On-site monitoring of a complex source file

Complex therapeutic trial with amendment, long patient follow-up, multiple study procedures, complex medical history, numerous adverse events and concomitant treatments, fraud.

More than 20 h training courses

Identify non-compliance with the regulatory framework

- Ethics and consent, Declaration of Helsinki.
- Good Clinical Practice.
- Data privacy, General Data Protection Regulation, GDPR

Drafting monitoring observations

- Discrimination of deviations, queries, minor or major deviations, suspected fraud.
- Justification for deviations and reference framework used to qualify the deviation.

Define an appropriate action plan

- Clarifications requested from the investigating centre.
- Actions proposed to the investigating centre to prevent recurrences.
- Notification of suspected fraud.

Programme 2

  • Qualification and legitimacy of the person collecting informed consent ;
  • Respect for patients' rights: information, time limits (reflection period, post-consent research procedures), immediate information on any new development, right of refusal or withdrawal;
  • Version and completeness of consents.
  • Protection of sensitive data, correspondence list between patient identity and identification in the protocol ;
  • No disclosure or leakage of patient or health professional's personal data.
  • Investigation of discrepancies ;
  • Communication with the investigating centre on complex issues.
  • Qualification and legitimacy of the persons carrying out the procedures in the research protocol ;
  • Compliance with the research protocol and its amendments, patient eligibility criteria, research procedures including the administration of trial products;
  • Quality of source documents, ALCOA (attributable, legible, contemporary, original, reliable and complete)
  • Timing and completeness of serious adverse events.
  • Summary description of events observed ;
  • Designation of the standard used to qualify the deviation, Good Clinical Practice, Declaration of Helsinki, RGPD.

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Contact us for more information about our On-site monitoring of a complex source file training programme, our methodology and its objectives.