Clinical connection - masthead
Issue: # 1 March 2010
in this issue
Allphase growth
Feature Article: Biomarkers in Clinical Development
About Allphase
 
 
upcoming events 
 
BIO Convention icon
 
BIO 2010 - Exhibiting
(booth 1416)
 
 
Partnerships in Clinical Trial Icon 
 
Partnerships in Clinical Trials - Attending
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Welcome back to our newsletter series
 
 
Dear All,
  
 
After a short break from publishing our inaugural newsletter, we would like to welcome you back to our new Clinical Connection. Through this newsletter, Allphase will share pertinent and new information gleaned from our experiences in running multiple trials in a variety of therapeutic areas. We will update you on upcoming meetings, conferences and presentations that we will be attending, and inform you of any new service offerings and features at our CRO.
 
Happy Reading,
 
 
Angelo Panzica
Chief Operating Officer
Allphase Clinical Research Inc.
 
 
Allphase boats image
 
 
 
Profit 100Allphase in top growth ranking 
 
Allphase Clinical Research Inc is awarded 46th place in the 21st annual PROFIT100 Fastest-Growing Companies by PROFIT Magazine.

Ottawa, ON: June 2nd, 2009 - Allphase Clinical Research Inc. announced today that it has ranked 46th in the 21st annual PROFIT 100 ranking of Canada's Fastest-Growing Companies by PROFIT Magazine. Ranking Canada's Fastest-Growing Companies by five-year revenue growth, the PROFIT 100 profiles the country's most successful growth companies.

In the 2003-2008 period covered by this year's ranking, Allphase Clinical Research Inc. realized annual five year revenue growth of 1,626%. This period was also marked by the company's international expansion into the United States
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Biomarker imageBiomarkers and adaptive clinical development
 
Many clinical trial designs focus on improving disease status from baseline, and this is the primary measure of efficacious therapeutic response.  In addition, current disease classification/staging and risk stratification methods, while prognostically helpful, may still fail to adequately predict response to treatment.  Increased knowledge of disease biology has generated promising biomarker candidates across a wide range of therapeutic indications that will allow for more accurate diagnosis, prognosis assessment, and therapeutic targeting.  In response to these developments, clinical development programs have focussed on maximizing these benefits through well designed trials that capitalize on the utility of prognostic and predictive biomarkers.
 
One path to realizing this goal is through adaptive clinical trial design.  The most common adaptive design methods include: adaptive randomization, group sequential designs, sample size re-estimations, adaptive dose finding and dose removals, adaptive treatment-switching designs, and biomarker-adaptive designs.   Adaptive biomarker designs involve biomarker qualification, optimal screening designs, and model selection and validation.   Prognostic biomarkers can be used to separate patients with good- and poor-prognosis at the time of diagnosis; whereas predictive biomarkers can be used to identify specific patient cohorts with a higher likelihood of treatment response. Thus, a biomarker-adaptive design can be used to (i) select right patient population (e.g., enrichment process for selection of a better target patient population), (ii) identify the course of the disease, (iii) early detection of the disease, and (iv) help to maximize the treatment response, thus assisting in the development of  personalized medicine regimes.
 
Prior to the implementation of an adaptive trial, the following logistical issues must be considered:
 
  • Will the design delay patient recruitment and prolong duration of the study and does this diminish the advantage of the study?
     
  • Will un-blinding of data cause potential bias in treatment assessment/analysis?
     
  • How will protocol deviations affect the validity of the data?
 
The clinical development of a new drug product is long and costly.  For life-threatening diseases, rare diseases, and conditions in which treatment options are limited, options to accelerate this process are desired.  This, in combination with the movement toward personalized medicine based on prognostic and predictive biomarkers, the use of adaptive clinical trial designs is called for.   Allphase Clinical Research continues to provide insight into the advantages and disadvantages of adaptive clinical trial designs and their appropriateness to specific therapeutic indications in order to assist our partners in the design of rigorous, marker-based clinical trials.
 
 
Clinical Collage 
About Allphase
 
Allphase Clinical Research is a full-service, quality focused CRO dedicated to helping clients achieve their clinical development goals. Allphase collaborates with clients through all stages of development, providing comprehensive services in:
 
  • Regulatory Management
  • Data Management (EDC or paper)
  • Trial Planning and Monitoring
  • Project Management
  • Training
  • Medical Writing
  • Quality Assurance
 
Allphase's experience and knowledge of the scientific, regulatory, and logistical elements of clinical research allow us to provide operational support and strategic insight into any clinical project. Diligent application of industry best practices ensures that our clients' projects are managed in strict compliance with industry regulations and laws. Allphase provides full Phase I-IV services in all major therapeutic areas, with particular strengths in:
  • Oncology
  • Cardiovascular
  • CNS
  • Respiratory
 
We have strong relationships with medical experts in these fields, and a vast network of top researchers in our proprietary database. In addition, Allphase employees are members of industry associations such as DIA, ACRP, AAAAI, and ASCO.
 
Allphase thrives on challenge and is driven to succeed at every stage in order to be your trusted outsourcing partner. Allphase Clinical Research is dedicated to Exceeding Your Expectations®

 
Please visit our website at www.allphaseclinical.com for more information or e-mail Angelo at apanzica@allphaseclinical.com.
Allphase Clinical Research | 33 Wood Avenue South | 6th Floor | Islin | NJ | 08830