Do you wish to make a difference to research in the NHS? An opportunity has arisen for a Quality Assurance/GCP Auditor to join the Research and Innovation Department at Nottingham University Hospitals (NUH) NHS Trust.
NUH has identified excellence in research … Continue reading
NUH R&I seeks to appoint a QA/GCP Manager to assure the quality of clinical research undertaken within Nottingham University Hospitals NHS Trust in accordance with legislative and best practice requirements. This is a key role in the co-ordination of working practices, policy implementation and preparation for external audits and MHRA inspection. Continue reading
This is a multinational, randomised, placebo-controlled, double-blind, parallel group study that compares 3 doses of empagliflozin (2.5 mg, 10 mg and 25 mg) to placebo in patients with Type 1 Diabetes Mellitus l (T1DM) as an “addon” to insulin therapy.
The study will be conducted at about 200 study clinics/ hospitals worldwide. About 1920 patients will be screened for suitability and about 960 patients will go on to receive the study medication, with 240 patients assigned to each of the treatment groups.
The randomised treatment will be double-blind. A triple-dummy design will be used for masking the treatment assignment, i.e. each patient will take 3 tablets a day, receiving 1 active treatment and 2 placebo matching the alternative active treatments, or 3 placebos matching the alternative treatments.
Patients will be required to attend 11 scheduled clinic visits and one telephone visit over approximately 38 weeks. Each visit will take 1-2 hours to complete, depending on what has to be done. Recruitment is competitive. This study is divided into 5 parts:
i. Screening Period (Visit 1): to determine if the patients are eligible
ii Therapy Optimisation Period (Visits 24T): This period lasts for 6 weeks during which the patient’s current treatment approach will be optimised.
iii. Placebo Run-in Period (Visit 5): in this 2 week period, all patients will take three placebo tablets The tablets will be taken in addition to insulin.
iv. Randomised Treatment Period (Visits 6-11): during this 26 week period, patients will receive study medication, either Empagliflozin or placebo, in addition to their insulin.
v. Follow-Up Period (Visit 12): 3 weeks after the patient has stopped taking the study drug, they will return for a final visit.
1. Signed and dated written informed consent by the date of Visit 1 in accordance with Good Clinical Practice (GCP) and local legislation
2. Male or female patient receiving insulin for the treatment of documented diagnosis of T1DM for at least 1 year at the time of Visit 1
3. Fasting C-peptide value of 0.5% between Visit 1 and Visit 5
6. Based on the Investigator’s judgement patient must have a good understanding of his/her disease and how to manage it, and be willing and capable of performing the following study assessments (assessed at Visits 15 and just before randomisation):
– patient-led management and adjustment of insulin therapy
– reliable approach to insulin dose adjustment for meals, such as carbohydrate counting
– reliable and regular home-based blood glucose monitoring recognise the symptoms of DKA, and reliably monitor for ketones implementation of an established “sick day” management regimen
7. Age ≥ 18 years at Visit 1
8. Body Mass Index (BMI) of ≥ 18.5 kg/m2 at Visit 1
9. eGFR ≥ 30 mL/min/1.73 m² as calculated by the CKD-EPI formula, based on creatinine measured by the central laboratory at Visit 1
10. Women of childbearing potential must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. Such methods should be used throughout the study and the patient must agree to periodic pregnancy testing during participation in the trial. A list of contraceptive methods meeting these criteria will be provided in the patient information
11. Compliance with trial medication administration must be between 80% and 120% during the open-label placebo run-in period for calculation of compliance), to be judged before randomisation
12. To participate in the optional CGM substudy: Patient is willing to participate in that substudy and eligible based on Investigator’s judgement to perform CGM. CGM sub study is conducted at the trial site
13. To participate in the optional CGM substudy: Patient is willing, based on the Investigator’s judgement, not to take any paracetamol (acetaminophen) containing drugs throughout the CGM monitoring periods, since this may falsely raise CGM glucose readings.
1. History of T2DM, maturity onset diabetes of the young (MODY), pancreatic surgery or chronic pancreatitis
2. Pancreas, pancreatic islet cells or renal transplant recipient
3. T1DM treatment with any other antihyperglycaemic drug (e.g. metformin, alphaglucosidase inhibitors, glucagon-like-peptide 1 [GLP1] analogues, SGLT-2 inhibitors, pramlintide, inhaled insulin, pre-mixed insulins etc.) except subcutaneous basal and bolus insulin within 3 months prior to Visit 1 or any history of clinically relevant hypersensitivity according to Investigator’s judgement
4. Occurrence of severe hypoglycaemia involving coma and/or seizure that required hospitalisation or hypoglycaemia-related treatment by an emergency physician or paramedic within 3 months prior to Visit 1
5. Occurrence of DKA within 3 months prior to Visit 1 and until randomisation at Visit 6
6. Irregular sleep/wake cycle (e.g. patients who habitually sleep during the day and work during the night) based on Investigator’s judgement
7. Acute coronary syndrome (non-STEMI, STEMI and unstable angina pectoris), stroke or transient ischaemic attack (TIA) within 3 months prior to Visit 1
8. Diagnosis of severe gastroparesis (based on Investigator’s judgement)
9. Diagnosis of brittle diabetes based on Investigator judgement
10. Indication of liver disease, defined by serum levels of either alanine transaminase (ALT), aspartate transaminase (AST), or alkaline phosphatase above 3 x upper limit of normal (ULN) at Visit 1 or Visit 5 as measured by the central laboratory
11. Eating disorders such as bulimia or anorexia nervosa
12. Treatment with anti-obesity drugs, weight-loss surgery or aggressive diet regimen leading to unstable body weight 12. Treatment with anti-obesity
drugs, weight-loss surgery or aggressive diet regimen leading to unstable body weight
13. Treatment with systemic corticosteroids or planned initiation of such therapy at Visit 1. Inhaled or topical use of corticosteroids (e.g. for asthma/chronic obstructive pulmonary disease) is acceptable
14. Change in dose of thyroid hormones within 6 weeks prior to Visit 1 or planned change or initiation of such a therapy at Visit 1
15. Medical history of cancer or treatment for cancer in the last five years prior to Visit 1. Resected basal cell carcinoma considered cured is exempted
16. Blood dyscrasias or any disorders causing haemolysis or unstable red blood cells (e.g. malaria, babesiosis, haemolytic anaemia) at Visit 1
16. Blood dyscrasias or any disorders causing haemolysis or unstable red blood cells (e.g. malaria, babesiosis, haemolytic anaemia) at Visit 1
18. Alcohol or drug abuse within the 3 months prior to Visit 1 that would interfere with trial participation based on Investigator’s judgement
19. Intake of an investigational drug in another trial within 30 days prior to Visit 1
20. Patient not able to understand and comply with study requirements, including the use of an ediary, based on Investigator’s judgement
21. Any other clinical condition that, based on Investigator’s judgement, would jeopardise patient safety during trial participation or would affect the study outcome (e.g. immunocompromised patients who might be at higher risk of developing genital or mycotic infections, patients with chronic viral infections etc.)
Principal Investigator for this trial: Dr Peter Mansell
Research Ethics Committee Reference: 15/EE/0350
This trial involves patients with advanced prostate cancer. This trial will compare a group on hormone tablets alone with a group on combination of hormone tablets and a radioactive substance. This trial is supported by the European Organisation for Research and Treatment of Cancer (EORTC).
Doctors often treat advanced prostate cancer with a hormone therapy injection or on rare occasions by removal of both testicles. Both these treatments usually stop working after 13 to 22 months. This trial will
recruit these men whose prostate cancer is no longer responding to hormone injections or removal of testicles. Prostate cancer often spreads to bones and more than 90% of men with advanced prostate cancer have secondary cancer in their bones at this stage. Cancer that has spread to the bones can cause significant pain. The secondary cancer in bone significantly affects the men’s ability to enjoy life.
Radium 223 is a new type of radioactive injection. Radium 223 specifically targets cancer cells in the bones. Radium 223 spares lot of normal body tissues and lose its radioactivity very quickly. Radium 223 is safe to use and is already approved for use in advanced prostate cancer in UK and Europe. Enzalutamide is also a newly licensed hormone therapy tablet that is proven to work in patients after the first hormone injection has failed to work.
This trials aims to find out
>> if men having Enzalutamide tablets in combination with Radium 223 injection have longer duration of cancer control in bones compared to men having Enzalutamide tablets alone;
>> if men having the combination treatment live longer, have less bone complications, better pain control and have a better quality of life.
The trial also aims to collect the safety information in men having Radium 223 injections in combination with Enzalutamide tablets and in men having Enzalutamide tablets alone.
♦Histologically confirmed diagnosis of prostate adenocarcinoma
♦ Asymptomatic or mildly symptomatic (defined as no opioids and Brief Pain Inventory score, i.e. short form question #3 worst pain must be 25 g/L
♦ Normal cardiac function according to local standard by 12-lead ECG (complete, standardized 12-lead recording).
♦ Able to swallow the study drug and comply with study requirements
♦ Prior or concomitant therapy.
-Prior docetaxel is permitted under the following conditions: started within 2 months of ADT initiation, given for a maximum of 6 cycles and progression after 6 months of the last dose of docetaxel.
-Previous treatment with bicalutamide, flutamide, prednisone, or dexamethasone is allowed if it was stopped at least 4 weeks prior to randomization.
♦ Patients taking bisphosphonates or denosumab are eligible if they have received a stable dose for 4-weeks or more prior to randomization. (These treatments may then be continued on study).
♦ Drugs known to lower the seizure threshold or prolong QT interval are not permitted.
♦ Participants who have partners of childbearing potential must use adequate birth control measures, as defined by the investigator, during the study treatment period and for at least 3 months after last dose of enzalutamide and 6 months after the last dose of Ra223. A highly effective method of birth control is defined as those which result in low failure rate (i.e. less than 1% per year) when used consistently and correctly.
♦ Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial.
♦ Before patient randomization, written informed consent must be given according to ICH/GCP, and national/local regulations.
♦ For participation in translational research, specific consent must be given.
♦ Known central nervous system metastases or leptomeningeal tumor spread.
♦ Significant cardiovascular disease including:
-Myocardial infarction within 6 months prior to screening.
-Uncontrolled angina within 3 months prior to screening.
-Congestive heart failure New York Heart Association (NYHA) class III or IV, or patients with history of congestive heart failure NYHA class III or IV in the past, unless a screening echocardiogram or multigated acquisition scan (MUGA) performed within 3 months results in a left ventricular ejection fraction that is ≥ 45%
-History of clinically significant ventricular arrhythmias (e.g., ventricular tachycardia, ventricular fibrillation,torsades de pointes).
-History of Mobitz II second degree or third degree heart block without a permanent pacemaker in place.
-Uncontrolled hypertension as indicated by a resting systolic blood pressure > 170 millimeters of mercury (mm Hg) or diastolic blood pressure > 105 mm Hg at screening.
-Hypotension as indicated by systolic blood pressure Principal Investigator for this trial: Dr Santhanam Sundar
Research Ethics Committee Reference: 16/EM/0017
A new EU Clinical Trial Regulations, the prospect of new EU medical device legislation, and changes to the European and national clinical trial authorisation processes will transform the regulatory environment in industry and the public sector. These are welcomed changes … Continue reading
Contact information for the Research and Innovation team is detailed below.
Our postal address is:
Research & Innovation
Nottingham University Hospitals NHS Trust
Nottingham Integrated Clinical Research Centre
C Floor, South Block
Queen’s Medical Centre Campus
Derby Road Nottingham NG7 2UH
For general enquiries please email … Continue reading
This is a prospective translational research study. The purpose of this study is to identify genetic factors that increase the risk of developing Epidermal Growth Factor Receptor (EGFR) mutant lung cancer and to see whether these factors influence lung cancer outcome. In particular we are looking to identify segments of lung cancer genetic code (DNA) that increases the risk of developing of two specific types of nonsmall cell lung cancer (NSCLC): NSCLC where the tumor has a mutation in a gene called EGFR (usually this is tested routinely in your hospital) ‘EGFR mutant lung cancer’ NSCLC where this mutation in EGFR is not found but patients have never smoked (less than 100 cigarettes in lifetime) or have previously only smoked very lightly (stopped smoking more than 1 year ago and smoked less than 10 packyears). For reasons that are currently unclear, these ‘EGFR mutant’ cancers are more frequently seen in the type of NSCLC called adenocarcinoma. They tend to occur more frequently in women, and are seen more frequently in patients of East Asian (e.g. Chinese) ethnic origin. The reasons why these cancers occur more frequently in these individuals than in the general population are unknown. About 2000 participants will take part in this study. Half of these patients will have NSCLC with a mutation in the EGFR gene, while the other half will have NSCLC without mutations in that gene and at the same time be never smoker (less than 100 cigarettes in lifetime) or exlight smoker (stopped smoking more than 1 year ago and smoked less than 10 packyears). A blood sample will be taken from each participant for analysis. Relevant medical history and demographic information will be collected. Participants will also be asked to complete a lifestyle questionnaire.
Histologically or cytologicaly diagnosed NSCLC, all histologies are acceptable. Patients can be included in the study with any disease stage and at any time during the disease course. Any type (surgery, RT, chemotherapy, targeted agents) of previous treatment and any line of treatment are eligible. Age 18 years. Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol those conditions should be discussed with the patient before registration in the trial Before patient registration, written informed consent must be given according to ICH/GCP, and national/local regulations. Case Cohort: Patients with proven EGFR mutation in exons 1821 from tumor material (either primary tumor or metastasis). No known somatic KRAS, HER2, LKB1, BRAF, or PI3K, mutation or ALK gene rearrangement (or ALK3+ immunohistochemistry). If these mutations are known to be present the patient will be ineligible. However, patients will not be tested specifically for these mutations for this study and patients with unknown status are acceptable. If patients are subsequently tested after enrollment and found to harbor any of these mutations they will be considered ineligible and will be replaced. No known Li Fraumeni, Li Fraumenilike, or Peutz Jeghers syndrome family, or known germline carriers of mutant LKB1 or TP53. Patients will not have to be tested specifically for these syndromes to be eligible for this study. Control Cohort: Patients known to be somatic EGFR “wildtype,” i.e. no mutation detected in exons 1821 from tumor material. Never smoker (Exclusion criteria:
Patients with unknown or failed tumor EGFR genotyping will be ineligible. Patients subsequently undergoing re genotyping which demonstrates an EGFR mutation will become eligible for the “case” cohort. Patients subsequently undergoing regenotyping which demonstrates an EGFR wildtype will become eligible for the “control” cohort.
Principal Investigator for this trial: Dr Ivo Hennig
Research Ethics Committee Reference: 14/YH/0062
Patients with stage II primary melanoma generally have a good prognosis after resection. However, once melanoma metastasizes beyond regional lymphnodes, the median survival is approximately 7 months. Ulceration is defined as the absence of intact skin covering a major portion of the primary melanoma based on microscopic examination. Survival rates of patients with an ulcerated melanoma are proportionally lower than those of patients with equivalent categorisation, but nonulcerated, melanoma. In patients with localized melanoma, tumour thickness, mitotic rate and ulceration are the most dominant prognostic factors. Interferon (IFN) alfa 2b is the most investigated agent for adjuvant treatment of patients with melanoma that are high risk of recurrence after definitive surgery. It has demonstrated consistent effects on overall survival (OS) compared with observation alone, and demonstrated low and intermediatedose regimens are more tolerable for longer periods of time it has produced transient improvements in recurrencefree survival or distant metastasesfree survival. However, no trial has indicated the optimum dose and duration for adjuvant interferon alfa in these highrisk melanoma patients. One EORTC trial suggested that longer duration of treatment with lower doses may be more effective than shorterterm therapy at higher doses. In previous EORTC trials, patients with ulcerated primaries have a greater benefit from IFN than nonulcerated primaries. This indicates that IFNadjuvant therapy might be sufficiently effective in ulcerated melanoma to become standard care. This means that after almost 20 years of IFN trials we might identify the patient subpopulation that significantly benefits not only at the recurrencefree survival level but also at the OS level. The consistency of these observations is striking and justifies a Randomized Clinical Trial to address the question of efficacy, toxicity and quality of life with peginterferon alfa2b as compared to observation after adequate surgery for ulcerated primary cutaneous melanomas.
Subjects must have histologically documented ulcerated primary cutaneous melanoma with a Breslow thickness > 1mm that has been excised radically 3 months prior to randomization. Excision margins of at least 1 cm are required. In the head and neck areas and in case of locations distally on extremities narrower margins are acceptable as long as they are radical. In case subjects have undergone Sentinel Node staging after the excision of the primary, this must be done within the time frame of 3 months between the date of final excision of the primary and the date of randomization. Subjects must have an ECOG performance status of 0 or 1. Subjects must be between 1870 years old. Subjects must have adequate hepatic, renal and bone marrow function as defined by the following parameters obtained within 4 weeks prior to initiation of study treatment Subject must give informed consent according to ICHGCP or national/local policy
Subjects suffering from a mucous membrane melanoma or ocular melanoma Subjects who have evidence of (non)regional lymph node metastases or intransit metastases (even if they have been resected) Subjects whose disease cannot be completely surgically resected Subjects who have not recovered from the effects of recent surgery Subjects with a history of prior malignancy within the past 10 years other than surgically cured nonmelanoma skin cancer or cervical carcinoma in situ Subjects who have severe cardiovascular disease, i.e., arrhythmias requiring chronic treatment, congestive heart failure (NYHA Class III or IV) or symptomatic ischemic heart disease Subjects with thyroid dysfunction not responsive to therapy Subjects with uncontrolled diabetes mellitus Subjects suffering from an active autoimmune disease Subjects with active and/or uncontrolled infection, including active hepatitis Subjects who have a history of seropositivity for HIV Subjects who have a history of neuropsychiatric disorder requiring hospitalization Subjects who are known to be actively abusing alcohol or drugs Subjects who are pregnant, lactating, or of reproductive potential and not practicing an effective means of contraception Subjects with a medical condition requiring chronic systemic corticosteroids Subjects who have received any experimental therapy within 30 days prior to randomization in this study Subjects who have received any prior chemotherapy, immunotherapy, hormonal or radiation therapy for melanoma Subjects who have previously received interferonalpha for any reason Subject having history of epilepsy or other major central nervous system disease Subject having eyes disorders
Principal Investigator for this trial: Professor Poulam Patel
Research Ethics Committee Reference: 13/YH/0159
Our current standard operating procedures, regulatory standards, guidance documents, templates and forms are regularly updated please ensure that you are using the most current version.
If you need further assistance then please contact our QA/GCP Auditor Melanie Boulter.
NUH Research & Innovation has a vacancy for a Senior Research Manager to lead on Regulatory Compliance & Award management.
The MHRA GCP Inspectorate is due to inspect NUH. The Trust was notified in February 2013 that an inspection is due to take place but as yet, the date and agenda of the inspection has not been confirmed. Continue reading
NIHR has launched a new Clinical Trials Toolkit which is based on the design of a tube map. The clickable diagram differentiates between legal and good practice requirements, providing essential information at the ‘stations’ along the route
The long term outcome for patient with retroperitoneal sarcomas is poor. The major event leading to the poor outcome is local recurrence in the abdomen. The main objective of this study is to assess whether preoperative radiotherapy, as an adjunct to curativeintent surgery, improves the prognosis of patients with retroperitoneal sarcoma. This is a phase III multicentre randomised study to assess whether there is a difference in abdominal recurrencefree survival between retroperitoneal sarcoma patients undergoing curativeintent surgery alone and those undergoing preoperative radiotherapy followed by curativeintent surgery. It will further assess whether there is a difference in metastasisfree survival, abdominal recurrencefree interval and overall survival between patients undergoing curativeintent surgery alone and those undergoing preoperative radiotherapy followed by curative intent surgery. It will also assess the tumour response in patients undergoing preoperative radiotherapy and the toxicity of preoperative radiotherapy given prior to curative intent surgery in patients with retroperitoneal sarcoma. Patients older than 18 years, with an operable primary unifocal soft tissue sarcoma of retroperitoneal space or infraperitoneal spaces of pelvis will be eligible for this study. The study will be conducted at 8 major sarcoma centers across the UK and in several European countries. Over 39 months, 256 patients will be entered into the trial. Half of the patients will undergo preoperative radiotherapy followed by standard curativeintent surgery, while the other half of the patients will undergo standard curativeintent surgery alone. After completion of the study treatment, patients will be seen regularly at the treatment hospital for clinical examination and scans in order to assess of side effects and the status of the disease.
Tumourrelated criteria: Primary soft tissue sarcoma of retroperitoneal space or infraperitoneal spaces of pelvis Sarcoma not originated from bone structure, abdominal or gynecological viscera Unifocal tumor (not multifocal disease) Absence of extension through the sciatic notch or across the diaphragm Histologicallyproven RPS (local pathologist/ imagingguided or surgical biopsy), excluding the following histological subtypes: Gastrointestinal stromal tumor (GIST) Rhabdomyosarcomas PNET or other small round blue cells sarcoma, osteosarcoma or chondrosarcoma aggressive fibromatosis sarcomatoid or metastatic carcinoma Tumour not previously treated (no previous surgery excluding diagnosis biopsy, radiotherapy or systemic therapy) Tumour both operable and suitable for radiotherapy (This will be based on pretreatment CT scan/MRI and multidisciplinary consultation with surgeon, radiation oncologist and radiologist (anticipated macroscopically complete resection, R0/R1 resection) Patients for whom surgery is expected to be R2 on the CTscan before randomization are not eligible Patients must have American Society of Anesthesiologist (ASA) score 2 (see Appendix G) The criteria for nonresectability are: (i) involvement of superior mesenteric artery or (ii) involvement of aorta or (iii) involvement of bone No metastatic disease Patient must have radiologically measurable disease (RECIST 1.1), as confirmed by abdominopelvic CT (IV and PO contrast) or MRI (with IV contrast) within the 28 days prior to randomization Patientrelated criteria: 18 years old WHO performance status 2 (see Appendix C) Absence of history of bowel obstruction or mesenteric ischemia or severe chronic inflammatory bowel disease Normal renal function: Calculated creatinine clearance within normal value (calculated by CockcroftGault see Appendix E) Functional contralateral kidney to the side involved by the RPS as assessed by intravenous pyelogram (done during the baseline CTscan) or differential renal isotope scan Normal bone marrow and hepatic function: White Blood cells 2.5 x10 9 cells/L Platelets 80 x10 9 cells/L Total bilirubin Principal Investigator for this trial: Dr Claire Esler
Research Ethics Committee Reference: 11/LO/2024
In 2007 there were 12,864 hospital admissions in England for gastric duodenal or peptic ulcer haemorrhage. HEAT is a large scale outcomes study designed to see whether a one week course of H. pylori eradication reduces hospitalisation for ulcer bleeding in patients using aspirin. With funding from the NIHR HTA Programme, it is being led by the University of Nottingham, with recruiting centres across the UK. Continue reading
Support provided by the Comprehensive Clinical Research Network recently helped NUH overcome the challenges of A&E and become the top recruiting site in an acute pain study. NUH demonstrates how to successfully conduct a clinical trial in a difficult Emergency Department environment. Continue reading
Do you wish to make a difference to research in the NHS? An opportunity has arisen for a Research Manager to join the Research & Innovation Department at Nottingham University Hospitals (NUH) NHS Trust. As Research Manager you will be a key member of the NUH R&I department and will play an important role in supporting the implementation of the Trust’s Research Strategy. Continue reading
Introduction to Good Clinical Practice (GCP) Training Course
NIHR deliver regular GCP training.
For further information on GCP Training please visit the NIHR Website.
NUH R&I are currently delivering training on the HRA approval process and the changes to the research process. … Continue reading
Dr Steve Ryder
Director of Research
Since June 1994 Dr Ryder has been a consultant Physician in Hepatology and Gastroenterology at the Nottingham Digestive Diseases Centre and Biomedical Research Unit. His major clinical and research interest is hepatitis C infection.
Dr Ryder … Continue reading
The PharmaTimes has opened a new competition, the Clinical Research Site of the Year, which is jointly sponsored by the NIHR and the ABPI. A new category of the Clinical Researcher of the Year competition, it has been introduced in recognition of the importance to the UK’s global competitiveness that a clinical research site can make. Continue reading
Below is a selection of links related to regulatory standards which are relevant to Healthcare research in the UK. If you cannot find what you are looking for then please contact us on 0115 9709049.
Research Governance Framework, 2nd ed
Legislation & … Continue reading
Commercial research is important to NUH as the driving force for the adoption and diffusion of innovation.
It is through this process that new treatments, devices or laboratory tests are studied and brought forward for use by patients and staff.
Nottingham … Continue reading
The MHRA has completed a four day routine GCP inspection of systems and processes. This took place in the last week of February and we were notified at the close of the audit that there were no critical findings. A … Continue reading
NUH will soon undergo a routine GCP systems inspection by the MHRA (Medicines and Healthcare Products Regulatory Agency). This will take place during the last week of February and is coordinated by the R&D
department. The investigators who will be … Continue reading