{"id":843,"date":"2015-06-17T21:56:28","date_gmt":"2015-06-17T19:56:28","guid":{"rendered":"https:\/\/blogdelarechercheclinique.com\/?p=843"},"modified":"2025-05-21T12:04:45","modified_gmt":"2025-05-21T10:04:45","slug":"study-bmr-routine-care","status":"publish","type":"post","link":"https:\/\/blogdelarechercheclinique.com\/en\/study-bmr-routine-care\/","title":{"rendered":"Your study : BMR or routine care?"},"content":{"rendered":"<h1><strong>Your study : BMR or routine care?<\/strong><\/h1>\n<p>You have to make a regulatory submission for a study but you&rsquo;re not sure how to classify this study? Or you simply want to have a simple and comprehensive view of the current typology of clinical research studies? This article explains you the various studies of interventional research and how to differentiate them.<\/p>\n<p>&nbsp;<\/p>\n<p><!--more--><\/p>\n<p><em>Thanks to H\u00e9l\u00e8ne Marquet, one of our collaborators, for writing this article.<\/em><\/p>\n<p>Today, the typology of clinical research studies is based on the Code of Public Health. Despite its publication in the Official newspaper\u00a0in March 2012, the Jard\u00e9 law that planned, among other things, a new typology of research based on risk, is still not implemented and is suspended to the publication of decrees and orders for its entry in force.<\/p>\n<p>Furthermore, the new European regulation on drug trials was published in the Official newspaper\u00a0of the European Union on May 27, 2014. The French legislation will have to be adapted to make them compatible and consistent with the new European regulations which will be applicable at the earliest by the end of May 2016.<\/p>\n<p>To start, here is a simple diagram of clinical research classification:<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"size-full wp-image-13983 aligncenter lazyload\" data-src=\"https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2024\/05\/Fiches-Typologie-de-la-recherche-sur-la-personne-ANRS.png?resize=807%2C270&#038;ssl=1\" alt=\"Etudes de la recherche interventionnelle\" width=\"807\" height=\"270\" data-srcset=\"https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2024\/05\/Fiches-Typologie-de-la-recherche-sur-la-personne-ANRS.png?w=807&amp;ssl=1 807w, https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2024\/05\/Fiches-Typologie-de-la-recherche-sur-la-personne-ANRS.png?resize=300%2C100&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2024\/05\/Fiches-Typologie-de-la-recherche-sur-la-personne-ANRS.png?resize=768%2C257&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2024\/05\/Fiches-Typologie-de-la-recherche-sur-la-personne-ANRS.png?resize=600%2C201&amp;ssl=1 600w\" data-sizes=\"(max-width: 807px) 100vw, 807px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 807px; --smush-placeholder-aspect-ratio: 807\/270;\" \/><br \/>\n<em>Inspired from Sheets \u00ab\u00a0Typology of research on the person\u00a0\u00bb \u2013 ANRS<\/em><\/p>\n<p>Interventional research involves any diagnostic or monitoring act carried on the person and <strong>not<\/strong> <strong>justified by the medical care of the person<\/strong>. Therapeutic strategies or additional diagnostic or monitoring procedures are then determined in advance by a research protocol.<\/p>\n<p>It includes BioMedical Research (BMR) and Research on Routine Care (RC).<\/p>\n<p>Biomedical Research means:<\/p>\n<p>\u00ab\u00a0The research <strong>organized<\/strong> and practiced on humans for the development of biological or medical knowledge\u00a0\u00bb (L1121-1 CSP).<\/p>\n<p>As for the Research on the Routine Care, it is defined as:<\/p>\n<p>\u00ab\u00a0&#8230; aiming to assess routine care, <strong>other than those on medication<\/strong>, when all the acts were performed and products used <strong>habitually<\/strong> but that special <strong>monitoring arrangements<\/strong> are provided by a <strong>protocol<\/strong>&#8230;\u00a0\u00bb (L1121-1 CSP);<\/p>\n<p>\u00ab\u00a0of researches aimed to <strong>evaluate actions<\/strong>, <strong>combinations<\/strong> of medical acts or strategies for prevention, diagnosis or treatment which are common practice, that is to say subject to professional consensus, in accordance with their instructions.\u201d(<a href=\"http:\/\/www.legifrance.gouv.fr\/affichCodeArticle.do?cidTexte=LEGITEXT000006072665&amp;idArticle=LEGIARTI000006908318&amp;dateTexte=&amp;categorieLien=cid\" target=\"_blank\" rel=\"noopener noreferrer\">CSP R1121-3<\/a>)<\/p>\n<p>&#8211; and for which: \u00ab\u00a0The specific terms of monitoring implemented in this researches involve only negligible risks and constraints for the person consenting to research.\u00a0\u00bb (CSP R1121-3)<\/p>\n<p>But does not include:<br \/>\n&#8211; Researches on innovative obsolete techniques or strategies;<\/p>\n<p>&#8211; Researches evaluating innovative combinations;<\/p>\n<p>&#8211; Researches comparing medical strategies;<\/p>\n<p>&#8230; that are part of BMR.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"size-full wp-image-13985 aligncenter lazyload\" data-src=\"https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2015\/06\/URC-CIC-Necker-Cochin.png?resize=794%2C502&#038;ssl=1\" alt=\"URC CIC\" width=\"794\" height=\"502\" data-srcset=\"https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2015\/06\/URC-CIC-Necker-Cochin.png?w=794&amp;ssl=1 794w, https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2015\/06\/URC-CIC-Necker-Cochin.png?resize=300%2C190&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2015\/06\/URC-CIC-Necker-Cochin.png?resize=768%2C486&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogdelarechercheclinique.com\/blog-contenu\/uploads\/2015\/06\/URC-CIC-Necker-Cochin.png?resize=600%2C379&amp;ssl=1 600w\" data-sizes=\"(max-width: 794px) 100vw, 794px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 794px; --smush-placeholder-aspect-ratio: 794\/502;\" \/>In this type of trial, randomization is permitted (Decree 2006-477).<\/p>\n<p>Practically, to qualify a research to start the test, you can refer to the following table:<\/p>\n<p><em>Inspired by the ICC URC Necker Cochin<\/em><\/p>\n<p>It is important to define the type of your study to initiate the right regulatory submission procedures and begin your research project quickly.<\/p>\n<p>I hope this article has helped you to classify your study. If you still encounter difficulties, you can join the CPP that is assigned to your study in order to enlighten you more.<\/p>\n<p>You can also contact the Legal and Regulatory Affairs ANSM by phone at + 33 (1) 55 87 36 58 or send an e-mail to <a href=\"mailto:dajr@ansm.sante.fr\">dajr@ansm.sante.fr<\/a>.<\/p>\n<p>You can go on the Facebook page of \u00ab\u00a0clinical research blog\u00a0\u00bb and \u00ab\u00a0Pharmaspecific\u00a0\u00bb and click on \u00ab\u00a0Like\u00a0\u00bb to be part of our circle of professionals.<\/p>\n<p>Find \u00ab\u00a0Pharmaspecific\u00a0\u00bb and \u00ab\u00a0Vanessa Montanari\u00a0\u00bb on LinkedIn for more clinical research news <a href=\"https:\/\/www.linkedin.com\/company\/pharmaspecific\/\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>: \u00a0and <a href=\"https:\/\/fr.linkedin.com\/in\/vanessamontanari\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a><br \/>\nFind us also on Viadeo <a href=\"http:\/\/fr.viadeo.com\/fr\/company\/pharmaspecific\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a> and <a href=\"https:\/\/viadeo.journaldunet.com\/p\/vanessa-montanari-820852\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a><br \/>\nFor more information on clinical research, I recommend this book:<\/p>","protected":false},"excerpt":{"rendered":"<p>Today, the typology of clinical research studies is based on the Code of Public Health. Despite its publication in the Official newspaper\u00a0in March 2012, the Jard\u00e9 law that planned, among other things, a new typology of research based on risk, is still not implemented and is suspended to the publication of decrees and orders for its entry in force.<\/p>","protected":false},"author":4,"featured_media":13985,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"image","meta":{"om_disable_all_campaigns":false,"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":{"facebook_122143508198123560_331463380343150":""},"rop_publish_now_history":[],"rop_publish_now_status":"pending","_sitemap_exclude":false,"_sitemap_priority":"","_sitemap_frequency":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[448],"tags":[66,155,175,177,8,178],"class_list":{"0":"post-843","1":"post","2":"type-post","3":"status-publish","4":"format-image","5":"has-post-thumbnail","7":"category-devenir-attache-de-recherche-clinique","8":"tag-attache-de-recherche-clinique","9":"tag-etude-clinique","10":"tag-etude-interventionnelle","11":"tag-rbm","12":"tag-recherche-clinique","13":"tag-soins-courants","14":"post_format-post-format-image"},"translation":{"provider":"WPGlobus","version":"3.0.2","language":"en","enabled_languages":["fr","en"],"languages":{"fr":{"title":true,"content":true,"excerpt":true},"en":{"title":false,"content":false,"excerpt":false}}},"yoast_head":"<!-- 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