1 Shaping the Future Industry Sponsored Research in Malaysia College Physician 12 Nov 2017 Dr Akhmal Yusof CEO Clinical Research Malaysia
1
Shaping the Future Industry Sponsored Research in Malaysia
College Physician 12 Nov 2017
Dr Akhmal Yusof CEO Clinical Research Malaysia
Outline
• Introduction
• Meeting socio-economic demand of the country
• CRM Strategies: Where are we heading ?
• Closing notes
A non-profit company wholly owned by Ministry of Health to create a supportive environment and complete ecosystem to grow Industry Sponsored Research (ISR)
4
Board Of Directors
YB Datuk Seri Dr. S. Subramaniam Minister of Health, Malaysia
Y. Bhg. Dato’ Seri Dr. Chen Chaw Min Secretary General in the Ministry of Health, Malaysia
Y. Bhg. Datuk Dr. Noor Hisham Director General of Health, Malaysia
Y. Bhg. Datuk Dr. Shahnaz Murad Deputy Director General of Health (Research & Technical Support) in the Ministry of Health, Malaysia
YB Senator Datuk Prof Dr. Sim Kui Hian Senior Consultant Cardiologist
Y. Brs. Dr. Goh Pik Pin Director of the National Clinical Research Centre, Malaysia
Mr Ewe Kheng Huat Executive Director of the Pharmaceutical Association of Malaysia
Prof Dr Adeeba Binti Kamarulzaman Dean of the Medical Faculty at Universiti Malaya
Building a Trusted Organisation
1. Respect diversities – whistleblowing policy
2. Integrity – ABAC/FCPA 3. Professional Business
Conduct – No Gifts policy 4. Protecting company
assets-IP protection 5. Behaving in community
Good Legal Review System
• Standard Operating Procedure in place • reviewed and approved within 14 days
• reviewed by PUU Min of Health
• Transparent with presentation to PUU office quarterly
• Governed by Malaysia law
• Arbitration in Kuala Lumpur
• Indemnity to cover Institution and Study Team
Good Financial Control System
• Standard Operating Procedure • reviewed and approved by KSU office
• reviewed by Integriti
• Transparent with statement of account
• Audited by external auditor
CRM believes in delivering…
Quality
Reliability
Speed
Quick Startup time : Improve internal timeline Feasibility, Budget Negotiation, Fast recruitment within 100 days
Deliver the commitment : ‘I am Aware’ campaign, Clinical Trial Day, Clinical Trial List in CRM website Quality Data Delivery
: Protocol Deviation Workshop & GCP Refresher
Country Number of ISRs*
(2013 – 31/12/2016)
Thailand 741
Singapore 600
Malaysia 311
Philippines 207
Vietnam 154
Indonesia 111
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Source: ClinicalTrials.gov, 20th January2017 * Studies received from 01/01/2013 to 12/31/2016
Where does Malaysia stand in SEA (2013 – 2016)
Classification of Trials approved by ECs in 2016
(Jan – Dec 2016, n=162)
72
52
29
9
0
20
40
60
80
Jan- Dec16
No
. of
Ap
pro
ved
Tri
als
Yr 2016
Interventional (Drug) BABE Studies
Observational/Non-Interventional Medical Device
1 1 1 1 1 2 2 2 2 2 2 3 3 3 3 3 4 5 5 5
7 7
10 17 18
52
0 10 20 30 40 50 60
Advanced Therapy Medicinal Product (ATMP)EpidemiologyImmunology
O&GPublic Health / Epidemiology
AnaesthesiologyNutrition
OrthopedicPsychiatry
UrologyVaccine
GastroenterologyHepatologyNephrology
OpthalmologyRheumatology
DermatologyHematology
NeurologyPaediatrics
Infectious DiseasePulmonary / Respiratory Disease
EndocrinologyOncology
Cardiology / Vascular DiseasesBE
NO. OF TRIALS
THER
AP
EUTI
C A
REA
No. of Trials approved by ECs in Malaysia in 2016 according to Therapeutic Area (Jan-Dec 2016, n=162)
7 9
48
22 24
52
0102030405060
Phases of the Trials approved in 2016 (n=162)
No. of Trials Approved in 2016
15
Countries Timeline
Submission Regulatory Ethics
Singapore Approx. 30 days Approx. 30 days Parallel
MALAYSIA Approx. 30 business days Approx. 50 business days Parallel
South Korea Approx. 30 days Approx. 50 days Parallel
Hong Kong 30–60 business days 30–60 days Parallel
Japan Approval is by default if no objections within 30 days
4–8 weeks Sequential
Taiwan Approx. 30 business days Approx. 30–60 business days Both
Philippines 8-12 weeks 8-12 weeks Both
Speed : Quick start up time
Source: George Clinical India
1055 new & ongoing ISRs
GNI of RM 233++ mil
1491 skill jobs
1000 ISRs
(new & ongoing)
1000 New Hi-Skill Jobs RM 578
million
(GNI)
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2017 (Sep)
CRM’s 2020 KPI Targets
874 new & ongoing ISRs
GNI of RM 197++ mil
1118 skill jobs
2016
1000 ISR by 2020
First PI growth since 2010 ( 185 in 2016 vs 69 In 2015)
New collaboration with DNDi, Univesities (Glasgow, Lancaster, Birmingham, Newcastle, Warwick, Cambridge & Melbourne)
1.4 Million hit for website, Media presence in print media, 6 International missions
Fastest growing site managers with 30% increase headcounts providing resources in public & private sectors
Early Phase trials via P1RP
Optimizing Oncology ISR via 3P-O and CRM-IKN support
5 year Blue print
Clinical Research
Excellence and Advancement
Centre Malaysia (CREAM)
Sustainable Value
Proposition (SVP) Project
Project Accelerate
To manage own dedicated centre specializing on early phase development and oncology
To complete the Clinical/Scientific ecosystem and drive research that matters for Healthcare solutions
To create research training academy that is respectable in the SEA region
CRM 5 year strategies (2017 to 2020)
Guidelines for Phase 1 CT
People Development
Capability Development
Preparation of Sites
Risk Management
Launch November 2017
NPRA officer sponsored by CRM to
study at Christie Manchester Oct 2017
Scientific Review Panel lists finalized
and awaiting appointment by YBMK
Ampang CTU and Sarawak GH Phase I
Unit ready
Crisis Manual Completed
Pillar 1 Pillar 2 Pillar 3 Pillar 4 Pillar 5
NPRA = National Pharmaceutical Regulatory Agency
Phase 1 Realisation Project (P1RP) Updates
DNDi Translational Head visit to CRM and
Sarawak Biodiversity Corporation in April
2017
IMR & Aurigene work for Novel Anti-Cancer
Compounds & Associated Biomarkers recruitment
started in October 2017
ACCELERATE Pre Clinical
projects with Clinical/Scientific
organization
Collaboration with local
Universities/MoH for Bench to
Bedside Projects
P1RP Centralized Lab for
the region
ACCELERATE Pre Clinical
projects with Clinical/Scientific
organization
Collaboration with local
Universities/MoH for Bench to
Bedside Projects
P1RP Centralized Lab for
the region
NHAM CRM Research Track showcased basic science, translational research as well as late stage clinical research from various institutions in Malaysia including all universities in the areas of Cardiology
ACCELERATE Pre Clinical
projects with Clinical/Scientific
organization
Collaboration with local
Universities/MoH for Bench to Bedside
Projects
P1RP Centralized Lab for
the region
ACCELERATE Pre Clinical
projects with Clinical/Scientific
organization
Collaboration with local
Universities/MoH for Bench to Bedside
Projects
P1RP Centralized Lab for
the region
Visit to Hematogenix- Planning to Open lab to cater
for Asian Clinical Trials sites in Malaysia
58
59
80
98
10
2
2013 2014 2015 2016 2017
FULL
FEA
SIB
ILIT
Y C
OU
NT
YEAR
FULL FEASIBILITY STUDY GROWTH 2014-2017
Higher Full feasibility in Aug 2017 compared to full year 2016. Average conversion rate of 12% currently vs 10% in 2016
CAGR 12%
Officiated by the Minister of Health, Datuk Seri Dr. S.
Subramaniam at National Cancer Institute,
PUTRAJAYA -(16 May 2017).
To celebrate the Clinical Trials Day launch, 33 satellite
hospitals across Malaysia, conducted the ‘I Am
Aware’ roadshow to further drive awareness among
public.
The launching of Clinical Trials Day
The intangible value of ISR
TECHNOLOGY TRANSFER
DESIGN STUDY PROTOCOL
STUDY METHODOLOGY
DATA MANAGEMENT
EXPANDING RESOURCES
INCREASE TREATMENT
OPTIONS FOR THE PEOPLE
PROVIDE RESOURCES TO
STUDY SITES
PROVIDE NEW KNOWLEDGE
GLOBAL RECOGNITION
CONSISTENT TIMELINE
RELIABILITY & QUALITY
PUBLICATION
CRM provides global health solutions for the people through clinical research
Our deep understanding of the local clinical research landscape with the international standards of operations coupled with fundamental backing of the MoH provide us an incomparable advantage to deliver research and create high skilled job opportunities
We believe…