1. www.esf.org 1 European Clinical Research in a Global Setting FEAM Launch Event 25 January 2011 European Medical Research Councils Dr Stephane Berghmans

2. www.esf.org ESF Member Organisations ESF is an independent association of 79 Member Organisations research funding organisations research performing organisations academies and learned societies in 30 countries

3. www.esf.org European Medical Research Councils The membership organisation for the medical research councils in Europe under the ESF EMRC founded 1971 ChairProf L. Højgaard Clinical Physiology, Nuclear Medicine & PET Rigshospitalet University of Copenhagen (DK)

4. www.esf.org 1.Basic Research 2.Translational Research 3.Clinical Research 4.Epidemiology & Prevention Medical Research Promote innovative medical research and its clinical application towards improved human health EMRCs Mission

5. www.esf.org Top 5 recommendations 1. To improve the education, training and career structure and opportunities for scientists involved in patient-oriented clinical research 2. To increase levels of funding for IDCT 3. To adopt a risk-based approach to the regulation of IDCT 4. To streamline procedures for obtaining authorization for IDCT 5. To ensure that IDCT are carried out with an appropriate number of patients to produce statistically reliable results so that the trials arecorrectly powered Forward Looks Investigator-Driven Clinical Trials

6. www.esf.org Top 5 recommendations 1. To improve the education, training and career structure and opportunities for scientists involved in patient-oriented clinical research 2. To increase levels of funding for IDCT 3. To adopt a risk-based approach to the regulation of IDCT 4. To streamline procedures for obtaining authorization for IDCT 5. To ensure that IDCT are carried out with an appropriate number of patients to produce statistically reliable results so that the trials arecorrectly powered Forward Looks Investigator-Driven Clinical Trials

7. www.esf.org Top 5 recommendations 1. To improve the education, training and career structure and opportunities for scientists involved in patient-oriented clinical research 2. To increase levels of funding for IDCT 3. To adopt a risk-based approach to the regulation of IDCT 4. To streamline procedures for obtaining authorization for IDCT 5. To ensure that IDCT are carried out with an appropriate number of patients to produce statistically reliable results so that the trials arecorrectly powered Forward Looks Investigator-Driven Clinical Trials

8. www.esf.org Top 5 recommendations 1. To improve the education, training and career structure and opportunities for scientists involved in patient-oriented clinical research 2. To increase levels of funding for IDCT 3. To adopt a risk-based approach to the regulation of IDCT 4. To streamline procedures for obtaining authorization for IDCT 5. To ensure that IDCT are carried out with an appropriate number of patients to produce statistically reliable results so that the trials arecorrectly powered Forward Looks Investigator-Driven Clinical Trials

9. www.esf.org 1. Multiple and divergent assessment of CTs 2. Definitions 3. Safety reporting 4. Substantial amendments 5. Labelling 6. Sponsor issues 7. Emergency in CTs 8. Monitoring 9. General recommendations outside the CTD Position Paper EMRC proposal for a revision of CTD & recommendations for CT facilitation

10. www.esf.org Top 5 recommendations 1. To improve the education, training and career structure and opportunities for scientists involved in patient-oriented clinical research 2. To increase levels of funding for IDCT 3. To adopt a risk-based approach to the regulation of IDCT 4. To streamline procedures for obtaining authorization for IDCT 5. To ensure that IDCT are carried out with an appropriate number of patients to produce statistically reliable results so that the trials arecorrectly powered Forward Looks Investigator-Driven Clinical Trials

11. www.esf.org Global Setting

12. www.esf.org Global Setting

13. www.esf.org Global Setting

14. www.esf.org Global Setting OECD Global Science Forum Towards international recommendations to facilitate cooperation in international non- commercial clinical trials ESF-EMRC implementation workshop (Paris, June 2009) German and Spanish governments support OECD GSF proposal approved (April 2010) First GSF meeting (Madrid, May 2010) Second GSF meeting (Washington, November 2010) Final GSF meeting (Berlin, May 2011) Participants: European Commission, ESF, FDA, WHO, Germany, Spain, France, UK, Poland, Denmark, Norway, New Zealand, USA, Canada, Japan, South Africa, etc.

15. www.esf.org Global Setting Survey (Done) Regulatory differences Current situation for education, training & infrastructure Working Groups (in progress, finalisation May 2011) Risk-based approach to CTs Regulatory frameworks & harmonisation Infrastructure, education & training practices Report including recommendations (October 2011) OECD Global Science Forum Towards international recommendations to facilitate cooperation in international non- commercial clinical trials

16. www.esf.org Thank you Dr Stephane Berghmans, Head of Unit Dr Kirsten Steinhausen, Science Officer Medical Sciences European Science Foundation (ESF) sberghmans@esf.org ksteinhausen@esf.org 1 quai Lezay-Marnésia - BP 90015 67080 Strasbourg cedex – France Tel +33 (0)3 88 76 71 63 www.esf.org/emrc

17. www.esf.org Global Setting