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Understanding Trial Phases, Study Design, and Oversight From a Regulatory Perspective

  • 72 minutes
  • 38 slides
What we'll cover
  • 0:00 Why Regulators Read Trials
  • 8:00 Phase Purpose And Evidence
  • 18:00 Design Choices That Matter
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What you'll take away

Practical shifts you can apply this week

  • Identify Trial Phase Expectations

    Identify the regulatory purpose and evidentiary expectations of each major trial phase.

  • Compare Design Tradeoffs Clearly

    Compare common study design choices by the risks they create for bias, safety, and interpretability.

  • Evaluate Oversight Responsibilities

    Evaluate oversight responsibilities across sponsors, investigators, IRBs/IECs, DSMBs, and regulators.

  • Diagnose Common Regulatory Issues

    Diagnose protocol and conduct issues that commonly trigger findings, delays, or requests for clarification.

  • Design A Review Lens

    Design a simple review lens for aligning development decisions with inspection and approval readiness.

Agenda

What we'll cover

  1. 0:00

    Why Regulators Read Trials

    Hook and framing. See how phase, design, and oversight connect to approval and inspection outcomes.

  2. 8:00

    Phase Purpose And Evidence

    Phase 0 through IV, what each phase is meant to answer, and where teams ask the wrong questions.

  3. 18:00

    Design Choices That Matter

    Endpoints, comparators, blinding, randomization, estimands, and population choices regulators notice fast.

  4. 30:00

    Adaptive And Platform Designs

    Guardrails for adaptive formats, interim analyses, alpha control, and governance before data get persuasive.

  5. 38:00

    Safety Oversight In Practice

    AE to SUSAR pathways, DSMBs, stopping rules, urgent safety measures, and escalation logic that holds up.

  6. 47:00

    Who Owns What

    Sponsors, investigators, IRBs/IECs, CROs, and regulators each have distinct duties. Gaps become findings.

  7. 54:00

    Failure Modes And Recap

    Common design and conduct problems, a simple readiness lens, and one practical review step for this week.

  8. 58:00

    Q&A And Next Step

    Bring a live study question or use the closing framework to stress-test one protocol in your portfolio.

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