17 januari: GCP responsibilities Flashcards

1
Q

What are the differences (2) in responsibilities between the IRB and IEC?

A

1) geography;

2) IRB gives approval, IEC gives favourable opinions

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2
Q

In the review of an ethical submission, what is the general timeline for approval of the ECs (e.g. how many days)?

A

60 days. unlimited time for xenogenic cell therapy.

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3
Q

Name the 5 investigator obligations/tasks.

A
  • Familiar with appropriate use of IP
  • Comply with GCP and applicable regulations
  • Permit monitoring and auditing by sponsor
  • Permit inspection by regulatory authorities
  • Maintain list of appropriate qualified persons to whom significant trial related duties are delegated
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4
Q

Name the 4 investigator resources.

A
  • Recruitment of subjects
  • Time to conduct the trial (Sufficient time to properly conduct trial and complete trial within agreed period)
  • Appoint qualified staff and adequate facilities for duration of trial
  • Inform all involved staff in trial about the protocol, the investigational product and their duties and functions
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5
Q

why is it recommended to inform the primary physicians of the subjects in case of CT participation?

A

To prevent involving double dippers: People living of CT compensation, involved in multiple simultaneous CTs

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6
Q

What should the investigator submit to the EC (3 things)?

A

• Investigator should provide current copy of IB and updates during the trial
• Investigator should provide (updated) documents for continuous review
- annual risk assessment

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7
Q

Who is responsible for the IP, on-site, and what are the related responsibilities (3)?

A

the investigator, but this may also be delegated to the pharmacist.

  • proper storage
  • compliance with protocol
  • informing subjects
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8
Q

In the case of code breaking (as result of e.g. SUSAR of SAE), what should be done with the patients data?

A

Unblind, and exclude from data analysis (if before database lock)

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9
Q

How long should records be retained, and who is responsible for that?

A

2 years after last approval of MAA (in ICH region), sponsor’s responsibility.

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10
Q

What kind of agreements (2) are there between the CRO, sponsor, and investigator?

A

1) financial agreement

2) trial agreement

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11
Q

Which events do you need to report to the sponsor?

A

All AEs and laboratory abnormalities

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12
Q

Which events do you need to report to the IRB/IEC?

A

SAEs (e.g. autopsy report to confirm unrelatedness to drug)

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13
Q

When do you prematurely terminate a CT? (5 reasons)

A

(1) unethical to continue trial, (2) non-efficacy has been demonstrated, (3) control has more effect, (4) funds-related, (5) non-compliance

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14
Q

The sponsor is responsible for quality … and ….? Also, name the related tasks.

A

assurance (in compliance with protocol, GCP, and regulatory requirements) & control (verification of standards being upheld)

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15
Q

What are sponsor’s responsibilities regarding finances?

A
  • insurance
  • potential compensation
  • financial agreement w/ investigator
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16
Q

What are the 3 purposes of monitoring?

A

1) verify to protection of rights and well being of subject
2) verify accurate, complete, verifiable trail data
3) verify conduct of the trail in compliance with ICH-GCP, SOPs, protocol, and application ….

17
Q

what are possible benefits and risks of multi-centre trials?

A

+ reduced researcher and measurement bias
+ more diverse subject sample
- more complex coordination