UC BRAID is “paradigm-changing initiative.”

Steven Dubinett, UCLA
Envision UCLA medical researchers and their colleagues at other campuses seamlessly collaborating in clinical studies and fast-tracking their discoveries to advanced drugs, treatments and cures for disease — a vision that, at UC, has too often been hindered by organizational complexities.
Streamlining medical research is the goal of the University of California Biomedical Research Acceleration, Integration, and Development (UC BRAID) program, launched last year as a partnership between the UC Office of the President and the Clinical and Translational Science centers at UC’s five medical campuses. Bringing together expertise from UCLA and its sister campuses — UC Davis, UC Irvine, UC San Diego and UCSF — the initiative will capitalize on the power of collaboration and technology to catalyze change and reduce barriers to biomedical research.
“UC BRAID is a paradigm-changing initiative for the entire UC system,” said Dr. Steven Dubinett, UCLA associate vice chancellor for research, director of the university’s Clinical and Translational Science Institute (CTSI) and chief of pulmonary and critical care medicine at the David Geffen School of Medicine.
The translation of laboratory discoveries to clinical interventions, Dubinett said, generally has a very long timeline. He cited a recent study showing that it can take as long as 17 years to develop a new drug and get it to patients.
To expedite this process, UC BRAID has established working groups to address challenges that UC’s medical campuses share. These include cumbersome, inconsistent and time-consuming procedures for managing research grants and contracts, as well as the impact of increased regulation and decreased funding around the discovery and development of drugs and devices.
“We expect that (UC BRAID’s) efforts will lead to policy changes and perhaps new infrastructure across UC that will be beneficial for both the university and individual researchers,” said Dubinett.
Among solutions currently being pursued are master contracting, reciprocity for human studies approvals and a UC-wide research database.
Master contracting
Traditionally, research contracts have been established at the UC campus with which a researcher is affiliated, with collaborations between researchers at multiple UC campuses requiring multiple contracts. Taking a new approach, UC BRAID is developing a master contracting system that simplifies systemwide research. Already, several master clinical trial agreements have been made with major pharmaceutical companies using a new UC-wide, standardized template and a consolidated processing center at UC San Diego.
Reciprocity for human studies approvals
Obtaining approval to conduct research involving human subjects, which includes most clinical trials for new medical treatments, is a vital process conducted via the Institutional Review Board (IRB) at each UC medical campus — at UCLA, for example, the IRB process is administered by the Office of the Human Research Protection Program. While appropriate approvals are critical, research collaborations across campuses have required campus-by-campus IRB approvals. UC BRAID is initiating an online, systemwide IRB registry with the ultimate goal of creating a single approval process to cover research at all UCs.
UC-wide research database
This past September saw the launch of the new UC Research Exchange (UC ReX) consortium, which is planning the first-ever, cross-campus searchable database of patient-level study data from all medical centers. The project, implemented through UC BRAID, is funded with a five-year, $5 million-dollar grant from UCOP.
UC ReX will unite all five medical centers’ research data repositories, which contain clinical data on more than 12 million patients. Investigators will be able to search this database — accessible only through a strict approval process — “to better understand major diseases across large populations,” said Dubinett. “They can also draw upon this large pool of patients to identify those who might benefit from participating in potentially life-saving research.”
Currently, he noted, researchers at individual UC campus sometimes find it difficult to find patients in sufficient numbers who meet the requirements for a particular study — for example, a research study on a promising new drug for treating lung cancer may be effective in only 4% of patients with lung cancer who have a specific mutation in their tumor. Evaluating these new therapies would not be possible at an individual academic medical center.
“UC ReX will revolutionize the clinical and translational research process,” Dubinett said, adding that when the shared repository is completed, “it will be the most sophisticated system of its kind in the world.”
UC BRAID will also facilitate the linking of clinical trial networks, which for the first time offers patients access to cutting-edge therapies across the UC health system.
By bringing together UC medical center leaders and stakeholders to identify common challenges and systemwide solutions, UC BRAID better enables researchers to fulfill their responsibilities “not only to scientific discovery but to patient care, but to having an impact on our patients and our communities,” said Dubinett. By refining UC’s research process, he said, “What we do in terms of investigation and discovery today will be the cutting edge of clinical care and advance the health of our communities in the future.”
For more information, visit the UC BRAID website.
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