Title: Johns Hopkins Institute for Clinical and Translational Research A CTSA Program
1Johns Hopkins Institute forClinical and
Translational Research A CTSA Program
- Daniel E. Ford, M.D., M.P.H.
- Director, Institute for Clinical and
Translational Research - Vice Dean for Clinical Investigation
2Goals for the Meeting
- Introduce national and local CTSA program
- Suggest ways your department and CTSA can
leverage resources - Give us advice on how to transform clinical and
translational research - Identify department liaisons for the Institute
for Clinical and Translational Research - Will receive email this week asking for your
department liaison designee
3 Impetus for the CTSA Program
- Implementing biomedical discoveries made in the
last 10 years demands an evolution of clinical
science. - New prevention strategies and treatments must be
developed, tested, and brought into medical
practice more rapidly. - CTSA awards will lower barriers between
disciplines, and encourage creative, innovative
approaches to solve complex medical problems. - These clinical and translational science awards
will catalyze change -- breaking silos, breaking
barriers, and breaking conventions.
4Urgency to Change at Johns Hopkins
- Faculty want more training and resources in
translational research - Regulatory environment more complex
- Not enough trained specialists in translational
research (staff and faculty) - Basic scientists cannot easily find clinical
research collaborators - Competition from both community
hospitals/physician and international sites - Need to preserve academic reputation of Johns
Hopkins - Accrual of research participants too slow
- Lack of centralized informatics support
- No institutional biospecimen bank
- Not certain what our role should be in
investigator-initiated research as compared to
big science (shared data/multicenter) - NIH support is flat and need to show leveraging
of resources
5Building a National CTSA Consortium
WA
ME
MT
ND
VT
MN
OR
NH
ID
WI
NY
MA
SD
WY
MI
RI
CT
NJ
IA
PA
NE
NV
OH
DE
IL
IN
UT
MD
CO
WV
VA
KS
MO
CA
KY
TN
AZ
OK
AR
SC
NM
GA
AL
MS
TX
LA
AK
FL
HI
Participating Institutions
Since 2006 Since 2007
6Building a National CTSA Consortium
FY06 Grantees Center for Clinical and
Translational ScienceThe Rockefeller University
Center for Clinical and Translational
SciencesUniversity of Texas Health Sciences
Center at Houston Clinical and Translational
Science CenterUniversity of California,
Davis Clinical and Translational Science
InstituteUniversity of Pittsburgh Clinical and
Translational Science Institute University of
California, San Francisco Clinical and
Translational Sciences InstituteUniversity of
Rochester School of Medicine and Dentistry Duke
Clinical and Translational Science InstituteDuke
University Institute for Translational Medicine
and TherapeuticsUniversity of Pennsylvania Irving
Institute for Clinical and Translational
Research Columbia University Mayo Center for
Translational Science ActivitiesMayo Clinic
Oregon Clinical and Translational Research
InstituteOregon Health and Science University
(partnering with Kaiser Permanente) Yale Center
for Clinical InvestigationYale University
FY07 Grantees Atlanta Clinical and Translational
Science Institute Emory University (partnering
with Morehouse College) CTSA at Case Western
UniversityCase Western University CTSA at
Washington University Washington University CTSA
at Weill Cornell Medical College Weill Cornell
Medical College (partnering with Hunter
College) Institute for Clinical and Translational
ResearchUniversity Of Wisconsin
Madison Institute for Clinical and Translational
Research Johns Hopkins Institute of
Translational Health Sciences University Of
Washington Michigan Institute of Clinical and
Health Research University Of Michigan At Ann
Arbor North Central Texas Clinical and
Translational Science Initiative University of
Texas Southwestern Medical Center -
Dallas University Of Chicago CTSAUniversity Of
Chicago Univ of Iowa's Inst for Clinical and
Translational Science University Of
Iowa Vanderbilt Institute for Clinical and
Translational Research Vanderbilt University
(partnering with Meharry Medical College)
7CTSAWeb.org
8Consortium Governance Organization
Governance Manual available at http//ctsaweb.org/
Docs/CTSA_Governance_Manual.pdf
9Translational Pathway
Diffusion to All Health Care Settings
Mechanistic Studies
Initial Human Testing
Basic Discovery
Proof of Efficacy
Proof of Effectiveness
10Institute for Clinical and Translational
ResearchInfluence on Scientific Discovery
Enhancing Formulation of Creation of
Development Conduct Analysis of
Publication Observation Scientific Question
Research Team Study Protocol of
Study Study Data Impact Study
Advisory Boards Protocol Review
Translational Science Forums Science Cores
Innovation Groups Biostatistical Support
Regulatory Support ATIP Research Ethics
Clinical Research Units Clinical Research
Participant Core Data/Safety Monitoring
Community Engagement Program Biomedical
Informatics Navigator Program
Institute Programs
11Johns Hopkins Programs Before CTSA
- K12 Clinical Research Scholars Program
- Graduate Training in Clinical Investigation
- T32 Medical Student Training Program
- Johns Hopkins GCRC
- Inpatient
- Outpatient
- Pediatric
- Kennedy-Krieger Neurobehavioral Research Unit
- Bayview GCRC
- New Partners?
12Johns Hopkins Institute for Clinical and
Translational Research
NIH other government agencies
Research participant Recruitment office
Trial Design
Advanced Degree-Granting Programs
Biomedical Informatics
Johns Hopkins ICTR
Industry
Participant Community Involvement
Clinical Resources
Biostatistics
Regulatory Support
Healthcare organizations
13Deputy Directors of the Institute for Clinical
and Translational Research
- Dr. Charles Balch
- Dr. Stephen Desiderio
- Dr. Elizabeth Jaffee
- Dr. Pamela Ouyang
- Dr. Neil Powe
- Dr. Christopher Saudek
- Dr. Pamela Zeitlin
14Johns Hopkins ICTRParticipating Schools
- School of Engineering
- School of Medicine
- School of Nursing
- School of Public Health
15Research Education, Training, and Career
Development
Leaders Neil Powe, Franklin Adkinson, Susan
Furth, Edgar Miller, Jon Samet, Scott Zeger,
Jennifer Haythornwaite, Jeri Allen and Charles
Flexner
- Coordinates clinical and translational research
training throughout Johns Hopkins - Administers formal degree granting programs in
clinical research (Graduate Program in Clinical
Investigation, Clinical Epidemiology Program) - Administers predoctoral (TL), postdoctoral (KL)
and junior faculty (KL) training awards in
clinical and translational research - Coordinates summer and elective experiences in
clinical and translational research for medical
students - Curriculum design, innovation and development of
problem/case and/or team based modules in
clinical research - Coordinates clinical research curriculum for
medical students across the four years of medical
school - Provides technical assistance on study design,
study implementation, data collection, data
management and data analysis to clinical and
translational research trainees in the formal
program
16Basic Science Translational Forum
- Leaders Stephen Desiderio and Elizabeth
Jaffee -
- Identify basic science researchers who are
considering translation to human biology and/or
clinical settings - Identify clinical investigators who wish to
collaborate with basic scientists to develop or
improve tools for clinical research - Match each of these groups with appropriate
clinical or basic research faculty - Nurture groups through facilitated access to
experts and institutional resources - Conduct formal follow-up to evaluate effectiveness
17Clinical Science Translational Forum
- Leaders Daniel Ford and Neil Powe
- Identify clinical researchers who are considering
translation to broader community knowledge
transfer - Match these groups with appropriate basic
research faculty, community populations,
providers and payers - Nurture groups through facilitated access to
content experts and institutional resources - Conduct formal follow-up to evaluate effectiveness
18Clinical Research Units
Leaders Pamela Ouyang (Bayview), Christopher
Saudek (JHH Broadway), Pamela Zeitlin
(Pediatrics), Michael Cataldo (Neurobehavioral
KKI)
- Continue to provide the laboratory in which
over 260 active clinical research protocols
currently being accomplished - Inpatient and Outpatient facilities on the
Broadway and Bayview campuses (both adult and
pediatric) sleep units (Pediatric at Broadway,
Adult at the Bayview campus) - Emphasis on investigator-initiated protocols
- Provide biostatistical consultation, and thorough
peer review prior to study initiation - Support investigators with trained research
nurses, phlebotomists, and interviewers - Support investigators with computing (including
system manager), full nutrition staff and
consultations. - Support investigators by funding limited
laboratory and imaging costs as Ancillaries
19Clinical Research Units
Leaders Pamela Ouyang (Bayview), Christopher
Saudek (JHH Broadway), Pamela Zeitlin
(Pediatrics), Michael Cataldo (Neurobehavioral
KKI)
- Provide specialized services such as exercise
(Bayview/GSS), body composition, CV imaging
(Bayview), and a Core Laboratory for research
immunoassays, mucociliary clearance laboratory,
flexible bronchoscopy, BAL and infant lung
function laboratory (Pediatrics) - Provide specimen processing
- Neurobehavioral CRU (Kennedy Krieger) with
functional MRI facilities is also available to
researchers - Work with other ICTR units to coordinate areas
such as biostatistical consultation and training.
20Translational Research Navigators
- Leader Daniel Ford
- Experienced research coordinators will be
assigned to research teams to help develop a plan
for efficiently moving protocols through
regulatory offices - Each research coordinator will have a person
assigned to work with them in each of the
regulatory-based offices at Johns Hopkins - Will assist research teams in completing
appropriate applications and taking advantage of
all science opportunities
21Biostatistical Support
- Leader Scott Zeger
- Johns Hopkins Biostatistics for Clinical and
Translational Research (Biostats CenTeR) - Center coordinates biostatistics support to Johns
Hopkins translational research teams - Provides practical advice on study design and
biostatistics questions - Has library of previous biostatistics
consultations for review before consultation - Encourages consultation at study design phase and
before data collection has been completed
22Advanced Translation Incubator Program - ATIP
- Leader Jeffrey Rothstein
- Research teams can apply for pilot grant funds to
support translational projects - Investigators need to describe a deliverable
product at the end of funding - Want to pilot a new focus on strict timelines
with rapid turnaround - Can apply for up to 100,000 over two years
- New investigators, interdisciplinary teams, and
research teams with trainees are priorities
23Clinical Research Management System - CRMS
Leaders Diana Gumas, Daniel Ford, Stuart Ray,
Kerry Stewart
- Application to register and follow research
participants - Linked to eIRB and EPR
- Document eligibility and produce CRF
- Web-based secure system
24Clinical Research Management System
EPR/Labs Integration
External Recruiting Website
IRB Integration
Protocol Schema / Patient Calendar
Budgeting Sponsor Billing
Patient/ Protocol Registry
Eligibility Screening
Billing Compliance
Data Warehouse
Tissue Banking
JHED/Site Minder Integration
Investigators
Research Nurse
Program Manager
Data Manager
Insurance Clearance
Budgeting by Dept. Admin.
SoM Leadership
Pharmacy
Core Facilities
Labs
Billing Compliance
IRB
Possible Future Functionality
Work In Progress
Currently In Use
Key
25Biomedical Informatics
- Leaders Harold Lehmann, Giovanni Parmigiani
- Have programs responsible for knowledge
management, clinical research informatics,
biospecimen informatics, and bioinformatics - Completing needs assessments in each area
- Prioritizing development of new biomedical
informatics applications
26Research Participant Retention and Recruitment
Office
- Leader Cheryl Dennison
- Develop tools to monitor the success of various
recruitment and retention approaches used within
Johns Hopkins - Provide consultations on various IRB-approved
recruitment strategies - Develop Johns Hopkins strategic initiatives
focused on recruitment and retention
27Johns Hopkins Data and SafetyMonitoring Board
- Leaders Fred Luthardt and Daniel Ford
- Help investigators who do not have access to a
DSMB develop a data and safety monitoring plan - If a DSMB is needed provide the structure and
administrative support for an institutional DSMB - Communicate DSMB decisions to appropriate IRBs
28Research Ethics Achievement Program
- Leader Jeremy Sugarman
- Provides ethics consultations for research groups
concerning design and conduct of studies - Conducts empirical studies to inform policies
related to risks and benefits associated with
different study designs and consent procedures
29Research Subject Advocate
Leaders Liz Martinez and Daniel Ford
- Consultation to research teams about best ways to
work with research subjects - Work with research teams who need an intermediary
for working with dissatisfied research
participants
30Community Engagement Office
- Leaders
- Charles Balch, Kostas Lyketsos, Chad Boult and
Peter Pronovost - Community Research Network Office Focus on
expanding sites and providers performing
research, e.g. Anne Arundel Medical Center
community physicians - Community/Patient Research Partnership Office
Focus on working with patient disease advocacy
groups to set research agenda and enlist help
with translational research projects - Secondary Translation Office Focus on
consultation service for research teams as they
design efficacy/effectiveness studies. Consumers
of research include patients, providers, payers,
and hospitals
31Innovative Methodology Workgroups
- Leader Charles Flexner
- Identifies important and recurrent clinical
research methodologic and biostatistics problems - Directs multidisciplinary work groups to address
these issues - Creates new methodologic approaches that are
available to the broad Johns Hopkins community
32Drug/Device/Vaccine Development
- Leaders Elizabeth Jaffee and Craig Hendrix
- Provides consultation to research teams on using
institutional resources to promote
drug/device/vaccine development - Provides medicinal chemistry expertise for
pre-clinical toxicology - Provides Good Manufacturing Practices (GMP) and
near-GMP for synthesis of biological reagents for
- pre-clinical toxicology and early Phase 1
testing - Provide pharmacologic and biologic endpoint
expertise - Individual and group seminars and hands on
experience with core technologies
33Proteomics/Biomarker Core
- Leader Jennifer Van Eyk
- Integrates discovery and validation strategies
and technologies for the development of robust
biomarkers - Assists in study design, cohort development,
appropriate experimentation and data analysis as
part of discovery process - Develops and coordinates new technologies and
optimizes/standardizes protocols specifically for
biomarker development - Individual and group seminars and hands on
experience with core technologies
34Genetics Translational Technology Core
- Leader Gary Cutting
- Provide consultation to clinical and
translational research teams regarding the
feasibility, design, power and costs of projects
using molecular technologies - Provide clinical grade services such as DNA
banking, sequencing and genotyping for qualified
investigators - Can help evaluate test performance in a
CLIA-certified environment - Individual and group seminars and hands on
experience with core technologies
35Imaging Core
- Leader Katarzyna Macura
- Provides consultation for best imaging approach
in translational studies - Developing an imaging library in cooperation with
Kennedy-Krieger Institute
36Johns Hopkins ICTR Challenges
- Enhancing communication across the multiple
programs in the ICTR - Finding best ways to leverage research
infrastructure - Relationships with various schools
- Relationships with cancer center
- Having the discipline to evaluate programs and
reallocate resources - Creating an academic home for translational
researchers without a physical location - Measuring output or translational research
successes - Identifying most productive approaches to working
with other academic institutions within CTSA
37Communicating with the ICTR
- ICTR Main Line -- 443-287-ICTR (4287)
- ICTR Website ictr.johnshopkins.edu
- News of program roll-outs, and upcoming events.
- Additional Information about the ICTR.
- Links to the national CTSA program
- COMING SOON A catalog of ICTR services, and a
catalog of resources at the JHMI that support
clinical and translational research. - COMING SOON For research subjects a searchable
catalog of current clinical research taking place
in the School of Medicine.