Adverse Events in Clinical Trials
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Questions and Answers

What should be the basis of the approach to validation?

  • The scientific soundness and clear description of the protocol
  • The declaration of Helsinki and the applicable regulatory requirement
  • The intended use of the system and the potential of the system to affect human subject protection (correct)
  • The nonclinical and clinical information on an investigational product
  • What should prevail over interests of science and society?

  • The available nonclinical and clinical information
  • The anticipated benefits of the trial
  • The rights, safety, and well-being of the trial subjects (correct)
  • The scientific soundness of the trial
  • Who should be responsible for the medical care and decisions made on behalf of trial subjects?

  • A qualified physician or dentist (correct)
  • A qualified clinical trial investigator
  • A qualified statistician
  • A qualified ethicist
  • What should be ensured before a trial is initiated?

    <p>The anticipated benefits justify the risks</p> Signup and view all the answers

    What should be obtained from every subject prior to clinical trial participation?

    <p>Freely given informed consent</p> Signup and view all the answers

    How should clinical trial information be recorded, handled, and stored?

    <p>In a way that allows its accurate reporting, interpretation, and verification</p> Signup and view all the answers

    What is the primary purpose of an Independent Data-Monitoring Committee (IDMC) in a clinical trial?

    <p>To assess the progress of a clinical trial, the safety data, and the critical efficacy endpoints</p> Signup and view all the answers

    What is the main responsibility of an Independent Ethics Committee (IEC) in a clinical trial?

    <p>To provide public assurance of the protection of the rights, safety, and well-being of human subjects</p> Signup and view all the answers

    What is the role of an Impartial Witness in a clinical trial?

    <p>To attend the informed consent process and read the informed consent form if the subject or the subject's legally acceptable representative cannot read</p> Signup and view all the answers

    What is Good Clinical Practice (GCP) in the context of a clinical trial?

    <p>A standard for the design, conduct, performance, monitoring, auditing, recording, analyses, and reporting of clinical trials</p> Signup and view all the answers

    What is the primary purpose of an Independent Ethics Committee (IEC) in reviewing the trial protocol?

    <p>To ensure the protection of the rights, safety, and well-being of human subjects involved in a trial</p> Signup and view all the answers

    What is the primary responsibility of an Independent Data-Monitoring Committee (IDMC) in relation to the trial subjects?

    <p>To ensure the rights, integrity, and confidentiality of trial subjects are protected</p> Signup and view all the answers

    What type of situations may necessitate rapid communication to regulatory authorities?

    <p>Situations that might materially influence the benefit-risk assessment of a medicinal product</p> Signup and view all the answers

    Which of the following would be an example of a situation that may necessitate rapid communication to regulatory authorities?

    <p>A significant hazard to the patient population, such as lack of efficacy with a medicinal product used in treating life-threatening disease</p> Signup and view all the answers

    What is the primary reason for very rapid notification to regulators in countries where the medicinal product or indication, formulation, or population for the medicinal product are still not approved for marketing?

    <p>To inform them of the occurrence of a fatal or life-threatening, unexpected ADR</p> Signup and view all the answers

    Which of the following ADRs qualify for very rapid reporting?

    <p>Fatal or life-threatening, unexpected ADRs occurring in clinical investigations</p> Signup and view all the answers

    What is the primary purpose of rapid communication to regulatory authorities in situations where the medicinal product or indication, formulation, or population for the medicinal product are still not approved for marketing?

    <p>To consider suspension of, or other limitations to, a clinical investigations program</p> Signup and view all the answers

    What type of information might necessitate rapid communication to regulatory authorities?

    <p>Information that might materially influence the benefit-risk assessment of a medicinal product</p> Signup and view all the answers

    When should a subject's legally acceptable representative sign the written informed consent form?

    <p>When the subject is a minor</p> Signup and view all the answers

    What is the primary condition for conducting a non-therapeutic trial in subjects who cannot give informed consent personally?

    <p>The foreseeable risks to the subjects are low</p> Signup and view all the answers

    What is the exception to the rule that a non-therapeutic trial should be conducted in subjects who personally give consent?

    <p>When the objectives of the trial cannot be met by means of a trial in subjects who can give informed consent personally</p> Signup and view all the answers

    When should a subject personally sign and date the written informed consent form?

    <p>When the subject is capable of giving informed consent</p> Signup and view all the answers

    What is the purpose of obtaining a copy of the signed and dated consent form updates and any amendments to the written information?

    <p>To provide the subject with a record of their consent</p> Signup and view all the answers

    What is the primary consideration for conducting a non-therapeutic trial in subjects who cannot give informed consent personally?

    <p>The negative impact on the subject's well-being</p> Signup and view all the answers

    What is the primary purpose of obtaining written approval from the IRB/IEC?

    <p>To cover the inclusion of vulnerable subjects in the trial</p> Signup and view all the answers

    Under what circumstances should subjects be withdrawn from the trial?

    <p>If they appear to be unduly distressed</p> Signup and view all the answers

    Who should provide consent in emergency situations when the subject is unable to do so?

    <p>The subject's legally acceptable representative, if present</p> Signup and view all the answers

    What should be described in the protocol to protect the rights, safety, and well-being of subjects in emergency situations?

    <p>The measures to ensure compliance with applicable regulatory requirements</p> Signup and view all the answers

    Why should trials be conducted in patients having a disease or condition for which the investigational product is intended?

    <p>To ensure the product's safety in a specific population</p> Signup and view all the answers

    What is the purpose of obtaining documented approval from the IRB/IEC in emergency situations?

    <p>To ensure compliance with applicable regulatory requirements</p> Signup and view all the answers

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