Ischemia Research
and Education Foundation (IREF)
IREF
includes a highly integrated system of multidisciplinary professionals in the U.S. and worldwide to enable
comprehensive, high quality construct and analysis of
observational studies and clinical trials.
IREF has unique experience and singular expertise in perioperative and cardiovascular research
in the form of:
- Exclusive, large scale comprehensive databases detailing adverse events, practice patterns, resource utilization, and health economics data in representative patients;
- Ongoing worldwide epidemiological studies to define in-hospital and long-term outcomes and health economics in patients undergoing cardiac and non-cardiac surgeries;
- Integrated teams and technologies for study design and quantitative and qualitative data analysis.
Observational
Study and Clinical Trial Design
Design of the Observational Study and Clinical
Trial is strategic in nature and clearly key to identifying practice
paradigms, determining outcomes, and developing effective medicines and devices. As well, however, it is imperative that such studies and trials enable
sensitive detection of subtle safety signals-- before exposure to
large numbers of patients. IREF emphasizes the latter for it
is underutilized, but critically important to the welfare of
patients. Staffed by senior scientific and clinical experts, IREF
Study / Trial Design typically has assembled teams to:
- Define a clinical development plan
- Develop statistical design
- Select target population
- Query database for enrollment rate based on entry criteria
- Predict incidence of adverse events
- Determine sample size
- Develop and design protocols and CRFs
Observational
Study and Clinical Trial Execution
In the implementation of complex studies and trials,
the McSPI/IREF consortium provides:
- Clinical development planning
- Study and Clinical trial design (Phase I - IV)
- Global network of experienced investigators
- Investigator orientation
IREF also provides a Quality Assurance program in compliance with Good Clinical Practices, International Conference Harmonization, and Health Insurance Portability and Accountability Act (HIPAAA) policy.
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Biostatistics
IREF scientific staff specializes in helping sponsors manage and apply data effectively to design rigorous studies, and resolve problems in the development of new
therapeutics and devices. IREF Biostatistics has the expertise to provide the following:
- Design clinical studies
- Develop study protocols and Clinical Report Forms (CRFs)
- Customize statistical analysis plan, with presentation tables, figures and listings
- Provide both descriptive and inferential analyses
- Generate study reports for regulatory submissions
- Integrated efficacy and safety analyses
- Organize and coordinate Data Safety and Monitoring Board
Using IREF’s databases, IREF’s Biostatistics team also answers questions about resource requirements, cost-effectiveness, and Quality of Life that affect the development of new biopharmaceutical or medical device products.
Databases
Epidemiological database on adverse events on patients who did not receive a drug compared to those who received a drug are most valuable in designing studies for the development of new pharmaceutical and medical device products. Staffed by senior scientific and clinical staff, IREF epidemiology expertise and databases aim at the following goals:
- Increase the quality of observational studies
and clinical trials
- Accelerate complex study / trial completion
- Increase efficacy and patient compliance
- Improve safety
- assessment during study / trial conduct and post
marketing
- Reduce overall development cost
- Design and implement Phase IV Safety and other outcome research

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