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The development and delivery of a clinical trial can be demanding. Over more than 20 years OCTO proven itself able to adapt and innovate, rising to the challenges of running a wide range of projects. When you work with us you will working with a CTU with the professional expertise you require for the development and delivery of your clinical trial in an academic research environment.

We have experience of:

  • CTIMPs, non-drug studies, device trials
  • Single centre, multi centre and international trials
  • Working with many different funders: commercial and non commercial funders (or a combination of the two)

Most of our trials are sponsored by Oxford University but we have worked with external sponsors, and we welcome the opportunity to work with Chief Investigators based in other institutions.

 

What can you expect from us?

Trial management is a collaborative process in which the relationship between the clinician and trial management team thrives on good communication. You can expect proactive, pragmatic and proportionate trial management from a team of experienced professionals.

If you would like to have an initial discussion about bringing your trial to OCTO please contact the OCTO Trial Development Team via email and we can arrange this: octo-trialdev@oncology.ox.ac.uk

It is never too early to talk to us about a new trial idea. You do not need to bring us a draft protocol, in fact, we prefer to be involved before one is written. Many of the most important decisions are made at the initial stages of design,  and early discussion helps build a strong and practical study. Early engagement with patient and public representatives is crucial to trial design, we can help you connect with relevant groups.

All new proposals are reviewed by our Clinical Trial Development Group (CTDG). We recommend contacting us at least 12 weeks before submitting a funding application to allow enough time for planning and support.

If your trial joins our pipeline a Senior Trial Manager and a statistician will work closely with you to develop the study design and operational plan, confirm funding requirements, and prepare funding applications.

We will prepare a full cost estimate covering all trial activities, including trial management, NHS site costs, study supplies, and biological sample collection. We can also help identify and assess laboratories or third-party providers, including due diligence checks, particularly for CTIMPs.

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Once funding is confirmed, we will work closely with you to finalise the protocol and prepare submission documents for ethics review and, where required, MHRA approval. All documents will be developed promptly, in line with the agreed budget, relevant legislation, and good clinical practice standards. We will carry out a risk assessment to support smooth, compliant trial delivery.

At the same time, we will set up study sites for recruitment, establish supply arrangements, and implement data management and safety reporting systems. We will also ensure that essential Trial Master File documentation is in place. Where needed, we will coordinate with other University teams, including contracts and the sponsor office, to keep processes on track.

A strong partnership between the Chief Investigator and the trial management team is vital. Clear, regular communication allows us to address issues quickly and respond to new opportunities as the trial progresses.

Throughout the study, you will receive regular reports on recruitment, data quality, and other key metrics to provide assurance of safe and compliant trial delivery.

After the last patient has completed per protocol follow-up we will work with you to ensure:

  • All data cleaning is complete and the final data set is locked for analysis
  • Closure of all participating NHS study sites
  • Close of out any third-party suppliers
  • Final reports submitted as appropriate to the study e.g. REC, MHRA, funders, stakeholders, participants, and to trial registries where appropriate.
  • Ensure that the Trial Master File is locked and archived as required by the sponsor and applicable regulations.

Every trial is different. We work with investigators to understand what each trial will require, this enables us to work up realistic costing. These inform the level of funding which needs to be in place to run an effective trial. 

Factors influencing cost  are:

  • Type of study – CTIMP, non CTIMP, device trial
  • Duration of each stage of the trial – set-up, recruiting, patient treatment, patient follow-up, data analysis and reporting.
  • Number of patients/participants
  • Number of study sites and types (e.g. PICs and treatment centres, hub and spoke models, locations and countries)
  • Number of products to be sourced and/or coordinated (e.g. study drugs/IMPs, contrast agents, blood or biopsy sample packs)
  • Screening and eligibility requirements e.g. simple one stage entry vs two stage recruitment where initial screening tests are required to confirm eligibility for a main study.
  • Complexity of the design (e.g. single cohort receiving the same intervention vs multi arm multi stage dose escalation then expansion)
  • Phase of trial (e.g. a First In Human study with a new product vs a phase 2 using a well-established and well-documented IMP).
  • Number of biological samples per patient to be collected, shipped and tracked
  • Volume and frequency of data to be collected per patient, schedule for data cleaning and reporting (e.g. single final report vs frequent dose escalation decisions or requiring interim analyses)
  • Number of data sources and types (e.g. CRF data, laboratory, imaging, routine NHS data)
  • Number of third parties to be managed: e.g. laboratories, IMP suppliers (manufacturer/packaging/labelling/QP/distribution)
  • Stakeholder and reporting requirements
  • Data management and monitoring requirements (based on risk assessment)
  • Relationship with IMP providers – what reporting do they need and when (e.g. SAEs, SUSARs, DSURs)
  • What interim reporting or analyses may be required by the design, funders or stakeholders.
  • Source(s) of funding (with pricing as per Oxford University policies)

Trial Sample Management - Translational Support Unit

TSU logoThe Translational Support Unit (TSU) is a GLCP accredited dedicated laboratory based within OCTO and specialising in clinical trial sample management. The lab undertakes end-to-end sample tracking and oversight and is a central point for sample coordination. TSU staff engage with protocol and lab manual development early on in the life of a trial.

TSU hold the LEAF Gold award for sustainable laboratory practices.

 

Trial Sample Analysis

For laboratory-based analyses for a trial we will work with a Chief Investigator to identify appropriate third parties including laboratories.  Where required we will ensure that the laboratory is appropriately resourced and structured for the required purposes, and will oversee performance throughout the study, ensuring relevant information is collected and recorded within the Trial Master File.

OCTO will work with a Chief Investigator to identify appropriate third parties or provide services for the manufacture and supply of products required within the protocol. Where required we will ensure that selected parties are appropriate and able to fulfil the responsibilities delegated to them by the sponsor. 

During the trial OCTO will monitor the activities of the third party, ensuring relevant information and documentation is recorded within the trial master file.

Clinical care of patients on trials remains the responsibility of participating study sites and their clinical teams. A trial Risk Assessment will determine whether an out of hours service is necessary for queries specific to a trial protocol but this is rarely required.