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Patient Misuse and Investigator Fraud in Clinical Trials: What Can Be Done? Part I

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Table of Contents

Patient Misuse and Investigator Fraud in Clinical Trials: What Can Be Done? Part I

GCP Is a System of Shared Responsibilities

FDA Monitoring of Clinical Research

Program Objectives

PPT Slide

Clinical Investigator Inspections FY 92-99

Clinical Inspections - Domestic FY’99

Clinical Investigator Deficiency Categories* - FY 99

Clinical Investigator Deficiency Categories: FY 97-99

Regulatory Actions (Clinical Investigations)

Inspection Outcomes (1964-1999)

IRB Inspections

Institutional Review is a Critical Component of GCP

FDA Recognizes the Importance of IRB Inspections to Implementing GCP

IRB Deficiencies - FY’99

IRB’s: What We Observe

IRB’s: Observations as Symptoms

Human Subject Protection Is Not Just IRBs: Current Issues

Impact of Misconduct

Current Compliance Concerns

Current Compliance Concerns

Complaints Received: 92-99*

Detecting and Handling Scientific Misconduct and Persistent Noncompliance

Detecting and Handling Scientific Misconduct

Fiddes Case Background

Fiddes Case Background

Fiddes Case Background

New York Times May 17, 1999 RESEARCH FOR HIRE: SECOND OF TWO ARTICLES

NY Time Allegations 100% source data verification = False sense of security

Tip for Detecting Serious Misconduct

NY Times Allegation The Slight of Hand Maneuver

Tip for Detecting Serious Misconduct

NY Times Allegation The Emperor has no clothes Syndrome

Tip for Detecting Serious Misconduct

NY Times Allegation BLAMETHEMONITOR Maneuver

NY Times Allegation BLAMETHEMONITOR Maneuver

Tip for Detecting Serious Misconduct

NY Times Allegation THENURSEDIDIT Maneuver The last refuge of a scoundrel

The Blame Game Who gets the blame?

Tip for Detecting Serious Misconduct

NY Times Allegation

NY Times Article Allegation

Tip for Detecting Serious Misconduct

NY Times Allegation Fabrication the undetectable crime?

NY Times Allegation

NY Times Allegation

Tip for Detecting Serious Misconduct

How we can improve Tips for Detecting Serious Misconduct

How we can improve Tips for Detecting Serious Misconduct

How we can improve Tips for Detecting Serious Misconduct

NY TIMES Allegations

How we can improve Tips for Dealing with Serious Misconduct

Complaint Handling System Points to Consider

Complaint Handling System Points to Consider

Complaint Handling System Points to Consider

Complaint Handling System Points to Consider

Complaint Handling System Points to Consider

FDA Believes Sponsors should Promptly Report...

Source of Complaints about CIs FY 1999

Sponsor reports to DSI

Sponsor Reports to DSI

How you can help

How you can help

We’re from the Government, how can we help?

Privacy Act Systems of Records

Bioresearch Monitoring Information System (BMIS)

Notice of Initiation of Disqualification Proceeding and Opportunity to Explain

Misconduct Website

Where to Report Misconduct

Where to Report Misconduct

Where to Report Misconduct

How You can help

Classification of IRB Inspections

IRB Classifications - FY’99

IRB Deficiencies - FY’97

IRB Deficiencies - FY’98

Author:

    Stan W. Woollen, Deputy Director, Division of Scientific Investigations, Center for Drug Evaluation and Research, FDA

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Last update: July 11, 2005

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