Us rarediseases

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RARE DISEASES


Rare Diseases Clinical Trials

Approved

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SAPs

ENROLLMENT GRAPHS

hemophilia B – Phase III

Study Filings with Competent Authorities: On-Time Sites Enrollment Ready: On-Time


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Hunter’s syndrome – Phase I/II

Safety Database Set-up: On-Time

Final Statistical Analysis: Ahead of Schedule


OUR EXPERTISE IN RARE DISEASES Conducting a Rare Disease trial comes with inherent challenges that arise from two elements; a sparse patient population and a wide geographical spread. The challenges cascade from there: 1) assess the clinical reality of the protocol 2) identify the investigators 3) determine an enrollment rate and calculate an overall timeline based on various regulatory requirements in each country. When the cost per patient is considered, it becomes readily apparent that conducting thorough feasibility is a key critical success factor for orphan drug trials. The sites managed by PSI have consistently shown stellar performance in the Rare Disease trials we have conducted. It is remarkable that every one of these studies completed patient recruitment either on or ahead of schedule.

Last Patient In: Ahead of schedule

Last Patient Out: Ahead of schedule


PSI HAS CONDUCTED CLINICAL TRIALS IN THE FOLLOWING RARE & ORPHAN INDICATION DISEASES: Acute Peripheral Arterial Occlusion Cervical Dystonia Cystic Fibrosis Ewing Family of Tumors and Rhabdomyosarcoma † Gastrointestinal Stromal Tumors Hemolytic Paroxysmal Nocturnal Hemoglobinuria Hemophilia A and B † Hunter Syndrome † Leber Congenital Amaurosis Myelodysplastic Syndrome †

pediatric indications

NSCLC carrying known HER2 Activating Mutations Polycythemia Vera Retinitis Pigmentosa Secondary Acute Myeloid Leukemia Short Bowel Syndrome † Systemic Lupus Erythematosus Type 2 Diabetes Mellitus in Adolescents † Thrombotic Thrombocytopenic Purpura Von Willebrand Disease

PSI HAS CONDUCTED FEASIBILITY IN THE FOLLOWING RARE DISEASE INDICATIONS: Acromegaly Actinic Keratosis Congenital Fibrinogen Deficiency Ependymoma Growth Hormone Deficiency Idiopathic Growth Hormone Deficiency Idiopathic Pulmonary Fibrosis Hemophagocytic Lymphohistiocytosis Huntington’s Disease

First Patient In: On-Time

Idiopathic Thrombocytopenic Purpura Lysosomal Acid Lipase Deficiency Mastocytosis Merkel Cell Carcinoma Mucopolysaccharidosis Type I Pilonidal Sinus Pompe Disease Sanfilippo Syndrome Scleroderma

Last Patient In: Ahead of schedule


The geographical span for our Rare Diseases Experience

MYELODYSPLASTIC SYNDROME REGULATORY CONSULTANCY FEASIBILITY STUDY VON WILLEBRAND DISEASE HUNTER SYNDROME CREATE CRF SET UP STUDY DATABASE STATS ANALYSIS PLAN SITE SELECTION SET UP STUDY LOGISTICS STUDY FILING WITH COMPETENT AUTHORITIES

AHEAD ON TIME ON TIME AHEAD ON TIME AHEAD AHEAD ON TIME ON TIME ON TIME

SITE CONTRACTS HEMOPHILIA A AND B

ON TIME ON TIME AHEAD ON TIME AHEAD ON TIME ON TIME AHEAD AHEAD AHEAD ON TIME AHEAD ON TIME

ON TIME

The geographical span for our Rare Diseases Feasibility Experience

EWING FAMILY OF TUMORS AND RHABDOMYOSARCOMA

SITES ENROLLMENT READY POLYCYTHEMIA VERA FIRST PATIENT IN SHORT BOWEL SYNDROME NSCLC CARRYING KNOWN HER2 ACTIVATING MUTATIONS

First Patient In: On-Time

Last Patient In: Ahead of schedule

LAST PATIENT IN LAST PATIENT OUT SECONDARY ACUTE MYELOID LEUKEMIA LOCK DATABASE FINALIZE INTEGRATED REPORT


TICAL S I G O L 6.2013

MEDICAL

17.0

FEASIBILITY PSI is an expert at conducting regional or global feasibility that provides the best choice of sites and geography with accurate recruitment forecasts. In recent years, our specialists located in 11 countries of North America, Europe, Asia and Latin America have conducted hundreds of feasibility assessments for Rare Disease studies in 50+ countries. These assessments cover, but are not restricted to, evaluation of the target population availability and factors that limit it, standards of care, competitive studies, regulatory climates and the need to engage particular Key Opinion Leaders into the study. We weigh all of these factors before making recommendations on the best choice of sites and geography for your program. 95% of our studies are finished on time or ahead of schedule.

.2013

25.10

CAL

I CLIN Feasibility Completed: Ahead of schedule

Protocol Completed: On-Time


ACCOUNTABILITY PSI’s reputation is that of a no-nonsense CRO that delivers by taking the right actions even when that is the harder path. However well one plans a study, the unexpected will happen. What differentiates a good vendor from everyone else is the manner in which difficulties are managed. At PSI, studies enroll on time not only because they are well-planned, but also because the project teams assume an attitude of “get it done or die trying”. Most of the projects we undertake are “tough”. PSI has won many unwinnable battles by sheer persistence in an effort to keep our promises to our clients. To us, doing the right thing means: • We do our best to keep your expectations in line with reality because we are accountable for every promise we make. • We speak our truth even if it is not what you expect to hear. We wish to guide you on the right path, not let you believe something just because it is what you want to hear. • We show you how we can meet your study timelines by telling you which countries can enroll and how to realistically integrate the contributions of strategically important regions and KOLs.

Comprehensive Project Plan: On-Time

Database Lock: Ahead of Schedule


THE PSI STORY PSI’s strength is in its people and their attitude. The PSI management team that founded the company 19 years ago is still here and fully engaged in day-to-day project life. “Navy seals of the CRO industry” was how one of our clients described PSI. In our industry more than 90% of clinical trials fall behind deadlines, while 95% of PSI studies finish on time or ahead of schedule. We subscribe to the belief that “it’s kind of fun to do the impossible”. We maintain our practice of investing in talent because we know that only devoted and accountable people can deliver the kind of service that will ensure outstanding results for our clients. Our mission is to be the best CRO in the world as measured by our clients and our employees. With 1,400 folks in 50+ countries we have a lot of talent to look after. Dozens of customers in a variety of therapeutic areas have come to PSI and stayed. Maybe that is why after 19 years in the industry PSI still enjoys a solid reputation and grows mainly through repeat and referral business. When combined, these characteristics yield tangible outcomes for our customers. Studies run on time and on budget and save hundreds of millions of development dollars.

On-Time Enrollment

250 Physicians On-Board

On-Time Project Delivery


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