Terms Flashcards
Conmed
Any medicine that patient is taking that is not the study drug
Clinical research associate
Also known as a clinical monitor, trial monitor, or site manager
INDA
Investigational new drug application: Application filed with the FDA after completion of pre-clinical and prior to human testing
NDA
New drug application: submitted after completion of phase 1, 2, & 3 studies of clinical trials. Application filed with the FDA for sale and marketing of the drug product
Phase 1
-usually healthy subjects (except oncology/HIV)
-Done to determine whether humans and animals shows significantly different responses to the drug and establish safe clinical dosage right
-Many predictable toxicities are detected in this phase
-use dose escalation (3+3 design)
-non blind
Phase II
-studied in subjects w target disease
-single blind or double blind
-phase IIA: dosing requirements (how much drug should be given
-phase IIB: study efficacy (how well drug works)
Phase III
-much larger sample size
-Double blind and crossover techniques are frequently used
-Difficult to design and execute it are usually expensive because of large number of subjects
-certain toxic effects, especially those caused by immunological processes, may first come apparent here
Phase IV
-aka: Post marketing surveillance trial
-careful and complete reporting of toxicity by physicians after marketing begins
-monitoring the safety of a a new drug under actual conditions of use in large #s of patients
PQV
-pre-qualification visit aka pre-site selection visit, qualification site visit
-conducted in order to confirm whether the site is qualified to participate in a study
-1 qualification visit per site per study
-MUST obtain a confidential disclosure agreement prior to PQV
-try to collect all essential documents
-can be waived if a PQV has been conducted by another CRA within the same year
-assess site facility: recruitment,budget,IP storage et
SIV
Site initiation visit
-Conducted once this site has been selected and the site receives a greenlight approval
-IRB approval and all essential documents collected (CVs, FDs, MLs, GCP certificate, CLIA,CAP,RR) try to collect these at PQV
-only one SIV per site per study
-formal training provided by the CRA to personnel at site
-drug accountability
RMV
Routine Monitoring Visit aka interm monitoring visit
-1st RMV is usually conducted 2 weeks after 1st subject has been enrolled/randomized
-multiple RMVs per site
-conducted in order to make sure site is following study specifications/guidelines
-drug accountability -regulatory binder maintained
RMV prioritizing
1) sign in
2) review subjects who’ve had SAE
3) review newly enrolled subjects
4) review previously enrolled subjects
5) complete drug accountability
6) review regulatory binder
7) meet with PI and study team
8) schedule next visit
COV
Close out visit aka termination visit
-occurs once per site per study
-conducted at the end of the study
-study close out letter is obtained from IRB
CDA
Confidential disclosure agreement
-Legal contract between the CRO/sponsor and the site The outline confidential material, knowledge, or information that parties wish to share with one another for certain but wish to restrict access to or by third-party. It is contracted through which the parties agree not to disclose information covered
ICH
International Council for harmonization
-A project that brings together the regulatory authorities of Europe, Japan, and the US and experts from some pharmaceutical industry and three regions to discuss scientific and technical aspects of pharmaceutical production
SC
Study coordinator
-The CRA’s primary contact at the site
-Performed many tasks such as entering data, reporting Sae, ordering study drug, scheduling subject visit, scheduling monitoring visit, updating the site regulatory binder
RC
Regulatory coordinator
-Person at the site that is responsible for maintaining the regulatory binder. They ensure all essential documents are kept up-to-date including CVs ML etc
CV
Curricula Vitae
A resume that states the individual skills and background
FDF
Financial disclosure form
-A document that confirms the PI or sub-I does not have any financial interest within the study
-Collected at the beginning and at the end of study
SOA/1572
Statement of agreement
-Confirms that the PI is responsible for the overall concept of the study
-includes address of PI and sites where subjects are seen
-federal document
-Usually amended as trial goes on
IB
Investigational Brochure
-a comprehensive document summarizing the body of information about an investigational product
-Atlas information regarding the safety of the drug and statistical data around adverse events associated with the drug
CLIA
Clinical laboratory improvement amendments
-A laboratory certificate that certifies the lab
-Expires yearly an updated copy needs to be collected once expires
CAP
Certified authorization professional
-An additional certificate that some sites have in addition to the CLIA
- It’s an objective measure of the knowledge, skills, and abilities required for personnel involved in the process of authorizing and maintaining information system
RR
Reference ranges
-A range of numbers in which value is placed to determine if a result is normal
SSDL/DOA
Site signature delegation log/delegation of authority
-A log that has everyone at the site listed along with the tasks that they will perform that was delegated by the PI
-Make sure that those who are specifically delegated to do the task has been trained and suitable for the task
SOP
Standard operation procedure
-Step by step instructions compiled by an organization to help workers carry out Routine operations
-Used to aim to achieve efficiency, quality output, and uniformity of performance while reducing miscommunication and failure to comply with the industry regulations
CMP
Clinical monitoring plan
-The plan establishes the guidelines for conducting monitoring visits and related task for monitoring
-What they want you to do while you’re on site (ie. how much time spent at each site
NTF
Note to file
-A document that provides a detailed description regarding a discrepancy noted during the clinical study
-ie. there’s a confirmation letter missing so you make note of it to cover yourself, or temperature excursion
-NTF are general but should be in regulatory binder and eTMF
SDV
Source data verification
-A review of the data collected from the site to confirm that the data matches exactly what is entered in the EDC system
-SDV conducted to ensure the data collected is reliable
-SDV is process to evaluate the conformity of the data presented in CRF (case report form=the data collected in the EDC are CRF)
EDC
Electronic data capture
-Framework of the subjects chart
-Should be an exact replica of SDV
-only the site can enter data
-CRA will have read only access
-Only able to question the data or close the query
CRF
Case report form
-The data collected in the EDC are CRF
CTCAE
Common terminology criteria for adverse events
-only graded by PI
-from 1-5 (5 being death)
DBL
Database lock
-A lock of the data entered within the EDC system
-No changes or queries can be entered if the DBL occurs
-This typically occurs at the end of the study and is permanent
IA
Interim analysis/soft lock
-A lock of the data entered within the EDC system during setpoints of the study
-Typically this occurs when certain end points are reached
-This is not a permanent lock
IP
Investigational product (drug)
-The actual study drug that is used during a clinical study
SAE
Serious adverse event
-Any untoward event that may or may not be related to the study drug which results in death, hospitalization for 24 hours or greater, causes birth defect, causes significant disability, life-threatening, medically significant
AE
Adverse Event- Any untoward event that may or may not be related to the study drug that was not originally identified within the subject medical history
PD
Protocol Deviation
-An alter in the protocol guidelines that do not affect the subject safety
-if major deviation address with the PI and SC
-possibly retrain site
-enter NTF
PV
Protocol violation
-an altar within the protocol guidelines that affects the subject safety
SOC
Standard of care
-The normal care that is provided for the sites guidelines
TA
Therapeutic area
-Refers to a generalized organ system/disease in which a study is conducted
Ie. Oncology, cardiology, general medicine
Indication
-Specifics of the therapeutic area
-for example oncology is the therapeutic area and the indication would be prostate cancer, breast cancer
Regulatory Binder
Aka study file notebook, investigator site file, investigator site manual
-houses all regulatory docs
-essential documents collected and routed to sponsor
-reviewed and reconciled/replica of eTMF(CRO access)
-Delegation of Authority Log reviewed and verified
-gaps or delays noted in reporting expedited SUSARDS
-eTMF is a replica of this
CRF
Case Report Form
Used by sponsor to collect data from each participating subject
Informed Consent Document
-describe study in language the person can understand
-must be signed and dated by:
—subject or Legally Authorized Representative LAR)
—investigator
—person obtaining the consent (if not an investigator)
-subject must be given a copy
-Informed consent process is finished when study is closed and final reports are issued
-MUST make sure subject signs ICF prior to any study procedure being conducted
-subject should be re-consented if language has been changed in original ICF
eTMF
Electronic trial master file
-exact replica of regulatory binder (aka ISF)
-sponsor and CRA access only
Certified Copy
-copy of any source and it is stamped and signed by someone on site (usually the PI)
-certified copies of the EMR
-these are copies of the records that are printed and filed in the patients chart
Risk base monitoring
-Process of ensuring the quality of clinical trials by identifying, assessing, monitoring, and medicating the rest that could affect the quality or safety of a study
-study team decides they only want specific risk points (ie: informed consent, visit dates, inclusion/exclusion criteria met, dosing)
ALCOA
Attributable, Legible, Contemporaneous (sequential), Original, Accurate and Complete
-the guidelines/standards set by the FDA for data collection
IM
Investigator Meeting
-A meeting in which PI’s, SC‘s, medical team, study team, and sponsor team are present to provide formal training together with our site that will participate on the study
CRO
Clinical Research Organization
-Support for the pharmaceuticals, bio technology, and medical device industry in the forms of research services outsourced on a contract basis
-a CRO is contracted by a sponsor (ie. Johnson&Johnson) to conduct clinical trial
-the sponsor is the actual pharmaceutical or biotechnology company who makes the drug or device
Confirmation Letter
-Sent to the site via email prior to the site visit
-copy should be in regulatory binder
-need this for EACH visit. Usually want at least 7 days in advance
Follow up Letter
-all visits require this to be sent to the site via email after the completion of the visit
-all visits require this. Includes what you did during the visit, and findings or issues that need to be resolved
Share point
-this is where everything is housed
-each study has its own share point