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3017 Regulatory Science in Translational and Regenerative Medicine Biomedical Education: A Pilot Course

机译:3017转化医学和再生医学生物医学教育中的管理科学:先导课程

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摘要

OBJECTIVES/SPECIFIC AIMS: INTRODUCTION: Many of the innovative therapies used in regenerative medicine, such as additive manufacturing and stem cell engineering, rely on novel technologies and techniques for which standards for safety, efficacy, and quality have not been fully explored and established. As these therapies and technologies develop at a rapid pace, there is a need for the development of scientifically-based metrics to assess whether new treatments are effective and safe for clinical translation. Research and development of such standards is known as “regulatory science,” and is needed by the United States Food and Drug Administration (FDA) to support the creation of the evidence-based guidances and regulations that are used in review of product submissions. As outlined by the FDA’s description of their Centers for Excellence in Regulatory Science and Innovation (CERSIs) and the Association for Clinical and Translational Science’s (ACTS) Regulatory Science Working Group, here is a need to train investigators and clinicians to conduct regulatory science research to support successful clinical translation of regenerative treatments. OBJECTIVE: To develop a course to expose scholars to regulatory science concepts, to empower them to apply these concepts to their personal areas of research, and to challenge them to engage in the dialogue surrounding regulatory science on a national level. METHODS/STUDY POPULATION: METHODS: The “Introduction to Regulatory Science” course was developed jointly by the Yale-Mayo CERSI and the Mayo Clinic Center for Clinical and Translational Science (CCaTS) in 2017 as a didactic in-person survey course. The course objectives included exposing scholars to the ideas of regulatory science and affairs; reviewing the FDA’s Priority Areas for Advancing Regulatory Science; and determining what safety, quality, and efficacy concerns may need to be addressed when using new technologies, such as those used in regenerative medicine research. To meet these intended learning objectives, the course addressed one FDA Priority area each week, with a team of experts providing one-hour of lecture and discussion each class session. Regenerative medicine-related topics included a bioethics of stem cell therapy development, evaluation of additive manufacturing as an emerging technology, and the application of cGMPs to the manufacture of new therapies. Assignments and assessments included a quiz each week, which served as a knowledge check of that week’s lecture content, and a final paper analyzing regulatory concerns associated with a technology or product of the scholar’s choosing. RESULTS/ANTICIPATED RESULTS: RESULTS: The course was first delivered as an elective in 2017, with an enrollment of 8 scholars and 3 auditors. Scholars enrolled included 7 trainees and established investigators from Mayo Clinic Rochester and one from Arizona. Of the 8 scholars enrolled, 7 completed the post-course survey. Scholars strongly agreed that the “course objectives were met” (7/7) and that the “course was well worth the effort I put into it” (7/7). Five scholars stated that they learned “a lot” during the course; two said they learned “an incredible amount.” Scholars unanimously gave the course a grade of “A.” Qualitative feedback was positive, indicating that the team-taught and in-person course design choices were highlights for trainees. The course is currently in its second delivery (2018), with an enrollment of 16 scholars across Mayo Clinic Rochester, Arizona, and Florida. DISCUSSION/SIGNIFICANCE OF IMPACT: CONCLUSIONS: The developed course was successfully piloted and well-received. Scholars reported that they agreed that the course aims were achieved, and indicated that they would like to see additional coursework to continue to learn how to engage in regulatory science. Next steps include utilizing course feedback to iterate on the current course, expanding course delivery to include scholars at the Yale site of the Yale-Mayo CERSI, and the creation of a second course.
机译:目标/特定目的:简介:再生医学中使用的许多创新疗法,例如增材制造和干细胞工程,都依赖于尚未充分探索和建立安全性,功效和质量标准的新颖技术。随着这些疗法和技术的快速发展,需要开发基于科学的指标来评估新疗法对于临床翻译是否有效和安全。此类标准的研究和开发被称为“监管科学”,并且是美国食品药品监督管理局(FDA)所需要的,以支持创建基于证据的指南和规章,这些指南和规章可用于产品提交的审查。如FDA对监管科学与创新卓越中心(CERSIs)和临床与转化科学协会(ACTS)监管科学工作组的描述所概述的那样,这里需要培训研究人员和临床医生进行监管科学研究。支持再生疗法的成功临床翻译。目的:开发一门课程,使学者们了解监管科学概念,使他们有能力将这些概念应用于他们的个人研究领域,并挑战他们在全国范围内参与围绕监管科学的对话。方法/研究人群:方法:“监管科学入门”课程由耶鲁大学梅奥CERSI和梅奥临床和转化科学诊所(CCaTS)于2017年联合开发,作为有针对性的面对面调查课程。该课程的目标包括使学者了解监管科学和事务的思想;审查FDA推进法规科学的优先领域;并确定在使用新技术(例如再生医学研究中使用的技术)时可能需要解决哪些安全性,质量和功效方面的问题。为了达到这些预期的学习目标,该课程每周要解决一个FDA优先领域,并且由一组专家组成,每节课提供一个小时的讲座和讨论。与再生医学相关的主题包括干细胞疗法发展的生物伦理学,作为新兴技术的增材制造的评估以及cGMP在新疗法制造中的应用。作业和评估包括每周的测验,作为对该周演讲内容的知识检查,以及最后一篇论文,分析与学者选择的技术或产品相关的监管问题。结果/预期结果:结果:该课程于2017年首次作为选修课交付,招收了8位学者和3位审核员。参加研究的学者包括来自梅奥诊所罗切斯特的7名受训人员和资深研究人员,以及来自亚利桑那州的1名研究人员。在入选的8位学者中,有7位完成了课后调查。学者们强烈同意“达到课程目标”(7/7),并且“课程完全值得我投入其中”(7/7)。五位学者表示,他们在课程中学到了很多东西。两个说他们学到了“不可思议的数量”。学者们一致认为该课程为“ A”级。定性反馈是积极的,表明团队培训和面对面的课程设计选择是受训人员的重点。该课程目前第二期交付(2018),共有来自梅奥诊所,罗切斯特,亚利桑那州和佛罗里达州的16名学者参加。讨论/意义的结论:结论:所开发的课程已成功地进行了试点并广受好评。学者报告说,他们同意实现课程目标,并表示希望继续学习其他课程,以继续学习如何参与监管科学。后续步骤包括利用课程反馈来迭代当前课程,扩大课程范围,以包括耶鲁大学梅奥CERSI耶鲁大学的学者,以及创建第二门课程。

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