SlideShare a Scribd company logo
1 of 6
Working with countries that
are difficult to negotiate
with

Points to Consider
Benefits
Potential Rapid enrollment

Cost

Treatment naïve patient population

Willing and eager investigators

Time
Risks
Language
IP/data rights
Subject Privacy
Regulatory Process
Insurance/Insurance requirements
Contract
Investigator Training
Risks-Budget
Cost of importation of study drug

Cost of comparator and other concomitant
medication

Other equipment requirements?
Other factors
Regulatory start-up times

Unstable political environments
Contact Information

  Alan J Braverman, Pharm. D.

        (215)-806-7793

    ajbpharmd@verizon.net

More Related Content

More from TTC, llc

Clinical rd presentation 10 jan2012_sharma
Clinical rd presentation 10 jan2012_sharmaClinical rd presentation 10 jan2012_sharma
Clinical rd presentation 10 jan2012_sharmaTTC, llc
 
Investigator-Initiated Studies: Two Stories from the NIH
Investigator-Initiated Studies: Two Stories from the NIHInvestigator-Initiated Studies: Two Stories from the NIH
Investigator-Initiated Studies: Two Stories from the NIHTTC, llc
 
Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Real...
Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Real...Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Real...
Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Real...TTC, llc
 
Future Challenges of Clinical Development; a View from the CRO - Hani Zaki
Future Challenges of Clinical Development; a View from the CRO - Hani ZakiFuture Challenges of Clinical Development; a View from the CRO - Hani Zaki
Future Challenges of Clinical Development; a View from the CRO - Hani ZakiTTC, llc
 
Compliance and FMV - Seth Whitelaw
Compliance and FMV - Seth WhitelawCompliance and FMV - Seth Whitelaw
Compliance and FMV - Seth WhitelawTTC, llc
 
Compliance and FMV - Karen Lowney
Compliance and FMV - Karen LowneyCompliance and FMV - Karen Lowney
Compliance and FMV - Karen LowneyTTC, llc
 
Standard of Care - Donna Beardsworth
Standard of Care - Donna BeardsworthStandard of Care - Donna Beardsworth
Standard of Care - Donna BeardsworthTTC, llc
 
Emerging Regions - Alan Braverman
Emerging Regions - Alan BravermanEmerging Regions - Alan Braverman
Emerging Regions - Alan BravermanTTC, llc
 
Clinical Trial Costs in Emerging Geographies - Stephen Porter
Clinical Trial Costs in Emerging Geographies - Stephen PorterClinical Trial Costs in Emerging Geographies - Stephen Porter
Clinical Trial Costs in Emerging Geographies - Stephen PorterTTC, llc
 
Effective Global Site Budgeting and Cost Management - Natalie Gosciminski
Effective Global Site Budgeting and Cost Management - Natalie GosciminskiEffective Global Site Budgeting and Cost Management - Natalie Gosciminski
Effective Global Site Budgeting and Cost Management - Natalie GosciminskiTTC, llc
 
Effective Global Site Budgeting and Cost Management - Forrest Swope
Effective Global Site Budgeting and Cost Management - Forrest SwopeEffective Global Site Budgeting and Cost Management - Forrest Swope
Effective Global Site Budgeting and Cost Management - Forrest SwopeTTC, llc
 
Future Challenges of Clinical Development; a View from the CRO - Hani Zaki
Future Challenges of Clinical Development; a View from the CRO - Hani ZakiFuture Challenges of Clinical Development; a View from the CRO - Hani Zaki
Future Challenges of Clinical Development; a View from the CRO - Hani ZakiTTC, llc
 
Payment Practices, FMV, and Study Performance - Harold Glass
Payment Practices, FMV, and Study Performance - Harold GlassPayment Practices, FMV, and Study Performance - Harold Glass
Payment Practices, FMV, and Study Performance - Harold GlassTTC, llc
 
R&D Productivity and Costs in Today's Health Care Arena - Pat Audet
R&D Productivity and Costs in Today's Health Care Arena - Pat AudetR&D Productivity and Costs in Today's Health Care Arena - Pat Audet
R&D Productivity and Costs in Today's Health Care Arena - Pat AudetTTC, llc
 
Two Worlds - Larry Poli
Two Worlds - Larry PoliTwo Worlds - Larry Poli
Two Worlds - Larry PoliTTC, llc
 
Effective Global Site Budgeting and Cost Management - Holly Squires
Effective Global Site Budgeting and Cost Management  - Holly SquiresEffective Global Site Budgeting and Cost Management  - Holly Squires
Effective Global Site Budgeting and Cost Management - Holly SquiresTTC, llc
 
Standard of Care - Ying Jiang
Standard of Care - Ying JiangStandard of Care - Ying Jiang
Standard of Care - Ying JiangTTC, llc
 

More from TTC, llc (17)

Clinical rd presentation 10 jan2012_sharma
Clinical rd presentation 10 jan2012_sharmaClinical rd presentation 10 jan2012_sharma
Clinical rd presentation 10 jan2012_sharma
 
Investigator-Initiated Studies: Two Stories from the NIH
Investigator-Initiated Studies: Two Stories from the NIHInvestigator-Initiated Studies: Two Stories from the NIH
Investigator-Initiated Studies: Two Stories from the NIH
 
Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Real...
Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Real...Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Real...
Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Real...
 
Future Challenges of Clinical Development; a View from the CRO - Hani Zaki
Future Challenges of Clinical Development; a View from the CRO - Hani ZakiFuture Challenges of Clinical Development; a View from the CRO - Hani Zaki
Future Challenges of Clinical Development; a View from the CRO - Hani Zaki
 
Compliance and FMV - Seth Whitelaw
Compliance and FMV - Seth WhitelawCompliance and FMV - Seth Whitelaw
Compliance and FMV - Seth Whitelaw
 
Compliance and FMV - Karen Lowney
Compliance and FMV - Karen LowneyCompliance and FMV - Karen Lowney
Compliance and FMV - Karen Lowney
 
Standard of Care - Donna Beardsworth
Standard of Care - Donna BeardsworthStandard of Care - Donna Beardsworth
Standard of Care - Donna Beardsworth
 
Emerging Regions - Alan Braverman
Emerging Regions - Alan BravermanEmerging Regions - Alan Braverman
Emerging Regions - Alan Braverman
 
Clinical Trial Costs in Emerging Geographies - Stephen Porter
Clinical Trial Costs in Emerging Geographies - Stephen PorterClinical Trial Costs in Emerging Geographies - Stephen Porter
Clinical Trial Costs in Emerging Geographies - Stephen Porter
 
Effective Global Site Budgeting and Cost Management - Natalie Gosciminski
Effective Global Site Budgeting and Cost Management - Natalie GosciminskiEffective Global Site Budgeting and Cost Management - Natalie Gosciminski
Effective Global Site Budgeting and Cost Management - Natalie Gosciminski
 
Effective Global Site Budgeting and Cost Management - Forrest Swope
Effective Global Site Budgeting and Cost Management - Forrest SwopeEffective Global Site Budgeting and Cost Management - Forrest Swope
Effective Global Site Budgeting and Cost Management - Forrest Swope
 
Future Challenges of Clinical Development; a View from the CRO - Hani Zaki
Future Challenges of Clinical Development; a View from the CRO - Hani ZakiFuture Challenges of Clinical Development; a View from the CRO - Hani Zaki
Future Challenges of Clinical Development; a View from the CRO - Hani Zaki
 
Payment Practices, FMV, and Study Performance - Harold Glass
Payment Practices, FMV, and Study Performance - Harold GlassPayment Practices, FMV, and Study Performance - Harold Glass
Payment Practices, FMV, and Study Performance - Harold Glass
 
R&D Productivity and Costs in Today's Health Care Arena - Pat Audet
R&D Productivity and Costs in Today's Health Care Arena - Pat AudetR&D Productivity and Costs in Today's Health Care Arena - Pat Audet
R&D Productivity and Costs in Today's Health Care Arena - Pat Audet
 
Two Worlds - Larry Poli
Two Worlds - Larry PoliTwo Worlds - Larry Poli
Two Worlds - Larry Poli
 
Effective Global Site Budgeting and Cost Management - Holly Squires
Effective Global Site Budgeting and Cost Management  - Holly SquiresEffective Global Site Budgeting and Cost Management  - Holly Squires
Effective Global Site Budgeting and Cost Management - Holly Squires
 
Standard of Care - Ying Jiang
Standard of Care - Ying JiangStandard of Care - Ying Jiang
Standard of Care - Ying Jiang
 

Recently uploaded

Real Time Object Detection Using Open CV
Real Time Object Detection Using Open CVReal Time Object Detection Using Open CV
Real Time Object Detection Using Open CVKhem
 
A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)Gabriella Davis
 
Boost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdfBoost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdfsudhanshuwaghmare1
 
AWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAndrey Devyatkin
 
A Year of the Servo Reboot: Where Are We Now?
A Year of the Servo Reboot: Where Are We Now?A Year of the Servo Reboot: Where Are We Now?
A Year of the Servo Reboot: Where Are We Now?Igalia
 
[2024]Digital Global Overview Report 2024 Meltwater.pdf
[2024]Digital Global Overview Report 2024 Meltwater.pdf[2024]Digital Global Overview Report 2024 Meltwater.pdf
[2024]Digital Global Overview Report 2024 Meltwater.pdfhans926745
 
How to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected WorkerHow to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected WorkerThousandEyes
 
TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data DiscoveryTrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data DiscoveryTrustArc
 
Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)wesley chun
 
2024: Domino Containers - The Next Step. News from the Domino Container commu...
2024: Domino Containers - The Next Step. News from the Domino Container commu...2024: Domino Containers - The Next Step. News from the Domino Container commu...
2024: Domino Containers - The Next Step. News from the Domino Container commu...Martijn de Jong
 
Axa Assurance Maroc - Insurer Innovation Award 2024
Axa Assurance Maroc - Insurer Innovation Award 2024Axa Assurance Maroc - Insurer Innovation Award 2024
Axa Assurance Maroc - Insurer Innovation Award 2024The Digital Insurer
 
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...Drew Madelung
 
TrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law DevelopmentsTrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law DevelopmentsTrustArc
 
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...Miguel Araújo
 
Connector Corner: Accelerate revenue generation using UiPath API-centric busi...
Connector Corner: Accelerate revenue generation using UiPath API-centric busi...Connector Corner: Accelerate revenue generation using UiPath API-centric busi...
Connector Corner: Accelerate revenue generation using UiPath API-centric busi...DianaGray10
 
Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...Enterprise Knowledge
 
Automating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps ScriptAutomating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps Scriptwesley chun
 
Apidays New York 2024 - The value of a flexible API Management solution for O...
Apidays New York 2024 - The value of a flexible API Management solution for O...Apidays New York 2024 - The value of a flexible API Management solution for O...
Apidays New York 2024 - The value of a flexible API Management solution for O...apidays
 
🐬 The future of MySQL is Postgres 🐘
🐬  The future of MySQL is Postgres   🐘🐬  The future of MySQL is Postgres   🐘
🐬 The future of MySQL is Postgres 🐘RTylerCroy
 
Tech Trends Report 2024 Future Today Institute.pdf
Tech Trends Report 2024 Future Today Institute.pdfTech Trends Report 2024 Future Today Institute.pdf
Tech Trends Report 2024 Future Today Institute.pdfhans926745
 

Recently uploaded (20)

Real Time Object Detection Using Open CV
Real Time Object Detection Using Open CVReal Time Object Detection Using Open CV
Real Time Object Detection Using Open CV
 
A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)
 
Boost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdfBoost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdf
 
AWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of Terraform
 
A Year of the Servo Reboot: Where Are We Now?
A Year of the Servo Reboot: Where Are We Now?A Year of the Servo Reboot: Where Are We Now?
A Year of the Servo Reboot: Where Are We Now?
 
[2024]Digital Global Overview Report 2024 Meltwater.pdf
[2024]Digital Global Overview Report 2024 Meltwater.pdf[2024]Digital Global Overview Report 2024 Meltwater.pdf
[2024]Digital Global Overview Report 2024 Meltwater.pdf
 
How to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected WorkerHow to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected Worker
 
TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data DiscoveryTrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
 
Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)
 
2024: Domino Containers - The Next Step. News from the Domino Container commu...
2024: Domino Containers - The Next Step. News from the Domino Container commu...2024: Domino Containers - The Next Step. News from the Domino Container commu...
2024: Domino Containers - The Next Step. News from the Domino Container commu...
 
Axa Assurance Maroc - Insurer Innovation Award 2024
Axa Assurance Maroc - Insurer Innovation Award 2024Axa Assurance Maroc - Insurer Innovation Award 2024
Axa Assurance Maroc - Insurer Innovation Award 2024
 
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
 
TrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law DevelopmentsTrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
 
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
 
Connector Corner: Accelerate revenue generation using UiPath API-centric busi...
Connector Corner: Accelerate revenue generation using UiPath API-centric busi...Connector Corner: Accelerate revenue generation using UiPath API-centric busi...
Connector Corner: Accelerate revenue generation using UiPath API-centric busi...
 
Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...
 
Automating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps ScriptAutomating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps Script
 
Apidays New York 2024 - The value of a flexible API Management solution for O...
Apidays New York 2024 - The value of a flexible API Management solution for O...Apidays New York 2024 - The value of a flexible API Management solution for O...
Apidays New York 2024 - The value of a flexible API Management solution for O...
 
🐬 The future of MySQL is Postgres 🐘
🐬  The future of MySQL is Postgres   🐘🐬  The future of MySQL is Postgres   🐘
🐬 The future of MySQL is Postgres 🐘
 
Tech Trends Report 2024 Future Today Institute.pdf
Tech Trends Report 2024 Future Today Institute.pdfTech Trends Report 2024 Future Today Institute.pdf
Tech Trends Report 2024 Future Today Institute.pdf
 

Working with Countries that are Difficult to Negotiate with