21 CRF 312 Flashcards

1
Q

Transfer of responsibility from sponsor to contract research organization (CRO)

A

A sponsor may transfer responsibility of any or all of its obligations to a contract research organization

if not all obligations are transferred, the writing is required to describe each of the obligations being assumed by the CRO.

any obligations not covered by the written description shall be deemed not to have been transferred

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2
Q

Form FDAs included in an IND application

A
  • FDA Form 1572 – Statement of Investigator
  • FDA Form 1571 – Investigational New Drug
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3
Q

For INDs that require an exception from informed consent under 21CFR50.24, a separate IND is required by …

A

Sponsor or CRO if all Sponsor obligations are transferred to the CRO

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4
Q

Which Phase?

studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness.

A

Phase 1

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5
Q

Which phase?

sufficient information about the drug’s pharmacokinetics and pharmacological effects should be obtained. Total number of subjects and patients varies with the drug, but is generally in the range of 20 to 80.

A

Phase 1

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6
Q

Which phase?

Controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short term side effects and risks associated with the drug

A

Phase 2

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7
Q

Which phase?

Expanded controlled and uncontrolled trials. performed after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather the additional information about effectiveness and safety that is needed to evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling. Usually include several hundred to several thousand participants

A

Phase 3

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8
Q

Outcomes that define serious adverse event or serious suspected adverse reaction

A

a. Death

b. Life-threatening adverse event

c. Inpatient hospitalization or prolongation of existing hospitalization

d. A persistent or significant incapacity or disability

e. A congenital anomaly/birth defect

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9
Q

Which FDA form is completed to report IND safety reports (that are unexpected fatal or life- threatening suspected adverse reaction) by a manufacturer

A

Form FDA 3500A

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10
Q

Definition of “unexpected”

A

Adverse events or suspected adverse reactions that are mentioned in the IB as occurring with a class of drugs

or as anticipated from the pharmacological properties of the drug but are not specifically mentioned as occurring with the particular drug under investigation

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11
Q

Who is responsible for retaining records and reports required by this part for how many years after a marketing application is approved for a drug; or, if an application is not approved, until how many heat after shipment and delivery of the drug for investigational use is discontinued and FDAhas been notified

A

Sponsor or investigator

2 years, 2 years

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12
Q

Who shall obtain a commitment from whom to promptly update financial disclosure information if any relevant changes occur during the course of the investigation and for how long following the completion of the study

A

Sponsor, clinical investigator, 1 year

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13
Q

Whose responsibility is it to ensure that all associates, colleagues, and employees assisting in the conduct of the study are informed about obligations in meeting the trial commitments

A

Investigator

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14
Q

Which phase?

include studies of drug metabolism, structure-activity relationships, and mechanism of action in humans. studies in which investigational drugs are used as research tools to explore biological phenomena or disease processes

A

Phase 1

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15
Q

Which phase?

well controlled, closely monitored, conducted in a relatively small number of patients, usually involving no more than several hundred

A

Phase 2

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16
Q

General responsibilities of sponsors (or CRO if they take responsibilities from sponsors)

A
  • selecting qualified investigators
  • providing investigators with information they need to conduct the investigation properly
  • ensure proper monitoring of investigation
  • ensure that the investigation is conducted in accordance with the general investigational plan and protocols in IND
  • maintaining effective IND with respect to investigations
  • ensure FDA and all investigators are promptly informed of significant new adverse effects or risks
17
Q

Who’s role?

selecting qualified investigators

A

Sponsor

18
Q

Who’s role?

providing investigators with information they need to conduct the investigation properly

A

Sponsor

19
Q

Who’s role?

ensure proper monitoring of investigation

A

Sponsor

20
Q

Who’s role?

ensure that the investigation is conducted in accordance with the general investigational plan and protocols in IND

A

Sponsor

21
Q

Who’s role?

maintaining effective IND with respect to investigations

A

Sponsor

22
Q

Who’s role?

ensure FDA and all investigators are promptly informed of significant new adverse effects or risks

A

Sponsor

23
Q

Who’s role?

control of drug: shipping INDs only to investigators participating in investigation

A

Sponsor

24
Q

Who’s role?

obtain information from investigator before investigation can begin

A

Sponsor

25
Q

Who’s role?

providing investigator with investigator brochure before the investigation begins

A

Sponsor

26
Q

Who’s role?

keep each participating investigator informed of new observations reported, particularly with respect to AEs

A

Sponsor

27
Q

Who’s role?

monitoring the progress of all investigations being done under IND

A

Sponsor

28
Q

General responsibilities of investigators

A
  • ensuring that an investigation is conducted according to the signed investigator statement, the investigational plan and applicable regulations
  • protecting the rights, safety, and welfare of subjects under the investigator’s care
  • the control of drugs under investigation
  • obtain informed consent of each human subject
29
Q

Who’s role?

ensuring that an investigation is conducted according to the signed investigator statement, the investigational plan and applicable regulations

A

Investigator

30
Q

Who’s role?

protecting the rights, safety, and welfare of subjects under the investigator’s care

A

Investigator

31
Q

Who’s role?

the control of drugs under investigation: administering the drug only to subjects under the investigator’s or sub-investigator’s supervision

A

Investigator

32
Q

Who’s role?

obtain informed consent of each human subject

A

Investigator

33
Q

Investigator reports

A

Progress reports

Safety reports

Final report

Financial disclosure report

**All of these are reports to the sponsor

34
Q

Who’s role?

assurance of IRB review

A

Investigator