GCP Study 2 Flashcards

GCP Study 2

1
Q

What would be the first priority for an investigator when a subject wishes to withdraw prematurely from the trial?

A) Enroll other patients
B) Try to obtain the subjects’ reason for withdrawal
C) Try to convince patient to stay on trial

A

B) Try to obtain the subjects’ reason for withdrawal

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2
Q

CRO recently switched from paper CRF to an EDC System. The EDC System must confirm to the established requirements for:

A) Validation, Accuracy, Reliability, Completeness (VARC)
C) Accuracy
D) Validation
E) Reliability
F) Completeness

A

A) Validation, Accuracy, Reliability, Completeness (VARC)

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3
Q

Part of Sponsor’s responsibility pertaining to electronic trial data handling is to ?

A) Maintain an audit trail, data trail, and edit trail
C) None
D) Hold investigator responsible
E) Hold ERB responsible?

A

A) Maintain an audit trail, data trail, and edit trail

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4
Q

A research subject’s responsibilities for study participation should be described in the ?

A) Protocol
B) ICF (Informed Consent Form
D) Investigator Brochure

A

B) ICF (Informed Consent Form

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5
Q

What document would an investigator reference to learn more about previous clinical and nonclinical results of studies of the IP?

A) Protocol
B) ICF
C) IB (Investigator Brochure)}

A

C) IB (Investigator Brochure)}

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6
Q

During a multi-site clinical study, whose responsibility is it to report subject recruitment rate?

A) Sponsor
B) Investigator
C) CRA

A

C) CRA

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7
Q

An unconscious adult subject was enrolled in a study after obtaining consent from an LAR, and protocol therapy was initiated. The subject showed significant improvement in his clinical condition, and regained consciousness. The investigator should inform the subject about the study and?

A) Obtain consent from the subject for the study
B) Do noting since LAR approved consent
C) Get consent from his family

A

A) Obtain consent from the subject for the study

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8
Q

A site is in the startup phase of an industry sponsored phase 3 trial and has received IRB approval. The site can begin enrolling subject after?

A) A signed clinical trial agreement is in place between the sponsor and the site
B) Immediately
C) After IRB gives the go ahead

A

A) A signed clinical trial agreement is in place between the sponsor and the site

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9
Q

A research study in which there is no intended clinical benefit to the subject is being submitted to the IRB. What benefit information should be included in the ICF?

A) Financial benefit being provided to patients
B) Nothing
C) wording indicating that there is no expected benefit

A

C) wording indicating that there is no expected benefit

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10
Q

A site is screening potential subjects for a study looking at mild cognitive impairment. One of the inclusion critera is a score of 25 or less on a psychometric test, a research specific tool which measures cognitive ability. Which of the following individuals can administer the psychometric test to the potential subjects?

A) Doctor
B) Dentis
C) Nurse
D) A research assistant who is certified to administer the psychometric test

A

D) A research assistant who is certified to administer the psychometric test

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11
Q

A CRA notices during an onsite visit that the date on IRB approval letter for a protocol is prior to the effective date indicated on the cover page of the protocol and the signatures of the investigator and sponsor. What should the CRA do first?

A) Nothing
B) Confirm dates of initial receipt of the sponsor protocol and the IRB submission dates.
C) Notify the sponsor

A

B) Confirm dates of initial receipt of the sponsor protocol and the IRB submission dates

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12
Q

In a multi arm, randomized clinical trial, one arm of the protocol was terminated due to an increased risk of cancer in subjects. Who is responsible for providing a written report to the IRB?

A) Sponsor
B) CRA
C) PI (Principal Investigator)
D) CRC

A

C) PI (Principal Investigator)

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13
Q

After completion of a study, the final trial close out monitoring report prepared by the CRA should be filed in which of the following stakeholder files?

a) Sponsor’s files
b) investigator files
C) IRB files

A

a) Sponsor’s files

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14
Q

A blood sample collection is required to screen for bloodborne pathogens before subject could be enrolled in a study. Where will subjects find information of the procedures and any foreseeable risks or inconveniences?

A) ICF (Inform Consent Form)
B) IB (Investigator Brochure)
C) Protocol

A

A) ICF (Inform Consent Form)

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15
Q

When should a research study involving human subjects be registered in a publicly accessible database?

A) Before signing protocol
B) Before recruiting the first subject
C) After securing first site

A

B) Before recruiting the first subject

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16
Q

In the case of an incapacitated subject, who should receive a copy of the signed and dated ICF?

A) Wife
B) Family
C) The subjects legally acceptable representative

A

C) The subjects legally acceptable representative

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17
Q

A medical student is approached by a faculty member for possible participation in a cricothyroidotomy simulation research study. Which of the following increases risk to the study?

A) Consenting in the presence of figure of authority
B) Not consenting
C) Delaying consent

A

A) Consenting in the presence of figure of authority

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18
Q

A research study, in which there is no intended clinical benefit to the subject, is being submitted to the IRB/IEC. What benefit information should be included in the ICF?

A) The benefits section should be left out on the ICF, as it is not applicable.
B) Wording indicating that there is no expected clinical benefit should be included
C) A section on the benefits of clinical research in general should be added.
D) a description of the subject visit stipends should be included as a benefit

A

B) Wording indicating that there is no expected clinical benefit should be included

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19
Q

Prior to archiving a study, documentation of IP destruction at the site should filed in the study files of the ?

A) PI
B) SPONSOR
C) PI AND SPONSOR

A

C) PI AND SPONSOR

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20
Q

During a monitoring visit, what records would a CRA reference to verify a subject’s compliance to the study visit schedule and assessments?

A) Protocol
B) IB (Investigator Brochure)
C) Electronic Medical Records

A

C) Electronic Medical Records

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21
Q

Which of the following required elements should be included in a clinical trial protocol?

A) Subject Inclusion and Exclusion criteria
B) Nothing
C) Design Criteria

A

A) Subject Inclusion and Exclusion criteria

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22
Q

When considering participation in a study, the investigator should determine if he?

A) is ready for a study
B) he sees enough patients who would qualify for the study
C) has enough funds to lead the study

A

B) he sees enough patients who would qualify for the study

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23
Q

New safety information has become available from the Sponsor about the IP being used ina clinical trial. The investigator must:

A) Submit a revised ICF to the IRB noting the new safety information
B) Continue study
C) Update Sponsor

A

A) Submit a revised ICF to the IRB noting the new safety information

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24
Q

Per ICH, and IRB must keep correspondence for at least how long after the completion of a clinical trial?

A) 1 year
B) 5 Years
C) 3 years

A

C) 3 years

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25
Q

When would an impartial witness be needed during the consent process for an illiterate subject?

A) to observe the consent process
B) review consent process.
C) not needed

A

A) to observe the consent process

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26
Q

A study which seeks to determine the ideal dose and regimen of a new IP to treat hypothyroidism is considered to be?

A) Phase 1
B) Phase 2
C) Phase 3
D) Phase 4

A

B) Phase 2

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27
Q

An investigator is notified by the sponsor that a study will terminate. The PI would like to continue to follow the subjects for another year. What should the PI do?

A) Continue following the subjects in the study
B) Request permission from the IRB/EIC to continue the study
C) Consent subjects to a new IRB/IEC approved protocol
D) Request IP from the sponsor to continue the study

A

C) Consent subjects to a new IRB/IEC approved protocol

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28
Q

Which of the following is an optional section of the IB?

a) Safety
b) Marketing Experience
c) Non-clinical studies
d) Signature page

A

d) Signature page

29
Q

A PI is having challenged retaining subjects in the follow-up portion of a clinical trial. he decides to offer gift cards to them for each visit they attend. What should the PI do to initiate this option?

a) Tell the CRC to purchase the gift cars and notify patients
b) Wait for IRB approval and then purchase gift cards
c) Tell the sponsor and have the sponsor purchase gift cards
d) wait for sponsor approval and then purchase gift cards

A

b) Wait for IRB approval and then purchase gift cards

30
Q

When conducting the informed consent process with a potential subject, what is the most important aspect of consent?

A) The person understands the language of the consent
B) The person has an LAR
C) The person has family members close to him

A

A) The person understands the language of the consent

31
Q
A
32
Q

A PI wants to start a clinical trial on acute stroke patients. Most of the patients will not be conscious when they arrive at the hospital with their family. Which of the following is true regarding the unconscious patients?

A) They can consent on their own
B) They will need an LAR to consent on their behalf
C) They need a family member to consent on their behalf

A

B) They will need an LAR to consent on their behalf

33
Q

A PI wants to start a clinical trial on car accident victims. Most of the patients will be conscious when they arrive at the hospital with their families, but they will be in shock. Which of the following is true?

A) The consent discussion must be conducted after the hospital staff finished treating the patient.
B) The potential subjects will not be involved in the consent discussion since they are incapacitated
C) the potential subjects can provide consent for themselves since they are conscious.
D) As soon as the capacity is regained, the subjects should confirm their consent to remain in the study.

A

D) As soon as the capacity is regained, the subjects should confirm their consent to remain in the study.

34
Q

Following the completion of the first phase III study the sponsor has decided to begin studying the IP in the pedicatric population. How should the sponsor proceed?

A) Use the same protocol
B) Develop a pediatric protocol

A

B) Develop a pediatric protocol

35
Q

A subject is enrolled in a clinical trial by obtaining consent from a LAR. The subject is asked to consent 3 days later and refuses participation in the study. The CRA arrives onsite to monitor the data collected up to day 3. Is the CRA able to see source documents?

A) Yes, because there is consent on file
B) No, because subject withdrew consent
C) Yes, because data can be used up to the date of withdrawal from the study
D) No, because the LAR consent does not apply

A

B) No, because subject withdrew consent

36
Q

New safety information has become available from the sponsor about the IP being used in a clinical trial. The investigator must:

A) Email each participant with the new safety information
B) Submit a revised ICF to the IRB/IEC noting the new safety information
C) Discuss the new safety information on the phone with the participants
D) Make a note in the patient chart

A

B) Submit a revised ICF to the IRB/IEC noting the new safety information

37
Q

When should a research study involving human subjects be registered in a publicly accessible database?

A) Before the enrollment of the first participant
B) After the interim analysis
C) Both A and B

A

A) Before the enrollment of the first participant

38
Q

A study which seeks to determine the ideal dose and regimen of a new IP to treat hypothyroidism is considered to be:

A) Phase I
B) Phase II
C) Phase III
D) Phase IV

A

B) Phase II

39
Q

A pediatric dermatologist wishes to be PI on a new study looking at blood serum levels of a new pediatric leukemia drug. The study requires a high number of blood draws but is still an acceptable volume. the sponsor provided the IB and the PI has evaluated the risk/benefit of the IP, signed off on the protocol, and submitted to the central IRB/EIC for the study. The IRB/EIC sends back a disapproval of the research submission. What is the most likely reason the IRB/IEC returned a not favorable opinion to the PI?

A) The submission should have been to the institutional IRB/EIC
B) Risk to pediatric subjects is too high due to the blood volume required
C) The risk/benefit evaluation of the IP is unfavorable
D) The investigator is not qualified to the PI on this study.

A

D) The investigator is not qualified to the PI on this study

40
Q

During an interim monitoring visit, the CRA observes a recruitment poster that has not been approved for use by the IRB/IEC hanging in the hospital elevator. What is the CRA’s next action?

A) remove the unapproved poster.
B) Report the GCP violation to the sponsor
C) Report the GCP violation to the IRB/IEC
D) Report the GCP violation to the PI

A

D) Report the GCP violation to the PI

41
Q

A serious adverse event is on that is?

A) Severe
B) Life-threating
C) Related to IP
D) not related to IP

A

B) Life-threating

42
Q

Per ICH, an IRB/IEC must keep correspondence for at least how long after the completion of a clinical trial?

A) 2 years
B) 3 years
C) 15 years
D) 25 years

A

B) 3 years

43
Q

A CRA notices during an onsite visit that the date on IRB/IEC approval letter for a protocol is prior to the effective date indicated on the cover page of the protocol and the signatures of the investigator and sponsor. What should the CA do FIRST?

A) Confirm dates of initial receipt of the sponsor and the IRB/IEC submission dates
B) Ask the IRB/IEC to correct the approval letter since they made a mistake
C) Ask the sponsor and PI to update the signatory page
D) Submit the protocol deviation to the IRB/IEC

A

A) Confirm dates of initial receipt of the sponsor and the IRB/IEC submission dates

44
Q

In a multi-Arm randomized clinical trial, one arm of the protocol was terminated due to an increased risk of breast cancer in the subjects. Who is responsible for providing a written report to the IRB-IEC?

A) CRC
B) Sponsor
C) PI
D) CRA

A

C) PI

45
Q

After completion of a study, the final trial close-out monitoring report prepared by the CRA should be fled in which of the following stakeholder files?

A) Sponsor’s files
B) investigator’s files
C) The sponsor’s and the investigator’s files
D) The investigator’s, sponsor’s, IRB/IEC’s files

A

A) Sponsor’s files

46
Q

During a multi-site clinical study, whose responsibility is it to report subject recruitment rate?

A) The CRA
B) The IRB Chair
C) Medical Monitor

A

A) The CRA

47
Q

A sponsor is developing an IP for treatment of a medical condition where there is one additional marketed product approved for treatment of the condition. The sponsor believes their product works as well or better than the current treatment with fewer side effects. What is the most likely study design they will use to test the efficacy of the IPS?

A) Superiority
B) Equivalence
C) non-Inferiority
D) Dose-response

A

C) non-Inferiority

48
Q

Centralized monitoring supports clinical data review by:

A) Eliminating the need for onsite visits
B) Requiring a call to the PI
C) Examining Data Trends
D) Identifying fraud

A

C) Examining Data Trends

49
Q

A sponsor decides to use the services of a CRO for a proposed study. What is required for this to happen?

A) Any trial-related duty must be specific in writing
B) Favorable opinion from the IRB/IEC
C) No contract is required if they are a preferred vendor
D) A verbal agreement is all that is needed

A

A) Any trial-related duty must be specific in writing

50
Q

When can PI be shipped to the trial site?

A) After filing the PO with the regulatory agency
B) After the site initiation visit
C) After the investigator meeting
D) After IRB/EIC Approval

A

D) After IRB/EIC Approval

51
Q

During a monitoring visit, what records would a CRA reference to verify a subject’s compliance to the study visit schedule and assessments?

A) Clinic’s appointment schedule
B) Electronic medical record
C) Drug accountability records
D) Recruitment Log

A

B) Electronic medical record

52
Q

Prior to archiving a study, documentation of IP destruction at the site should be filled in the study files of the:

A) Sponsor and regulatory authorities
B) IRB/IEC and PI
C)Regulatory authorities and IRB/IEC
D) PI and Sponsor

A

D) PI and Sponsor

53
Q

A site is screening potential subjects for a study looking at mild cognitive impairment. One of the inclusion criteria is a score of 25 or less on a psychometric test, a research specific tool which measures cognitive ability. Which of the following individuals can administer the psychometric test to the potential subjects?

A) A sponsor representative who is experienced in using the psychometric test
B) A research assistant who is certified to administer the psychometric test
C) The PI who is familiar with these patients and their cognitive ability
D) A new CRC who is very familiar with this patient population.

A

B) A research assistant who is certified to administer the psychometric test

54
Q

When considering participation in a study, the investigator should determine if he/she:

A) Sees enough patients who would qualify for the study
B) Has ever used the EDC system that will be used for the study
C) Has any financial stake in the sponsor’s stock
D) Can obtain IRB/IEC approval of advertisement material

A

A) Sees enough patients who would qualify for the study

55
Q

A site is in the start-up phase of an industry sponsored phase 2 trial and has received IRB/IEC approval. The site can begin enrolling subjects after

A) The CRA has conducted a site initiation visit
B) The first DSMB/IDMC meeting report has been issued
C) The site receives approval from the medical monitor to begin enrolling
D) Signed clinical trial agreement between the site and sponsor is in place

A

D) Signed clinical trial agreement between the site and sponsor is in place

56
Q

A research subject’s responsibilities for study participation should be described in the:

A) Protocol
B) Patient Diary
C) IRB/IEC Submission
D) ICF

A

D) ICF

57
Q

What would be the first priority for an investigator when a subject wishes to withdraw prematurely form the trial?

A) Inform the subject’s primary physician about the withdrawal.
B) Inform the subject’s primary physician about the withdrawal
C) Explain the benefits of continued participation in the trial
D) Try to obtain the subject’s reason for withdrawal.

A

D) Try to obtain the subject’s reason for withdrawal.

58
Q

Which of the following is the best way to assess subject compliance taking once daily IP?

A) Dispending 30 days of IP to the subject and asking them to return on day 29 for their next batch.
B) Calling the subject weekly and asking them to report if they have taken IP for the last week.
C) Providing blister packs with the “date to be taken” indicated on the package for each pill.
D) Counting the number of pills returned and not taken, at the subjects next follow up visit.

A

D) Counting the number of pills returned and not taken, at the subjects next follow up visit.

59
Q

What document would an investigator reference to learn more about the previous clinical and nonclinical results of studies of the IP?

A) Protocol
B) Clinical Study Report
C) Product Monograph
D) Investigator’s brochure

A

D) Investigator’s brochure

60
Q

Which of the following required elements should be included in a clinical trial protocol?

A) The subject’s responsibilities
B) The alternative treatments that may be available to the subject
C) The subject inclusion and exclusion criteria
D) The compensation available to the subject for trial-related injury

A

C) The subject inclusion and exclusion criteria

61
Q

The primary purpose of blinding a clinical trial is to:

A) compare the efficacy of two established treatments
B) ensure equal number of subjects in each treatment arm
C) prevent identification of the treatment a subject receives
D) randomly assign subjects to the treatment arms

A

C) prevent identification of the treatment a subject receives

62
Q

Under what circumstance can breaking the blind during the study be considered?

A) During an inspection by the regulatory agency
B) If the subject wishes to know their treatment assignment
C) During interim analysis
D) When knowledge of the treatment is essential for medical care of the subject

A

D) When knowledge of the treatment is essential for medical care of the subject

63
Q

A phase III clinical trial evaluating IP versus a placebo is to be conducted in children. Which of the following can be considered a rationale for conducting the study?

A) It will be easier to recruit from a pediatric than an adult population
B) There is no current treatment for the indication in children
C) The results of the study can be used to find out safety information about the IP.
D) The investigators want to learn about the pharmacokinetics of the IP.

A

B) There is no current treatment for the indication in children

64
Q

A PI wants to conduct a study proving drug A is a good treatment option; better than no drug and better than drug B, which currently is the only marketed treatment option. The study design involves two study arms, where subjects are randomized 1:1 to receive either drug A or drug B. Is this a good study design to answer the question?

A) Yes, because it compared drug A to drug B
B) yes, because it randomizes the subjects
C) No, because it needs another study arm
D) No, because drug B is the approved standard

A

C) No, because it needs another study arm

65
Q

What type of clinical trial most likely requires enrollment of the largest number of research subjects?

A) Therapeutic use
B) Pharmacokinetic
C) Therapeutic exploratory
D) Therapeutic confirmatory

A

D) Therapeutic confirmatory

66
Q

A CRO recently switched from paper CRF to an EDC system. The EDC system must conform to the established requirements for:

A) validation, accuracy, reliability, and completeness.
B) accuracy, validation, readability, and completeness
C) completeness, editability, accuracy, and readability
D) editability, validation, completeness and dependability

A

A) validation, accuracy, reliability, and completeness.

67
Q

Part of a sponsor’s responsibility pertaining to electronic trial data is to :

A) Provide a guidance document for changing the electronic trial data handling system
B) maintain an audit trail, data trail, and edit trail
C) maintain a list of all user passwords
D) ensure that the systems are designed to completely eliminate data entry errors.

A

B) maintain an audit trail, data trail, and edit trail

68
Q

Which of the following documents are required to be maintained in the sponsor files?

A) Subject recruitment advertisements
B) Signed informed consent forms
C) Subject identification code list
D) Monitoring Visit reports

A

D) Monitoring Visit reports