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By many measures, the United States has the preeminent health care system in the world and will continue to be a leading region for conducting clinical trials. The Food and Drug Administration (FDA), hospitals, and physicians in the United States have set the standard with regards to clinical research and patient care. 
 
Study Population
The FDA has traditionally required the patient populations for clinical trials to represent the heterogeneity of the United States population. 
 
Investigators
Investigators in the United States are among the most experienced in the world. The scope of their training and education is well respected throughout the world.  
 
Even with increasing competition, the numerous medical centers and research sites throughout the United States allow sponsors to recruit patients. 
 
Study Coordinators
A vast majority of clinical research centers employ dedicated study coordinators who focus solely on clinical research to facilitate timely regulatory approvals, patient recruitment, and data collection. 
 
Rapid Study Start-up
Given that central institutional review boards (IRBs) and dedicated research centers allow for faster start-up timelines, sites in the United States are typically the first to enroll patients in global clinical trials. 
 
Pediatric Research
Investigators in the United States are well trained to appropriately address considerations unique to pediatric research such as informed consent/assent and challenges associated with pediatric enrollment. In addition, the United States has more experience conducting pediatric clinical trials than any other country. 
 
Strategic Investment
The United States remains the key market and profit center for the pharmaceutical industry. It is strategically important for investigators to have experience with a new drug prior to registration and for sponsors to build lasting relationships with those who will ultimately prescribe them.
 
Case Studies
Case Study  Supporting FDA Requests
Case Study  Overcoming Enrollment Challenges for a Pediatric Study
Case Study  Providing Comprehensive Services for Prostate Cancer
Case Study  Managing A Pediatric Trial Orphan Indication
Case Study  Meeting Aggressive Timelines for a New Drug Application
Case Study  Managing High Performance Global Project Teams
 See All Case Studies
 
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