GCP 1 Flashcards
GCP 1
According to ICH GCP addendum the sponsor should develop a systematic, prioritized what type of approach to monitoring clinical trials?
A - Risk Based
B - Fast
C - Slow
D - None
A - Risk-based
Acrrcording to ICH GCP Adverse and/or laboratory abnormalities identified in the protocol as critical evaluations should be reported to the ?
A-Sponsor
B-CRC
C-CRA
D-Investigator
E-Other
A - Sponsor
According to ICH GCP adverse events, concomitant medications, and intercurrent illnesses are reported in accordance with what on the eCRFs?
A - In accordance with Protocol
B - In accordance with GCP
C - In accordance with Helsinki agreement
A - In accordance with Protocol
According to ICH GCP All serious events (SAEs) should be reported immediately to the ?
A - Sponsor
B - investigator
C - Monitor
D - IRB
A - Sponsor
According to ICH GCP an IRB/IEC should safeguard the ?
A - Rights, Safety and well-being of all trial subjects
B - The sponsor
C - The Investigator
D - Insurance
A - Rights, Safety and well-being of all trial subjects
According to ICH GCP, contract is ( ????), dated and signed agreement between two or more involved parties that sets out any arrangements on delegation and distribution of tasks and obligations and, if appropriate, on financial matters.
A - Verbal
B - Written
C - Emailed
D - Audio
B - Written
According to ICH GCP double blind usually refers to the ( ??????) being unaware of the treatment assignment (s)
A - Sponsor
B - Investigator
C - Monitor
D - Data Analyst (s)
E - subject(s), investigator (s), monitor, and in some cases data analyst(s)
E - subject(s), investigator (s), monitor, and in some cases data analyst(s)
According to ICH GCP, for how long the IRB/IEC should retain all relevant records?
A - 1 Year
B - 2 Years
C - 3 Years
D - 5 Years
E - 10 Years
C - 3 Years
According to ICH GCP how frequently should staff be trained in GCP?
A - Every Year
B - There is no Specific Requirements
C - Every 2 Years
B - There is no Specific Requirements
According to ICH GCP how much source data verification (SDV) should be done?
A - 100 %
B - 50 %
C - There is no specific requirement
C - There is no specific requirement
According to ICH GCP how soon should serious adverse events (SAEs) be reported by the investigator?
A - Every Month
B - Every Day
C - Every Week
D - Immediately to the sponsor
D - Immediately to the sponsor
According to ICH GCP if centralized monitoring is used what else should be in place?
A - Nothing
B - Extensive written guidance, investigator training and meetings
B - Extensive written guidance, investigator training and meetings
According to ICH GCP if the answer to a question is Investigator, then what could the question be?
- Who has responsibility for the investigational product accountability at the trial site?
- Who should be able to demonstrate a potential for recruiting the required number of suitable subjects within the agreed recruitment period?
- Who is responsible for the ongoing safety evaluation of the investigational product?
1 and 2 only
According to ICH GCP if the trial is prematurely terminated or suspended for any reason, the investigator/instituation should do which of the following as well as notifying IRB/EIC and local regulatory authorities.
- Return all IMP to the sponsor immediately
- Contact all subjects to ensure immediate return of all IMP
- Promptly inform the trial subject
- Should assure appropriate therapy and treatment follow-up for the subjects
3 & 4 Only
According to ICH GCP Monitors should be appointed by the sponsor. These monitors should be appropriately trained, and should have what else?
A - The scientific and/or clinical knowledge needed to monitor the trial adequately
B - Updated CV
C - Mathematical knowledge
D - Common Knowledge
A - The scientific and/or clinical knowledge needed to monitor the trial adequately
According to ICH GCP Non-Therapeutic trials may be conducted in subjects with consent of a legally acceptable representative provided the following conditions are fulfilled:
- The negative impact on the subject’s well-being is minimized and low
- The trial is not prohibited by law
- The foreseeable risks to the subjects are low
4.The objectives of he trial can not be met by means of a trial in subjects who can give informed consent personally.
1, 2, 3 and 4 (All of them)
According to ICH GCP Payments to a subject should be:
- Prorated and not wholly contingent on completion of the trial by the subject
- Payed in full no matter what
- Prorated and not wholly contingent on completion of the trial by the subject
According to ICH GCP section 5.2 Contract Research Organization, Any Trial Related duty and function that is transferred to and assumed by a CRO shield be specified in:
- Writing
- Phone call
- Writing
According to ICH GCP Section 5.8 Compensation to Subjects and Investigators which of the following is not true?
A) Sponsor should provide insurance
B) Sponsor should indemnify investigator against claims arising from negligence
C) Sponsor should indemnify investigator against claims arising from malpractice
D) Both A and B
D) Both A and B
According to ICH GCP Source data should be attributable, legible, contemporaneous, originated accurate, and complete. Changes to source data should be ???? , should not obscure the original entry, and should be explained if neccessary (e.g via and audit trail)
A) Traceable
B) Hidden
C) Clear
A) Traceable
According to ICH GCP The investigator should be thoroughly familiar with the appropriate use of the investigational product(s) as described in the:
- Protocol, investigator brochure, and in the product information
- Study documentation
- Protocol, investigator brochure, and in the product information
According to ICH GCP The investigator should submit written summaries of the trial status to the IRB/EIC.
- Monthly
- Annually
- Every Six Months
- Annually, or more frequently if requested by the IRB/IEC.
- Annually, or more frequently if requested by the IRB/IEC.
According to ICH GCP the IRB/IEC should conduct continuing review of each ongoing trial how frequently?
- Once Yearly
- Every 3 months
- At intervals appropriate to the degree of risk to human subjects, but at least once per year.
- At intervals appropriate to the degree of risk to human subjects, but at least once per year.
According to ICH GCP the IRB/IEC should conduct continuing review of each ongoing trial how often?
- Once Yearly
- Every 3 months
- At intervals appropriate to the degree of risk to human subjects, but at least once per year.
- At intervals appropriate to the degree of risk to human subjects, but at least once per year.
According to ICH GCP the IRB/IEC should promptly notify in writing:
A) It’s trial related decisions/opinion
B) The reasons for its decisions/opinions
C) Procedures for appeal of its decisions/opinions
D) All of the above
D) All of the above
According to ICH GCP the quality management system should use a ???? approach.
1) tough
2) risk-based
3) minor
4) easy understood
2) risk-based
According to ICH GCP what action should the sponsor take in the event of non-compliance by investigational site staff?
A) Prompt action by the sponsor to secure compliance
B) Routine Checkups
C) Yearly checkup
d) Every Six Months Checkup
A) Prompt action by the sponsor to secure compliance
According to ICH GCP the sponsor should take steps to ensure that the investigational product(s) are stable over what?
A) The trial period
B) Period of use
C) All the time
B) Period of use
According to ICH GCP what always resides with the sponsor?
A) Everything
B) Ultimate responsibility for the quality and integrity of the trial data.
C) No responsibility
B) Ultimate responsibility for the quality and integrity of the trial data.
According to ICH GCP, what is addendum in monitoring?
A) a document
B) Monitoring Plan
C) just a section
B) Monitoring Plan
According to ICH GCP what is the purpose of updates of medical/laboratory tests?
A) To check patient data
B) To ensure health
C) To document that tests remain adequate throughout the trial period
C) To document that tests remain adequate throughout the trial period
According to ICH GCP what Is the sponsor responsibility regarding supply of investigational Products?
A) no responsibility
B) To supply the Investigational Product (IP) to the investigator
C) To ensure investigator has its own investigational Product (IP)
B) To supply the Investigational Product (IP) to the investigator
According to ICH GCP what should the sponsors provide to investigators and/or the investigators designated representatives concerning making corrections to the eCRF?
A) Documentation
B) Guidance
C) Instructions
B) Guidance
According to ICH GCP when should the sponsor update the Investigator Brochure?
A) Monthly
B) Yearly
C) As significant new information becomes available
C) As significant new information becomes available
According to ICH GCP where advertisements for subject recruitment should be filed?
A) TV
B) Radio
C) The investigator file only
C) The investigator file only
According to ICH GCP where would you file the Signed Informed Consent Forms?
A) Investigator File
B) Sponsor File
C) Monitoring File
A) Investigator File
According to ICH GCP which document describes the strategy, methods, responsibilities, and requirements for monitoring the trial
A) Protocol
B) Monitoring Plan
C) SDV Plan
B) Monitoring Plan
According to ICH GCP which documents document the existence of the subject and substantiate integrity of trial data collected?
A) Written Documents
B) Source Documents
C) Email Documents
B) Source Documents
According to ICH GCP which of the following documents should be reviewed by the IEC/IRB?
- The Investigator’s Brochure
- The Investigator’s CV
- The subject compensation
- Payment to the Investigator
1, 2 and 3 only
According to ICH GCP which of the following is NOT one of the procedures generally included in protocols regarding Subject Withdrawal Criteria?
A) How to define withdrawals due to lack of efficacy, safety or subject no longer wanting to continue
B) None
C) All
A) How to define withdrawals due to lack of efficacy, safety or subject no longer wanting to continue
According to ICH GCP which of the following is not part of the sponsor’s responsibility for determining for Investigational product:
A) storage temperature
B) storage locations
C) storage conditions
D) storage times
B) storage locations
According to ICH GCP which of the following lists are required for clinical trials to be compliant with ICH GCP?
1) A list of appropriately qualified persons to whom the investigator has delegated significant trial-related duties.
2) A list of IRB/IEC members and their qualifications.
3) A list of the individuals who are authorized to make data changes.
All of them.
According to ICH GCP which of the following statements are true about record retention?
1) The sponsor should inform the investigator in writing of the need for record retention.
2) The sponsor should notify the investigator in writing when the trial related records are no longer needed.
3) It is the responsibility of the investigator to notify the IRB/IEC when the trial related records are no longer needed.
1 and 2
According to ICH GCP who is responsible for destruction of Investigational Product(s)?
1) Sponsor
2) Investigator
3) Monitor
1) Sponsor
According to ICH GCP Who is responsible for selecting Investigator/Institution?
A) Sponsor
B) Investigator
C) Monitor
A) Sponsor
According ICH GCP who is responsible for training the investigator in GCP?
A) Sponsor
B) Monitor
C) There is no specification
C) There is no specification
According to ICH GCP who is responsible for verifying that storage times and conditions for IMP are acceptable?
A) Sponsor
B) Monitor
C) Investigator
B) Monitor
According to ICH GCP who should be responsible for the medical care of trial subjects at site?
1) Their own doctor
2) Nurse
3) A qualified physician (or dentist, when appropriate ) who is an investigator or a sub-investigator for the trial.
3) A qualified physician (or dentist, when appropriate ) who is an investigator or a sub-investigator for the trial.
According to ICH GCP who should ensure that all persons assisting with the trial are adequately informed about the protocol, the investigational product(s), and their trial-related duties and functions?
A) Sponsor
B) Investigator
C) Monitor
B) Investigator
According to ICH GCP, ???? is a remote evaluation of accumulating data, performed in a timely manner, supported by appropriately qualified and trained persons?
A) SIte monitoring
B) Centralized monitoring
C) Office Monitoring
B) Centralized monitoring
According to ICH GCP, Documentation that allows reconstruction of the course of events is:
A) Audit Trail
B) Source Docs
C) Reports
A) Audit Trail
According to ICH GCP, the definition of Sponsor-Investigator is: An individual who ??? alone or with others, a clinical trial, and under whose immediate direction the investigational product is administered to, dispensed to, or used by a subject.
A) both initiates and conducts
B) does
C) does not
A) both initiates and conducts