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Why does or doesn't clinical BA work fall under GCP?

  • 1.  Why does or doesn't clinical BA work fall under GCP?

    This message was posted by a user wishing to remain anonymous
    Posted 11-21-2024 09:57
    This message was posted by a user wishing to remain anonymous

    Are there specific reasons why companies view bioanalytical (BA) work to support clinical studies as needing or not needing to follow GCP regulations?



  • 2.  RE: Why does or doesn't clinical BA work fall under GCP?

    Community Leadership
    Posted 11-21-2024 16:53

    For patient privacy types of issues, GCP do apply.  For pure BA work, one should follow ICH M10. 



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    Jim Shen Ph.D.
    Executive Director, Head of Regulated Bioanalysis Operations
    Bristol-Myers Squibb
    Princeton NJ
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
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  • 3.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 11-22-2024 08:35

    I agree with Jim on the patient privacy issues, but there are additional considerations for the application of GCPs. One is that GCPs are intended to prevent patient harm. Normally, bioanalytical data don't fall into that category but things like mis-dosing where higher than expected concentrations are observed or when there is a exposure threshold put the BA data as part of patient safety considerations and require rapid reporting of the results.

    Additionally, in 2012, EMA published a reflection paper "Reflection paper for laboratories that perform the analysis or evaluation of clinical trial samples".  The Scope of that document notes "The nature and purpose of laboratory work conducted as part of a clinical trial is extremely broad. Laboratories perform a wide range of activities which provide data that is used to monitor trial subject safety, assess pharmacokinetic parameters and to measure end points. Consequently, because of the diverse nature of laboratory work associated with clinical trials, it is very difficult to provide guidance which is wholly applicable in all situations. It is acknowledged that the recommendations set out in the paper may not be applicable in their entirety to some laboratories. The paper is primarily aimed at contract research organisations, sponsors laboratories and non commercial laboratories that are involved in the production of data that is used to assess end points of safety and efficacy. The paper is not specifically designed for laboratories that perform routine clinical chemistry or gather data which will be used for purposes not directly linked to the primary objectives of the trial. However, it should be noted that there is a requirement for all laboratories that perform work in support of clinical trials to implement appropriate measures to assure the quality and integrity of the data they produce and to exercise due diligence to ensure that the trial subjects rights are not compromised."

    Because PK is not always a primary endpoint, the guideline is not always applicable, but many clinical studies do include PK as a primary endpoint (e.g., DDI, Food-effect, BA, BE).  It also raises the question in today's world when bioanalytical labs are measuring biomarkers, they are sometimes listed as primary endpoints.



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    Mark Arnold Ph.D., FAAPS
    Westampton, NJ
    [email protected]
    Bioanalytical Solution Integration
    LinkedIn: https://www.linkedin.com/in/markearnoldphd/
    Website & Blog: Bioanalysis & Biomarkers <bioanalysisandbiomarkers.blogspot.com>
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  • 4.  RE: Why does or doesn't clinical BA work fall under GCP?

    Community Leadership
    Posted 12-09-2024 09:36

    Is anyone aware of a summary table? e.g., something that explains when different regulations apply based on country/region and intended use of data - In my ideal world it would be a single page w/ links and cover all laboratory generated data used in drug development- ICH M10, GCP, GLP, 21 CFR Part 11, CLIA, EU IVDR, FDA LDT Rule, ISO 13485 etc. 



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    Stephanie Cape Ph.D.
    Senior Director, Precision Medicine Delivery
    Labcorp

    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 5.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-11-2024 22:42

    Hi Stephanie-

    You could form a working group to create one. I'd join. But recruit Eric Woolf also.

    Tom

    Thomas Tarnowski 



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    Thomas Tarnowski
    Executive Director
    Gilead Sciences Inc
    Burlingame CA
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.Gilead Sciences Inc
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  • 6.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-12-2024 07:13

    HI Stephanie and Tom,

    Agreed that this would be really useful, please include me as well. 

    Best regards,

    Brian



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    Brian Wile
    General Manager
    KCAS Bio- Philadelphia
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
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  • 7.  RE: Why does or doesn't clinical BA work fall under GCP?

    Community Leadership
    Posted 12-12-2024 07:31

    It should be relatively straightforward to put together such a listing.  It might be good to include someone from the Regulatory Science community as well as from this community to participate.



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    Eric Woolf Ph.D., FAAPS
    Scientific Associate Vice President
    Merck and Co Inc
    Souderton PA
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 8.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-12-2024 09:45

    If we are going to start such an initiative, please include myself also. 

    - Steve Lowes



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    Stephen Lowes Ph.D.
    Sr. Director, Scientific Affairs
    IQVIA Laboratories
    Ithaca NY
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
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  • 9.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-12-2024 11:08

    I'd like to join the effort too!



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    Susan Irvin, PhD, PMP
    Regeneron Pharmaceuticals, Inc.
    Tarrytown, NY
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
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  • 10.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-13-2024 16:17

    Hi Eric and Stephanie,

    I am part of the Regulatory Science team, representative for Bioanalytical. Please include me in the discussion as you wish. I believe many organizations follow the EMA reflection paper on clinical sample analysis, which was published more than 10 years ago. But we can certainly discuss this topic further as a group. 



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    Weiping Shao Ph.D.
    Sr. Group Director and Head of Regulatory Bioanalysis
    AstraZeneca
    Gaithersburg MD
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 11.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-17-2024 14:46

    My own opinion based on reading the GCPs and GLPs (unless they've changed since then)  is that they cover:   Study conduct, responsible personnel, training records, documentation, etc.  The bioanalytical work does not fit under any of this.  Rather, bioanalytical assays are regulated by FDA/ICH guidances that are fairly well described with lots of corresponding white papers adding some detail/interpretation/commentary to those guidances (often with FDA co-authors).  Thus, in the strict sense (by which I mean validation is clinical phase-dependent but often done at pI; absolutely required for GLP studies however), validated assays are used to support GLP/GCP studies.



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    Eric Wakshull Ph.D
    Consultant
    Eric Wakshull Consulting
    Santa Fe NM
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
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  • 12.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 11-22-2024 08:48
    Jim is correct. GLP only applies to non clinical work. GCP does apply, but that guideline doesn’t address laboratory work. In some countries, a GCLP guideline has been established, but FDA does not have such a guideline. Follow M10 and the relevant sections of GCP and you’ll be OK.

    John Kamerud

    Sent from my iPad




  • 13.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 11-23-2024 06:56

    I would recommend reading this white paper as a starting point.  However, the clinical study sponsor's role extends beyond the bioanalytical laboratory, as the responsibility also includes clinical investigator site inspections. From a BA perspective, this is sample management, which must align with sample stability information.  

    https://www.tandfonline.com/doi/full/10.4155/bio-2024-0055#abstract



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    James Zanghi, PhD
    Senior Principal Scientist
    BioAnalytical Sciences
    Genentech

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
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  • 14.  RE: Why does or doesn't clinical BA work fall under GCP?

    Community Leadership
    Posted 11-23-2024 07:05

    I agree with all of the points mentioned above.  One point that is often overlooked is the fact that GLP or GCP says nothing about the quality of the science/methodology used for the bioanalytical work.  GLP, which applies only to pre-clinical work, focuses primarily on documentation and the ability to reproduce the "compliant" work.  It is quite possible to do poor science in a GLP compliant manner.  Similarly, the aspects of GCP that are mentioned above as being applicable in a BA lab focus primarily on patient privacy and safety, not the science of the method being used for the bioanalytical work.  Scientific rigor comes into play when ICH M10 is applied to method validation and sample analysis.



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    Eric Woolf Ph.D., FAAPS
    Souderton PA
    [email protected]


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  • 15.  RE: Why does or doesn't clinical BA work fall under GCP?

    Community Leadership
    Posted 12-06-2024 09:15

    Thank you, all, for contributing to this #CommunityDiscussion thread!



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    Stacey Axler
    Community Manager
    AAPS
    Arlington VA
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
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  • 16.  RE: Why does or doesn't clinical BA work fall under GCP?

    Community Leadership
    Posted 12-13-2024 08:39

    Thanks everyone- I'll look to set something up so we can get started on this in January. 



    ------------------------------
    Stephanie Cape Ph.D.
    Senior Director, Precision Medicine Delivery
    Labcorp

    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------



  • 17.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-13-2024 09:45

    This is a worthwhile initiative - and would like to join as well.  Also think this broadly applies to labs conducting not only PK but also Immunogenicity and PD support as well.

    Best, 

    Jason



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    Jason Pennucci
    Director, Bioanalytical Sciences
    Moderna Therapeutics
    Cambirdge MA
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
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  • 18.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-13-2024 21:48

    Stephanie-

    Please add me in.  I'll try to compile what I have from past presentations and share with you as starting material. 



    ------------------------------
    Mark Arnold Ph.D., FAAPS
    Westampton, NJ
    [email protected]
    Bioanalytical Solution Integration
    LinkedIn: https://www.linkedin.com/in/markearnoldphd/
    Website & Blog: Bioanalysis & Biomarkers <bioanalysisandbiomarkers.blogspot.com>
    ------------------------------



  • 19.  RE: Why does or doesn't clinical BA work fall under GCP?

    Posted 12-16-2024 09:36

    Hi Stephanie,

    I would like to join.  This will be helpful to many in the industry.

    - Tracy Clark-Stovall
    Sr. Director, Quality
    KCAS Bio



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    Tracy Clark-Stovall
    Sr. Director, Quality
    KCAS Bio - Olathe, KS
    Olathe KS
    [email protected]

    Disclaimer: Opinions expressed are solely my own and do not express the views or opinions of my employer.
    ------------------------------