The Latest on Linked In

Cardio Pod: Heart of the Matter

Episode 12: The Role of AI in the Future of Clinical Trials and Therapeutic Development
How can artificial intelligence enhance and augment clinical trials? In what ways can it be used responsibly to increase trial efficiency? Host Chris O'Connor invites Martin Cowie, JoAnn Lindenfeld, Scott Solomon, Jon Cunningham, Mona Fiuzat, and Mitch Psotka to discuss the role of AI in clinical trials.

Episode 12: The Role of AI in the Future of Clinical Trials and Therapeutic Development

Episode 11: Importance of Subgroups in Heart Failure Clinical Trials (Part 2)
Host Dr. Christopher O'Connor invites Drs. Scott Solomon, William Abraham, JoAnn Lindenfeld, Brian Claggett, Mona Fiuzat, and Mitchell Psotka to continue discussion of the importance of subgroups in heart failure clinical trials. How can we analyze subgroups and determine the differences between subgroups and special populations?

Episode 11: Importance of Subgroups in Heart Failure Clinical Trials (Part 2)

Episode 10: Importance of Subgroups in Heart Failure Clinical Trials (Part 1)
Host Dr. Christopher O'Connor invites Drs. Javed Butler, Mariell Jessup, and Mitchell Psotka to discuss the importance of subgroups in heart failure clinical trials. How do we appropriately define subgroups? Which groups should be included as standard practice in HF trials?

Episode 10: Importance of Subgroups in Heart Failure Clinical Trials (Part 1)

Episode 9: DSMB Training Academy: Preparing the Next Generation of Members (Part 2)
Dr. Christopher O'Connor interviews the founding members of the data safety monitoring board (DSMB) training team, Dr. David DeMets, Dr. Janet Wittes, and Dr. Thomas Flemming, to continue discussing the importance of training the next generation in clinical trial leadership. Using their extensive experience in clinical trials, they address which practices will best serve future members, and the critical shortage of trained experts.

Episode 9: DSMB Training Academy: Preparing the Next Generation of Members (Part 2)

Episode 8: DSMB Training Academy: Preparing the Next Generation of Members (Part 1)
Drs. Janet Wittes, Mona Fiuzat, Maria Rosa Costanzo, Ana Barac, Barry Greenberg, Vanessa Blumer, and Michael Bristow come together on this episode with Dr. Christopher O'Connor to discuss initiatives to train the next generation of DSMB members. How do we pass on the experience and knowledge of seasoned DSMB members and properly train the next generation?

Episode 8: DSMB Training Academy: Preparing the Next Generation of Members (Part 1)

Episode 7: Are we making progress with the recruitment of women in heart failure trials?
Drs. Mariell Jessup, JoAnn Lindenfeld, Maria Rosa Costanzo, Mona Fiuzat, Bill Abraham, and Wayne Batchelor join Christopher O'Connor to discuss the recruitment of women in HF clinical trials. What has been done so far and where do we go from here?

Episode 7: Are we making progress with the recruitment of women in heart failure trials?

Episode 6: Implications of the Advisory Committee Meetings for the Heart Failure Community
Drs. Peter Carson, JoAnn Lindenfeld, John Teerlink, Orly Vardeny, and Bill Abraham join Dr. Christopher O'Connor to discuss the implications of the FDA Advisory Committee meetings with special focus on three programs: TOPCAT (2:05), PARAGON-HF (15:53), and GALACTIC-HF (30:35).

Episode 6: Implications of the Advisory Committee Meetings for the Heart Failure Community

Episode 5: Diversity in Heart Failure Clinical Trials
Special guests Melvin Echols, Nasrien Ibrahim, Vanessa Blumer, Wayne Batchelor, JoAnn Lindenfeld, and Mitchell Psotka join the podcast to discuss the importance of enrolling diverse populations in HF clinical trials. How can we target a more representative population?

Episode 5: Diversity in Heart Failure Clinical Trials

Episode 4: The Intersection of Heart Failure and the Kidney
James Januzzi, Maria Rosa Costanzo, John Teerlink, Marv Konstam, Bill Abraham, and nephrologist Steven Coca join the podcast to discuss HF and AKI. How should we react to rising creatinine?

Episode 4: The Intersection of Heart Failure and the Kidney

Episode 3: Statistical Considerations in Heart Failure Research
Janet Wittes, Eric Leifer, Bill Abraham, and Mitchell Psotka join the podcast to discuss all-things statistics. What is an estimand? How should we treat p-values?

Episode 3: Statistical Considerations in Heart Failure Research

Episode 2: Contemporary Challenges in HF Clinical Trial Design
Expert statisticians Janet Wittes and Eric Leifer join the podcast to discuss hazard ratios, the phenomenon of "hazard ratio drift", and other contemporary challenges in HF clinical trial design.

Episode 2: Contemporary Challenges in HF Clinical Trial Design

Episode 1: What is the Heart Failure Collaboratory?
Join Drs. Christopher O'Connor, JoAnn Lindenfeld, Mitchell Psotka, Scott Solomon, Mona Fiuzat, Bill Abraham, and Peter Carson as they introduce a novel concept known as the Heart Failure Collaboratory (HFC) and discuss how it can contribute to the field of heart failure research.

Episode 1: What is the Heart Failure Collaboratory?

HFC Lean CRF

HFC Lean Case Report Form (CRF)

HFC Lean Case Report Form (CRF)

HFC Lean CRF: Acute Decompensated Heart Failure (ADHF) Module

HFC Lean CRF: Acute Decompensated Heart Failure (ADHF) Module

HFC Lean CRF: Hemodynamics Module

HFC Lean CRF: Hemodynamics Module

HFC Lean CRF: Short-Term Mechanical Circulatory Support (MCS) Module

HFC Lean CRF: Short-Term Mechanical Circulatory Support (MCS) Module

HFC Lean CRF: Echocardiography Module

HFC Lean CRF: Echocardiography Module

HFC Lean CRF: Magnetic Resonance Imaging Module

HFC Lean CRF: Magnetic Resonance Imaging Module

HFC Lean CRF: Expanded Laboratory Details

HFC Lean CRF: Expanded Laboratory Details

HFC Lean CRF: Durable Mechanical Circulatory Support (MCS) Module

HFC Lean CRF: Durable Mechanical Circulatory Support (MCS) Module

HFC Lean CRF: Electrocardiogram Details Module

HFC Lean CRF: Electrocardiogram Details Module

HFC Reading List

CRDAC on Barth Syndrome Drug
Attached is the recording of the FDA Cardiovascular and Renal Drugs Advisory Committee (CRDAC) Meeting on Barth Syndrome Drug. CRDAC ended in favor of the novel drug in 10-6 vote.

CRDAC on Barth Syndrome Drug

Conducting Clinical Trials With Decentralized Elements
The Conducting Clinical Trials with Decentralized Elements final guidance provides recommendations regarding the implementation of decentralized elements in clinical trials. By enabling remote participation, decentralized clinical trials may enhance convenience for trial participants, reduce the burden on caregivers, expand access to more diverse patient populations, improve trial efficiencies, and facilitate research on rare diseases and diseases affecting populations with limited mobility.

Conducting Clinical Trials With Decentralized Elements

Integrating Randomized Controlled Trials for Drug and Biological Products Into Routine Clinical Practice
The Integrating Randomized Controlled Trials for Drug and Biological Products Into Routine Clinical Practice draft guidance is intended to support the conduct of randomized controlled drug trials with streamlined protocols and procedures that focus on essential data collection, allowing integration of research into routine clinical practice. This may improve convenience and accessibility for participants and allow for enrollment of more representative populations, resulting in more generalizable trial results.

Integrating Randomized Controlled Trials for Drug and Biological Products Into Routine Clinical Practice

FDA NEWS RELEASE: FDA Guidance Provides New Details on Diversity Action Plans
The U.S. Food and Drug Administration issued a draft guidance, “Diversity Action Plans to Improve Enrollment of Participants from Underrepresented Populations in Clinical Studies,” to assist medical product sponsors in submitting Diversity Action Plans to support certain clinical studies. Diversity Action Plans are intended to increase clinical study enrollment of participants of historically underrepresented populations to help improve the data the agency receives about the patients who may potentially use the medical product.

FDA NEWS RELEASE: FDA Guidance Provides New Details on Diversity Action Plans

CDRH Launches the Total Product Life Cycle Advisory Program Pilot
FDA’s Center for Devices and Radiological Health (CDRH) announced it is launching the Total Product Life Cycle (TPLC) Advisory Program (TAP) Pilot. TAP is a voluntary program intended to de-risk the medical device valley of death by providing industry with earlier and more frequent interactions with CDRH, more strategic input from stakeholders, and proactive, strategic advice from CDRH to spur more rapid development of high-quality, safe, effective, and innovative medical devices first in the world that are critical to public health.

CDRH Launches the Total Product Life Cycle Advisory Program Pilot

HFC COVID-19 Data Capture Form
Download the COVID-Like Illness CRF Template and the related JACC publication “Conduct of Clinical Trials in the Era of COVID-19: JACC Scientific Expert Panel”.
HFC Letter - Impact of COVID-19
The mission of the HFC has focused largely on clinical trials, and the impact of COVID-19 on clinical research will be significant.

HFC Letter - Impact of COVID-19

Dear Friends and Colleagues,

The mission of the HFC has focused largely on clinical trials, and the impact of COVID-19 on clinical research will be significant. The FDA has issued the following guidance with suggestions and recommendations. We have offered to collect any questions not addressed in the guidance and pass them along on behalf of HFC members. We hope this will be helpful in answering the many questions we are all facing.

https://www.fda.gov/regulatory-information/search-fda-guidance-documents/fda-guidance-conduct-clinical-trials-medical-products-during-covid-19-pandemic

Kind regards,

Mona Fiuzat, Chris O’Connor, JoAnn Lindenfeld, Bill Abraham, Mitch Psotka, Bram Zuckerman, Norman Stockbridge
Heart Failure Collaboratory Co-Chairs and Members

FDA guidance on statistical considerations for clinical trials during the pandemic
“Statistical Considerations for Clinical Trials During the COVID-19 Public Health Emergency Guidance for Industry”

FDA guidance on statistical considerations for clinical trials during the pandemic

NIH Guidance for NIH-funded Clinical Trials and Human Subjects Studies Affected by COVID-19
The purpose of this notice is to provide guidance outlining the flexibilities available to recipients conducting NIH-funded clinical trials and human subject studies, that are impacted by the declared public health emergency for COVID-19.

NIH Guidance for NIH-funded Clinical Trials and Human Subjects Studies Affected by COVID-19