imple- mentierung personalisierter Behandlungsansätze in die klinische Praxis beinhalten. Formale Vorgaben für die ausführlichen Projektskizzen Die ausführlichen Projektskizzen müssen den Vorgaben und der Formatierung der Mustervorla- gen (Schriftart Arial, Schriftgrad 11, Zeilenabstand 1,5 Zeilen, umlaufende Seitenränder 2 cm) entsprechen und in englischer Sprache verfasst werden. Die vorgegebenen Seitenzahlen dür- fen nicht überschritten werden. Die Kopfzeile soll das Akronym der Forschungsplattform sowie die Benennung des Antragsteils (Beschreibung der Forschungsplattform, Beschreibung des Teil- projektes etc.) enthalten. Anträge, die diese formalen Vorgaben nicht erfüllen, können von der Bewertung ausgeschlossen und ohne weitere Begründung abgelehnt werden. Der Koordinator bzw. die Koordinatorin erstellt aus den notwendigen Mustervorlagen ein einzel- nes PDF Dokument für die Forschungsplattform. Welche Mustervorlagen für Ihren Antrag er- forderlich sind, entnehmen Sie bitte der folgenden Liste: 1.) ”Description of Platform“ (max. 15 Seiten) http://www.dlr.de/pt/Portaldata/45/Re- sources/Dokumente/GF/Mustervorlage_Description_of_Platform.docx 2.) “Subproject“(max. 5 Seiten) und/oder http://www.dlr.de/pt/Portaldata/45/Resources/Doku- mente/GF/Mustervorlage_Subproject.docx 3.) “Therapeutic Study” (max. 9 Seiten) und/oder http://www.dlr.de/pt/Portaldata/45/Re- sources/Dokumente/GF/Mustervorlage_Therapeutic_Study.docx 4.) “Diagnostic Study“(max. 9 Seiten) http://www.dlr.de/pt/Portaldata/45/Resources/Doku- mente/GF/Mustervorlage_Diagnostic_Study.docx Mustervorlagen für die ausführlichen Projektskizzen Nachfolgend finden Sie die Mustervorlagen und die Erläuterungen für die ausführlichen Projekt- skizzen. Seite 4 von 19
“Acronym of Platform” Description of Platform 1. Template: Description of Platform This part of the application should not exceed 15 pages (DIN A4, minimum of 11 point Arial, line spacing 1.5 lines, margins 2 cm). It has to be understandable without reading the cited literature and without consulting further literature. Here, the general information of the project at platform level should be provided including an overview of all subprojects, while the detailed description of the subprojects and of the therapeutic/diagnostic study should be described in the corresponding templates. Duplications are to be avoided as far as possible. Letters of Intend (LoIs) of cooperation partners and relevant patent applica- tions („bibliographic data“ and „description“), should be added as attachment. Please note: attachments as CVs or publications are not permitted. Response to Reviewers‘ Comments Please summarize the assessment of your outline application with all recommendations given. Please re- spond with a short point-by-point reply separately to each recommendation (2 pages max.). Where neces- sary, refer to changes made in this full application. Description of Platform 1. TITLE OF PLATFORM The title of the platform (max. 140 characters) should be as precise as possible. In case of funding, this title will be quoted in the annual reports of the funding organisation. Please indicate an acronym (max. 40 char- acters) derived from the title of the platform and change the header, accordingly. 2. PLATFORM COORDINATOR Academic title, first name, last name, institution 3. PLATFORM DESCRIPTION Medical Problem Which disease entity(ies) should be addressed in the platform? What is the health care situation for af- fected patients? What do currently available prevention and treatment options look like? Relevance of the Topic What is the health policy relevance of the disease entity(ies) addressed? What is the relevance of the dis- ease entity(ies) from the point of view of the patients and the health care providers? Aims and Objectives What is the platform aiming to achieve? Give a concise description of the platform’s objectives; list them in order of priority. State your working hypotheses/rationale. Specify the impact of the results on personalised medicine and clinical practice. Scientific Background and Preliminary Data Give sufficient details of past and current research to show that the aims are scientifically justified, and to show that the work will add distinct value to what is already known, or in progress. Shortly discuss compet- ing approaches and how far advanced these are in comparison to the planned project aims, if applicable. Existing Infrastructure and previous Achievements Describe the quality and scope of existing infrastructure and previous achievements relevant for the appli- cation, e.g. methods developed, biobanks, well-characterized patient cohorts, databases. Added Value of the joint Work within the Research Platform What is the added value of cooperation in the research platform? What advantages result from the use of common methods and standards for research, clinical studies, documentation, diagnosis and therapy? Which bioinformatics tools are shared in the platform? Seite 5 von 19
“Acronym of Platform” Description of Platform Patient Participation Please describe how patient involvement is motivated and implemented in the planning, conduct and ex- ploitation of results of the study5 (app. one page): How were the patients’ needs, goals, concerns and preferences considered, e.g. in developing the main question of the study and defining the outcomes? What is the benefit for patients to be involved? The tasks of patient representatives should be outlined in a work plan. Please also comment on capacity building on both sides (researchers and patients). Have patient representative(s), patients’ self-help group(s) or patient advocacy group(s) been involved in the planning of the study? How will patient representative(s), patients’ self-help group(s) or patient advocacy groups be engaged during the study and dissemination of results? Patient involvement can be imple- mented in different stages of the study and to a different extent. Please justify why your concept is ade- quate for the planned study. Budgets for patient involvement should be motivated, realistic and ring- fenced. Gender Aspects Describe how you consider gender aspects as a significant variable in your research plan. If not, please explain why gender aspects are not relevant for your research question. 4. STRUCTURE AND WORK PROGRAMME OF THE PLATFORM Overview and Description of Platform Organization Please provide a chart of platform organization. What structure is available respectively will be implemented for an efficient cooperation within the platform? Define subprojects; in case of multiple investigators if ap- plicable. Indicate which tasks will be taken over by whom in the different subprojects. Example: Subproject No. Partner Title of Subproject Function in the platform 1 University of… Assessment of the effi- Coordination; Monitoring, analyses and processing of cacy of the novel XY for results the treatment of prostate cancer abc GmbH GMP-Production Subcontractor of xyz for GMP-production of XY 2 University of… Collection of blood sam- Clinical partner for validation of biomarker ples Please note: F&E subcontractors have to be indicated in case of contract volume above 100.000 €. Platform Management Please describe in detail the activities of the platform coordination. How do the activities ensure the effi- cient management and success of the platform? Please justify the requested resources. Work Programme Give an overview on the general experimental approaches. It is not necessary to describe each experi- ment, but enough detail must be given to show why the research is likely to be competitive in its field. In case of multiple investigators: indicate which tasks will be taken over by whom in the different subpro- jects. 5 s. auch eine Einführung von INVOLVE zugehörig zum Britischen National Institute for Health Research, NHS „Briefing note for Researchers“: http://www.invo.org.uk/resource-centre/resource-for-researchers/ Seite 6 von 19
“Acronym of Platform” Description of Platform Milestone Plan Indicate work packages into which the project is divided and schedule events that indicate the completion of major deliverable events. Milestones are measurable/observable events and serve as progress markers. Example: WP Mile- year 1 year 2 year 3 year 4 year 5 no. stone (▼) Animal ex- periments 1 approval ▼ granted Experi- mental setup 2 and system ▼ modification completed Data acqui- 3 sition started ▼ Data acqui- 4 sition com- ▼ pleted Data analy- 5 sis com- ▼ pleted Data Handling If research data or information is to be systematically produced, describe if and how these will be made available in your platform and for future reuse. Ethical and Legal Considerations Please give a description of ethical considerations relating to the planned subprojects (assessment of risks and benefits, purpose commitment declaration, care and protection of research participants, confidentiality, informed consent process, interest in property, personal right). 5. DISSEMINATION AND EXPLOITATION Dissemination What are the strategies for the dissemination and exploitation of results especially beyond journal publica- tions? Indicate what measures will be used by the platform to disseminate and communicate the ex- pected project results to appropriate stakeholders. Exploitation Strategy Since funding is provided in order to accelerate the development of new diagnostic and/or therapeutic pro- cesses and products which are of high medical relevance and economically viable, your business develop- ment concept will contribute to the funding decision. In case you are not able to provide solid data, please provide estimates and comments. As a starting basis for documenting your dissemination and exploitation concept you may use a statement by a technology transfer institution (http://www.technologieallianz.de) or your business plan for investors or similar documents provided by an industrial partner of your platform. The following list points out essential features which need to be adjusted according to the development status of your project and the structure of your platform. If necessary (i.e. in case of various indications resulting in different dissemination and exploitation concepts), differentiate your documentation accordingly. 5.2.1 Executive Summary Describe the key elements of your dissemination and exploitation concept. Include description of business model (how the diagnostic, therapeutic or theranostic approach will be marketed and generate revenue). 5.2.2 Intellectual Property Rights Freedom to operate-analysis in respect to patent and exploitation strategy (technical and commercial). Seite 7 von 19
“Acronym of Platform” Description of Platform 5.2.3 Patients and Pricing Description of patient group targeted and addressed therapeutic/theranostic benefit, including improvement of health, life quality and/or life span of individual patient groups. Potential cost reduction for health care costs including assessment of health care providers or patients to pay for planned diagnostic or therapeu- tic/theranostic concept. 5.2.4 Market and Competitors Size and value of the target market(s) (annual sales in €) focused on personalised medicine only. Descrip- tion of the competitive environment (niche market, orphan drug status, existing and/or potential competitors, unique selling point etc). 5.2.5 Human Resources & Facilities Skills and expertise of the members of the consortium to promote diagnostic/therapeutic/theranostic ap- proach as well as to drive into medical practice/therapeutic/diagnostic market. Type of production facilities or other facilities available/needed to develop diagnostic and/or therapeutic approach until market entry/in- troduction in medical practice. 5.2.6 Assessment of Regulatory Aspects Assess the regulatory aspects of your scientific and clinical activities. Describe how regulatory knowledge is represented in your project. Have meetings with regulatory authorities already taken place? Please sum- marize briefly the results of these meeting(s). 5.2.7 Time plan & Risk assessment Major planned milestones until market entry. Assessment of scientific, regulatory and economic risks as well as a risk mitigation plan and possible exit points. 6. OTHER FUNDING Please indicate any additional co-financing of the project by industry or other sources. In case you have already submitted parts of the same request to other institutions or the BMBF, please mention this here. Indicate other sources which will provide funds, free services or consumables. If this is not the case please declare: "A request for funding of this project has not been submitted to any other addressee. In case I submit such a request I will inform the DLR Projektträger immediately. 7. REFERENCES Please specify the most relevant publications (max. 20) and indicate the public access links if possible. Mark your own publications in bold. For your references please use the Vancouver style (Further infor- mation: International Committee of Medical Journal Editors. Uniform Requirements for Manuscripts submit- ted to Biomedical Journals. NEJM 1997; 336:309-15). Additionally, in case of patent applications relevant to the project aims please indicate patent number/issue date or application serial number/application date, ideally with a link to the respective data base. Only for the references and the patent applications a minimum of font Arial, font size 9, line spacing 1.0 lines is allowed. Seite 8 von 19
“Acronym of Platform” Subproject 2. Template: Subproject Please number the respective subprojects according to the list given under “Template 1: Description of Consortium“, No. 5.1 “Description of platform organisation“. The description of each subproject should not exceed 5 pages (DIN A4, minimum of 11 point Arial, line spacing 1.5 lines, margins 2 cm). Struc- ture your subproject using the headings listed below and make an entry under every heading/subheading. Please continue with further subprojects numbered consecutively. Applications for funding of a therapeutic or diagnostic study please fill in the additional templates No. 3 and/or 4. 1. TITLE OF SUBPROJECT Title of subproject according to the consortium overview (max. 140 characters). 2. PRINCIPAL INVESTIGATOR(S) Academic title, first name, last name, institution of all PIs. 3. SUBPROJECT DESCRIPTION Aim of the Subproject and Research Question(s) Please describe the aims of the subproject and the research question(s) addressed. What results are ex- pected? Own previous Work, Resources and Expertise Which own previous work is directly relevant for the hypothesis and the research question(s)? Describe the necessary resources in place for accomplishing the project: infrastructure, capacities, specific expertises and previous achievements (e.g. methodologies, cells/tissues, animal models, patient cohorts etc.) Research Approach Describe the methodologies and technical approaches used in the subproject. How are the required re- sources integrated in the project? Work Plan Please describe your work plan in detail (work packages, time frame, milestones). Which tasks will be done? How will the aims of the subproject be reached? Please indicate how the research will be con- ducted in compliance with the requirements of GxP standards where required. Added Value for the Platform Describe the cooperation with other platform partners. What is the added value of this cooperation? What is the relevance of the subproject in the context of the platform and the overall research question? Seite 9 von 19
“Acronym of Platform” Subproject Milestone Plan Indicate work packages into which the project is divided and schedule events that indicate the completion of major deliverable events. Milestones are measurable/observable events and serve as markers. Example: WP Mile- year 1 year 2 year 3 year 4 year 5 no. stone (▼) Clinical trial 1 approval ▼ granted Experi- mental setup 2 and system ▼ modification completed Data acqui- 3 sition started ▼ Data acqui- 4 sition com- ▼ pleted Data analy- 5 sis com- ▼ pleted 4. REFERENCES Please specify the most relevant publications (max. 10) and indicate the public access links if possible. Mark your own publications in bold. For your references please use the Vancouver style (Further infor- mation: International Committee of Medical Journal Editors. Uniform Requirements for Manuscripts submit- ted to Biomedical Journals. NEJM 1997; 336:309-15). Additionally, in case of patent applications relevant to the project aims please indicate patent number/issue date or application serial number/application date, ideally with a link to the respective data base. Only for the references and the patent applications a minimum of font Arial, font size 9, line spacing 1.0 lines is allowed. Seite 10 von 19
“Acronym of Platform” Therapeutic Study 3. Template: Therapeutic Study The template is only relevant for platforms with therapeutic studies. The description of the therapeutic study should not exceed 9 pages (DIN A4, minimum of 11 point Arial, line spacing 1.5 lines, margins 2 cm). The number of pages includes cited literature. Structure your study using the headings listed below and make an entry under every heading/subheading. If any of the headings is not applicable for your type of study please shortly explain why. Please note: The signature of a biometrician at the end of the study synopsis is mandatory! 1. TITEL OF SUBPROJECT Title of the subproject (max. 140 characters). 2. STUDY SYNOPSIS PRINCIPAL INVESTIGA- Name, address, telephone, fax, e-mail TOR(S) In case of multiple applicants the principal investigator / coordinat- ing investigator6 of the trial who will assume responsibility for con- ducting the clinical trial, should be listed first. TITLE OF STUDY The title of the study (not exceeding 140 characters) should be as precise as possible. In case of funding this title shall be quoted in the annual reports of the BMBF. Acronym is optional. MEDICAL CONDITION The medical condition being studied (e.g. asthma, myocardial in- farction, depression) OBJECTIVE(S) Which principal research questions are to be addressed? Specify clearly the primary hypotheses of the study that determines sample size calculation. INTERVENTION(S) Description of the experimental and the control treatments or inter- ventions as well as dose and mode of application. Experimental intervention: Control intervention: if applicable Duration of intervention per patient: Follow-up per patient: KEY INCLUSION AND EX- Key inclusion criteria: CLUSION CRITERIA Key exclusion criteria: OUTCOME(S) Primary efficacy endpoint(s): (e.g. for dose finding and/or for as- sessment of activity) Key secondary endpoint(s): if applicable Assessment of safety: STUDY TYPE e.g. randomized / non-randomized, type of masking (single, dou- ble, observer blind) type of controls (active / placebo), parallel group / cross-over 6 For definition of "Investigator" see “Guideline for Good Clinical Practice” der International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH GCP): 1.34 Investigator: “A person responsible for the conduct of a clinical trial at a trial site. If a trial is conducted by a team of individuals at a trial site, the investigator is the responsible leader of the team and may be called the principal investigator.” 1.19 Coordinating investigator: “An investigator assigned the responsibility for the coordination of investigators at different centres participating in a multicentre trial.” This definition should also be used for non-pharmacological studies. Seite 11 von 19
“Acronym of Platform” Therapeutic Study STATISTICAL ANALYSIS Efficacy: Description of the primary efficacy analysis and population: Safety: Please describe the strategy for assessment of safety is- sues in the study. Which are relevant safety variables? Secondary endpoints: SAMPLE SIZE To be assessed for eligibility (n = …) To be allocated to trial (n = …) To be analysed (n = …) STUDY DURATION Time for preparation of the trial (months): Recruitment period (months): First patient in to last patient out (months): Time for data clearance and analysis (months): Duration of the entire trial (months): PARTICIPATING CENTERS To be involved (n): if applicable How many centers will be involved? Please also list the cities. SIGNATURE BIOMETRICIAN 3. MEDICAL ASPECTS, INNOVATION AND RELEVANCE OF THE PROJECT Objectives/Research Goals What is the objective? Which results are to be expected? Evidence Set your study into perspective; substantiate your starting hypothesis. What is the rationale for the interven- tion? Please describe the existing evidence to support the study (e.g. proof of principle in a disease specific animal model, relevant systematic review(s) and/or (own) pilot studies, feasibility studies, relevant previous/on- going studies, case reports/series). Please note: Prerequisite for funding of early clinical studies is the provision of relevant and reliable data concerning the potential clinical efficacy of the therapeutic approach in the respective disease area. Therefore, please describe in detail the strengths and weaknesses in the stringency of the previous research and provide evidence for your previous results. Safety Please provide reliable data on safety and tolerability of the therapy. The Need for a Therapeutic Study What is the novel aspect of the proposed therapy? Describe the innovative approach, development stage of therapeutic concept, prior art/comparison with existing therapies, innovative character. Specify the clinical im- pact: therapeutic benefit, including improvement of health, life quality and/or life span of patient groups tar- geted. What will be the improvement for the patients? Why are the results of the study important? Reflect on the socioeconomic impact of the study (e.g. potential cost reductions for health care, prospective pricing). Subsequent Study(ies) What would be the information gained for a subsequent study? Define criteria that need to be fulfilled for transferring the proposed approach to a subsequent study or for dismissing the proposed interventional ap- proach. Seite 12 von 19
“Acronym of Platform” Therapeutic Study 4. INTERVENTION AND DESIGN ASPECTS Intervention scheme / Study flow Describe the intervention scheme in depth and give a schematic diagram (flow chart) of design, illustrating interventions, procedures and stages. Frequency and Sope of Study Visits What is the proposed frequency and scope of study visits and, if applicable, the duration of post-trial follow- up? Please also give a table with time-points of visits and procedures per time-point. Specify items to be recorded on CRF per procedure. Control(s) / Comparator(s) Justify the choice of control(s) / comparison(s): Is placebo acceptable? Is there a gold standard? Which previ- ous (animal) studies establish efficacy and safety of the chosen control regimen? Dose, Mode and Scheme of Intervention Justify the dose (finding), the mode and the scheme of the intervention. How does the intervention compare to other interventions for the same condition? Will the study drugs be readily available for the trial? Additional Treatments Please describe the medication(s) / treatment(s) permitted (including rescue medication) and not permitted before and / or during the study, if applicable. Inclusion / Exclusion Criteria Justify the population to be studied, include reflections on generalisability and representativeness, specifically with regard to gender and age. Outcome Measures Justify the endpoints chosen: Are there other studies that have utilized this endpoint? Are there any guidelines proposing this endpoint / these endpoints? Patient-relevant endpoints have to be prioritized, if possible. Dis- cuss the clinical relevance and as well the relevance for the patient of the outcome measures for the target population or the patient. Have the measures been validated? Justify appropriateness and limitations of com- posite endpoints, if applicable. Determination of primary and secondary measures How will primary and secondary endpoints be derived from actual measurements, e.g. how is the figure used in the statistical test calculated from the variables initially measured in the subjects? Methods against Bias Is randomisation feasible? Which prognostic factors need to be regarded in the randomisation scheme and the analysis? What are the proposed practical arrangements for allocating participants to study groups? Will study site effects be considered in randomisation? Is blinding possible? If blinding is not possible please explain why and give details of alternative methods to avoid biased assessment of results (e.g. blinded assessment of outcome). Proposed Sample Size / Power Calculations What is the proposed sample size and what is the justification for the assumptions underlying the power cal- culations? Include a comprehensible, checkable description of the power calculations and sample sizes detailing the outcome measures on which these have been based for both control and experimental groups; give event rates, means and medians, the software used for sample size calculation etc., as appropriate. Justify the size of difference that the study is powered to detect, or in case of a non-inferiority or equivalence study, the size of difference that the trial is powered to exclude. Give evidence / references for the estimated effect size. Seite 13 von 19
“Acronym of Platform” Therapeutic Study If the proposed sample size is not based on statistical calculation, please justify why another approach has been chosen and why the proposed sample size will be adequate to answer the objective of the study. Sample size calculations need to take into account anticipated rates of non-compliance and losses to follow up. Compliance / Rate of loss to follow up Provide details for assumptions on compliance issues. On what evidence are the compliance figures based? What is the assumed rate of loss to follow up? On what evidence is the loss to follow up rate based? How will losses to follow up or non-compliance be handled in the statistical analysis? Feasibility of Recruitment What is the evidence that the intended recruitment rate is achievable? Demonstrate conclusively the potential for recruiting the required number of suitable subjects (the best piece of evidence being pilot studies and preceding trials in a similar population / same institutions). Comment on the prevalence of the disease, the access to patients and their willingness to be randomized in a trial, if appli- cable. How did you assess that you can recruit the necessary number of patients (in each participating centre, if applicable)? Please specify criteria for the selection of trial sites, if applicable. International collaborations If the proposed trial includes foreign centres or collaboration with organisations in other countries, please give full details of funding arrangements agreed or under consideration. 4.11 Stopping Rules Please specify the “stopping rules” or “discontinuation criteria” a) for the individual patient, b) for participating centers which fail to include the estimated number of patients (if applicable) and c) for the whole trial. 5. STATISTICAL ANALYSES What is the proposed strategy of statistical analysis? What is the strategy for analysing the primary outcome? If applicable, how will multiple primary endpoints be analysed statistically? If interim analyses are planned, please specify. Are there any subgroup analyses? Discuss the robustness of your results e.g. with respect to unavoidable incomplete or missing data. 6. ETHICAL CONSIDERATIONS Give a description of ethical considerations relating to the trial (assessment of risks and benefits, care and protection for research participants, protection of research participants’ confidentiality, informed consent pro- cess). 7. QUALITY ASSURANCE AND SAFETY Quality Assurance / Monitoring What are the proposed measures for quality assurance? Which institution will perform the monitoring? Which SOPs will be utilized? Describe and justify the monitoring strategy (percentage of source data verification, number of monitor visits per trial site). Please note: In a multicentre study, the funding agency (DLR-PT) will insist on the conduct of pre-study visits. Those visits must be carried out before the study begins in each recruiting centre by independent bodies, if feasible also accompanied by the PI or a member of the steering committee. Visiting an excess number of Seite 14 von 19
“Acronym of Platform” Therapeutic Study sites to allow selection of the most suitable sites is possible. Please make sure to include these as a milestone into the time plan and into the budget. The report of the results and the consequences drawn from these visits by the steering committee or the PI must be documented and can be requested by the funding agency. Note that delays in patient recruitment may lead to discontinuation of funding, especially if reports from pre-study visits and monitoring visits addressing possible shortcomings were not adequately dealt with in time. If con- ducting the pre-study visits is not possible or feasible, this has to be well justified in the proposal. Safety / Pharmacovigilance Describe and justify briefly the proposed strategy for the assessment of patients’ safety in the trial (Monitoring of adverse events, documentation, reporting procedures, etc. If applicable please include an element of expert advice and monitoring, that is entirely independent of the principal / coordinating investigator and the medical institutions involved. This will normally take the form of a scientific advisory board / trial steering committee (TSC) and / or an independent Data and Safety Monitoring Board (DSMB). 8. REFERENCES Please specify the most relevant publications (max. 10) and indicate the public access links if possible. Mark your own publications in bold. For your references please use the Vancouver style (Further information: International Committee of Medical Journal Editors. Uniform Requirements for Manuscripts submitted to Bio- medical Journals. NEJM 1997; 336:309-15). Additionally, in case of patent applications relevant to the project aims please indicate patent number/issue date or application serial number/application date, ideally with a link to the respective data base. Only for the references and the patent applications a minimum of font Arial, font size 9, line spacing 1.0 lines is allowed. Seite 15 von 19
“Acronym of Platform” Diagnostic Study 4. Template: Diagnostic Study The template is only relevant for platforms with diagnostic studies. The description of the diagnostic study should not exceed 9 pages (DIN A4, minimum of 11 point Arial, line spacing 1.5 lines, margins 2 cm). The number of pages includes cited literature. Structure your study using the headings listed below and make an entry under every heading/subheading. If any of the headings is not applicable for your type of study please shortly explain why. For planning a diagnostic study the checklist of the “STARD Statement” should be considered (Standards for the Reporting of Diagnostics Accuracy studies (http://www.equator-network.org/reporting-guidelines/stard/). Most applications fail due to lack of information or information that is not very meaningful. In the case of the validation of a biomarker, applications often fail due to an inadequate or missing biostatistical validation con- cept. Please note: The signature of the biometrician at the end of the study synopsis is mandatory! 1. TITLE OF THE SUBPROJECT Title of the subproject (max. 140 characters). 2. STUDY SYNOPSIS PRINCIPAL INVESTIGA- Name, address, telephone, fax, e-mail TOR(S) In case of multiple applicants, the principal investigator 7 of the study who will assume responsibility for conducting the study should be listed first. TITLE OF STUDY The title of the study (not exceeding 140 characters) should be as pre- cise as possible. In case of funding this title shall be quoted in the an- nual reports of the BMBF. Acronym is optional. MEDICAL CONDITION The medical condition being studied (e.g. asthma, myocardial infarction, depression). OBJECTIVE(S) Which principal research questions are to be addressed? Specify clearly the primary hypotheses of the study that determines sample size calcula- tion. Specify precisely what the biomarker will be used for in clinical prac- tice (diagnosis/prognosis/prediction). STUDY DESIGN e.g. prospective diagnostic study (i.e. randomized/non-randomized, type of masking) VALIDATION CRITERIA Specify clearly the index test and the reference procedure (gold-stand- ard) for diagnostic marker and/or clinical finding. KEY INCLUSION AND EX- Key inclusion criteria: CLUSION CRITERIA Key exclusion criteria: OUTCOME MEASURE(S) Primary efficacy endpoint: Key secondary endpoint(s): Assessment of safety: 7 "Investigator" as defined in the harmonised “Guideline for Good Clinical Practice” of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH GCP). This definition should be used accordingly for non-drug studies/studies: (1.34 Investigator) “A person responsible for the conduct of a clinical study at a study site. If a study is conducted by a team of individuals at a study site, the investigator is the responsible leader of the team and may be called the principal investigator.” (1.19 Coordinating investigator) “An inves- tigator assigned the responsibility for the coordination of investigators at different centres participating in a metacentre study.” Seite 16 von 19
“Acronym of Platform” Diagnostic Study STATISTICAL ANALYSIS Efficacy / test accuracy: Description of the primary efficacy / test accuracy analysis and popula- tion: Safety: Secondary endpoints: SAMPLE SIZE To be assessed for eligibility (n = …) To be allocated to study (n = …) To be analysed (n = …) STUDY DURATION First patient in to last patient out (months): Duration of the entire study (months): Recruitment period (months): PARTICIPATING CENTERS To be involved (n): How many and which centres will be involved? SIGNATURE BIOMETRICIAN Scheme/Study flow Describe the scheme and give a schematic diagram (flow chart) of design, procedures and stages. 3. THE MEDICAL PROBLEM Evidence Set the study into perspective; substantiate the starting hypothesis. What is the rationale for the study? Give references to any relevant systematic review(s) and/or (own) pilot studies, feasibility studies, relevant previ- ous/ongoing studies, case reports/series to support the candidate surrogate marker. The Need for a Diagnostic Study How significant is the study in terms of its potential impact in respect to better strategies for diagnosis, prog- nosis and therapy control and/or the knowledge of the underlying disease? What impact will the results have on clinical practice and personalized medicine? Is the study necessary at this point? How will a) the individual patient and b) the society/science benefit from the study? Please describe the reproducibility, clinical conse- quences, and definition for limits of the test, handling with intermediate or missing results, and decision rules for multiple markers. Assay Performance Criteria Please provide information on the performance criteria of the assay used in this study: reproducibility, feasibility (readily accessible, international standards available, calculated costs reasonable), confounders (assay re- lated, non-assay related), and stability. 4. RESOURCES Type Is the study based on an (already characterized) biomaterial bank (BMB), a sample collection and/or patient cohorts? Describe in detail the type of collection (central/decentral) and how the access to the resources is organized in the consortium and participating institutions. Please characterize the available material collection and/or patient cohorts according to the following issues: Which biological material is collected (nature [tissue or sample type] and numbers)? Comment on the primary goal of the material collection and/or patient cohort: a) Is the material primarily stored for routine diagnostic or therapeutic purposes? Can the material additionally be used for research questions? If applicable, to which degree is this already undertaken? Is the treatment context embedded in a clinical study (purpose commitment)? b) Is the material only sampled and stored for research question(s)? Seite 17 von 19
“Acronym of Platform” Diagnostic Study Is it planned to receive or is the use of clinical/genetic/pathological data for the specific research question already approved? Specify ethical issues regarding e.g. informed consent, declaration of appropriation, per- sonal rights. Data and Material Acquisition and Storage Describe the concept of data and material acquisition and storage. Which data are intended to be sampled and stored (data of patient, data of the sample(s), data of sample analysis)? Describe yet obtained numbers and comment on data protection. Does the database, contain (or intended to contain) clinical, genetic or patho- logical information? Who does or will provide that input and where? Who is responsible for update and mainte- nance of the data base? Which instruments will be used to record the data? Are the instruments validated and reliable? How will the personnel responsible for data acquisition be trained? Which standards will be used to classify diagnoses and stages of the disease(s)? Comment on the potential accessibility of related resources and on the possibilities to use or integrate already existing sources or data. Ownership Who is the owner of the BMB and/or patient data from a cohort? Who is owner of the collected samples in the BMB? Will property rights or rights of use (without acquisition of property rights) be delegated? If yes, how is assured that there is compliance with all different regulations? Feasibility of comprehensive sampling In case of existing (systematic) collections and/or patient cohorts, which publications of the last 2 years are based on this material bank or patient cohort? 5. JUSTIFICATION OF DESIGN PARAMETERS Please provide justifications. It is not sufficient to list respective parameters only. Control(s)/Comparator(s) Justify the choice of control(s) / comparison(s): Is there a gold standard? What is the rationale for the units, cut off and / or categories? Inclusion/Exclusion Criteria Justify the population to be studied (inclusion/exclusion criteria), include reflections on relevance for patient stratification and/ or personalisation of medical treatment, specifically with regard to gender and age. Which standards are used for the classification of diagnosis and disease stages? Outcome Measures Justify the endpoints chosen: Are there other studies that have utilized this endpoint? Are there any guidelines proposing this endpoint/these endpoints? Patient-relevant endpoints have to be prioritized, if possible. Discuss the clinical relevance and as well the relevance for the patient of the outcome measures for the target popula- tion or the patient. Have the measures been validated? Justify appropriateness and limitations of composite endpoints, if applicable. How will primary and secondary endpoints be derived from actual measurements, e. g. how is the figure used in the statistical test calculated from the variables initially measured in the subjects? Proposed Sample Size/Power Calculation What is the proposed sample size and what is the justification for the assumptions underlying the power cal- culations? If the sample size is not based on statistical hypotheses justify why another approach has been chosen and why that enables to answer the medical question of the study. International Collaborations If the proposed study (incl. possible BMB) comprises foreign centres or collaboration with organisations in other countries please give full details of funding arrangements agreed or under consideration in the appendix. 6. STATISTICAL ANALYSES What is the proposed strategy of statistical analysis? What is the strategy for analysing the primary outcome? If interim analyses are planned, please specify. Are there any subgroup analyses? Discuss the robustness of the results e. g. with respect to unavoidable incomplete or missing data. If high-throughput data are generated (e.g. when using micro-arrays) which methods are used to adjust for multiplicity and an inflated error of false positive results? Seite 18 von 19
“Acronym of Platform” Diagnostic Study 7. ETHICAL CONSIDERATIONS Give a description of ethical considerations relating to the study (assessment of risks and benefits, care and protection for research participants, protection of research participants’ confidentiality, informed consent pro- cess). 8. QUALITY ASSURANCE AND SAFETY What are the proposed measures for quality assurance? Which institution will perform the monitoring? Which SOPs will be utilized? Describe and justify the monitoring strategy (percentage of source data verification, number of monitor visits per study site). 9. REFERENCES Please specify the most relevant publications (max. 10) and indicate the public access links if possible. Mark your own publications in bold. For your references please use the Vancouver style (Further information: International Committee of Medical Journal Editors. Uniform Requirements for Manuscripts submitted to Bio- medical Journals. NEJM 1997; 336:309-15). Additionally, in case of patent applications relevant to the project aims please indicate patent number/issue date or application serial number/application date, ideally with a link to the respective data base. Only for the references and the patent applications a minimum of font Arial, font size 9, line spacing 1.0 lines is allowed. Seite 19 von 19
Sie können auch lesen