EXHIBIT 10.2
Change Order No. 1
Date: as per the last signature date of the Parties
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Parties
1. | Novotech (Australia) Pty Limited ACN 071 874 881 of Level 19, 66 Goulburn Street, Sydney NSW 2000, Australia (Novotech) |
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2. | Lexaria (AU) Pty Ltd of C/- Suite 1, Level 3, 62 Lygon Street, Carlton, Victoria, 3053, Australia (Sponsor) |
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Background
A | On December 2, 2024, Novotech and Sponsor entered into a Project Agreement (Project Agreement) pursuant to which Novotech is providing services to support clinical trials to Sponsor. |
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B | The parties agree that this Change Order sets out the amendments to the Project Agreement which are agreed between the Sponsor and Novotech. |
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C | Capitalised terms in this Change Order have the same meaning as in the Project Agreement. |
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D | The parties agree to change the terms of the Project Agreement from May 14, 2025 (Effective Date), as follows: |
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1 | Change Order Details |
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1.1 | This Change Order sets out the changes to the Budget for the Services in the Project Agreement as agreed by the parties. The changes are as a result of changes to the Key Assumptions (Study Assumptions and Responsibilities) as set out in Schedules 1 and 2 hereof. |
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1.2 | The revised Key Assumptions for the Study (Revised Key Assumptions) are set out in Schedules 1 and 2. The parties agree that the Revised Key Assumptions accurately reflect the Study parameters and the Services to be performed by Novotech from the Effective Date. |
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1.3 | The parties agree that all other terms of the Project Agreement remain the same. |
Change Order #01 | Version 6, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 1 of 14 |
Executed as an Agreement
Signed for and on behalf of Novotech (Australia) Pty Limited by its authorised representative:
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| Signed for and on behalf of Lexaria (AU) Pty Ltd by its authorised representative:
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Signature of Chief Commercial Officer
“Barry Murphy”
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| Signature of Director
“John Docherty”
Signature of Director
“Janice Henrichs”
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Change Order #01 | Version 6, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 2 of 14 |
Schedule 1 Scope of Services -
Region- Site- Subject Strategy
REGION | #Previous Subjects | # Revised Subjects |
Australia | 80 | 120 |
TOTAL | 80 | 120 |
Monitoring Visits
REGION | Previous IMVs | Revised IMVs | Previous Remote IMVs | Revised Remote IMVs |
Australia | 21 | 63 | 35 | 21 |
TOTAL | 21 | 63 | 35 | 21 |
Change Order #01 | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 3 of 14 |
Schedule 2 Services Budget
Revised Budget
Direct Fees (AUD) | Revised Total Budget | PA Budget | Change Order Budget |
Medical Writing Start-up | [**] | [**] | [**] |
Drug Development Consulting | [**] | [**] | [**] |
Regulatory and Ethics | [**] | [**] | [**] |
Start-up Activities | [**] | [**] | [**] |
Clinical Site Management | [**] | [**] | [**] |
Study Management | [**] | [**] | [**] |
Data management | [**] | [**] | [**] |
Biostatistics | [**] | [**] | [**] |
Pharmacovigilance | [**] | [**] | [**] |
Medical Monitoring | [**] | [**] | [**] |
Clinical Study Report | [**] | [**] | [**] |
Total Professional Fees | [**] | [**] | [**] |
Discount (20%) | [**] | [**] | [**] |
Total Professional Fees (with discount) | 2,648,963.39 | 2,349,040.44 | 299,922.96 |
Biometrics and/or Pharmacovigilance will be delivered by our Australian team, and applicable for R&D tax rebate. | |||
Hosting Fees (AUD) | |||
Clinical Systems Hosting Fees | [**] | [**] | [**] |
EDC Cost | [**] | [**] | [**] |
Total Hosting Fees | [**] | [**] | [**] |
Total Service Fees (*) | 3,064,066.45 | 2,764,143.49 | 299,922.96 |
* Total Service Fees do not include inflation. Inflation will be applied annually based on CPI. | |||
Pass-through Costs (AUD) | |||
Pass-through Costs | [**] | [**] | [**] |
Investigator Fees | [**] | [**] | [**]1 |
Total Pass-through Costs | 3,918,183.00 | 2,318,390.00 | 1,599,793.00 |
Grand Total | 6,982,249.45 | 5,082,533.49 | 1,899,715.96 |
1 The line item costs with associated specific activities have been redacted to allow the CRO and any third party service provider to maintain competitive negotiations with other sponsors.
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_Diabetes_2024-5470 | Page 4 of 14 |
Detailed Budget for Services
Budget |
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| TOTAL/REVISED Budget | PA Budget | Change Order Budget | ||||||
Task Description | Pricing Unit | Unit Price (AUD) | Disc Unit Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # CO Units | Total Price (AUD) | Disc Total Price (AUD) |
Medical Writing Start-up |
| 0 | 0 | 0 | ||||||||
Protocol Synopsis - Review and Update | Per Protocol Synopsis | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Protocol writing, QC and finalisation (excluding protocol synopsis) | Per Protocol | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Protocol amendment writing, QC and finalisation- minor amendment (Amendment 1) | Per Minor Amendment | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Protocol amendment writing, QC and finalisation- major amendment (Amendment 3) | Per Major Amendment | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Drug Development Consulting | - | - | - | - | - | - | - | - | - | - | - | |
Investigator Brochure writing, QC and finalisation (Semaglutide) | Per IB | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
CBD IB update | Per IB | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Tirzepatide IB | Per IB | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Regulatory and Ethics |
| - | - | - | - | - | - | - | - | - | - | - |
IRB/EC Submission | Per Total Site | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
IRB/EC Submission (Post Initial Submission upto Protocol amendment -v4/v5) | Per Total Site (Major submission) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 5 of 14 |
Budget |
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| TOTAL/REVISED Budget | PA Budget | Change Order Budget | |||||
Task Description | Pricing Unit | Unit Price (AUD) | Disc Unit Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # CO Units | Total Price (AUD) | Disc Total Price (AUD) |
IRB/EC Submission (Post Initial Submission minor submission PCLs PICF Memos upto PICF v6) | Per Total Site (Minor submission) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Regulatory Submissions | Per country (Reg Submission) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Regulatory Submissions (Post Initial - 1. Arm 5 and for future Site location/PI changes | Per site HA Submission (Updates Post Initial submission) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Regulatory Study Management and Oversight (Start-up) | Per Month (Start-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Regulatory Study Management and Oversight (Recruitment, Treatment & Follow-up) | Per Month (Ex Startup & Closeout) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Informed Consent Preparation, Review and Finalisation | Per Site | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
PICF updates (Post start-up) CO#01 | PICF update per site | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Act as Local Sponsor | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Start-up Activities |
| - | - | - | - | - | - | - | - | - | - | - |
Kick-off meeting | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Team Training | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
CRA Training Meeting | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Site Feasibility | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Clinical System Set Up | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Project and Operational Plans | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 6 of 14 |
Budget |
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| TOTAL/REVISED Budget | PA Budget | Change Order Budget | |||||
Task Description | Pricing Unit | Unit Price (AUD) | Disc Unit Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # CO Units | Total Price (AUD) | Disc Total Price (AUD) |
Site Qualification Visits (On-site) | Per QV | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Phone SQVs | Per Phone QV | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Investigator Meeting | Per IM | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Site Contract and Budget Management | Per Site | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Site Contract and Budget Management Post Start-up (CO#01) | Per Site per update | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Site Management- Start up | Per Site Per Month (Start Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Vendor Identification and Contracting | Per Vendor | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Clinical Site Management |
| - | - | - | - | - | - | - | - | - | - | - |
Site Initiation Visits | Per SIV | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Interim Monitoring Visits (Recruitment and Treatment) | Per revised IMV (Rec-Treat) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Co-monitoring visits | Per Co-visits (Rec-Treat) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Offsite -ediary data listing review – fortnight | Per data listing review | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Remote Monitoring Visits | Per revised Remote IMV | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Site Management (Recruitment, Treatment) | Per Site Per Month (Recruitment & Treatment) - SM | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 7 of 14 |
Budget |
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| TOTAL/REVISED Budget | PA Budget | Change Order Budget | |||||
Task Description | Pricing Unit | Unit Price (AUD) | Disc Unit Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # CO Units | Total Price (AUD) | Disc Total Price (AUD) |
Site Management - Close-Out | Per Site Per Month (Close-Out) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Close-out Visits | Per COV | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Study Management |
| - | - | - | - | - | - | - | - | - | - | - |
Project Management - Pre-Start-up | Per Month (Pre-Start-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Project Management- Start Up | Per Month (Start-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Project Management- Recruitment and Treatment | Per Month (Recruitment & Treatment) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Project Management- Close-out | Per Month (Close-Out) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Vendor management/communication | Per Month | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Data management |
| - | - | - | - | - | - | - | - | - | - | - |
Database Design and Set-up | Per Set-Up Stage | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Design and Program Edit Check Specifications | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
External Data Set Up and Programming | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Develop Data Management Plans | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
RTSM- Set Up | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
E-Diary additional updates and programming activities for adding treatment arm 5 | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 8 of 14 |
Budget |
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| TOTAL/REVISED Budget | PA Budget | Change Order Budget | |||||
Task Description | Pricing Unit | Unit Price (AUD) | Disc Unit Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # CO Units | Total Price (AUD) | Disc Total Price (AUD) |
RTSM additional updates and programming for adding treatment arm 5 | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
EDC programming and updates and programming for adding treatment arm 5 | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Tirzepatide sentinel and replacements arms 1-4 manual programming | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
eDiary programming widening of open hrs window | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Data Management- Recruitment- FU | Per Month (Recruitment, Treatment, Follow-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Medical Coding | Per Month (Recruitment, Treatment, Follow-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
External Data Handling and Transfer | Per Month (Recruitment, Treatment, Follow-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
RTSM- Recruitment- Treatment | Per Month | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
RTSM- Close-out | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Database Lock | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Data Management- Close out | Per Month (Close-Out) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Biostatistics |
| - | - | - | - | - | - | - | - | - | - | - |
Production of SAP & TFL Shells | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 9 of 14 |
Budget |
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| TOTAL/REVISED Budget | PA Budget | Change Order Budget | |||||
Task Description | Pricing Unit | Unit Price (AUD) | Disc Unit Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # CO Units | Total Price (AUD) | Disc Total Price (AUD) |
Programming of TLFs- Final Analysis | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Final Statistical Analysis | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
CDISC Conversion (Final) | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Biostatistics Management: Start-up | Per Month (Start-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Biostatistics Management: Maintenance | Per Month (Recruitment, Treatment, Follow-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Biostatistics Management: Close-out | Per Month (Close-Out) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Programming of TLFs for DSUR | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Pharmacovigilance |
| - | - | - | - | - | - | - | - | - | - | - |
Safety Database Set-up | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Safety Management Plan | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Safety Management and Periodic Reporting | Per Month (Ex. Start-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
SAE Management | Per SAE Report | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
SUSAR Management and Investigator Reporting | Per SUSAR Report | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
DSUR Generation and QC | Per Year | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Medical Monitoring |
| - | - | - | - | - | - | - | - | - | - | - |
Monthly Oversight - Start up | Per Month (Start-Up) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Monthly Oversight - Recruitment | Per Month (Recruitment) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 10 of 14 |
Budget |
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| TOTAL/REVISED Budget | PA Budget | Change Order Budget | |||||
Task Description | Pricing Unit | Unit Price (AUD) | Disc Unit Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # Units | Total Price (AUD) | Disc Total Price (AUD) | # CO Units | Total Price (AUD) | Disc Total Price (AUD) |
Monthly Oversight - Treatment | Per Month (Treatment) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Monthly Oversight - Close-out | Per Month (Close-Out) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Clinical Study Report |
| - | - | - | - | - | - | - | - | - | - | - |
Final Clinical Study Report (CSR) writing, QC and finalisation | Per CSR | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Subtotal |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Medical Writing Start-up |
| [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
Drug Development Consulting | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Regulatory and Ethics | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Start-up Activities | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Clinical Site Management | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Study Management | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Data management | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Biostatistics | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Pharmacovigilance | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Medical Monitoring | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Clinical Study Report | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |
Total |
| [**] | [**] | [**] | 2,349,040.44 | [**] | 299,922.96 | |||||
Discount % | [**]% | [**]% | [**]% | |||||||||
Discount $ | [**] | - | [**] | - | [**] | - | ||||||
Grand Total |
| [**] | [**] | 2,349,040.44 | 2,349,040.44 | 299,922.96 | 299,922.96 | |||||
* Total Service Fees do not include inflation. Inflation will be applied annually based on CPI. |
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 11 of 14 |
Hosting and Lab Estimate |
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Task Description | Pricing Unit | Unit Price (AUD) | # Units | Total Price (AUD) | # Units | Total Price (AUD) | # CO Units | Total Price (AUD) |
Hosting Fees |
| - | - | - | - | - | - | - |
Clinical Systems Hosting Fees | Per Month | [**] | [**] | [**] | [**] | [**] | - | - |
Subtotal |
| - | - | [**] | - | [**] | - | - |
Pass-through Cost Estimate |
|
| Revised budget | PA budget | CO#01 budget | |||||
Task Description | Pricing Unit | Unit Price (AUD) | # Units | Total Price (AUD) | # Units | Total Price (AUD) | # CO Units | Total Price (AUD) | ||
Regulatory And IRB/IEC Submission Fees | - | |||||||||
HA/Competent Authority Submission (Initial) | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
IRB/IEC Submission Fee (Initial)- Central | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Post initial HREC submissions (All major submissions to BB HREC upto PA 4/v5 and 4 subsequent) | Per Reg Submission | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Post initial HA submissions | Per Reg Submission | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Subtotal | - | - | [**] | - | [**] | - | [**] | |||
Vendor Costs | - | - | - | - | - | - | - | |||
Drug Storage & Distribution | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Central Lab | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Courier | Per Month | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Marken Fee | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Phone /Administration/ Stationery | Per Month | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Subtotal | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |||
Monitoring Costs | - | - | - | - | - | - | - | |||
Travel – Transport & Accommodation | Per Visit | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Parking for Local Sites | Per Visit | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Subtotal | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |||
Total Pass Through Fees | 1,384,388.00 | 845,955.00 | 538,433.00 | |||||||
All pass through costs are provided as estimates only with the exception of local phone and internal stationery/photocopy fees which will be invoiced at a fixed cost of AUD75 per site per month. | ||||||||||
Details of pass through costs will be provided in Excel and be invoiced on a monthly basis using the exchange rate on the day of invoicing. |
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 12 of 14 |
Pass-through Cost Estimate |
|
| Revised budget | PA budget | CO#01 budget | |||||
Task Description | Pricing Unit | Unit Price (AUD) | # Units | Total Price (AUD) | # Units | Total Price (AUD) | # CO Units | Total Price (AUD) | ||
Investigator Fees Estimate | - | - | - | - | - | - | - | |||
Investigator Fee - Per Screen Fail Patient | Per Screen Fail Patient | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Investigator Fee - Per Patient | Per Patient | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Site Fees- Set Up | Per Site | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Site Fees- Annual Administration | Per Site Per Year | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Close-out and Archiving Fee | Per Site | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Subtotal | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |||
Total Investigator Fees | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |||
EDC Hosting Estimate | ||||||||||
EDC Professional Services Fee -Study Conduct | Per Month (EDC) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
EDC Hosting/Licensing Fees - Medidata | Per Month (EDC) | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
EDC Professional Services Fee (URL and Coder fee) - Medidata | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Device Service & Subscription fee | Per Study | [**] | [**] | [**] | [**] | [**] | [**] | [**] | ||
Subtotal | [**] | [**] | [**] | [**] | [**] | [**] | [**] | |||
Total EDC Fees | [**] | [**] | [**] | [**] | [**] | [**] | [**]2 | - |
2 The specified activities and associated costs have been redacted to allow the CRO and any third party service provider to maintain competitive negotiations with other sponsors.
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 13 of 14 |
Schedule 3 Payment Schedule -
The following changes are made to the Security Deposit under the Project Agreement:
Security Payment- Direct Fees ([**]%) | Total (AUD) |
Upon Execution of the Agreement | [**] |
Total | [**] |
Security Payment- Pass-Through Costs ([**]%) | Total (AUD) |
Upon Execution of the Agreement | [**] |
Total | [**]3 |
3 The percentage of the Total Direct Fees and Pass Through Costs, along with the total fee value being provided as a security deposit has been redacted to allow the CRO to maintain competitive negotiations with other sponsors.
Change
Change order # 01 Schedule – | Version 1, November 2021 |
Lexaria Bioscience_GLP-1-H24-4_2024-5470 | Page 14 of 14 |