GCP Related MCQs

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Questions and Answers

What is essential for the IRB/IEC when determining the composition of its members?

  • All members must come from the same institution.
  • Members must have a minimum of 10 years of experience.
  • At least one member should be independent of the institution/trial site. (correct)
  • The composition must consist entirely of scientific members.

Which responsibility does the IRB/IEC have regarding trial subjects and payments?

  • To evaluate if the payment amounts could lead to undue influence. (correct)
  • To negotiate payment amounts with each trial subject individually.
  • To ensure payments are only made upon trial completion.
  • To decide the payment schedule without involving subjects.

How should the IRB/IEC document its activities?

  • By complying only with institutional requirements.
  • By submitting reports to the trial sponsors.
  • By maintaining verbal records of discussions.
  • By recording minutes of its meetings in writing. (correct)

What role does the investigator have in the IRB/IEC meetings?

<p>The investigator may provide information but should not contribute to deliberations. (D)</p> Signup and view all the answers

What is a required minimum composition of members for the IRB/IEC?

<p>At least five members. (A)</p> Signup and view all the answers

Why must the IRB/IEC follow written operating procedures?

<p>To ensure consistency in decision-making. (D)</p> Signup and view all the answers

What is the purpose of inviting nonmembers with expertise to the IRB/IEC?

<p>To gain specific insights that enhance the review process. (A)</p> Signup and view all the answers

What must the IRB/IEC ensure regarding the payment schedule to trial subjects?

<p>It should be prorated and included in the informed consent form. (D)</p> Signup and view all the answers

What must the sponsor provide to the investigator/institution prior to entering an agreement?

<p>An up-to-date Investigator's Brochure and trial protocol (A)</p> Signup and view all the answers

What agreement must the investigator/institution give to conduct the trial?

<p>Compliance with Good Clinical Practice and regulatory requirements (B)</p> Signup and view all the answers

Which of the following is NOT a responsibility of the investigator as per the agreement with the sponsor?

<p>Providing financial support to subjects (B)</p> Signup and view all the answers

What must the sponsor do regarding insurance or indemnification?

<p>Provide insurance except for claims relating to malpractice (D)</p> Signup and view all the answers

What document must be signed to confirm the agreement between the sponsor and the investigator?

<p>The trial protocol or an alternative document (A)</p> Signup and view all the answers

What should the sponsor's policies address in relation to trial-related injuries?

<p>Costs of treatment for trial subjects due to trial-related injuries (D)</p> Signup and view all the answers

What are the financial aspects of the trial required to be documented in?

<p>An agreement between the sponsor and investigator/institution (C)</p> Signup and view all the answers

According to the responsibilities outlined, what is essential for data handling?

<p>Data handling procedures must align with applicable regulations (A)</p> Signup and view all the answers

Who is responsible for monitoring, auditing, and inspection of the trial?

<p>The sponsor and regulatory bodies (A)</p> Signup and view all the answers

What should the sponsor seek before commencing a clinical trial?

<p>Agreement on responsibilities and allocation of duties (A)</p> Signup and view all the answers

What is the primary role of the principal investigator in a clinical trial?

<p>To lead the team of individuals at the trial site (C)</p> Signup and view all the answers

What is required from a legally acceptable representative in a clinical trial?

<p>Authorization under applicable law to consent on behalf of a subject (C)</p> Signup and view all the answers

What does the monitoring process in a clinical trial ensure?

<p>That the trial is conducted according to the regulatory requirements and SOPs (A)</p> Signup and view all the answers

In a multicentre trial, what separates it from a single-centre trial?

<p>It is carried out across more than one site by multiple investigators (C)</p> Signup and view all the answers

What is the purpose of a protocol amendment in a clinical trial?

<p>To describe changes or clarifications to the original protocol (A)</p> Signup and view all the answers

What is the primary focus of the responsibilities outlined in section 3.1?

<p>Protection of trial subjects' rights (B)</p> Signup and view all the answers

Which principle is NOT explicitly covered in the responsibilities of Investigators as per section 4.1?

<p>Record-keeping of protocols (B)</p> Signup and view all the answers

In the context of section 4.2, what is considered necessary for an Investigator?

<p>Adequate resources to conduct trial tasks (D)</p> Signup and view all the answers

Which aspect is addressed under the composition and functions of the IRB/IEC as per section 3.2?

<p>Diverse representation among members (B)</p> Signup and view all the answers

What is NOT included in the responsibilities of an Investigator as specified in section 4.5?

<p>Financial reporting of trial findings (C)</p> Signup and view all the answers

Which of the following responsibilities is specified under section 3.4 regarding IRB/IEC procedures?

<p>Maintaining confidentiality of records (B)</p> Signup and view all the answers

Which section directly addresses the need for communication between Investigators and IRB/IEC?

<p>Section 4.4 (A)</p> Signup and view all the answers

What is one of the main roles of the IRB/IEC as identified in section 3?

<p>Reviewing safety and ethical concerns of research studies (C)</p> Signup and view all the answers

According to section 4.6, what is an essential responsibility of Investigators regarding investigational products?

<p>Ensuring the safety and proper handling of the products (C)</p> Signup and view all the answers

What is the purpose of section 2 in the Guideline regarding the principles of ICH GCP?

<p>Defining ethical frameworks for research (A)</p> Signup and view all the answers

What is the primary responsibility of the sponsor regarding the safety evaluation of investigational products?

<p>To ensure ongoing safety evaluation. (A)</p> Signup and view all the answers

Which of the following must the sponsor promptly notify in cases where safety is adversely affected?

<p>All concerned investigators and regulatory authorities. (B)</p> Signup and view all the answers

What types of adverse drug reactions (ADRs) must the sponsor expedite reporting for?

<p>Serious and unexpected ADRs only. (B)</p> Signup and view all the answers

What is one purpose of trial monitoring as outlined for sponsors?

<p>To ensure the rights and well-being of human subjects are protected. (A)</p> Signup and view all the answers

Who is responsible for appointing monitors in a clinical trial?

<p>The sponsor of the trial. (C)</p> Signup and view all the answers

What qualifications should a monitor have according to the guidelines?

<p>They should possess scientific and/or clinical knowledge pertinent to the trial. (A)</p> Signup and view all the answers

What must the sponsor ensure about the conduct of the trial?

<p>That it complies with the approved protocol, GCP, and applicable regulatory requirements. (C)</p> Signup and view all the answers

What should expedited reports of ADRs comply with?

<p>Applicable regulatory requirements and ICH guidelines. (D)</p> Signup and view all the answers

What is required of the monitors according to their qualifications?

<p>They must have documented qualifications relevant to the trial. (C)</p> Signup and view all the answers

Which of the following is NOT part of the sponsor's responsibilities?

<p>Providing treatment to participants after the trial. (A)</p> Signup and view all the answers

Flashcards

IRB/IEC Payment Review

The IRB/IEC must review payment amounts and methods to ensure they don't unduly influence trial subjects.

Prorated Payments

Payments to trial subjects should be divided and distributed based on progress, not fully contingent on trial completion.

Informed Consent & Payments

Information about payment methods, amounts, and schedules must be included in the informed consent form and any subject information.

IRB/IEC Membership Requirements

An IRB/IEC should have at least 5 members with relevant scientific, medical, and ethical expertise, including one non-scientific member and at least one independent member.

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Independent IRB/IEC Members

Only members who are independent of the investigator and sponsor can vote or provide opinions on trial-related matters.

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Written Operating Procedures

Every IRB/IEC must have written rules and procedures for its operations, record-keeping, and meetings.

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Quorum Requirement

IRB/IEC decision-making must occur at official meetings with sufficient members (a quorum) present, as outlined in its written procedures.

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Investigator's Trial Role

Investigators can provide information on the trial, but cannot participate in deliberations or voting/opining within the IRB/IEC.

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Investigator Agreement

The investigator must agree to conduct the trial according to GCP, applicable regulations, the protocol, and IRB/IEC approval.

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Data Recording/Reporting

The investigator agrees to follow specific procedures for recording and reporting trial data as outlined by the sponsor.

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Monitoring & Auditing

The investigator allows the sponsor to monitor, audit, and inspect the trial to ensure compliance.

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Document Retention

The investigator must keep essential trial documents until the sponsor instructs otherwise.

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Trial-Related Duties

The sponsor is responsible for defining, establishing, and allocating all trial-related duties and functions.

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Sponsor Insurance

The sponsor should provide insurance or indemnify the investigator against claims arising from the trial, except for negligence or malpractice.

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Subject Injury Costs

The sponsor's procedures should address the costs of treating trial subjects for trial-related injuries.

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Subject Compensation

If trial subjects receive compensation, the sponsor must ensure the methods and manner comply with regulations.

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Financial Agreements

The financial aspects of the trial are documented in an agreement between the sponsor and the investigator.

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Trial Initiation

Before starting a trial, the sponsor must finalize all agreements, define roles, and address financial aspects.

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Sponsor's Safety Responsibility

The sponsor is accountable for continually assessing the safety of the investigational product throughout the trial.

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Prompt Reporting of Safety Concerns

The sponsor must immediately inform all involved parties (investigators, institutions, regulatory authorities) if any findings could endanger participants, affect the trial, or change the approval.

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Adverse Drug Reaction (ADR) Reporting

The sponsor must quickly report serious and unexpected ADRs to investigators, IRBs/IECs, and regulatory agencies.

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Expedited ADR Reports

Reports of serious and unexpected ADRs must adhere to regulatory requirements and ICH guidelines.

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Periodic Safety Reporting

The sponsor must submit regular safety updates and reports to regulatory authorities.

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Trial Monitoring Purpose

Monitoring ensures subject safety, data accuracy, and compliance with the protocol, GCP, and regulations.

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Monitor Appointment

Monitors are appointed by the sponsor and must have the necessary training and expertise to oversee the trial.

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Monitor Qualifications

Monitors should be familiar with the investigational product, protocol, informed consent, SOPs, GCP, and regulations.

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Monitoring Scope

The sponsor decides the extent and nature of monitoring, ensuring the trial is adequately overseen.

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Adequate Monitoring

The sponsor is responsible for ensuring that trials are sufficiently monitored to protect the rights and well-being of participants.

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What is GCP?

Good Clinical Practice (GCP) is a set of ethical and scientific quality standards for designing, conducting, recording, and reporting clinical trials. It ensures the safety, integrity, and reliability of research involving human subjects.

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Who enforces GCP?

GCP principles are enforced by regulatory agencies, like the FDA (Food and Drug Administration) in the US and the EMA (European Medicines Agency) in the European Union.

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What is the IRB/IEC?

The Institutional Review Board/Independent Ethics Committee (IRB/IEC) is a committee that reviews and approves research proposals involving human subjects to ensure their ethical and scientific validity.

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What are the IRB/IEC's roles?

The IRB/IEC reviews protocols, informed consent documents, and ensures the risks to participants are minimized, the benefits outweigh the risks, and the rights and welfare of the participants are protected.

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What are the Investigator's qualifications?

Investigators must have the necessary medical and scientific expertise, training, resources, and experience to conduct the trial safely and competently.

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What are the Investigator's responsibilities?

Investigators are responsible for the overall conduct of the trial, ensuring compliance with the protocol, protecting the welfare of participants, and maintaining accurate records.

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What are the Investigator's resources?

Investigators must have access to adequate facilities, equipment, personnel, and financial support to conduct the trial properly.

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What is the importance of communication?

Open and timely communication is essential between the investigators, IRB/IEC, sponsor, and participants. It ensures transparency and prompt responses to any issues that arise.

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What is the importance of compliance?

The investigator and study team must follow the protocol strictly to ensure the trial is conducted consistently and accurately, as approved by the IRB/IEC.

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What are investigational products?

Investigational products (drugs, devices, or other interventions) undergo testing to evaluate their safety and effectiveness in human subjects.

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Principal Investigator

The lead researcher responsible for a clinical trial at a specific site, often a team effort.

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Investigator's Brochure

A document detailing the clinical and non-clinical data about the investigational product, relevant for human testing.

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Legally Acceptable Representative

A person or organization authorized by law to agree to a patient's participation in a clinical trial.

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Monitoring

The process of observing and overseeing a clinical trial to ensure it's conducted correctly.

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Multicentre Trial

A clinical trial conducted at multiple sites by different investigators using a single protocol.

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Study Notes

Guideline for Good Clinical Practice E6(R2)

  • Adoption: Adopted by CHMP (Committee for Human Medicinal Products) on July 23, 2015.
  • Public Consultation Start: August 4, 2015.
  • Public Consultation End: February 3, 2016.
  • CHMP Final Adoption: December 15, 2016.
  • Effective Date: June 14, 2017.

Document History

  • First Approval (E6): May 1995.
  • Step 4 Approval (E6): July 1996.
  • Step 5 Corrected Version Approval (E6(R1)): July 2002.
  • E6(R2) Addendum Step 5 Version Adoption: November 9, 2016.

Table of Contents

  • The guideline covers various topics, including Glossary, Principles of ICH GCP, IRB/IEC, Investigator, Sponsor, Quality Management, Data Handling, Clinical Trial Protocol, Investigator's Brochure, and Essential Documents.

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Related Documents

ICH GCP Guideline E6(R2) PDF

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