The Current Climate of Clinical Trials in Russia and Ukraine | Page 8

Application Requirements As in other countries, the first important consideration is to submit a complete package to avoid multiple reviews and/or rejection. As of July 1, 2015, the total typical time for approval is 40 days. There is an initial review occurring within five working days to determine if there is sufficient information, a full review within 30 working days and a review of the conclusions and decision within five working days. Currently, there are approximately 1,160 institutions in Russia accredited by the MoH (registry database can be found at http://grls.rosminzdrav.ru/Ree_orgCI2.aspx), and accreditation can be provided for the following reasons: ESTABLISH DRUGS ARE SAFE AND/ OR TOLERABLE FOR HEALTHY VOLUNTEERS SELECT OPTIMUM DOSES AND TREATMENT COURSE A clinical trial’s application requires the following*: ESTABLISH SAFETY AND EFFICACY FOR SPECIFIC DISEASES Œ Principal investigator must have at least three years experience in clinical trials EXPAND INDICATIONS AND IDENTIFY THE UNKNOWN SIDE EFFECTS OF EXISTING DRUGS  Medical institution must be accredited by the MoH to conduct clinical trials of pharmaceutical drugs for medical uses26 Ž Ethics review required at two levels (can be a simultaneous review) • Central (national) ethics committee at the MoH • Local ethics committee in the institution (fee might be required) *Application must be in Russian and cannot be in English The responsibility for accreditation is with the institution, which is required to have a license for medical activities, availability of intensive care and resuscitation wards or departments and copies of the regulatory legal act. The institution is also required to comply with approved rules of clinical practice and protect confidential information. The review of the accreditation requirements reportedly occurs within five days after submitting the package, and the accreditation lasts for five years. ‘‘ As of July 1, 2015, the total typical time for approval is 40 days. 8