Clinical Trial Documents

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Clinical trial documents:Protocol,CRF & IB Dr.Pratibha Nadig M.D. ICRI Bagalore

The Protocol 

The document that describes the objectives,design,methodology ,statistical considerations and organisation of a trial.



ICH-GCP1.44

Contents of the Clinical trial Protocol (Section6 ICH-GCP) 1. 2. 3. 4. 5. 6.

General information Background information Trial objectives and Purpose Trial design Selection and withdrawal of subjects Treatment of subjects

Contents of the Clinical trial Protocol (Section6 ICH-GCP 1. 2. 3. 4. 5.

Assesment of efficacy Assesment of safety Statistics Direct access to the source documents Quality control and quality assurance procedures

Contents of the Clinical trial Protocol (Section6 ICH-GCP 12.Ethics 13.Data handling and record keeping 14.Financing and insurance 15.Publication policy 16.Supplements

General information 

Protocol title identifying number and date



Name and address of 1.the sponsor and monitor 2.persons authorized to sign the protocol

 

General information Name,addresses,title and telephone numbers of  1.Sponsors’medical expert or dentist  2.INVESTIGATOR  3.Qualified physician who is responsible for all trial-site related medical decisions.

General information Name and addresses of  Laboratories and any other institutions involved in the trial

Background 

About the investigational product,



Studies done so far,rationale for the study ,literature review etc.

Trial objectives and purpose 

Primary



secondary

Trial design      

End points Type of the trial Randomization Blinding Treatment duration Dosage, route of administration

Trial design 

Criteria for discontinuation of the trial



Identification of the data to be recorded directly on the CRF

Selection and withdrawal of the patients     

Subject inclusion criteria Subject exclusion criteria When and how to withdraw Replacement Data handling in withdrawn cases

Treatment of the subjects 

 

The treatment given dose,duration,schedule,route of administration Rescue medication if any Procedures for monitoring patient compliance

Assesment of efficacy 

Specification of the parameters



Methods of measuring,timing Recording,analysing,

Assesment of safety  





Specification Methods of measuring,timing Recording,analyzing, Procedures to elicit reports of and recording,reporting of SAE, Follow up after adverse effects

Statistics 

No.of subjects to be enrolled.



Type of statistical test to be applied



Level of significance acceptable

Direct access to the source or data documents    

Monitor Audits Regulatory IRB/IEC

Quality control and quality assurance procedures

Ethics 

Approvals,Amendments,by IRB/IEC

Data handling and record keeping 

Mode of recording



Storage



Archiving etc.

Financing and insurance 

In the event of adverse events



Insurance statements on compensations to the participants of trial related injury

Publication policy 

Rights of publication,



Authorship and co-authorship etc.

Supplements

INVESTIGATORS BROCHURE

Definition 

A compilation of the clinical and nonclinical data on the investigational product which is relevant to the study of the investigational product In the human subjects

CONTENTS 

Summary



Introduction



Physical,chemical, pharmaceutical properties and the formulation

CONTENTS 

Non clinical studies PK & PD



Toxicology



Effects in humans

CONTENTS 

Summary of data guidance for the investigator



References Publications and reports

SUMMARY 

Brief summary not exceeding 2-3 pages.



All aspects of the contents described.

Introduction     

Chemical name Generic name Pharmacological class Rationale for the research Anticipated Prophylactic or therapeutic response

Physical,chemical, and Pharmaceutical properties and formulation 

Chemical/structural formulae,



Description of the excepients



Storage and handling

Non clinical studies 

Detailed information on all the studies conducted including



Species,Number and sex,Dose, Route of administration etc



Pharmacodynamic and kinetic studies

Toxicology studies (animals)     

Single dose Repeated dose Carcinogenecity Reproductive toxicity Genotoxicity

Effects in humans    

Pharmacokinetics Product metabolism Safety and efficacy Marketing experience

Summary of data and guidance to the investigators 



Comprehensive information to give a clear understanding of the possible risks and the effects

Thank you

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