EX-4.32 5 exhibit_4-32.htm EXHIBIT 4.32 exhibit_4-32.htm


Exhibit 4.32
 
(INC LOGO)
 
CHANGE ORDER N°3 to Work Order # 800089 (PBT2-204)
 
This Change Order number 3 to Work Order # 800089 (PBT2-204) (hereinafter “Change Order”) is made and entered into as of the date of last signature (hereinafter “Effective Date”) by and between Prana Biotechnology Limited (hereinafter “Sponsor”) with an office located at Level 2,369 Royal Parade, Parkville, VIC 3052, Australia and INC Research Australia Pty Limited, together with its parent company, subsidiaries and legal affiliates (hereinafter “INC Research”) with offices located at 124 Lipson Street, Port Adelaide SA 5015, Australia.
 
RECITALS
 
WHEREAS, Sponsor and INC Research have entered into Work Order # 800089 hereinafter “Agreement”) to perform Services for Protocol PBT2-204 for study entitled: Randomised, Double-blind, Placebo-controlled, Parallel-group, Phase 2 Study to Evaluate the Effect of One Dose of PBT2 (250mg daily) for 52 Weeks on Aß Deposition in the Brains of Patients with Mild Alzheimer’s Disease Compared to Placebo and to Evaluate the Safety and Tolerability of PBT2 (250mg daily) for 52 Weeks in Patients with Mild Alzheimer’s Disease (hereinafter “Study”), which was signed by Sponsor and INC Research on 18th April 2012 and
 
WHEREAS, during the course of the performance of the Study, Sponsor and INC Research have identified changes in assumptions; and
 
WHEREAS, Sponsor desires to retain additional services from INC Research and INC Research desires to supply such services to Sponsor under the terms and conditions set forth herein; and
 
WHEREAS, Sponsor and INC Research agree that all other terms and conditions of the Agreement shall remain in full force and effect, unless specifically agreed otherwise in this Change Order; and
 
WHEREAS, Sponsor and INC Research agree that the services and costs covered by this Change Order are additional to the services and costs covered by the Agreement and previous Change Orders;
 
NOW THEREFORE, subject to the terms, conditions and covenants hereinafter set forth, INC Research and Sponsor agree as follows:
 
SECTION I: CHANGES IN SCOPE
 
This section contains an overview of the changes in assumptions, timelines, and revision in Scope of services. In summary, this Change Order mainly reflects the following changes:
 
Services
 
Additional Cost for work related to Case Report Form (CRF) design guidelines
 
Edits and revisions for CRF version 2
 
Database and edit check programming in support of CRF version 2
 
Data Entry for 3,640 questionnaires
 
Additional queries and pages cleaned/monitored
 
Quality Check (QC) of additional Safety Lab programming
 
Programming of two biomarker labs.

 INC Research Australia Pty Limited 800089
INC Research, LLC – CONFIDENTIAL
 Prana PBT2-204, Change Order #3 version 1
 
 
 
Page 1 of 3

 
 
 
Statistical Analysis Plan updates to include expansion of analysis, editing, additional text, additional tables and listing shells.
 
Additional analysis datasets to support increased analysis.
 
Addition of 22 Unique tables
 
Addition of 70 Repeat tables
 
Addition of 40 Listings
 
Addition of 190 analysis endpoints
 
The parties hereby agree the total cost associated with this Change Order is AUD $193,000.00
 
SECTION II: COSTS OVERVIEW
 
The additional deliverables and tasks performed by INC Research are specified in Attachment A. This Attachment includes an overview of the total prices of deliverables in the original agreement and previous change orders, and an overview of the additional total prices of the new deliverables and services. The total amount of all contracted deliverables (original agreement including all change orders) is shown in Attachment A.
 
A summary of both direct and indirect costs related to the original agreement and all changes in scope as occurred is provided in the table below:

 
Effective Date
Direct Costs
AUD$
Indirect Costs
AUD$
Grand Total
AUD$
Original Contract
18th April 2012
$353,588.00
$10,000.00
$363,588.00
Change Order # 1
19th July 2012
$30,398.00
$2,990.00
$33,388.00
Change Order # 2
29th July 2013
$322,360.00
$8,420.00
$330,780.00
Change Order #3
Upon Execution
$193,291.00
$0.00
$193,291.00
Total Contract Value
 
$899,637.00
$21,410.00
$921,047.00
 
SECTION III: REVISED PAYMENT TERMS
 
INC will invoice the Sponsor for Data Management, Statistics and Medical Writing Direct costs according to the following schedule:
         
 
Execution of Agreement
-
Invoiced AUD $36,827.00 from original WO
 
Database Complete
-
Invoiced AUD $36,827.00 from original WO
 
New contract total for Data Management, Statistics and Medical Writing Direct costs = AUD $530,246.00, less total already invoiced = AUD $73,654.00. New total to be invoiced = AUD $456,592.00
         
 
50% Data Entered
-
25% of new total = AUD $114,148.00
 
100% Data Entered
-
25% of new total = AUD $114,148.00
 
Database Lock
-
25% of new total = AUD $114,148.00
 
1st Draft 1st Study Report
-
15% of new total = AUD $68,488.80
 
1st Draft 2nd Study Report
-
5% of new total = AUD $22,829.60
 
Final Study Report
-
5% of new total = AUD $22,829.60

 INC Research Australia Pty Limited – 800089
INC Research, LLC – CONFIDENTIAL
 Prana PBT2-204, Change Order #3 version 1
 
 
 
Page 2 of 3

 

SIGNATURE
 
COUNTERPARTS. This Change Order may be signed in counterparts and said counterparts shall be treated as though signed as one document. The parties acknowledge legal validity of facsimile, portable document format or other commercially acceptable electronic exchange of copies of the documents, which are essential for Change Order execution. A party which uses a facsimile, portable document format or other commercially acceptable electronic exchange copy of an authorized person’s signature in the documents guaranties its authenticity.
 
IN WITNESS WHEREOF, the undersigned have caused this Change Order to be executed by a duly authorized individual on behalf of each requisite party effective as of the day and year last written below.
       
Prana Biotechnology Limited
 
INC Research Australia Pty Limited
 
       
-s- dianne angus
     
Signature By:
 
Signature By:
 
DIANNE ANGUS
     
Name (print)
 
Name (print)
 
Chief Operating Officer
     
Title
 
Title
 
14 March 2014
     
Date
 
Date
 

 INC Research Australia Pty Limited – 800089
INC Research, LLC – CONFIDENTIAL
 Prana PBT2-204, Change Order #3 version 1
 
 
 
Page 3 of 3

 
 
Revised Total Budget
 
Service/Item
 
Comments
 
Unit Cost
 
WO & CO#1
Number
of Units
 
CO#2 Number
of Units
 
CO#3 Number
of Units
 
WO & CO#1
Item Cost
 
CO#2
Item Cost
 
CO#3 
Item Cost
 
AUD$
 
Study Start Up Activities
                                   
 
Study Training/ Internal Kick Off Meeting
 
Familiarization, Protocol, IB, CRF, procedures etc.
 
1080
 
1.00
 
0.00
 
0.00
 
1,080
 
0
 
0
   
 
Study Training/ Internal Kick Off Meeting
 
Familiarization, Protocol, IB, CRF, procedures etc.
 
620
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Study Sponsorship
 
Contract/insurance review, Indemnification
 
5000
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Study Manual/Monitoring Manual Development
 
To be confirmed by client if required
 
3100
 
0.00
     
0.00
 
0
 
0
 
0
   
 
List Trial on Public Register
 
e.g.. ACTR, Clintrials.gov
 
310
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Investigator/Site Identification
 
Identify up to sites to select final 5
 
540
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Clinical Trial Agreements
 
Negotiation / coordination with site
 
930
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Study Training
 
Familiarization etc
 
540
 
1.00
 
0.00
 
0.00
 
540
 
0
 
0
   
 
Study Training on Protocol Amendment
 
Familiarization etc
 
270
 
0.00
 
2.00
 
0.00
 
0
 
540
 
0
   
 
Study Training on Protocol Amendment
 
Familiarization etc
 
310
 
0.00
 
1.00
 
0.00
 
0
 
310
 
0
   
 
Essential document collection
 
Creation, Collection and tracking
 
1350
 
5.00
 
4.00
 
0.00
 
6,750
 
5,400
 
0
   
 
Ethics submissions - Australia
 
Per site includes application, customize IC/PI document, copying/collation, follow up with ethics questions
 
1890
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Ethics submissions - New Zealand
 
Per site includes application, customize IC/PI document, copying/collation, follow up with ethics questions
 
2160
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Regulatory Submissions - Australia
 
Creation of CTN form and TGA liaison
 
270
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Regulatory Submissions - New Zealand 
 
Creation of SCOTT form and MedSafe liaison
 
810
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Regulatory Submissions Follow-up - New Zealand
 
6-monthly status reports and close out final report
 
851
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Study Manual/Monitoring Manual Development  
     
3100
 
1.00
 
0.00
 
0.00
 
3,100
 
0
 
0
   
 
Study Files
 
Set up of study master files and Investigator site files
 
720
 
1.00
 
1.00
 
0.00
 
720
 
720
 
0
   
 
File Management
 
per month
 
283
 
24.00
 
0.00
 
0.00
 
6,787
 
0
 
0
   
 
CRA Administration
 
Communications - Customer, site, project Manager
 
2903
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Import/Export Permit Handling
 
TGA/AQIS liaison, application, distribution
 
620
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Senior Management overview
 
Study status, issue resolution, client liaison
 
0
 
0.00
     
0.00
 
0
 
0
 
0
   
 
File Management - 2 new sites
 
per month from August 2012
 
283
 
14.00
 
0.00
 
0.00
 
3,959
 
0
 
0
   
 
File Management - 4 Sites
 
per month from October 2013
 
377
 
0.00
 
14.00
 
0.00
 
0
 
5,279
 
0
   
                     
Subtotal
 
22,937
 
12,249
 
0
 
$35,186
 
Customer Project Team Meetings
                                   
 
Travel time
 
0 hours return
 
0
 
0.00
         
0
           
 
Travel time
 
0 hours return
 
0
 
1.00
         
0
           
 
Attendance
 
Location
 
0
 
0.00
         
0
           
 
Attendance
 
Location
 
0
 
1.00
         
0
           
 
Customer Kick-off Meeting
 
Teleconference
 
0
 
0.00
         
0
           
 
Customer Kick-off Meeting
 
Teleconference
 
0
 
0.00
         
0
           
 
Coordination of meeting
     
90
 
0.00
         
0
           
 
Teleconference participation
 
25 x 1 hour Telecon, 1 CRAs
 
138
 
25.00
 
0.00
 
0.00
 
3,450
 
0
 
0
   
 
Teleconference participation
 
16 x monthly hour Telecon, 1 CRA
 
138
 
16.00
 
0.00
 
0.00
 
2,208
 
0
 
0
   
 
Teleconference participation
 
24 x fortnightly 1 hour Telecon, 2 CRAs
 
276
 
0.00
 
24.00
 
0.00
 
0
 
6,624
 
0
   
 
Teleconference participation
 
24 x fortnightly 1 hour Telecon, 1 PM
 
155
 
0.00
 
24.00
 
0.00
 
0
 
3,720
 
0
   
                     
Subtotal
 
5,658
 
10,344
 
0
 
$16,002
 
Investigator’s/Monitor’s Meeting
                                   
 
Preparation of presentations
 
Trident & Customer shared responsibility
 
1620
 
1.00
 
0.00
 
0.00
 
1,620
 
0
 
0
   
 
Prana Biotechnology Limited    
Protocol #: PBT2-204 INC Research, LLC CONFIDENTIAL 1
INCR Project Code: 800089    
 
 
 

 
 
Revised Total Budget
 
Travel time
 
0 hours return
 
0
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Travel time
 
0 hours return
 
0
 
1.00
     
0.00
 
0
 
0
 
0
   
 
Attendance
 
assume 1 day meeting, 0 PM
 
1240
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Attendance
 
assume 1 day meeting, 1 CRA
 
1080
 
1.00
 
0.00
 
0.00
 
1,080
 
0
 
0
   
 
Coordination of meeting
 
Mlg coordination, travel, dinner, binders, etc
 
155
 
0.00
         
0
           
 
Coordination of meeting
 
Mlg coordination, travel, dinner, binders, etc
 
90
 
0.00
         
0
           
                     
Subtotal
 
2,700
 
0
 
0
 
$2,700
 
Site Visits
                                   
 
Additional Travel time for each round of site visits
 
0 hours return
 
0
 
0.00
         
 
           
 
Pre-Study Visits
 
Incl. prep, travel, on-site, reporting & follow-up
 
1215
 
0.00
         
0
           
 
Study Initiation
 
Incl. prep, travel, on-site, reporting & follow-up
 
1620
 
5.00
 
0.00
 
0.00
 
8,100
 
0
 
0
   
 
Study Initiation
 
Incl. prep, travel, on-site, reporting & follow-up
 
1080
 
0.00
 
2.00
 
0.00
 
0
 
2,160
 
0
   
 
Monitoring Visits (1 Day visits)
 
Incl. prep, travel, 1 day on-site, reporting & follow-up 4 visits/site
 
1932
 
20.00
 
24.00
 
0.00
 
38,640
 
46,368
 
0
   
 
Monitoring Visits (2 Day visits)
 
Incl. prep, travel, 2 days on-site, reporting & follow-up 3 visits/site
 
3174
 
15.00
 
10.00
 
0.00
 
47,610
 
31,740
 
0
   
 
Monitoring Visits (3 Day visits)
 
Incl. prep, travel, 3 days on-site, reporting & follow-up 0 visits/site
 
4666
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Follow-up Monitoring Visits
 
Incl. prep, travel, on-site, reporting & follow-up 0 visits/site
 
146
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Unblinded Monitoring Visits
 
Incl. prep, travel, on-site, reporting & follow-up 0 visits/site
 
848
 
0.00
     
0.00
 
0
 
0
 
0
   
 
Closeout visits
 
Incl. prep, travel, on-site, reporting & follow-up
 
2070
 
5.00
 
0.00
 
0.00
 
10,350
 
0
 
0
   
 
Closeout visits
 
Incl. prep, travel, on-site, reporting & follow-up
 
1656
 
0.00
 
4.00
 
0.00
 
0
 
6,624
 
0
   
 
Site Audit attendance
 
Incl. prep, travel, 1 day on-site, reporting & follow-up 0 visits
 
1845
 
0.00
         
0
           
                     
Subtotal
 
104,700
 
86,392
 
0
 
$191,592
 
Site Management:
                                   
 
Site Management (October 2011 - Nov 2011)
 
1 site
 
593
 
2.00
 
0.00
 
0.00
 
1,187
 
0
 
0
   
 
Site Management (Dec 2011 - May 2012)
 
2 sites
 
1187
 
6.00
 
0.00
 
0.00
 
7,121
 
0
 
0
   
 
Site Management (June 2012 - July 2013)
 
3 sites
 
1780
 
14.00
 
0.00
 
0.00
 
24,923
 
0
 
0
   
 
Site Management (August 2012 - July 2013)
 
per month - 2 new sites
 
1187
 
12.00
 
0.00
 
0.00
 
14,242
 
0
 
0
   
 
Site Management (August 2013 - September 2013)
 
3 sites
 
828
 
2.00
 
0.00
 
0.00
 
1,656
 
0
 
0
   
 
Site Management (August 2013 - September 2013)
 
per month - 2 new sites
 
552
 
2.00
 
0.00
 
0.00
 
1,104
 
0
 
0
   
 
Site Management (October 2013 - November 2014)
 
per month - 4 Sites
 
2208
 
0.00
 
14.00
 
0.00
 
0
 
30,912
 
0
   
 
Management/Supervision
 
per month
 
340
 
24.00
 
14.00
 
0.00
 
8,160
 
4,760
 
0
   
                     
Subtotal
 
58,392
 
35,672
 
0
 
$94,064
 
Project Management
                                   
 
Local coordination/supervision (June 2011 - August 2011)
 
per month
 
3100
 
0.00
         
0
           
 
Local coordination/supervision (August 2011 - May ***) Biotechnology Limited
 
per month
 
1580
 
0.00
         
0
           
 
File Management
 
per month
 
471
 
0.00
         
0
           
 
Prana Biotechnology Limited    
Protocol #: PBT2-204 INC Research, LLC – CONFIDENTIAL 2
INCR Project Code: 800089    
 
 
 

 
 
Revised Total Budget
 
Administer Site Payments
   
per site
   
3448
   
0.00
               
0
                   
 
Teleconference participation with client/PM
   
0 x 1 hour Sponsor Telecon, and 0 x 1 hour
Team Tetecon
   
158
   
0.00
               
0
                   
 
Project Status Reporting
   
per month
   
163
   
0.00
               
0
                   
 
Project Assistance (June 2011 - July 2013)
   
per month
   
378
   
0.00
               
0
                   
                                     
Subtotal
               
$0
 
 
Safety Monitoring
                                                       
 
Familiarization and Set up
         
1280
   
1.00
               
1,280
                   
 
 
Study Completion
   
 
Archiving, collation and client correspondence
   
 
501
   
 
1.00
               
 
501
                   
 
 
Study administration (first 6 months)
   
 
Correspondence, tracking, client liaison, filing
   
 
160
   
 
6.00
               
 
960
                   
 
 
Study administration (XXXX - XXXX)
   
 
Correspondence, tracking, client liaison, filing
   
 
83
   
 
15.00
               
 
1,238
                   
 
Safety Administration
   
Incl. set up, maintenance and completion
activities
   
3979
   
1.00
   
0.00
   
0.00
   
3,979
   
0
   
0
       
 
Safety Administration
   
Study Extension
   
83
   
0.00
   
14.00
   
0.00
   
0
   
1,155
   
0
       
 
Initial Receipt and handling SAEs
   
All events- assume 1 SAE
   
330
   
1.00
   
10.00
   
0.00
   
330
   
3,300
   
0
       
 
Medical Review of SAEs and Narrative creation
   
Optional - as required
   
838
   
0.00
   
10.00
   
0.00
   
0
   
8,380
   
0
       
 
Reporting to local Authorities
   
Assume 1 Reportable events
   
860
   
1.00
   
10.00
   
0.00
   
660
   
6,600
   
0
       
 
 
Follow up of SAEs
   
 
Assume 2 hours/Follow-up/SAE. 1 Follow-ups
   
 
330
   
 
1.00
   
 
10.00
   
 
0.00
   
 
330
   
 
3,300
   
 
0
       
 
Investigator Notification Letters
   
preparation and oversight
   
165
   
1.00
   
10.00
   
0.00
   
165
   
1,650
   
0
       
 
Medical Monitor
   
only if required
   
419
   
0.00
               
0
                   
 
Set Up DSMB Charter
         
1257
   
0.00
               
0
                   
 
Attend DSMB meetings (via teleconference)
   
assume 1 hr meetings x 2 meetings
   
168
   
0.00
               
0
                   
 
Prepare Minutes/Reports from DSMB meetings
         
670
   
0.00
               
0
                   
                               
Subtotal
   
5,464
   
24,385
   
0
   
$29,848
 
 
Data Management & Statistics
                                                       
 
CRF Design
   
25 unique pages. 80 pages of CRF and 11
pages of questionnaire 91 Total pages. One
print run.
   
14520
   
1.00
   
0.00
   
0.00
   
14,520
   
0
   
0
       
 
CRF Design
   
CRF design guidelines
   
85
   
0.00
   
0.00
   
16.00
   
0
   
0
   
1,360
       
 
CRF Design
   
Edits and revisions for version 2
   
120
   
000
   
0.00
   
16.00
   
0
   
0
   
1,920
       
 
CRF Design (extension)
   
80 pages of CRF (70 on average entered )
One print run.
   
2834
   
0.00
   
1.00
   
0.00
   
0
   
2,834
   
0
       
 
Database design and build
         
463
   
25.00
   
0.00
   
0.00
   
11,563
   
0
   
0
       
 
Database design and build (extension)
         
57
   
0.00
   
25.00
   
0.00
   
0
   
1,429
   
0
       
 
Database / Consistency Check programming
         
53
   
208.25
   
0.00
   
0.00
   
11,114
   
0
   
0
       
 
Database / Consistency Check programming
   
Database and edit check programming in
support of version 2
   
120
   
0.00
   
0.00
   
24.00
   
0
   
0
   
2,880
       
 
Database / Consistency Check programming
extension)
         
33
   
0.00
   
202.00
   
0.00
   
0
   
6,676
   
0
       
 
 
Data Validation Manual / Data Management Plan
         
3400
   
1.00
   
0.00
   
0.00
   
3,400
   
0
   
0
       
 
Data Validation Manual / Data Management Plan (extension)
         
1664
   
0.00
   
1.00
   
0.00
   
0
   
1,664
   
0
       
 
Data entry
   
 
Double Data Entry 40 patients x 80 CRF pages
plus 40 x 11 questionnaires=3640 tolal pages.
Cost per extra page=5.87
   
6
   
3640.00
   
0.00
   
294.00
   
21,385
   
0
   
1,727
       
 
Prana Biotechnology Limited    
Protocol #: PBT2-204 INC Research, LLC – CONFIDENTIAL 3
INCR Project Code: 800089    
 
 
 

 
 
Revised Total Budget
 
Data entry (extension)
 
Double Data Entry 33 patients x 70 entered CRF pages 2310 total pages. Cost per extra page=36.26
6
0.00
2310.00
0.00
0
14,453
0
 
  Medical Coding     MedDRA-AE, WHO - Drug  6 800.00 0.00 0.00 5,036 0 0  
  Medical Coding (extension)    MedDRA-AE, WHO - Drug  7 0.00 660.00 0.00 0 4,600 0  
 
Data Cleaning / Monitoring
 
3200 CRF pages. Cost per extra page=$5.10 224 Queries. Cost per extra query=$42.50
29617
1.00
0.00
0.00
29,617
0
0
 
 
Data Cleaning / Monitoring
 
Additional pages cleaned/monitored
5.10
0.00
0.00
734.00
0
0
3,743
 
 
Data Cleaning / Monitoring
 
Additional queries raised
42.50
0.00
0.00
646.00
0
0
27,455
 
 
Data Cleaning / Monitoring (Extension)
 
2310 CRF pages. Cost per extra page=$7.00 162 Queries. Cost per extra query=$52.00
26270
0.00
1.00
0.00
0
26,270
0
 
 
Quality Control
 
10% of all patients, 100% of all critical data (15% critical /85% non critical)
2.95
811.40
0.00
0.00
2,391
0
0
 
 
Quality Control
 
Additional Safety Lab QC programming
120
0.00
0.00
4.00
0
0
480
 
 
Quality Control
 
Additional Safety Lab QC (pages)
2.81
0.00
0.00
91.00
0
0
256
 
 
Quality Control (extension)
 
10% of all patients, 100% of all critical data (15% critical / 85% non critical)
3.34
0.00
543.00
0.00
0
1,813
0
 
 
Import laboratory data
 
1 central lab
3680
1.00
0.00
0.00
3,680
0
0
 
 
Import laboratory data
 
2 biomarker labs -programming
120
0.00
0.00
6.00
0
0
720
 
 
Import laboratory data
 
2 biomarker labs -data review
85
0.00
0.00
6.00
0
0
510
 
 
Import laboratory data (extension)
 
1 central lab. Import and review
3182
0.00
1.00
0.00
0
3,182
0
 
 
Data exports
 
Assume 2 exports
360
200
0.00
0.00
720
0
0
 
 
Data exports (extension)
 
Assume 2 exports
327
0.00
2.00
0.00
0
054
0
 
 
Database maintenance
 
Study Duration = 18 months
240
18.00
0.00
0.00
4,320
0
0
 
 
Database maintenance (extension)
 
Study Duration = 18 months
218
0.00
18.00
0.00
0
3,924
0
 
 
DM & Statisties - Project Management
 
Client meetings & corresp, DM metrics 1hrs/month x 18 months
120
16.00
0.00
0.00
1,530
0
0
 
 
DM & Statisties - Project Management (extension)
 
Client meetings & corresp, DM metrics 1hrs/month x 18 months
104
0.00
18.00
0.00
0
1,872
0
 
 
Input to protocol
 
Text and sample size calculation / power
200
4.00
0.00
0.00
800
0
0
 
 
Generation of Randomisation schedule
 
envelope $12.50
1175
1.00
0.00
0.00
1,175
0
0
 
 
Statistical Analysis Plan
 
Includes text and table and listing shells.
5840
1.00
0.00
0.00
5,840
0
0
 
 
Statistical Analysis Plan
 
 
Additional hours to cover expansion of analysis. Includes discussion, editing, additional text additional tables and listing shells.
200
0.00
0.00
116.00
0
0
23,200
 
 
Statistical Analysis Plan
 
 
Adaption of SAP for extension and combined analysis. Includes text plus table & listing shells
6072
0.00
1.00
0.00
0
6,072
0
 
 
populations
 
populations
1600
1.00
0.00
0.00
1,600
0
0
 
 
(extension)Analysis populations
 
populations
1600
0.00
1.00
0.00
0
1,600
0
 
 
Analysis Datasets
 
Specification, Programming & QC
4800
1.00
0.00
0.00
4,800
0
0
 
 
Analysis Datasets
 
Additional analysis datasets to support increased analysis
600
0.00
0.00
14.00
0
0
8,400
 
 
Analysis Datasets (extension)
 
Specification, Programming & QC
3936
0.00
1.00
0.00
0
3,936
0
 
 
Production of Tables & Listings
 
15 Unique tables. Cost per extra $720 20
Repeat tables. Cost per extra $240
0 Figures. Cost per extra $420
35 Listings. Cost per extra $300
26100
1.00
0.00
0.00
26,100
0
0
 
 
Prana Biotechnology Limited    
Protocol #: PBT2-204 INC Research, LLC – CONFIDENTIAL 4
INCR Project Code: 800089    
 
 
 

 
 
Revised Total Budget
 
Production of Tables & Listings
 
22 Unique tables. Cost per extra $720
70 Repeat tables. Cost per extra $240
0 Figures. Cost per extra $420
40 Listings. Cost per extra $300
 
44640
0.00
0.00
1.00
0
0
44,640
 
 
Production of Tables & Listings (extension)
 
2 Unique tables. Cost per extra $720
68 Repeat tables. Cost per extra $240
0 Figures. Cost per extra $420
35 Listings. Cost per extra $300
 
38622
0.00
1.00
0.00
0
38,622
0
 
 
Statistical Analysis
 
10 analysis endpoints. Cost per extra $400
 
400
10.00
0.00
190.00
4,000
0
76,000
 
 
Statistical Analysis (extension)
 
10 analysis endpoints. Cost per extra $424
 
424
0.00
10.00
0.00
0
4,240
0
 
 
Provision of data to DSMB
 
Assumes Interim running and QC of 6 TFLs in now Programming Tables and listings.
 
960
3.00
0.00
0.00
2,880
0
0
 
 
Provision of data to DSMB (extension)
 
Assumes provision of excel spreadsheets and graphed laboratory values
 
1312
0.00
3.00
0.00
0
3,936
0
 
 
Input to Final report
 
Text for Inclusion in study report.
 
2400
1.00
0.00
0.00
2,400
0
0
 
 
Input to Final report (extension)
 
Text for Inclusion in study report.
 
2544
0.00
1.00
0.00
0
2,544
0
 
               
Subtotal
158,869
130,321
193,291
$482,482 
 
Medical Writing (Optional)
                     
 
Clinical study report (CSR)
     
22497
1.00
1.00
0.00
22,497
22,497
0
 
 
QA review of CSR
 
Optional for Client
 
2769
1.00
0.00
0.00
2,769
0
0
 
               
Subtotal
25,266
22,497
0
$47,763 
                         
               
TOTAL
383,986
322,360
193,291
$899,637 
 
Prana Biotechnology Limited
Protocol #: PBT2-204
INCR Project Code: 800089
INC Research, LLC CONFIDENTIAL
5
 
 
 

 
 
Revised Total Budget
 
 
Expense/Item
   
Comments
   
Unit Cost
   
WO & CO#1
Number
of Units
   
CO#2
Number
of Units
   
WO & CO#1
Item Cost
AUD$
   
CO#2
Item Cost
AUD$
   
CO#3
Item Cost
AUD$
   
AUD$
 
 
Site Visits
                                                 
 
Other Site visit Costs
   
Parking/tolls/meals and
incidentals for site visits
   
$50/day
   
60.00
   
50.00
   
3,000
   
2,500
   
0
       
                         
Subtotal
   
3,000
   
2,500
   
0
   
$5,500
 
 
General Expenses
                                                 
 
 
General Expenses - Couriers, Postage,
Telecommunications, Copying, stationery (files)
   
$70/site/month, 3 sites for 25
months
   
S210/month
   
25
   
0.00
   
5,250
   
0
   
0
       
 
 
General Expenses - Couriers, Postage,
Telecommunications, Copying, stationery (files)
   
$70/site/month, 2 new sites for 16 months
   
$140/month
   
16
   
0.00
   
2,240
   
0
   
0
       
 
 
General Expenses - Couriers, Postage,
Telecommunications, Copying, stationery (files)
   
$70/site/month, 4 sites for 14
months
   
$280/month
   
0
   
14.00
   
0
   
3,920
   
0
       
 
 
CRF Printing
         
$2,500
   
1
   
1.00
   
2,500
   
2,000
   
0
       
                         
Subtotal
   
9,990
   
5,920
   
0
   
$15,910
 
                                                     
                         
TOTAL
   
12,990
   
8,420
   
0
   
$21,410
 
 
Prana Biotechnology Limited
Protocol #: PBT2-204
INCR Project Code: 800089
INC Research, LLC CONFIDENTIAL 1
 
 
 

 
 
(INC LOGO)
 
CHANGE ORDER N°4 to Work Order # 800089 (PBT2-204)
 
This Change Order number 4 to Work Order # 800089 (PBT2-204) (hereinafter Change Order) is made and entered into as of the date of last signature (hereinafter Effective Date) by and between Prana Biotechnology Limited (hereinafter Sponsor) with an office located at Level 2, 369 Royal Parade, Parkville, VIC 3052, Australia and INC Research Australia Pty Limited, together with its parent company, subsidiaries and legal affiliates (hereinafter INC Research) with offices located at 159 Port Road Hindmarsh, SA 5007, Australia.
 
RECITALS
 
WHEREAS, Sponsor and INC Research have entered into Work Order # 800089 hereinafter Agreement) to perform Services for Protocol PBT2-204 for study entitled: Randomised, Double-blind, Placebo-controlled, Parallel-group, Phase 2 Study to Evaluate the Effect of One Dose of PBT2 (250mg daily) for 52 Weeks on Aβ Deposition in the Brains of Patients with Mild Alzheimers Disease Compared to Placebo and to Evaluate the Safety and Tolerability of PBT2 (250mg dally) for 52 Weeks in Patients with Mild Alzheimers Disease (hereinafter Study), which was signed by Sponsor and INC Research on 18th April 2012 and
 
WHEREAS, during the course of the performance of the Study, Sponsor and INC Research have identified changes In assumptions; and
 
WHEREAS, Sponsor desires to retain additional services from INC Research and INC Research desires to supply such services to Sponsor under the terms and conditions set forth herein; and
 
WHEREAS, Sponsor and INC Research agree that all other terms and conditions of the Agreement shall remain in full force and effect, unless specifically agreed otherwise in this Change Order; and
 
WHEREAS, Sponsor and INC Research agree that the services and costs covered by this Change Order are additional to the services and costs covered by the Agreement and previous Change Orders;
 
NOW THEREFORE, subject to the terms, conditions and covenants hereinafter set forth, INC Research and Sponsor agree as follows:
 
SECTION I: CHANGES IN SCOPE
 
This section contains an overview of the changes in assumptions, timelines, and revision in Scope of services. In summary, this Change Order mainly reflects the following changes:
 
Services
     Case Report Form (CRF) version#2 update
●     Database update and testing due to CRF version# 2 update
●     Edit Checks update and testing due to CRF version#2 update
 
The parties hereby agree the total cost associated with this Change Order is AUD $1,440

 INC Research Australia Pty Limited 800089
INC Research, LLC CONFIDENTIAL
 Prana PBT2-204, Change Order #4 version 1
 
 
 
Page 1 of 3

 
 
SECTION II: COSTS OVERVIEW
 
The additional deliverables and tasks performed by INC Research are specified in Attachment A. This Attachment includes an overview of the total prices of deliverables in the original agreement and previous change orders, and an overview of the additional total prices of the new deliverables and services. The total amount of all contracted deliverables (original agreement including all change orders) is shown in Attachment A.
 
A summary of both direct and indirect costs related to the original agreement and all changes In scope as occurred is provided in the table below:
 
  *** *** *** ***
Original Contract
18th April 2012
$353,588.00
$10,000.00
$363,588.00
Change Order #1
19th July 2012
$30,398.00
$2,990.00
$33,388.00
Change Order # 2
29th July 2013
$322,360.00
$8,420.00
$330,780.00
Change Order #3
18 March 2014
$193,291.00
$0.00
$193,291.00
Change Order #4
Upon Execution
$1,440.00
$0,00
$1,440.00
Total Contract Value
 
$901,077.00
$21,410.00
$922,487.00
 
SECTION III: REVISED PAYMENT TERMS
 
INC will Invoice the Sponsor for Data Management, Statistics and Medical Writing Direct costs according to the following schedule:
       
Execution of Agreement - Invoiced AUD $36,827.00 from original WO
Database Complete - Invoiced AUD $36,827.00 from original WO
 
New contract total for Data Management, Statistics and Medical Writing Direct costs = AUD $531,686.00, less total already invoiced = AUD $73,654.00. New total to be invoiced = AUD $458,032.00
       
50% Data Entered - 25% of new total = AUD $114,508.00
100% Data Entered - 25% of new total = AUD $114,508.00
Database lock - 25% of new total = AUD $114,508.00
1st Draft 1st Study Report - 15% of new total = AUD $68,704.80
1st Draft 2nd Study Report - 5% of new total = AUD $22,901.60
Final Study Report - 5% of new total = AUD $22,901.60

 INC Research Australia Pty Limited – 800089
INC Research, LLC  CONFIDENTIAL
 Prana PBT2-204, Change Order #4 version 1
 
 
 
Page 2 of 3

 
 
SIGNATURE
 
COUNTERPARTS. This Change Order may be signed in counterparts and said counterparts shall be treated as though signed as one document. The parties acknowledge legal validity of facsimile, portable document format or other commercially acceptable electronic exchange of copies of the documents, which are essential for Change Order execution. A party which uses a facsimile, portable document format or other commercially acceptable electronic exchange copy of an authorized persons signature in the documents guaranties its authenticity.
 
IN WITNESS WHEREOF, the undersigned have caused this Change Order to be executed by a duly authorized individual on behalf of each requisite party effective as of the day and year last written below.
           
Prana Biotechnology Limited
 
INC Research Australia Pty Limited
 
-s- geoffrey kempler   -s- david fuller  
Signature By:
 
GEOFFREY KEMPLER  
Signature By:
David Fuller  
Name (print)
   
Name (print)
Senior Vice President
Clinical Development
 
Title
 
CEO   Title 11th July 2014  
Date
 
1st July 2014  
Date
   

 INC Research Australia Pty Limited 800089
INC Research, LLC  CONFIDENTIAL
 Prana PBT2-204, Change Order #4 version 1
 
 
 
Page 3 of 3

 
 
Revised Total Budget
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
Study Start Up/***                                            
Study Training/ Internal Kick Off Meeting
 
***Protocol, IB, CRF, procedures etc.
 
1080
  1.00   0.00   0.00       1,080  
0
 
0
       
Study Training
 
*** etc
 
840
 
1.00
 
0.00
 
0.00
     
540
 
0
 
0
       
Study Training on Protocol Amendment
 
*** etc
 
270
 
 0.00
 
2.00
 
0.00
     
0
 
540
 
0
       
Study Trainig on Protocol Amendment
 
*** etc
 
310
 
0.00
 
1.00
 
0.00
     
0
 
310
 
0
       
Essential document collection
 
Creuton, Collection and tracloting
 
1350
 
6.00
 
400
 
0.00
     
6,750
 
5,400
 
0
       
Study Manual/Monitoring Manual Development
     
3100
 
1:00
 
0.00
 
0.00
     
3,100
 
0
 
0
       
Study Files
 
Set up of study master files and Investigator *he files
 
720
 
1.00
 
1.00
 
0.00
     
720
 
720
 
0
       
File Management
 
per month
 
283
 
24.00
 
0.00
 
0.00
     
6,787
 
0
 
0
       
File Management - 2 new sites
 
per month from August 2012
 
283
 
14.00
 
0.00
 
0.00
     
3,959
 
0
 
0
       
File Management - 4 sites
 
per month from October 2013
 
377
 
0.00
 
14.00
 
0.00
     
0
 
6,279
 
0
       
                    Subtotal       
22,837
 
12,249
 
0
     
***
***
                                           
Teleconference  participation
 
25 x 1 hour Telecon, 1 CRAs
 
138
 
26.00
 
0.00
 
0.00
     
3,450
 
0
 
0
       
Teleconference  participation
 
16 x monthly hour Telecon, 1 CRA
 
138
 
16.00
 
0.00
 
0.00
     
2,208
 
0
 
0
       
Teleconference participation
 
24 x *** 1 hour Telecon, 2 CRAs.
 
276
 
0.00
 
24.00
 
0.00
     
0
 
6,624
 
0
       
Teleconference participation
 
24 x *** 1 hour Telecon, 1 PM
 
155
 
0.00
 
24.00
 
0.00
     
0
 
3,720
 
0
       
                    Subtotal       5,654   
10,344
         
$16,002
***                                            
Preparation of Presentations  
Trident & Customer shared responsibilty
 
1620
 
1.00
 
0.00
 
0.00
     
1,820
 
0
 
0
       
Attendance
 
*** 1 day meeting, 1. CRA
 
1080
 
1.00
 
0,00
 
0.00
     
1,080
 
0
 
0
       
                             2,760    0          $2,700
Site Visits
                         
 
 
 
         
 
Sutdy Initiation
 
Incl. prop, travel, on-site, reporting & follow-up
 
1620
 
5.00
 
0.00
 
0.00
     
8,100
 
0
 
0
       
Study Initiation
 
Incl. prop, travel, on-site, reporting & follow-up
 
1080
 
0.00
 
2.00
 
0.00
     
0
 
2,160
 
0
       
Monitoring Visits  (1 Day visits)
 
Incl. prop, travel, 1 day on-site, reporting & follow-up 4 visits/site
 
1932
 
20.00
 
24.00
 
0.00
     
38,640
 
46,366
 
0
       
Monitoring visits (2 Day visits)
 
Incl. prop, travel, 2 days on-site, reporting & follow-up 3 visits/site
 
3174
 
15.00
 
10.00
 
0.00
     
47,610
 
31,740
 
0
       
Closeout visits
 
Incl. prop, travel, on-site, reporting & follow-up
 
2070
 
5.00
 
0.00
 
0.00
     
10,350
 
0
 
0
       
Closeout visits
 
Incl. prep, travel, on-site, reporting & follow-up
 
1656
 
0.00
 
4.00
 
0.00
     
0
 
6,824
 
0
       
                      Subtotal      
164,700
 
***
 
0
     
$101,502
Site Management                                            
                                             
Site Management (October 2011 -Nov 2011)
 
1 site
 
593
 
2.00
 
0.00
 
0.00
     
1,187
 
0
 
0
       
Site Management (Dec 2011 - May 2012)
 
2 sites
 
1187
 
6.00
 
0.00
 
0.00
     
7,121
 
0
 
0
       
Site Management (June 2012- July 2013)
 
3 sites
 
1780
 
14.00
 
0.00
 
0.00
     
24,923
 
0
 
0
       
Site Management August 2012 - July 2013)
 
per month - 2 new sites
 
1187
 
12.00
 
0.00
 
0.00
     
14,242
 
0
 
0
       
Site Management (August 2013 - September 2013)
 
3 sites
 
828
 
2.00
 
0.00
 
0.00
     
1,858
 
0
 
0
       
Site Management (August 2013 - September 2013)
 
per month - 2 now sites
 
552
 
2.00
 
0.00
 
0.00
     
1,104
 
0
 
0
       
Site Management (October 2013 - November 2014)
 
per month - 4sites
 
2208
 
0.00
 
14,00
 
0.00
     
0
 
30,912
 
0
       
Management/Supervision
 
per month
 
340
 
24.00
 
14.00
 
0.00
     
8,160
 
4,760
 
0
       
                   
Subtotal 
     
***
 
35,672
 
0
      ***
***                                            
*** and Set up
     
1280
 
1.00
             
1,280
               
Study Completion
 
*** and client correspondance
 
501
 
1.00
             
501
               
Study administration (first 8 months)
 
Correspondence,  tracking, client, vision, filing
 
160
 
6.00
             
960
               
Prana Biotectnology Limited. *** (XXXX - XXXX)
 
Correspondence,  tracking, client vision, filling
 
83
 
15.00
             
1,238
               
 
INCR Project Code: 800089 INC Research, LLC - CONFIDENTIAL 1
 
 
 

 
 
Revised Total Budget
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
Safety Administration
 
Incl. set up, maintenance and completion activities
 
3979
  1.00   0.00  
0.00
     
3,979
 
0
 
0
       
Safaty Administration
 
Study Extension
 
83
  0.00   14.00  
0.00
     
0
 
1,155
 
0
       
Initial Receipt and handing SAEs
 
All events - assume 1 SAE
 
330
 
1.00
 
10.00
 
0.00
     
330
 
3,300
 
0
       
Medical Review of SAEs and Narrative creation
 
Optional as required
 
838
 
0.00
 
10.00
 
0.00
     
0
 
8,380
 
0
       
Reporting to local Authorities
 
Assume 1 Reportable events
 
680
 
1.00
 
10.00
 
0.00
     
560
 
6,600
 
0
       
Follow up of SAEs
 
Assume 2 hours/Follow-up/SAE, 1 Follow ups.
 
330
 
1.00
 
10.00
 
0.00
     
330
 
3,300
 
0
       
Investigator Notification Latters
 
properstion and oversight
 
185
 
1.00
 
10.00
 
0.00
     
165
 
1,650
 
0
       
                    Subtotal      
5,464
  24,385  
0
     
***
***
                                           
CRF Design
 
25 unique pages. 60 pages of CRF and 11 pages of questionsite 91 Total pages One print run.
 
14,520
 
1.00
 
0.00
 
0.00
     
14,520
 
0
 
0
       
CRF Design
 
CRF design guidelines
 
85
 
0.00
 
0.00
 
18.00
     
0
 
0
 
1,360
       
CRF Design
 
Edits and revisions for version 2
 
120
 
0.00
 
0.00
 
18.00
     
0
 
0
 
1,820
       
CRF design update to version 2.0
 
Update to version 2
 
120
             
4.00
             
480
   
CRF Design (extension)
 
80 pages of CRF (70 on average entered ). One print run.
 
2834
 
0.00
 
1.00
 
0.00
     
0
 
2,834
 
0
       
Datebase design and build
     
463
 
25.00
 
0.00
 
0.00
     
11,563
 
0
 
0
       
Database design and build (extension)
     
57
 
0.00
 
25.00
 
0.00
     
0
 
1,428
 
0
       
Database update and testing per V2 of the CRFs       
 
Update to version 2
 
120
             
4.00
             
480
   
Edit Checks updete. end testing per V2 of the CRFs
 
Update to version 3
 
120
             
4.00
             
480
   
Database/ Consistance Check programning
     
53
 
208.25
 
0.00
 
0.00
     
11,114
 
0
 
0
       
Database /Consistancy Check programming
 
Datebase and edit check programaning in support of version 2
 
120
 
0.00
 
0.00
 
24.00
     
0
 
0
 
2,880
       
Database / Consistancy Check programming (extension)
     
33
 
0.00
 
202.00
 
0.00
     
0
 
6,676
 
0
       
Data Validation Manual / Date Management Plan
     
3400
 
1.00
 
0.00
 
0.00
     
3,400
 
0
 
0
       
Date Validation Manual/ Date Management
     
1664
 
0.00
 
1.00
 
0.00
     
0
 
1,664
 
       
Data entry
 
Double Data Entry 40 patterns x 80 CRF pages plus 40 x 11 questionaires 3640 total pages. Cost per extra pages=5.87
 
6
 
3640.00
 
0.00
 
294.00
     
21,385
 
0
 
1,727
       
Data entry (extension)
 
Double Data Entry 33 patients X TO entered CRF pages 231D total pages. Coat oar extra pages=$6.28
 
6
 
0.00
 
2310.00
 
0.00
     
0
 
14,453
 
0
       
Medical Coding
 
MedDRA - AE. WHO - Drug
 
6
 
800.00
 
0.00
 
0.00
     
5,036
 
0
 
0
       
Medical Coding (extension)
 
MedDRA - AE. WHO - Drug
 
7
 
0.00
 
680.00
 
0.00
     
0
 
4,600
 
0
       
Data Clearing /Monitoring
 
3200. CRF pages. Cost per. extra pages=$5.10                    224 Queries. Cost per extra quaery=$42.50
 
29617
 
1.00
 
0.00
 
0.00
     
29.617
 
0
 
0
       
Data Cleaning / Monitoring
 
Additional pages cleaned/montored
 
5.10
 
0.00
 
0.00
 
734.00
     
0
 
0
 
3,743
       
Data Clearing / Monitoring
 
Additional queries raised
 
42.50
 
0.00
 
0.00
 
846.00
     
0
 
0
 
27,455
       
Data Clearing Monitoring (Externsion)
 
2310 CRF pages. Cost per em page=$7.00                    182 Queries. Cost per extra query=$52.00
 
28270
 
0.00
 
1.00
 
0.00
     
0
 
26,270
 
0
       
Quality Control
 
10% of all patiemts 100% of all critical data (15% critical / 85% non critical)
 
2.95
 
811,40
 
0.00
 
0.00
     
***
 
0
 
0
       
Quality Control
 
Additional Safety Lab QC Programming
 
120
 
0.00
 
0.00
 
4.00
     
0
 
0
 
480
       
Quality Control
 
Additional Safety Lab QC(pages)
 
2.81
 
0.00
 
0.00
 
91.00
     
0
 
0
 
256
       
Quality Control (extension)
 
10% of all patients, 100% of all critical data (15% critical / 85% non critical)
 
3.34
 
0.00
 
543,00
 
0.00
     
0
 
1,313
 
0
       
Import laboratory data
 
1 central lab.
 
3680
 
1.00
 
0.00
 
0.00
       3,680  
0
 
0
       
***
 
2 biomarker labs - programming
 
120
 
0.00
 
0.00
 
***
       
0
 
720
       
***
 
2 biomarker labs - data review
 
85
 
0.00
 
0.00
 
***
       0  
0
 
910
       
 
INCR Project Code: 800089 INC Research, LLC - CONFIDENTIAL 2
 
 
 

 
 
Revised Total Budget
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
  ***  
***
Import laboratory data (extension)
 
1 central lab.       Import and review.
  3182   0.00   1.00  
0.00
      0   3,182          
Data exports
 
Assume 2 exports
  360   2.00  
0.00
 
0.00
      720   0   0        
Data exports (extension)
 
Assume 2 exports
  327   0.00   2.00   0.00       0   854  
0
       
Database maintenance
 
Study Duration = 18 months
 
240
 
18.00
 
0.00
 
0.00
     
4,320
 
0   
 
0
       
Database maintenance (extension)
 
Study Duration = 18 months
 
218
 
0.00
 
18.00
 
0.00
     
0
 
3,934
 
0
       
DM & Statistics - Project Management
 
Client meetings & corresp. DM metrics, 1hrs/month x 18 months
 
120
 
18.00
 
0.00
 
0.00
     
1,530
 
0
 
0
       
DM & Statistics - Project Management
 
Client meetings & corresp. DM metrics, 1hrs/month x 18 months
 
104
 
0.00
 
18.00
 
0.00
     
0
 
1,872
 
0
       
Input to protocol
 
Text and sample size calcualtion / power
 
200
 
4.00
 
0.00
 
0.00
     
800
 
0
 
0
       
Generation of Randomisation schedule
 
extra envelope $12.50
 
1175
 
1.00
 
0.00
 
0.00
     
1,175
 
0
 
0
       
Statistical Analysis Plan
 
Includes text and tables and listing shells
 
5840
 
1.00
 
0.00
 
0.00
     
5,840
 
0
 
0
       
Statistical Analysis Plan
 
Additional hours to cover expansion of analysis. Includes discussion, editing, additional text additional tables and listing shells.
 
200
 
0.00
 
0.00
 
116.00
     
0
 
0
 
23,200
       
Statistical Analysis Plan
 
Adaption of SAP for entension and comoined analysis. Includes text plus table & listing shells
 
6072
 
0.00
 
1.00
 
0.00
     
0
 
6,072
 
0
       
Analysis populations
 
Definition of populations
 
1600
 
1.00
 
0.00
 
0.00
     
1,600
 
0
 
0
       
(extension) Analysis populations
 
Populations
 
1600
 
0.00
 
1.00
 
0.00
     
0
 
1,600
 
0
       
Analysis ***
 
Specification, Programming & QC
 
4800
 
1.00
 
0.00
 
0.00
     
4,800
 
0
 
0
       
Analysis ***
 
Additional analysis *** to support increased analysis
 
600
 
0.00
 
0.00
 
14.00
     
0
 
0
 
8,400
       
Analysis *** (extension)
 
Specification, Programming & QC
 
3936
 
0.00
 
1.00
 
0.00
     
0
 
3,936
 
0
       
Production of Tables & Listings
 
15 Unique tables, Cost per extra $720 20 Repeat tables. Cost per extra $240 0 Figures. Cost per extra $420
35 Listings. Cost per extra $300
 
26100
 
1.00
 
0.00
 
0.00
     
26,100
 
0
 
0
       
Production of Tables & Listings
 
22 Unique tables. Cost per extra $720 70 Report tables. Cost per extra $240 0 Figures. Cost per extra $420
40 Listings. Cost per extra $300
 
44640
 
0.00
 
0.00
 
1.00
     
0
 
0
 
44,640
       
Production of Tables & Listings (extension)
 
2 Uniques tables. Cost per extra $720 68 Repeat tables. Cost per extra $240 0 Figures. Cost per extra $420
35 Listings. Cost per extra $300
 
38622
 
0.00
 
1.00
 
0.00
     
0
 
38,622
 
0
       
Statistical Analysis
 
10 analysis endpoints. Cost per extra $400
 
400
 
10.00
 
0.00
 
190.00
     
4,000
 
0
 
76,000
       
Statistical Analysis (extension)
 
10 analysis endpoints. Cost per extra $424
 
424
 
0.00
 
10.00
 
0.00
     
0
 
4,240
 
0
       
Provision of *** to DSMB
 
Assumes interim running and QC of 6 TFLs In row Programming Tables and ***.
 
960
 
3.00
 
0.00
 
0.00
     
2,880
 
0
 
0
       
Provision of *** to DSMB (extension)
 
Assumes provisional excel spredsheets and graphed laboratory values
 
1312
 
0.00
 
3.00
 
0.00
     
0
 
3,936
 
0
       
Input to Final report
 
Text for inclusion in study report
 
2400
 
1.00
 
0.00
 
0.00
     
2,400
 
0
 
0
       
Input to Final report (extension)
 
Text for inclusion in study report
 
2544
 
0.00
 
1.00
 
0.00
     
0
 
2,544
 
0
       
                    Subtotal      
158,369
 
130,321
 
193,291
 
***
  $483,822
Medical/Writing/(Optional)                                            
Clinical study report (CSR)       
22497
 
1.00
 
1.00
 
0.00
     
22,497
 
22,497
 
0
       
QA review of CSR
 
Optional for Client
 
2769
 
1.00
 
0.00
 
0.00
     
2,769
 
0
 
0
       
                    Subtotal          25,288      22,497   0       $47,763
                                             
       
 
        TOTAL       ***   ***   183,231    ***    ***
 
Prana Biotechnology Limited
Protocol #: PBT2-204
INCR Project Code: 800089
INC Research, LLC - CONFIDENTIAL
3
 
 
 

 
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
 
***
Site Visits                                        
Other Site visit Costs   Pariding/tolls/meals and incidentals for site visits   $50/day   60.00   50.00    3,000   2,500   0   0        
               
Subtotal
 
3,000
  ***   0   0  
$5,500
 
$5,610
General Expenses                                         
                                         
General Expenses - Couriers, Postage, Telecommunications, Copying; stationary (files)
  $70/site/month, 3 sites for 25 months   $210/month   25  
0.00
 
5,250
  0   0   0        
                                         
General Expenses - Couriers, Postage, Telecommunications, Copying, stationery (files)
 
$70/site/month, 2 new sites for 16 months
 
$140/month
 
16
 
0.00
 
2,240
 
0
 
0
 
0
       
                                         
General Expenses - Couriers, Postage, Telecommunications, Copying, stationery (files)
 
$70/site/month, 4 sites for 14 months
 
$280/month
 
0
  14.00   0  
3,920
 
0
  0        
CRF Printing
     
$2,500
 
1
  1.00   2,500  
2,000
 
0
 
0
       
               
Subtotal
 
***
 
***
  0   0   $15,919   $16,228
                                         
               
TOTAL
  12,990   5,420   0   0   $21,410   $21,833
 
Prana Biotechnology Limited
Protocol #: PBT2-204
INCR Project Code: 800089
INC Research, LLC - CONFIDENTIAL
1