Last week (28 March 2024), the UK Health Research Authority (“HRA”) published a draft model investigator-initiated study agreement (“mIIS-CTA”) to govern investigator-initiated clinical studies (“IIS”) that involve NHS patients and receive support from commercial partners. The HRA is calling for comments on the draft mIIS-CTA by 13 May 2024.
An IIS is a clinical study that is planned, designed, conducted and sponsored by a non-commercial sponsor (such as research institutions, universities or NHS hospitals) but also receives support from a commercial partner. A commercial partner, such as a biopharmaceutical company, may wish to support the IIS (without assuming the role of regulatory sponsor) where the IIS relates to the commercial partner’s medicine, medical device or disease area of interest. The commercial partner may support the study by providing funding, supplies of the company’s product for use in the study, personnel support etc. An IIS clinical trial agreement, such as the mIIS-CTA, will set out the rights and obligations of the non-commercial sponsor and the commercial partner in relation to the conduct of the IIS. Many commercial partners have developed their own IIS clinical trial agreement templates, although the negotiation of these agreements with non-commercial partners can often be lengthy in practice.
The HRA’s aim for the mIIS-CTA is to make it easier to set up an IIS in the UK and reduce the time required to negotiate IIS agreements. The draft has been developed by the NHS R&D Forum in collaboration with the HRA and the devolved administrations of Northern Ireland, Scotland and Wales. It does not appear that commercial companies have provided any input in the development of the mIIS-CTA at this stage. If adopted, it is unclear whether the mIIS-CTA will be presented as “non-negotiable,” or whether non-commercial sponsors will be open to agreeing further changes with commercial partners.
We note that for commercially sponsored clinical trials involving NHS sites, sponsors must already contract with the trial sites and principal investigator using a model clinical trial agreement (“mCTA”). The first version of the mCTA was published in 2003 and it has been updated various times since then. Commercial sponsors are “strongly recommended” to use the mCTA without modification, and it is essentially non-negotiable in practice. This is the first time that a similar model IIS agreement template has been proposed.
Key Points in the mIIS-CTA
The draft IIS agreement can be found here. Some interesting points in the draft include:
- Study Data. The mIIS-CTA grants ownership of all study data to the non-commercial sponsor. Commercial partners are not granted any data ownership rights under the mIIS-CTA. A commercial partner may use the final study report for the purpose of research, development, marketing and future regulatory submissions. However, the use of study data in marketing and regulatory submissions will require the non-commercial sponsor’s prior consent.
- Study Inventions and Patent Rights. All inventions created during the IIS, including those directly related to the study drug or device, will be owned exclusively by the non-commercial sponsor. The commercial partner will benefit from irrevocable right to use such inventions for its “internal, research and development purposes only.” With respect to any commercial use of such inventions, the commercial partner will receive an exclusive option to “first negotiate an exclusive, worldwide, royalty-bearing licence to use Invention(s) [directly related to the study drug or device],” which will expire after six months if the parties do not finalise the licence. The non-commercial sponsor will use “reasonable endeavours” to promptly notify the commercial partner of any improvements or modifications made to the commercial partner’s background intellectual property during the IIS.
- Background Intellectual Property Rights. Under the mIIS-CTA, the commercial partner will grant the non-commercial sponsor an irrevocable, non-exclusive, worldwide licence to use its background intellectual property rights and know-how provided for use in the IIS for the purpose of “using and receiving the benefit associated with any Inventions or to derive the benefits and value from the Study.”
- Publications. The commercial partner will be provided with a copy of any draft publication relating to the IIS at least 30 days prior to publication for “scientific review” only. The commercial partner does not benefit from any approval right for such publications.
- Liability Cap. The non-commercial sponsor’s liability under the mIIS-CTA will be subject to a liability cap, which may be a defined sum (not specified in the template) or “the value of the sums paid to [the non-commercial sponsor] by [the commercial partner] under [the mIIS-CTA].” The commercial partner does not benefit from any cap on its liability.
Next Steps
Stakeholders wishing to provide comment on the draft IIS agreement must do so before 13 May 2024 by emailing research.agreements@hra.nhs.uk.
Covington will continue to follow developments and provide further updates. If you would like to discuss the mIIS-CTA or any issues relating to IIS arrangements more broadly, please contact members of our Food, Drug and Device practice.