Regulatory intelligence and strategy
SMERUD provides regulatory expertise in the complex regulatory landscape and the many different variations in terms of policies and practices of different countries and sites. We have huge experience in interacting with various competent authorities and regulatory bodies, and can therefore help our clients navigate their clinical development programme in the most efficient way.
- Regulatory intelligence
- Identify and interpret national regulatory requirements and guidelines
- Identify guidelines and regulations
- Literature search
- Licensing negotiations
- Regulatory strategy
- Assessment of available data on product
- Identifying regulatory requirements for target indication(s)
- Clinical development plan
- Individual project planning, costing and co-ordination
- Critical path management
- Competitive intelligence
- Assessment of contract vendors
- Co-ordination of contract vendors
- Due diligence for product licensing
Scientific Advice Meetings &
Orphan Drug Designations
In line with our experience as key advisors to small, start-up biotech companies, SMERUD has prepared and conducted several SAMs on the national as well as EU level. Our particular expertise lies within development of drugs for rare disorders, both for Europe and the US, and we have successfully obtained several orphan drug designations, both for Europe and for the US.
- Scientific Advice Meetings
- Prepare briefing packages
- Plan, conduct and deliver Meetings
- Writing and negotiating minutes following SAMs
- Orphan drug designations (OMPDs for Europe, ODD for the US)
- Compile applications
- Manage process including any committee meetings
- Implement clinical development plans following an OMPD/ODD
- Plan, conduct and manage Protocol Assistance Meetings
- Maintain designations
Clinical trial applications
SMERUD’s central regulatory & study start-up teams will develop and/or review essential documents such as the IMPD, IB, Risk Management Plan, Patient Information /Informed Consent Forms. In addition, each of the SMERUD country subsidiaries has study-start up specialists with experience in amending the national application forms for ethics and regulatory authorities, respectively.
Our regulatory & study start-up activities include:
- Clinical Study Protocol development and/or critical review
- Development/review of the Investigational Medicinal Product Dossier (IMPD)
- Development/review of the Investigator’s brochure (IB)
- Development/review of patient information/informed consent form
- Registration in relevant study databases
- Notification/application to national authorities
- Application to Ethics committees / IRBs
- Application to Data Protection Agencies and for Biobanking, as applicable
- Management of import licenses
Clinical trial supplies
SMERUD is a holder of QP authorisation and can release study drugs within the EU/EEA. This requires a Quality Technical Agreement between the manufacturer (and Sponsor) and SMERUD. If the IMP can be stored refrigerated or in room temperature, SMERUD also has a Manufacturing License covering storage and distribution of IMP.
For each study assignment, and when applicable given the limitations in our Manufacturing License, SMERUD’s distribution unit overseen by our Regulatory Affairs department, will draw up detailed plans for how to best make use of the supplies (IMP’s).
QA and auditing
SMERUD offers Quality Assurance services related to clinical development, mainly covering GCP regulations. Our QA auditors field years of clinical trial auditing experience in a variety of therapeutic areas and study phases. We can also assist our clients in developing or reviewing your standard operating procedures (SOPs), and provide training in GxP and related topics.
Our typical QA services include:
- Investigational Site audits
- Vendor (CRO) audits
- Critical document review
- SOP development
- GCP compliance
- GCP consultation
- GxP training
SMERUD regularly arranges scientific and operational seminars on topics related to clinical trials, regulatory affairs and statistical methodology with the objective of offering a meeting place for the local clinical research society. In addition, we are proud to present our regular training courses within GCP-related topics, training courses that have been built on almost 30 years of experience with GCP. In addition to periodic training courses, our team is able to tailor-make specific courses for smaller groups, e.g. project-specific training of study staff, where examples and cases will be taken from the specific study protocol.
GCP Training for investigators, study nurses and monitors
These courses are mainly focused on educating study nurses, investigators and site staff in the discipline of Good Clinical Practice (GCP) and in particular the responsibilities associated with being an investigator (site). The course includes theoretical lectures and practical workshops. We are also able to adapt a course for your specific needs. Courses can be modified to last half day, full day, or 2 days, depending on clients’ wish and needs. We are also able to tailor examples and cases to a specific protocol/study.
Accredited University course in Medical Statistics
Online statistical training is available through Smerud Statinet AS (Norwegian). This course is presented in collaboration with the Medical Faculty, University of Oslo. Currently we arrange five courses, all of which are a part of the Norwegian Medical Association’s continued medical education programme.
Directive 2001/20/EC of the European Parliament Article 19 (General Provisions) requires that prior to the conduct of clinical trials in the European Community the sponsor or a legal representative of the sponsor must be established in the Community.
At the specific request of a Sponsor, SMERUD will be able to act as a legal representative subject to certain limitations of liability. Such a task is normally contracted as a stand-alone agreement through a Special Purpose Vehicle (Smerud Legal & Regulatory AS).
Other regulatory services
Our regulatory consultants are competent across a wide range of activities, covering i.a. the following areas:
Marketing Authorisation Applications (MRP, CP, national applications)
- Collate documentation
- Compile dossiers
- Manage application process
- Follow-up and implementation
- Market Access
- Strategic planning of pricing & reimbursement approach
- Health economy modelling
- Price negotiation
- Translation and harmonisation to local regulations
- Summary of Product Characteristics
- Data Sheets (e.g. for local registries and references)
- Patient Information Leaflet
- User’s Instruction Sheet
- Labelling / Packaging material
- Covering letters / justification statements
- Application for Article numbers