Investigator Selection
Stephens & Associates' Investigators are board-certified physicians and health professionals in private practice located near S&A research centers or Ph.D.s on staff. Physicians are board certified in their medical discipline and in good standing with medical community and state and federal regulatory agencies. Investigators play an active role in all aspects of the study and are accessible for Sponsor's visits.

Subject Recruitment
Stephens & Associates is often a leading investigational site for recruiting subjects for dermatological and women's health studies. Our success is based on a team of trained recruiters who use combinations of recruiting strategies to locate qualified subjects. S&A has an extensive computerized database of candidate subjects. Candidate subjects are identified by querying the database for demographic and health parameters outlined by the protocol. Our goal is to meet or exceed Sponsor expectations for recruiting subjects in a timely manner.

Employee and Investigator Training
An integral part of Stephens & Associates' success is our on-going training program for all S&A staff. Regular training of employees assures consistency and understanding of various methodology and ICH-GCP requirements. Employees' training and understanding are monitored in a variety of ways including written tests, observations, and interaction with previously trained staff during a study. To ensure qualified personnel in each position, S&A maintains educational or experience requirements and training files for each position in the organization.

Quality Assurance
Stephens & Associates' in-house quality assurance unit consists of top-level QA staff dedicated to working with study personnel to ensure quality data and compliance to regulatory guidelines. Studies conducted at S&A comply with Good Laboratory Practices and ICH-GCP guidelines. Our Quality Assurance Manager is a Certified Clinical Research Associate and member of the Association of Clinical Research Professionals. Our internal monitoring of study progress and study results provides our clients assurance that data generated by S&A will be top quality.

Laboratory Services
The Texas Research Center laboratory facilities are used for phlebotomy procedures and to perform various diagnostic and laboratory tests. The laboratory is equipped with a large sterilizer, a minus 70 degrees Celsius freezer, incubators, laminar flow hood, platform and analytical balances, and liquid nitrogen tanks for rapid freezing of specimens and storage of reagents. In conjunction with the Sponsor or CRO, Stephens & Associates will contract with external CLIA registered reference laboratories across the US to perform analysis of body fluids, biopsies, tissues, and microbial samplings.

Assistance in Data Management and Report Writing
Stephens & Associates is fully qualified to perform data entry and statistical analysis of study data. We have implemented an extensive computer network linking all Stephens' facilities with clients to provide updates on the progress of studies. Stephens' computer system offers the advantages of speed and the assurance that study data will not change as a result of human error. Data generated during the course of a study is double entered, verified electronically, and analyzed by statistical software that automatically generates a report. This process reduces the amount of time required to analyze data and increases the accuracy of study results. Stephens' has experienced professional writers that can draft protocols as well as final reports that comply with ICH-GCP guidelines.

Team Approach To Clinical Trials
Clinical trials are conducted at Stephens & Associates' technical research centers using a team approach. The Investigator and Sub-investigator lead a clinical team consisting of a project coordinator, a representative from the Quality Assurance Department, a subject recruiting coordinator, and clinic supervisor, and/or site manager. Through teamwork, all aspects of the clinical trials, from IRB submission to the closeout visit, are carefully executed. Depending on the study design, study visits are carried out in a block design so that most, if not all, subjects adhere to the same visit schedules. Investigators are available during work and evening hours to handle adverse events. The result is a very efficient and effective clinical study.

Types of Clinical Trials
Stephens & Associates takes pride in its ability to conduct a broad spectrum of clinical trials on pediatric, adolescent, adult and geriatric populations. Areas in which we conduct clinical trials are listed below:

Phase 1 (Cutaneous Safety Tests)
24 hour and 48 hour patch tests for accute skin irritation (primary irritation)
14 day and 21 day cumulative skin irritation test
Human Repeat Insult Patch Test (HRIPT) (Type IV allergy test)
Modified maximization test (Type IV allergy test)
Phototoxicity
Photoallergy

Phases II-IV
Acne (Adolescent and Adult)
Actinic Keratosis
Androgenetic alopecia
Atopic dermatitis
Back pain
Bacterial vaginitis
Basal cell carcinoma
Bunions
Candidiasis
Chelitis
Colds
Contact lens and eye lens solutions
Constipation
Corns
Diaper Rash
Dry Eye
Dyschromia
Eczema and rash (pigmentary changes)
Genital Herpes
Foot pain
Hair growth and inhibition
Hand eczema
Hormone replacement therapy
Human eye instillation/eye discomfort
Hypertension
Keratosis pilaris
Lice
Migraine
Nail fungal infection
Neutraceuticals
Obesity
Ophthalmology
Pain
Pediatric formulations
Pediatric skin treatments
Personal hand wash products / Photoaging (sun damaged skin)
Postmenopausal symptoms / Pruritic (itchy) skin /
Rheumatoid arthritis
Rosacea
Scalp irritation / Seborrhea / Seborreheic dermatitis
Skin biopsies / Skin treatment peels
Sun Protection
Smoking cessation
Tinea cruis (adult and pediatric)
Tinea versicolor
Topical antibiotics
Wound Healing