Clinical Practices
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What should clinicians consider before participating in a clinical study?
Clinicians should consider what preclinical studies have been done that demonstrate potential efficacy for an experimental therapy, including whether the therapy has been studied in animal models prior to use in client-owned animals.
What can clinics establish when participating in clinical studies?
Clinics can establish internal review boards that consider evidence from preclinical studies.
What committees may pharmaceutical companies provide for clinical trials?
Some pharmaceutical companies and contract research organizations may provide Institutional Animal Care and Use Committees (IACUCs) for conduct of clinical trials.
What should owners be informed of before enrolling their animal in a clinical trial?
Owners should be informed of all potential risks, benefits, and subsidies as part of the informed consent process.
What is required for some clinical trials studying drugs for FDA approval?
Participation may require personnel training in good clinical practice (GCP), which assures trial integrity.
Why is GCP considered important in veterinary clinical studies?
Even if not required, GCP is a good ethical and scientific quality standard for veterinary clinical studies.
How can clinicians get involved in clinical studies?
Clinicians can get involved through organizations like the Comparative Oncology Trials Consortium or AVMA Animal Health Studies Database.
What can owners of privately owned hospitals do to participate in clinical studies?
They can contract research organizations such as ACl, Agenta, Vetpharm, or sponsors like Zoetis, Elanco, or Boehringer Ingelheim.
What benefits can clinicians highlight to management regarding clinical studies?
Clinicians can highlight that studies generate hospital revenue and many are fully funded, paying higher than the current cost structure.
What effect can participation in clinical studies have on clinicians?
Participation can spark interest in the generation of new knowledge and renew interest in veterinary medicine.
What benefits do hospitals and clinics gain from participating in clinical studies?
Involvement elevates the clinician and the practice, separating it from others.
What percentage of clients are self-referrals in Dr. Clifford’s experience?
20% of clients are self-referrals.
What can trial data be used for?
Trial data can be presented at conferences, published, and serve as a recruitment tool for like-minded clinicians and staff.
How can veterinary technicians differentiate themselves?
By participating in a research trial and gaining additional experience.
What is required to run a clinical study in a hospital?
An upper-level manager responsible for signing research and nondisclosure agreements.
What support is needed for client inquiries regarding studies?
Adequate support staff to help with client inquiries, marketing and outreach, study paperwork, maintenance of trial binders, and data storage and protection.
What infrastructure is necessary for running studies?
Infrastructure to support running studies.
What scheduling adjustments may be needed for clinic support staff?
Adjustments to allow for trial cases needing more time than traditional outpatient cases.
What budgetary considerations should be made?
To ensure clinic staff members are compensated for any extra work or additional time spent.
What did Dr. Clifford say about the extra work involved in clinical studies?
“It is extra work, but there are major benefits that come with it.”
What perspective must clinicians consider regarding animal-owner participation?
That pets are thought of as family whose medical needs merit quality care.
What did Dr. Clifford emphasize about treating pets in clinical studies?
“Attitude is everything. These are people’s pets—not research animals. Treat them the way we would any patient of ours.”
What should clinicians consider before participating in a clinical study?
What preclinical studies have been done that demonstrate potential efficacy for an experimental therapy.
What should be verified about the therapy before use in client-owned animals?
Whether the therapy has been studied in animal models prior to use.