Science Weekly podcast: Science fiction, and the age of astronomy

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Author of The Sky’s Dark Labyrinth Stuart Clark explores the early days of astronomy. Plus, Ian Sample discusses his explosive interview with Stephen Hawking, and we review a new science fiction exhibition

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Several times a year we are asked what Target Health does and what are our accomplishments. The following summarizes what has happened over the last 12 months.


In 2011, Target Health celebrated its 18th year as a New York City-based, full-service e*CRO with full-time staff dedicated to all aspects of the “paperless clinical trial” complementing our expertise in Drug and Device Regulatory Affairs, Clinical Research, Biostatistics, Data Management, Internet-based clinical trials (Target e*CRF®), Medical Writing, and Strategic Planning.  We also provide fully validated software for clinical trials.


Highlights of the last 12 months include:


  1. Implementation of clinical trial programs in oncology, Gaucher disease and men’s health
  2. Implementation of the 100% paperless clinical trial
  3. Release of Target eCTR® (eClinical Trial Record; patent pending), eSource for clinical trials
  4. Implementation of the first direct data entry Phase 2 clinical trial in the pharmaceutical industry under a US IND. 2nd program to start in July.
  5. Publications:
  1. Risk-Based Source Data Verification (rSDV) Approaches: Pros and Cons (Drug Information Journal (2010; 44:745-756)
  2. The Final eFrontier – Applied Clinical Trials,( May 2010)
  3. Target e*CTR™ v 1.0 (electronic health record for clinical trials)
  4. Target e*Studio® v 1.0 (generates Target e*CRF EDC applications
  5. Target Document® v 1.6 (eTMF document management)
  6. Target e*CTMS™ v 1.3 (Clinical trial management system)
  7. Target e*Pharmacovigilance™ v 1.0 (Safety monitoring and generation of Form 3500A and CIOMS 1)
  8. Target Encoder® v 1.3 (MedDRA and WHO Drug coder)
  1. Four EDC regulatory approvals using Target e*CRF (NDA 1; PMA 1; 1 Canada 1; 1 EMA)
  2. Dr. Park on the FDA biomarker task force for Gaucher disease
  3. Three original IND submissions
  4. Target Health member of the CTTI Steering Committee
  5. Release of:


In the last 12 months, Target Health was directly involved with four regulatory approvals (2 US, 1 Canada and one EMA). There are now 20 unique products that used Target e*CRF® for their pivotal trials

  1. MAA – Firazyr (Shire Pharmaceuticals) EDC
  2. NDA/MAA – ellaOne® (HRA Pharma) EDC ; Monitoring; DM; Statistics; Writing
  3. CANADIAN DEVICE – AUGMENT™ Bone Graft (Biomimetic Therapeutics) – EDC
  4. NDA – ULESFIA – (Summers Laboratories, Inc./Sciele) – EDC; Monitoring; DM; Statistics; Writing; Toxicology; NDA (eCTD)
  5. NDA/MAA – DEGARELIX – (Ferring Pharmaceuticals) –EDC
  6. BLA – ARCALYST (Regeneron Pharmaceuticals) – EDC
  7. NDA/MAA – MENOPUR (Ferring Pharmaceuticals) – EDC ; DM; Statistics
  8. NDA/MAA – BRAVELLE (Ferring Pharmaceuticals) – EDC; DM; Statistics
  9. PMA – GEM 21S (Biomimetic Therapeutics) – EDC ; Monitoring; DM; Statistics; Writing
  10. PMA – REPEL CV (Synthemed, Inc.  Approved) – EDC ; Monitoring; DM; Statistics; Writing; PMA (eCopy)
  11. PMANine (9) Diagnostic Approvals (Abbott Laboratories) – EDC
  12. 510(k) – One (1) Diagnostic Approval (Abbott Laboratories) – EDC
  13. NDA Cystic Fibrosis – Submitted 2008 – Monitoring; DM; Statistics; Writing; NDA preparation
  14. NDA Gaucher Disease – Submitted 2009 – Monitoring; DM; Statistics; Writing; NDA preparation

Pending Approvals

Target Health now represents over 30 companies at FDA from all over the world including England, France, Germany, Israel, Korea, Switzerland and the US.

IND / IDE / CTA Programs

  1. Bladder cancer
  2. Cancer imaging
  3. Cardiology
  4. Colorectal cancer
  5. Counterterrorism
  6. Dermatology
  7. Fatty liver
  8. Gaucher disease
  9. Growth Impairment
  10. Ovarian cancer
  11. Pancreatic cancer
  12. Rheumatology
  13. Somnolence
  14. Traumatic brain injury
  15. Ulcerative colitis
  16. Vaccines
  17. Traumatic brain injury

Orphan Drug

  1. Scleroderma (US and EU)
  2. 3rd degree burns

FDA Meetings

  1. Cystic Fibrosis
  2. Gaucher disease
  3. Liver disease
  4. Ulcerative colitis
  5. Somnolence
  6. Women’s Health

Electronic Submissions

Target Health has expertise in preparation and publishing of electronic submissions and is an FDA approved vendor for electronic submissions through the Electronic Submissions Gateway (ESG).

Target e*CRF®: Target e*CRF has now been used in over 250 clinical trials since 1999.  Largest trial to date is over 7,000 patients.

Target Document®: Target Document is a user-friendly, inexpensive; highly sophisticated, Web-based, document management system that allows authorized users to view, download, and manage any document for their organization. – No More paper – Target Document can be used for the eTrial Master File (eTMF) and features include: 1) 21 CFR Part 11 compliance; 2) routing for electronic signatures; 3) email alerts; 5) communication tools.

Target Encoder®: Target Encoder is a user-friendly, inexpensive; highly sophisticated, Web-based, coding system that allows authorized users to automatically code MedDRA and WHO Drug and other types of dictionaries.  Target Encoder is fully integrated with Target e*CRF.

Target e*CTMS®: Target e*CTMS is a user-friendly, inexpensive; highly sophisticated, Web-based, clinical trial management system. A new clinical trial starts with identification of the sponsor and project name.  Investigators, IRBs and users are maintained within the CTMS and can be easily assigned to a project.  All staff within a clinical site can be identified with their title and contact information, as well as shipping addresses which could be different from the head office.  As the site commits to participate in the clinical trial, a site number can be assigned.  Once IRB approval is obtained, and all regulatory documents have been identified as received, an alert can be sent out via email to allow for drug shipment.  Target e*CTMS provides many additional features such as: 1) Decision Logs, 2) Meeting Logs with uploading of the meeting minutes, 3) Questions and Answers, 4) status of Regulatory Submissions and Deliverables, and 5) Monitor Site Visit Tracking with document upload.

Target Batch Edit Checks: With Target e*CRF®, batch edit checks are now integrated with the electronic query system within the study.  Target e*CRF® runs the edits and displays the results of those edits through a discrepancy review screen integrated with the query system.

Target e*Pharmacovigilance®: Target e*CRF integrates EDC with a pharmacovigilance module by 1) allowing the principle investigators to enter a narrative, 2) allowing the medical monitor to enter a narrative and then have the EDC system generate an approved version of Form 3500A or CIOMS for regulatory submission with the ability to control the original and followup submissions.

Target eClinical Trial Record (Target e*CTR®): Target e*CTR allows the clinical study sites to perform direct data entry into any EDC system, and at the same time generates a read-only electronic document, which can be designated as the primary source data (eSource). These data, maintained in a secure, read-only trusted 3rd party environment, are available to the clinical study sites, monitors and regulatory agencies in a human readable format.

Target e*Studio®: Target e*studio allows users to build Target eCRF applications using a technology transfer business model.

EDC vendor for 2 NIH grants in Juvenile Rheumatoid Arthritis at the Cleveland Clinic and University of Washington.  Collaboration with the Biotechnology Center at SUNY Stony Brook, Rutgers and UMDNJ (the Medical School of New Jersey) and NYU School of Medicine.

Dr. Mitchel is a Course Director for Center for Biotechnology, Fundamentals of the Bioscience Industry, SUNY Stony Brook School of Medicine.

3rd degree burns Dermatology Menopausal symptoms
Adhesion prevention Emergency contraception Nocturia
Atopic dermatitis Erectile dysfunction Osteoporosis
Bladder cancer Gaucher’s disease Ovarian cancer
Bone fractures Growth Impairment Pancreatic cancer
Brain Imaging Hereditary angioedema Pre-eclampsia diagnostic
Cardiac implant device Head lice Prostate cancer
Cardiology diagnostic Hemostasis Scleroderma
Colorectal cancer HIV diagnostic Transdermal drug delivery
Cushing’s disease Infertility Ulcerative colitis
Cystic fibrosis Juvenile rheumatoid arthritis Wound Healing
  1. Mitchel, J, Kim, YJ, Choi, JH, et al. The Final eFrontier. Applied Clinical Trials, Online, 1 May 2010
  2. Morrison, B, Cochran, C, Giangrandec, J, et al. A CTTI Survey of Current Monitoring Practices. Society For Clinical Trials, May 2010
  3. Tantsyura, V, Grimes, I, Mitchel JT, et al. Risk-Based Source Data Verification (rSDV) Approaches: Pros and Cons. Drug Information Journal, 44:745-756, 2010
  4. Mitchel, J, Kim, YJ, Choi, JH, et al. Evaluation of Data Entry Errors and Data Changes to an Electronic Data Capture Clinical Trial Database. Drug Information Journal, 45: 421-430 (2011 in press)

Target Health ( is a full service eCRO with full-time staff dedicated to all aspects of drug and device development. Areas of expertise include Regulatory Affairs, comprising, but not limited to, IND (eCTD), IDE, NDA (eCTD), BLA (eCTD), PMA (eCopy) and 510(k) submissions, execution of Clinical Trials, Project Management, Biostatistics and Data Management, EDC utilizing Target e*CRF®, and Medical Writing.

Target Health has developed a full suite of eClinical Trial software including:

1) Target e*CRF® (EDC plus randomization and batch edit checks)

2) Target e*CTMS™

3) Target Document®

4) Target Encoder®

5) Target Newsletter®

6) Target e*CTR™ (electronic medical record for clinical trials).

Target Health’s Pharmaceutical Advisory Dream Team assists companies in strategic planning from Discovery to Market Launch. Let us help you on your next project.