Pivotal study

Important aspects of the Pivotal study

This study is intended to collect convincing clinical data to demonstrate the safety and performance of a medical device. The EU MDR now emphasizes that the requirements for clinical data are much stricter than before. If a device manufacturer wants to demonstrate that their device is equivalent or superior to similar devices already on the market, they must provide evidence of having full access to the technical documentation on an ongoing basis. This means that EU MDR regulations necessitate organizing their own clinical studies to obtain a CE-mark certificate or to successfully re-certify and maintain their CE-mark.

The study design should be meticulously developed based on a thorough analysis of the intended use, the selection of appropriate physiological parameters as the primary endpoint, and the careful selection of safety endpoints.

To apply data to a full patient population, it is critical to justify an appropriate sample size. A strict mathematical approach should be employed to ensure a sufficient number of patients is included in the study.

A large number of patients (hundreds, sometimes thousands) makes a pivotal study challenging. The selection and qualification of multiple study sites, potentially across several countries, the training of the study team and site personnel, site monitoring and communication, device logistics, image/sample logistics, data collection methodology, eTMF assembly, regulatory compliance, CEC/DSMB coordination, Safety Management, and QA—all of these activities require a large team and professional project management.

Pharmaxi is a company that manages more than 50 projects and conducts full-scale clinical studies, covering all necessary activities to achieve the final results. We deliver professional solutions designed to minimize the workload on your experts.

Our services in this field

  • Study design development
  • Sample size calculation
  • Clinical investigational plan (CIP) development
  • Regulatory and ethical approval
  • Study site selection and qualification
  • Data collection and management
  • Safety management, including capturing and reporting AE, SAE, SADE, MACE
  • CEC and DSMB management
  • On-site and remote monitoring
  • Statistical analysis plan (SAP) and statistical report preparation
  • Clinical investigation report development
  • Full TMF assembly, archival, and transfer to the sponsor

Your Advantages When Working With Us

  • Our experts will guide you through the preparation for study initiation.
  • Achieve a fast approval process (30-60 days).
  • Access a large database of hospitals and GCP-trained investigators.
  • Benefit from our proprietary electronic data collection (EDC) and randomization system, which can be configured in strict accordance with the requirements of your study, streamlining the data collection and management processes.
  • Gain cost and time efficiencies by incorporating Eastern European countries, sites, and patient populations.
  • Mitigate risk by providing a full package of study documentation to satisfy Notify Body requirements, leading to CE-Mark approval.
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