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ccrpsorg · 1 year
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Navigating 21 CFR 312: A Comprehensive Guide
Keeping Up with FDA Regulations and Requirements
What is 21 CFR 312?
21 CFR 312 is a set of regulations and requirements set out by the Food and Drug Administration (FDA). It details the procedures and processes that clinical trials must follow in order to be approved by the FDA. These regulations must be followed in order to ensure that the clinical trial being conducted is safe and beneficial for the participants.
21 CFR 312 is a federal regulation from the Code of Federal Regulations that outlines the requirements for Investigational New Drugs (INDs). This section of the code provides guidance to drug manufacturers and sponsors on what is required to have an IND approved by the Food and Drug Administration (FDA). It also addresses topics such as requirements for preclinical safety testing, clinical trials protocol design, and data collection.
The regulation begins by defining the meaning of investigational new drugs and explains how these drugs differ from other types of pharmaceutical products. It then outlines the requirements for initiation and oversight of clinical trials, including protocols for filing a Form 1571 with FDA prior to commencing any trial. 21 CFR 312 also requires sponsors to submit detailed information about their proposed clinical trials, including a description of study objectives, expected endpoints, investigator qualifications and selection criteria, as well as a description of any potential risks associated with participation in the study. Additionally, sponsors must provide evidence that the proposed protocol has been reviewed and approved by an Institutional Review Board (IRB) prior to submitting it to FDA.
21 CFR 312 further addresses essential documentation that must be included in any submission to FDA requesting approval for an IND. This includes an investigator's brochure containing information regarding safety data collected during previous studies conducted using similar compounds or agents; reports summarizing preclinical studies performed such as toxicity testing; as well as all reports prepared by investigators involved in conducting the clinical trial. The regulation also sets forth requirements regarding monitoring ongoing clinical trials and reporting any adverse events or serious unexpected events that occur during the course of a trial.
21 CFR 312 plays a critical role in providing drug manufacturers and sponsors with necessary guidance on how to develop safe drugs while adhering to important ethical considerations related to human research protection standards. As such, it serves an essential function in ensuring that new drugs are developed safely before they can be released into the market for public use.
Who Does 21 CFR 312 Affect?
21 CFR 312 affects a wide range of individuals, including physicians, researchers, sponsors, and institutional review boards (IRBs). All of these individuals must comply with 21 CFR 312 in order to ensure that the clinical trials they are conducting are conducted in a safe and ethical manner.
How Can I Stay Up to Date With 21 CFR 312?
Staying up to date with 21 CFR 312 is essential for those conducting clinical trials. The best way to stay up to date is to regularly review the 21 CFR 312 regulations and requirements, as well as any changes or updates that have been made. Additionally, you should regularly consult with an expert on 21 CFR 312 to ensure that you are following the regulations correctly and to answer any questions or concerns you may have.
21 CFR 312 is a subchapter of the Code of Federal Regulations (CFR) that establishes the requirements for human drug clinical trials in the United States. It covers the regulations for drug safety and efficacy studies, which can include both non-clinical and clinical trials. The regulations are designed to protect human subjects while ensuring the accuracy, integrity, and reliability of data used to support applications seeking approval from the Food and Drug Administration (FDA). The scope of 21 CFR 312 encompasses all phases of drug development, including pre-clinical research, clinical trials, post-marketing studies, adverse event reporting, and manufacturing.
Under this regulation, sponsors must submit an Investigational New Drug (IND) application to FDA before beginning any human drug trial in order to obtain permission to use an unapproved investigational drug or biologic product in a clinical trial. Sponsors must provide detailed information on the manufacturing process, composition, pharmacology/toxicology data from animal models, chemistry data from nonclinical laboratory tests, previous clinical experience with similar drugs or biologics products as well as an assessment of potential risks associated with use of the investigational product.
21 CFR 312 also requires sponsors to develop comprehensive protocols for each study or trial conducted under its jurisdiction. These protocols must specify objectives for each study and define what measurements need to be taken during each stage in order to ensure that appropriate safety measures are taken throughout the entire process. Additionally, protocols should be clearly written so that consistent results are obtained across multiple sites conducting trials with similar investigational products.
Finally 21 CFR 312 ensures that adequate provisions exist for informed consent forms given to participants in clinical trials so they understand their rights as subjects and any potential risks associated with participating in a particular study or trial.
Study Guide for 21 CFR 312
1. Overview: 21 CFR 312 is a part of Title 21 of the Code of Federal Regulations (CFR). It details the regulations, procedures, and requirements that must be met in order to conduct clinical investigations involving drugs and medical devices. These regulations are designed to ensure patient safety and protection during such testing.
2. Investigational New Drug Application (IND): Subpart A outlines an application process for any new drug intended for use in a clinical investigation. The IND must include information about the preclinical pharmacology, toxicology, and other activities related to the development of the drug as well as proposed protocols for clinical testing.
3. Investigator Responsibilities: Subpart B outlines the responsibilities of investigators conducting clinical trials with investigational drugs or devices. This includes obtaining informed consent from subjects, submitting reports on progress and adverse effects experienced by subjects, maintaining accurate records, and reporting any unanticipated problems or serious adverse events that occur during a trial.
4. Sponsor Responsibilities: Subpart C outlines the responsibilities of sponsors who are responsible for conducting or sponsoring clinical trials with investigational drugs or devices. This includes monitoring study sites to ensure compliance with good clinical practice standards and providing investigators with necessary safety information regarding any investigational products they may be using in their trials.
5. Institutional Review Boards (IRBs): Subpart D outlines guidelines for IRBs which are responsible for ensuring that all research involving human subjects is conducted ethically and according to FDA regulations. This includes reviewing protocols for clinical trials before they can begin and providing ongoing oversight throughout the course of a study so that patient rights are protected throughout the duration of a trial.
6. Termination or Suspension: Subpart E outlines provisions allowing FDA to terminate or suspend ongoing investigations if any safety concerns arise during a trial that could threaten subject safety or render data generated from a trial unreliable or invalid due to protocol violations or unethical practices by investigators or sponsors involved in an experiment
What is 21 CFR 312?
21 CFR 312 is a set of regulations issued by the US Food and Drug Administration (FDA) to establish good clinical practice (GCP) standards for conducting clinical trials. It covers the design, conduct, performance, monitoring, auditing, recording, analysis and reporting of clinical investigations conducted under FDA regulations.
What types of studies does 21 CFR 312 cover?
21 CFR 312 covers interventional studies that involve human participants or data from human participants used to determine the safety or effectiveness of a drug product. These studies may include phase I through IV clinical trials for new drug products as well as bioavailability/bioequivalence studies and post-marketing surveillance activities.
Who must comply with 21 CFR 312?
All sponsors and investigators who are involved in conducting clinical investigations subject to FDA jurisdiction must comply with 21 CFR 312. This includes all sponsors and investigators who submit an Investigational New Drug application (IND) to the FDA or an Abbreviated New Drug Application (ANDA).
What are the key requirements of 21 CFR 312?
The key requirements outlined in 21 CFR 312 include obtaining informed consent from study participants; providing accurate records; establishing quality assurance procedures; protecting the rights and welfare of study subjects; ensuring appropriate data collection and analyses techniques; evaluating data integrity; maintaining confidentiality of subjects and their information; training personnel involved in the trial on GCP protocols; preparing detailed reports of findings; establishing audit trails; gaining approval from an Institutional Review Board before beginning any trial activity and many more important elements.
How does 21 CFR 312 affect research ethics?
By complying with 21 CFR 312, researchers ensure that human subjects are treated ethically during clinical trials. Key ethical considerations that must be met include obtaining informed consent from study participants; protecting patient privacy; minimizing risk to patients participating in trials and ensuring proper oversight throughout the duration of the trial.
What is a sponsor's responsibility when conducting a clinical investigation covered under 21 CFR 312?
A sponsor’s responsibility under 21 CFR 312 includes developing adequate protocols for each investigation, selecting qualified investigators to ensure effective oversight, obtaining informed consent forms from all patients involved in any investigational activities, providing adequate safeguards regarding patient confidentiality, informing participants about potential risks associated with any investigational activities they may be engaged in and ensuring compliance with all applicable laws related to GCP related activities.
What role does an Institutional Review Board play when conducting a clinical investigation covered under 21CFR312?
An Institutional Review Board (IRB) has a critical role when conducting investigations subject to FDA jurisdiction as outlined in21CFR312. An IRB is responsible for reviewing protocols submitted by sponsors prior to commencing any investigational activity involving human subjects. The IRB also provides ongoing review and monitoring throughout the course of an investigation to ensure continued adherence to all applicable FDA regulations related to GCP standards outlined in 21CFR312.
What type of documentation must be maintained according to 21CFR312?
According to 21CFR312 sponsors must maintain documentation outlining the duties performed by each individual involved in any investigational activity related tot he trial including protocol development activities, informed consent process details etc.. In addition sponsors must keep thorough records detailing all data collected during each stage off the trial as well as facilitate audit trails so that investigators can easily trace back any changes made during analysis or reporting stages off thee trial process..
How often should audits take place according for 21CFR312 ?
Sponsors must perform audits at least annually according twenty one C F R three twelve The objective off these audits is two ensure compliance within applicable regulatory standards In some cases additional audits may be necessary depending on complexity off thee protocol being investigated or if unusual deviations occur during thee course off thee trial ..
When should sponsors provide reports to FDA based on their findings ?
Sponsors should provide reports too FDA based on their findings no later than thirty days after completion off thee investigation . If necessary , requesting additional time due two extenuating circumstances can bee performed before submitting report results .
Review Questions for 21 CFR 312
MCQ 1: What is the purpose of 21 CFR 312?
A. To establish rules and regulations for the production and sale of drugs
B. To protect public health by ensuring drug safety
C. To reduce the cost of pharmaceuticals
D. To create standards for food safety
Answer: B. To protect public health by ensuring drug safety. 21 CFR 312 is a section of federal regulations that are designed to ensure drug safety through the establishment of rules and regulations for their production, distribution, labeling, quality control and advertising. The primary goal of this regulation is to protect public health by guaranteeing that all pharmaceutical products meet minimum standards for efficacy, potency, purity and quality.
MCQ 2: What type of information must be included on a label in accordance with 21 CFR 312?
A.Ingredient list
B.Expiration date
C.Instructions for use
D.Nutritional value
Answer: A. Ingredient list. According to 21 CFR 312, all pharmaceutical labels must include an ingredient list containing information about all active ingredients used in the product as well as any inactive ingredients that make up more than 2% of the total weight or volume of the product. Additionally, labels must also include information about any colorants used as well as impurities present in trace amounts that could adversely affect users if consumed in large quantities over time.
MCQ 3: How often must pharmaceutical companies submit manufacturing records to the FDA?
A. Monthly
B. Annually
C. Quarterly
D. Biannually
Answer: C Quarterly. Pharmaceutical companies must submit detailed manufacturing records to the Food and Drug Administration (FDA) on a quarterly basis when filing reports required by 21 CFR 312, Subpart G-Requirements for Registration of Manufacturers/Processors/Packers/Holders (§312). This includes comprehensive records regarding quality control systems testing procedures, manufacturing facilities, operations specifications, equipment maintenance schedules and more that demonstrate compliance with FDA regulations for safe production practices and product quality assurance purposes
MCQ 4: What role does advertising play within 21 CFR 312?
A .It is permitted but heavily restricted
B .It is not mentioned at all
C .It is prohibited altogether
D .It is unrestricted
Answer : A It is permitted but heavily restricted. The advertising and promotion requirements outlined in 21 CFR 312 provide comprehensive guidance on how firms should market their products while remaining compliant with regulatory requirements set forth by the Food & Drug Administration (FDA). While these regulations do permit firms to advertise their products under certain conditions it also places several restrictions such as prohibiting false or misleading claims or engaging in deceptive practices when promoting their products
MCQ 5 : Which type of information can be shared between manufacturers when trading biological materials according to §312.50(a)(1)?
A .Confidential trade secrets
B .Patent information
C .Test results
D .Facility locations
Answer : C Test results. Section 312.50(a)(1) outlines which types of information can be shared between manufacturers when trading biological materials such as microorganisms or raw materials intended for use in animal feed or fertilizer applications, medicinal drugs or food additives etc.. Test results from safety analysis performed on such materials may be shared between manufacturers provided they have been adequately validated for accuracy prior to disclosure
MCQ 6: Which factors are taken into account when determining whether a clinical trial should be conducted?
A. The predicted risk or benefit associated with a drug's use
B. The number of participants needed in a study to obtain valid results
C. The cost associated with conducting the trial
D. All of the above
Answer: D. All of the above. 21 CFR 312 states that clinical trials must be conducted in order to determine whether a drug is safe and effective and that considerations such as potential risks, benefits, number of participants needed for valid results, and cost must all be taken into account when making this determination.
MCQ 7: When must an investigational new drug application (IND) be submitted according to 21 CFR 312?
A. When initiating any clinical investigations involving a new drug
B. When submitting new marketing applications for a drug product
C .When introducing any changes to an approved drug product
D .All of the above
Answer: A .When initiating any clinical investigations involving a new drug . According to 21 CFR 312, an IND must be submitted prior to initiating any studies or trials involving an investigational new drug or biologic agent in humans in order to ensure patient safety and health protection standards are met prior to initiation of these activities.
MCQ 8: What type of data is required when submitting an investigational new drug application (IND)? A . Clinical data from past trials involving similar products
B .Data on animal testing conducted using the proposed product
C .Data on manufacturing processes used during development
D .All of the above
Answer: D .All of the above . In order for an IND to be approved by FDA regulatory authorities all available information regarding preclinical studies, pharmacology/toxicology studies, chemistry manufacturing controls, previous clinical experience with similar products, proposed protocol(s), investigator qualifications must all be submitted alongside supporting documents outlining these details so that decisions can be made based on available data points provided in these documents.
MCQ 9: What type of review process takes place after submission of an investigational new drug application (IND)?
A . Statistical analysis using collected clinical data
B .A comprehensive evaluation by FDA regulatory experts
C .Approval from Institutional Review Board (IRB)
D .All of the above
Answer: D .All After submission of an IND both statistical analysis using collected clinical data as well as comprehensive evaluations by FDA regulatory experts take place in order for decisions about approval or rejection to be made; additionally Institutional Review Boards review all materials before approving studies or trials for conduct with human participants per FDA guidelines outlined in 21 CFR 312
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swarajya7793 · 3 years
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COVID-19 Impact on Plasma Therapy in the Healthcare Industry | Data Bridge Market Research
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COVID-19 Impact on Plasma Therapy in the Healthcare Industry
Coronavirus is a large family of viruses known for diseases ranging from the common cold to even more serious diseases such as Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). The virus has spread to almost all regions of the world, affecting both developed and developing countries which have heavily affected pharmaceutical and biotechnology companies. The epidemic spread rapidly across the globe within three months and was characterized by the VHO as a pandemic on March 11, 2020. According to the Worldometers.info statistics, as of 27th April 2020, there are 3,064,225 people are already affected and 211,537 patients are died due to the coronavirus. There are currently no approved specific antiviral agents targeting the new virus, while some drugs are still under investigation, including remdesivir and lopinavir / ritonavir. It is urgent to look for an alternative strategy to treat COVID-19, especially among severe patients, as an effective vaccine and specific antiviral medicines are not available till the date.
Plasma medications are produced from human blood plasma (plasma). Plasma can be obtained from administration of whole blood (recovered plasma) or apheresis procedures (plasma source). The source is plasma a wide range of medicinal therapies products used for treatment and the prevention of various treatment-causing injuries and diseases often associated with a protein deficiency state. Convalescent Plasma Therapy (CP), a classic adaptive immunotherapy, has been used in the prevention and treatment of many infectious diseases for over a century. In the past two decades, CP therapy has been successfully used in the treatment of the 2009 SARS, MERS and H1N1 pandemic with satisfactory efficacy and safety. In 2014, the World Health Organization (WHO) recommended the use of convalescent plasma therapy for the treatment of patients with antibody-rich plasma in those recovering from Ebola virus disease.
Numerous clinical trials are also being held to evaluate the safety and efficacy of convalescent plasma, and the FDA has also approved a number of individual emergencies (eINDs) for emergencies.
MECHANISM OF ACTION
Antibodies present in immune (i.e., "convalescent") plasma mediate their therapeutic action through various mechanisms. The antibody can bind to a particular pathogen (such as, a virus), thereby directly neutralizing its infectivity, while another antibody-mediated pathways such as complement activation, antibody-dependent cellular cytotoxicity, and / or phagocytosis may also contribute to its therapeutic effect. Non-neutralizing antibodies that bind to the pathogen - but they are does not interfere with its ability to replicate in in vitro systems - it can also contribute to prophylaxis and / or improve recovery. Most importantly, passive administration of antibodies offers the only short-term strategy for granting immediate immunity sensitive individuals. This is especially the case in the setting of a new, growing infectious disease such as SARSCoV-2 / COVID-19. While plasma products (such as, hyperimmune globulin, monoclonal antibodies) and / or fractionated vaccination can provide long-lasting therapeutic options, human anti-SARS-CoV-2 plasma is the only therapeutic strategy that is immediately available for use for the prevention and treatment of COVID-19.
REGULATIONS
COVID-19 convalescent plasma has not yet been approved by the FDA, to it is regulated as an exploratory product. As such, the COVID-19 administration convalescent plasma by a physician must be under investigation by a new drug application (IND) under traditional regulatory through IND, Extended Access IND, or newly announced administration of a new emergency drug (eIND) for one patient (42) U.S.C. 262(a)(3); 21 U.S.C. 355(i); 21 CFR 601.21; and 21 CFR 312.1).  The FDA is not doing collection of COVID-19 convalescent plasma or provides COVID-19 convalescent plasma. Healthcare professionals or acute care facilities would receive COVID-19 instead convalescent plasma from an FDA-registered blood establishment.
The below mentioned pathways are available for studying or administering the use of COVID-19 convalescent plasma:
1) CLINICAL TRIALS
Investigators who want to study the use of convalescent plasma in a clinical trial should submit requests to the FDA for investigative use in accordance with traditional IND regulations road (21 CFR part 312). CBER's Blood Research and Review Service are opted to engage with sponsors and quickly review such requests.
2) EXPANDED ACCESS
The IND Extended Access application is an alternative to using COVID-19 convalescent plasma for patients with serious or immediate life-threatening conditions COVID-19 diseases that are ineligible or unable to participate randomized clinical trials (21 CFR 312.305). For patients with severe or the immediately life-threatening COVID-19 that is ineligible or unable to participate in randomized clinical trials, access to this research product may be available through the involvement of acute care facilities in expanded research access protocol under IND already in place.
3) SINGLE PATIENT EMERGENCY IND
The participation in clinical trials or an extended access program is the way to go patients gain access to convalescent plasma, for various reasons it may not be easily accessible to all patients in potential need. Therefore, given public health an emergency presented by the COVID-19 pandemic while clinical trials are ongoing implemented and extended access protocol is available, the FDA also allows access to COVID-19 convalescent plasma for use in patients with severe or immediately life-threatening COVID-19 infection through the process patient physician seeking one eIND patient for the individual patient below 21 CFR 312.310.  This procedure allows the use of an investigational drug for the drug treatment of an individual patient by a licensed physician upon FDA approval, if Applicable regulatory criteria were applied.
1.    To Obtain a Single Patient Emergency IND
·         To obtain a patient's individual eIND, the provider must determine that this is likely the risk to the person on the investigational drug is not greater than probable risk of disease or condition 21 CFR 312.310 (a).
2.    Patient Eligibility
·         To facilitate eIND requirements for the use of COVID-19 convalescent plasma for treatment patients, healthcare professionals seeking immediate medical attention may want to consider the problem eligibility criteria for the National Protocol for the Treatment of Extended Access were discussed in Section III.A. of these instructions. The criteria include:
·         Laboratory confirmed COVID-19
1.    Severe or immediately life-threatening COVID-19, for example,
2.    Severe disease is defined as one or more of the following:
·         oxygen saturation ≤ 93%,
·         partial pressure of arterial oxygen to inspiratory oxygen content <300
·         shortness of breath (dyspnea),
·         respiratory frequency ≥ 30/min,
·         lung infiltration> 50% within 24 to 48 hours
1.    A life threat is defined as one or more of the following:
·         septic shock,
·         respiratory failure,
·         multiple organ dysfunction or failure
·         Informed consent of patient or health care proxy.
3.    Collection of COVID-19 Convalescent Plasma
·         Donor Eligibility
COVID-19 convalescent plasma should only be collected from individuals eligible for donor eligibility (21 CFR 630.10 and 21 CFR 630.15). Please note the additional donor eligibility requirements for collection by plasmapheresis in 21 CFR 630,15 (b). Donation testing for relevant transfusion-transmitted infections must be performed (21 CFR 610,40) and the donation must be considered appropriate (21 CFR 630.30).
COVID-19 convalescent plasma is collected from the individuals they meet the following qualifications:
·         Evidence of COVID-19 documented by laboratory test:
1.    Diagnostic test (such as, nasopharyngeal swab) at the time of illness Or
2.    Positive serological test for SARS-CoV-2 antibodies afterwards recovery if previous diagnostic testing has not been performed COVID-19 is suspected.
·         Should meet one of the following:
1.    Complete resolution of symptoms at least 28 days before donation or
2.    Complete resolution of symptoms at least 14 days before donation
Negative results for COVID-19 of one or more nasopharyngeal swab specimens or molecular diagnostic test of blood
·         Male donors, or women who were not pregnant, or women to providers who have been tested since their last pregnancy and results interpreted as negative for HLA antibodies.
Once manufactured, COVID-19 convalescent plasma can be distributed for research use.
Blood establishments need not require an alternative procedure or exception under 21 CFR 640.120 (a) for COVID-19 reconvalescent plasma collection.
IMPACT ON DEMAND
Scientists are trying to use vaccines, medicines and other methods as a cure for the new coronavirus. With no confidence in the exact treatment in sight, doctors around the world are working on the treatment of centuries-old cure for infections: infusion of blood plasma that is immune to molecules can help survivors beat the infection. The demand of plasma therapy is increasing due to their potential use in the coronavirus treatment. The plasma therapy is the only therapy which shown positive results for the corona virus treatment. In addition to the US, China and Turkey, Spain, Italy, South Korea, the United Kingdom, there are some of the few countries that are also looking at plasma therapy to more easily address the worldwide coronavirus crisis. Even India joined the belt and started a trial for plasma therapy. In Delhi hospital has successfully cured COVID-19 patient using plasma therapy. The respiratory rate of the first patient was 30 which should be 15, and the oxygen saturation level was 85%, which should be 95%. After plasma therapy, the respiratory rate was 20 and the oxygen saturation level was 98%. This has been observed in all patients with increased respiratory rate and oxygen saturation level.
Government has already taken different initiatives to combat the corona virus. For instance,
·         The Indian Council of Medical Research (ICMR) now giving the climate to the state to conduct plasma therapy. Kerala is the first state in the state to get the climate to try this. In India, several states like Kerala, Gujarat and Punjab have already started using plasma therapy for patients with COVID-19.
·         The UK Government has approved a national clinical trial to evaluate plasma therapy for the treatment of Covid-19 patients.
·         Sewa International has created an online registry for a convalescent plasma therapy program that connects donors and recipients who wish to participate in COVID-19 treatment and has also established a helpline.
With the increasing demand and increasing sale of plasma therapy, are fueling the growth of plasma therapy market in the near future.
IMPACT ON SUPPLY
The development of hyperimmune will require the administration of plasma from many individuals who have fully recovered from COVID-19 and whose blood contains antibodies that can fight the new coronavirus. Once collected, "convalescent" plasma will then be transported to production facilities where it has undergone proprietary processing, including effective virus inactivation and removal processes, and then purified to product. The antibodies present in the blood can bind with the antigen. This is the limiting factor as the number recovered is much lower than the number of active cases in any geography. Also it depends upon an individual’s personal and ethical concerns to donate blood for plasma therapy.
Additionally, major problem with plasma therapy is the huge restrictions on the regulations that have led to disruption of product delivery. In spite of the difficulties, many patients already took part for the plasma donations. For instance,
·         The chief medical officer of The American Red Cross said, the American Red Cross has produced 200 units of convalescent plasma which has so far donated nearly by 150 donors. Additionally, he has mentioned, the goal is to send more than 1,000 units to hospitals, which would require 500-600 providers.
·         According to a recent survey, in Lucknow one Covid-19 recovered physician donated plasma to treat patients.
This can possibly be a roadblock to this revolutionary therapy. Though plasma therapy can prove to be a pioneering a part in treating a large number of patients but there is a number of limitations as discussed before. So a combination of treatments is already available for the corona virus treatment.
STRATEGIC DECISIONS OF MANUFACTURERS
Collaboration, agreements, strategic initiatives by market players such as CSL Behring, Takeda Pharmaceutical Company Limited, Biotest, Octapharma in the plasma therapy market will help them expand their market and expand their product portfolio. This, in turn, will help increase product demand among consumers, thus increasing future sales.
The plasma therapy manufacturers are taking much strategic decision to cope up with this current pandemic COVID-19. Global Plasma Leaders are collaborating to accelerate the development of potential COVID-19 hyperimmune therapy. Biotest, BPL, LFB and Octapharma have partnered to form an alliance formed by CSL Behring (ASKS: CSL / USOTC: CSLLI) and Takeda Pharmaceutical Company Limited (TSE: 4502 / NISE: TAK) to develop potential plasma therapy for COVID treatment-19. The alliance will begin immediately with the research development of a single, non-branded anti-SARS-CoV-2 polyclonal hyperimmune immunoglobulin drug with the potential to treat individuals with serious complications of COVID-19. The collaboration will leverage the cutting edge expertise and work that companies already do. Alliance experts will begin collaborating on key aspects such as plasma collections, clinical trial development, and manufacturing.
CSL Behring’s Executive Vice President and Head of Research and Development have mentioned that ‘Leaders lead during uncertainty. There is no question that we are all experiencing the impact of COVID-19’. He has also mentioned ‘This effort aims to accelerate a reliable, scalable and sustainable option for caregivers to treat patients suffering from the impact of COVID-19. In addition to pooling industry resources, we will also collaborate with government and academic efforts as a single alliance whenever we can, including important activities like clinical trials. This will make it more efficient in these hectic times for these stakeholders as well’.
President of Plasma-Derived Therapies Business Unit, Takeda have mentioned that ‘Unprecedented times call for bold moves’. He has also mentioned ‘We collectively agree that by collaborating and bringing industry resources together, we could accelerate bringing a potential therapy to market as well as increase the potential supply. We invite companies and institutions focusing on plasma to support or join our alliance’.
Emergency Bio Solutions, a medical biotechnology company, is one of the many players in the healthcare industry seeking to address the current global coronavirus epidemic. The company works on two different therapeutic approaches simultaneously. One is the use of human-derived plasma (a liquid that is the majority of blood) and one from horses. Human plasma-based treatment is ideal for hospitalized patients and for acute symptoms, and may provide some protection for at-risk people, including frontline health workers.
Takeda Pharmaceutical Company Limited and Alnilam Pharmaceuticals also entered into agreement to for development of new treatments for SARS-CoV-2 infection. Virus identified as the cause of the global COVID-19 outbreak the coronary virus treatment in the development. Takeda Pharmaceutical Company Limited also announced that it has begun development of TAK-888, an anti-SARS-CoV-2 polyclonal hyperimmune globulin (H-IG) which is designed for the treatment of high-risk individuals with COVID-19. Takeda Pharmaceutical Company Limited's H-IGs is a plasma derivative therapy that has previously been shown to be effective in treating acute viral respiratory infections.
Thus, companies operating in the plasma therapy manufacturing adopt a number of strategies, including collaborations, agreement, contracts, pipeline development, cooperation and market expansion to enhance their business. These strategic decisions by the companies are expected to provide significant opportunities for the market players operating in the plasma therapy market.
These studies have aroused hope. However, researchers warn that it is too early to think of plasma therapy as an effective treatment. For example, the sample sizes in Covid-19 plasma therapy trials are too small to draw definitive conclusions
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Protecting Children In A Digital Age
By Frances Conci, University of San Francisco Class of 2021
July 25, 2020
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Last March, Governor Gavin Newsom gave his extensive-ranging State of the State address, he put forward an idea built upon last year’s passage of a sweeping new consumer privacy act. At the same 1time, not an entirely new concept, the particulars were yet to be decided. The idea that the companies who are profiting most from consumers’ personal information should be forced to share the bounty holds an undeniable appeal, ie. Data Dividend for Californias, a proposal by Governor Newsom.  The California Consumer Privacy Act of 2018 (CCPA) is a comprehensive new law that gives California consumers more control over the personal information that businesses may collect about California consumers.
This new landmark law secures robust privacy rights for California consumers, including:
1.The right to know about personal information a business collects about them and how it is used and shared. You may ask businesses to disclose what personal information they have about you and what they do with that information, to delete your personal information and not to sell your personal information.2
2.The right to delete personal information collected from them (with some exceptions). Personal information is information that identifies, relates to, or could reasonably be linked with to you or your household. It could include your name, social security number, email address, records of products purchased, internet browsing history, geolocation data, fingerprints, and inferences from other personal information that could create a profile about your preferences and characteristics.3
3. The right to opt-out of the sale of their personal information. You may request that businesses stop selling your personal information (“opt-out”).4
4.The right to non-discrimination for excessing CPPA rights. You can refuse to provide your personal information to a business or ask to delete or stop selling your personal information, and that personal information or sale is necessary for the business to provide you with goods or services, the business may not be able to complete that transaction.
On July 2, California began enforcing its new data privacy law- some are still looking for an understanding of what it means for consumers and businesses. This new law has been a thorn in the marketing industry's side, and companies rely heavily on data-driven advertising  The California Dept. of Justice secured 23 new positions to prepare for legal challenges and the new law enforcement.6Additionally, Attorney General Xavier Becerra has also urged consumers to alert the California Dept. of Justice if they think they’ve come across any potential CCPA violations.7 
While the CCPA gives adults the ability to protect their privacy, there must be a balance against the proliferation of digital-first crimes, including child sexual abuse, human trafficking, sexual exploitation, and other crimes against children. The world continues to connect virtually, leaving the inability to accurately protect those who can be victimized. Children’s Online Privacy Protection Act (COPPA), imposes specific requirements of websites or online services directed to children under 13 years of age, and on operators of other online services with actual knowledge that they are collecting personal information from a child under 13 years of age. Online communication can connect people all over the 8world but can also be maliciously used. Users who abuse online spaces can reach a broader audience of potential victims, conspire with others, and inflate their illegal activity while being protected by online anonymity. 
The challenge faced is to respect the rights to privacy of individuals while still allowing system controls to protect, detect, and investigate those who are purposely using the Internet to harm vulnerable users, altering their safety. Right now, just as there are laws forced in offline lives, legislation is to be tasked to 9protect online lives. Privacy rights and the risk of being victimized are in conflict. Merely complying with the COPPA requirements will not be sufficient to ensure CCPA compliance. The CCPA regulations require businesses to take reasonable steps to ensure that the person authorizing consent for the sale of a child’s data on their behalf is actually their parent or legal guardian. This regulation highlights that children can 10forge parental signatures or any other means of giving consent and does not allow businesses to turn a blind eye to the reasonableness of their consent mechanisms if they have actual knowledge that children under 13 use their website.11
Currently, one person's gain equivalent to another's loss is a mass perception for privacy and safety on digital platforms. The regulations and enforcements are confusing and difficult to navigate for companies. In 2009, the Child Online Protection Act (COPA) was overturned but, the Supreme Court on the foundation that it violated the first amendment rights. The practical implications of this legislative 12change, coupled with Section 230 of the Communications Decency Act (CDA) of 1996, holds that platforms are not responsible for what third-party publishers post on them. Leading to, that children are no longer protected from adult content by websites – the responsibility was transferred to their parents.13
The Children’s Online Privacy Protection Act of 1998 (COPPA) is the current law that protects child data privacy online. It mandates that any company with users of 13 and under on their platforms, must prove that their parents gave their permission and can not conserve data from children under 13. A handful of 14platforms avoid addressing said restrictions by stating that no one under the age of 13 is allowed on their sites, but lack practices in place for any form of proof of identity to enforce them purposefully.  They usually use a “check the box if you are over 13“ honor system, so many children online lack the privacy or safety protections that COPPA meant to provide them.15
Raising a child in the new age of a digital world is confusing, puzzling, and hard to maintain, as many parents are a novice in how social media platforms work. Children’s exposure to adult content has never been more easily accessible, and parents lack the knowledge to navigate and protect. This gap of knowledge leaves more room for children to experience cyberbullying, grooming, and sexual exploitation. Mental health issues are soaring amongst adolescent and teen Internet and social media users.16
The National Law Review states recommendations for businesses and child safety on their platforms. Companies that knowingly collect children’s PI should establish and implement one of the processes suggested in § 999.330(b) to reasonably ensure that the person providing consent for the sale of data is the child’s parent or guardian. Businesses should consider operational issues when determining which 17method or methods will be the least burdensome for them to implement, as well as carefully document such processes, and include descriptions in their privacy policy.1
________________________________________________________________
Jill Cowan, “How Much Is Your Data Worth?,” The New York Times (The New York Times, March 25, 12019), https://www.nytimes.com/2019/03/25/us/newsom-hertzberg-data-dividend.html.
California Consumer Privacy Act (CCPA). (2020, July 09).2See 23See 24See 25Marty Swant, “As Enforcement Of California's Privacy Law Begins, Industries Wonder What Comes Next,” July 4, 2020, https://www.forbes.com/sites/martyswant/2020/07/02/as-enforcement-of-californias-privacy-law-begins-industries-wonder-what-comes-next/.See 67 “Children's Online Privacy Protection Rule (‘COPPA’),”
Federal Trade Commission, March 6, 2020, 8https://www.ftc.gov/enforcement/rules/rulemaking-regulatory-reform-proceedings/childrens-online-privacy-protection-rule.“Analysis of Attorney General Regulations to CCPA – Part 4: Special Rules Regarding Minors,”
The 9National Law Review, accessed July 23, 2020, https://www.natlawreview.com/article/analysis-attorney-general-regulations-to-ccpa-part-4-special-rules-regarding-minors.See 910 See 911 H.R.3783 -
Child Online Protection Act- 105th Congress (1997-1998)12 Lisa Thee and July 21, “Digital Privacy: A Double-Edged Sword,” Help Net Security, July 20, 2020, 13https://www.helpnetsecurity.com/2020/07/21/global-digital-privacy/.
Federal Trade Commission 16 CFR Part 312 Children’s Online Privacy Protection Rule14 See 1315 See 1316 See 917 See
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sriramnanda-blog · 4 years
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REGENERATIVE THERAPIES MARKET ANALYSIS
Regenerative therapies deliver specific types of cells or cell products to diseased tissues or organs to restore tissue and organ function. Materials used in regenerative therapies release growth factors and cytokines back into the damaged tissue to aid the healing process.
The global regenerative therapies market is estimated to account for US$ 10,421.5 Mn in terms of value in 2019 and is expected to reach US$ 45,940.7 Mn by the end of 2027
Global Regenerative Therapies Market: Drivers
Increasing prevalence of cardiovascular diseases (CVDs) is expected to propel growth of the global regenerative therapies market over the forecast period. For instance, according to the American Heart Association's Heart and Stroke Statistics 2019 Update, around 48% of all adults in the U.S. suffered from some type of CVD in 2016.
Moreover, increasing focus on tissue-cell and stem cell research is also expected to aid in growth of the market. For instance, in March 2020, researchers from Dankook University and Catholic University, South Korea, reported investigation of the types and degrees of physical and psychological discomfort experienced by hematopoietic stem cell donors before, during, and after the donation process.
Allograft held dominant position in the global regenerative therapies market in 2019, accounting for 57.7% share in terms of value, followed by xenograft and alloplast, respectively.
Global Regenerative Therapies Market: Restraints
Lack of standardized guidelines on tissue and bio-medical engineering is expected to hinder growth of the global regenerative therapies market. Lack of standardized guidelines on biomedical and tissue engineering and stem-cell research across regions is hampering production and approval of regenerative therapies. This in turn increases cost burden of regulatory approval for product makers.
Moreover, high gestation period and time-to-market due to lengthy clinical trials is also expected to limit growth of the market. A prime pitfall in development of new innovative regenerative therapies is lengthy clinical trial process. The process becomes lengthy due to acute dearth in availability of clinical trial subjects, who usually do not want to participate in such trials. Long gestation period often leads to abandonment of clinical trials midway, creating both financial as well as loss of ideas.
Global Regenerative Therapies Market: Opportunities
Development of new regenerative techniques is expected to offer lucrative growth opportunities for players in the market. For instance, simple hip decompression is a new regenerative technique for patients with early-stage osteonecrosis of the hip. It is a less invasive outpatient procedure in which a surgeon makes a small hole outside the hip and taps into the diseased area.
Adoption of 3D printing technology in regenerative therapies is expected to aid in growth of the market. For instance, in February 2020, researchers from Wake Forest School of Medicine, U.S. reported investigation of the effects of neural cell integration into the bioprinted skeletal muscle construct to accelerate functional muscle regeneration in vivo.
Market Trends/Key Takeaways
In the U.S., the prevalence of cancer is increasing, thereby aiding in growth of the market. For instance, according to the American Cancer Society, in 2019, there will be an estimated 1,762,450 new cancer cases diagnosed and 606,880 cancer deaths in the U.S.
Regenerative therapies are used for the treatment of various skin diseases. For instance, in March 2020, RenovaCare, Inc., a developer of patented technologies for spraying self-donated stem cells for the regeneration of skin and other organs and tissues, announced that its SkinGun is being used to apply regenerative cells in a preclinical study of new gene therapies, underway at King’s College London.
Regulations
U.S.
HCT/Ps – Two Regulatory Tiers
Tissue (“361 HCT/P”)
Section 361 of PHS Act
Premarket review and approval not required; Product regulated solely under Tissue Regulations to control communicable disease (21 CRF 1271)
Establishment registration and product listing required (21 CRF 1271 -Subpart B)
Therapeutic (“351 HCT/P”)
Sections 351 and 361 of PHS Act, FD and C Act
Product regulated under Tissue Regulations and premarket review requirements (21 CFR Parts 1271, 600, 200, 312, 812(if device))
Regulatory path: can be BIOLOGIC or DEVICE
Value Chain Analysis
Global Regenerative Therapies Market: Competitive Landscape  
Major players operating in the global regenerative therapies market include, Shire Pharmaceuticals, Kinetic Concepts, Inc., Mesoblast Ltd., Nuo Therapeutics (Cytomedix Inc.), Advanced Cell Technology, Inc., BioStem Life Sciences, Akron Biotechnology, LLC, Organovo Holdings Inc., Orgenesis Inc., Pluristem Therapeutics Inc., Genzyme, Athersys, Inc., RenovaCare, Inc., and Cytori Therapeutics, Inc.
Global Regenerative Therapies Market: Competitive Landscape  
Major players in the market are also focused on expanding their capabilities. For instance, in March 2020, Akron Biotechnology, LLC announced its expansion to a second manufacturing facility in the US.
Major players in the market are also focused on adopting collaboration strategies to expand their product portfolio. For instance, in March 2020, Pluristem Therapeutics Inc. collaborated with the BIH Center for Regenerative Therapy (BCRT) and the Berlin Center for Advanced Therapies (BeCAT) at Charite’ University of Medicine Berlin for R&D in potential treatment for respiratory and inflammatory intratissue complications caused by covid-19.
About Us- Coherent Market Insights is a global market intelligence and consulting organization focused on assisting our plethora of clients achieve transformational growth by helping them make critical business decisions. What we provide: Customized Market Research Services Industry Analysis Services Business Consulting Services Market Intelligence Services Long term Engagement Model Country Specific Analysis Mr. Shah
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Virtual Casino Online
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inovn · 5 years
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Cảm biến khoảng cách – Long range distance sensors DME5000-112 – Sick Việt Nam
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lawfultruth · 7 years
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FTC Updates COPPA Guidance for IoT and New Consent Options
On June 21, 2017, the Federal Trade Commission (FTC) updated one of its Children’s Online Privacy Protection Act (COPPA) compliance guides for businesses. Known as the “Six-Step Compliance Plan,” this document provides a step-by-step road map for determining if a company is covered by COPPA and what to do to comply.
COPPA applies to operators of websites and online services that collect “personal information” from children under 13 years of age, where the site or service is directed to children or has actual knowledge that it is collecting personal information from a child. COPPA’s coverage extends to a variety of online services, such as mobile apps, internet-enabled gaming platforms, and – in some cases – companies that collect personal information directly from users of another website or online service (such as ad networks and plug-ins).
The FTC’s updated guidance further clarifies the broad scope of “online services” under COPPA. For instance, the guidance specifies that COPPA can apply to internet-connected toys. The updates include information on COPPA’s coverage of
New data collection activities, such as voice-activated devices that collect personal information; and
New products, such as internet-enabled devices for kids that collect personal information and other “Internet of Things” devices.
The FTC’s updates also include information on new consent mechanisms to satisfy COPPA’s parental consent requirement, such as the use of knowledge-based authentication questions that would be difficult for someone other than the parent to answer or the use of facial recognition technology to match a face to a verified photo identification. These methods are now recognized by the FTC as acceptable consent mechanisms that can satisfy COPPA’s “verifiable” parental consent requirement.
The FTC issued its guidance update a month after U.S. Senator Mark Warner sent a letter to the FTC asking the agency about its efforts to protect children’s privacy following several high-profile instances of children’s data allegedly being hacked. Children’s privacy historically has been a focus of the FTC’s enforcement and oversight efforts, and this updated guidance signals the Commission’s continued attention to this area.
Additional information on COPPA’s obligations can be found on the FTC’s children’s privacy guidance website, which includes the updated Six-Step Compliance Plan, the FTC’s “Complying with COPPA: Frequently Asked Questions” guidance, and other materials. The COPPA rule is codified at 16 CFR Part 312.
FTC Updates COPPA Guidance for IoT and New Consent Options syndicated from http://ift.tt/2qyreAv
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golicit · 7 years
Text
FTC Updates COPPA Guidance for IoT and New Consent Options
On June 21, 2017, the Federal Trade Commission (FTC) updated one of its Children’s Online Privacy Protection Act (COPPA) compliance guides for businesses. Known as the “Six-Step Compliance Plan,” this document provides a step-by-step road map for determining if a company is covered by COPPA and what to do to comply.
COPPA applies to operators of websites and online services that collect “personal information” from children under 13 years of age, where the site or service is directed to children or has actual knowledge that it is collecting personal information from a child. COPPA’s coverage extends to a variety of online services, such as mobile apps, internet-enabled gaming platforms, and – in some cases – companies that collect personal information directly from users of another website or online service (such as ad networks and plug-ins).
The FTC’s updated guidance further clarifies the broad scope of “online services” under COPPA. For instance, the guidance specifies that COPPA can apply to internet-connected toys. The updates include information on COPPA’s coverage of
New data collection activities, such as voice-activated devices that collect personal information; and
New products, such as internet-enabled devices for kids that collect personal information and other “Internet of Things” devices.
The FTC’s updates also include information on new consent mechanisms to satisfy COPPA’s parental consent requirement, such as the use of knowledge-based authentication questions that would be difficult for someone other than the parent to answer or the use of facial recognition technology to match a face to a verified photo identification. These methods are now recognized by the FTC as acceptable consent mechanisms that can satisfy COPPA’s “verifiable” parental consent requirement.
The FTC issued its guidance update a month after U.S. Senator Mark Warner sent a letter to the FTC asking the agency about its efforts to protect children’s privacy following several high-profile instances of children’s data allegedly being hacked. Children’s privacy historically has been a focus of the FTC’s enforcement and oversight efforts, and this updated guidance signals the Commission’s continued attention to this area.
Additional information on COPPA’s obligations can be found on the FTC’s children’s privacy guidance website, which includes the updated Six-Step Compliance Plan, the FTC’s “Complying with COPPA: Frequently Asked Questions” guidance, and other materials. The COPPA rule is codified at 16 CFR Part 312.
FTC Updates COPPA Guidance for IoT and New Consent Options published first on
0 notes
Text
FTC Updates COPPA Guidance for IoT and New Consent Options
On June 21, 2017, the Federal Trade Commission (FTC) updated one of its Children’s Online Privacy Protection Act (COPPA) compliance guides for businesses. Known as the “Six-Step Compliance Plan,” this document provides a step-by-step road map for determining if a company is covered by COPPA and what to do to comply.
COPPA applies to operators of websites and online services that collect “personal information” from children under 13 years of age, where the site or service is directed to children or has actual knowledge that it is collecting personal information from a child. COPPA’s coverage extends to a variety of online services, such as mobile apps, internet-enabled gaming platforms, and – in some cases – companies that collect personal information directly from users of another website or online service (such as ad networks and plug-ins).
The FTC’s updated guidance further clarifies the broad scope of “online services” under COPPA. For instance, the guidance specifies that COPPA can apply to internet-connected toys. The updates include information on COPPA’s coverage of
New data collection activities, such as voice-activated devices that collect personal information; and
New products, such as internet-enabled devices for kids that collect personal information and other “Internet of Things” devices.
The FTC’s updates also include information on new consent mechanisms to satisfy COPPA’s parental consent requirement, such as the use of knowledge-based authentication questions that would be difficult for someone other than the parent to answer or the use of facial recognition technology to match a face to a verified photo identification. These methods are now recognized by the FTC as acceptable consent mechanisms that can satisfy COPPA’s “verifiable” parental consent requirement.
The FTC issued its guidance update a month after U.S. Senator Mark Warner sent a letter to the FTC asking the agency about its efforts to protect children’s privacy following several high-profile instances of children’s data allegedly being hacked. Children’s privacy historically has been a focus of the FTC’s enforcement and oversight efforts, and this updated guidance signals the Commission’s continued attention to this area.
Additional information on COPPA’s obligations can be found on the FTC’s children’s privacy guidance website, which includes the updated Six-Step Compliance Plan, the FTC’s “Complying with COPPA: Frequently Asked Questions” guidance, and other materials. The COPPA rule is codified at 16 CFR Part 312.
FTC Updates COPPA Guidance for IoT and New Consent Options published first on http://ift.tt/2kTPCwo
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