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Protocol Title : A Randomised, open labelled study in anti ... - EME

Protocol Title : A Randomised, open labelled study in anti ... - EME

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!<br />

On-Site Monitor<strong>in</strong>g will be carried out on this trial. The trial monitor will perform the first monitor<strong>in</strong>g<br />

visit with<strong>in</strong> 1 month of the first patient be<strong>in</strong>g enrolled at a site.<br />

Monitor<strong>in</strong>g visits will be performed a m<strong>in</strong>imum of twice a year dur<strong>in</strong>g recruitment and treatment<br />

period.<br />

The frequency visits may change (<strong>in</strong>crease or decrease) depend<strong>in</strong>g on the issues raised dur<strong>in</strong>g the<br />

trial (death, SAE, audit or <strong>in</strong>spections, site not recruit<strong>in</strong>g). Any decrease <strong>in</strong> monitor<strong>in</strong>g at a site will<br />

be approved by a member of the CECM Management Team and the Sponsor.<br />

Source Data Verification<br />

100 % SDV will be performed on <strong>in</strong>formed consent<br />

100 % SDV will be performed on <strong>in</strong>clusion / exclusion criteria<br />

100% SDV on all data po<strong>in</strong>ts will be performed for a m<strong>in</strong>imum of one patient per site or<br />

approximately 5% of all patients, whichever is greater.<br />

If for some reason on-site monitor<strong>in</strong>g cannot be completed as per the above schedule the<br />

Sponsors Self Monitor<strong>in</strong>g Form will be sent out to sites for completion at these timel<strong>in</strong>es. Reasons<br />

for not perform<strong>in</strong>g on-site monitor<strong>in</strong>g must be agreed with the Sponsor and fully documented <strong>in</strong> the<br />

TMF.<br />

The follow<strong>in</strong>g central facilities are utilised <strong>in</strong> this trial and will undergo yearly monitor<strong>in</strong>g visits for<br />

the duration of their participation <strong>in</strong> the trial:<br />

* EMR Laboratory (<strong>in</strong>sert right name)<br />

* Barts Health NHS pathology lab<br />

A summary of all monitor<strong>in</strong>g activity for this <strong>study</strong> will be provided to the Sponsor every 6 months.<br />

8.5.2 Audit and Inspection<br />

Audit<strong>in</strong>g: Def<strong>in</strong>ition “A systematic and <strong>in</strong>dependent exam<strong>in</strong>ation of trial related activities and<br />

documents to determ<strong>in</strong>e whether the evaluated trial related activities were conducted, and the data<br />

were recorded, analysed and accurately reported accord<strong>in</strong>g to the protocol, sponsor's standard<br />

operat<strong>in</strong>g procedures (SOPs), Good Cl<strong>in</strong>ical Practice (GCP), and the applicable regulatory<br />

requirement(s).”<br />

This trial may be audited by the Sponsor, or the Competent Authority. Investigators are obliged to<br />

cooperate <strong>in</strong> any <strong>in</strong>spection.<br />

8.6 Serious Breaches <strong>in</strong> GCP or the Trial <strong>Protocol</strong><br />

All <strong>in</strong>vestigators participat<strong>in</strong>g <strong>in</strong> the trial will promptly notify the Chief Investigator or Sponsor of a<br />

serious breach (as def<strong>in</strong>ed <strong>in</strong> Regulation 29A of the Medic<strong>in</strong>es for Human Use (Cl<strong>in</strong>ical Trials)<br />

Regulations 2004 [Statutory Instrument 2004/1031], as amended by Statutory Instrument<br />

2006/1928) that they become aware of. The CI is then responsible for notify<strong>in</strong>g the sponsor with<strong>in</strong><br />

24 hours of becom<strong>in</strong>g aware of a serious breach.<br />

The Sponsor is responsible for notify<strong>in</strong>g the licens<strong>in</strong>g authority <strong>in</strong> writ<strong>in</strong>g of any serious breach of:<br />

(a) The conditions and pr<strong>in</strong>ciples of GCP <strong>in</strong> connection with that trial; or<br />

(b) The protocol relat<strong>in</strong>g to that trial, as amended from time to time <strong>in</strong> accordance with regulations<br />

22 to 25, with<strong>in</strong> 7 days of becom<strong>in</strong>g aware of that breach.<br />

A “serious breach” is a breach which is likely to effect to a significant degree:-<br />

The safety or physical or mental <strong>in</strong>tegrity of the subjects of the trial; or the scientific value of the<br />

trial.<br />

Participat<strong>in</strong>g centres should contact the coord<strong>in</strong>at<strong>in</strong>g centre or CI for further <strong>in</strong>formation.<br />

Study: R4RA EudraCT: 2012-002535-28 34 / 34

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