NON-COMPLIANCE CITATIONS


DO NOT TAKE STUDY RESPONSIBILITIES FOR GRANTED…INVESTIGATORS HAVE BEEN CITED BY THE FDA FOR:

CO-INVESTIGATORS
INFORMED CONSENT
CORRECTIONS TO STUDY DOCUMENTS
PROGRESS REPORTS TO IRB /CONTINUING REVIEW
DOCUMENTATION OF RESPONSIBILITY
RECRUITMENT
DRUG STORAGE/REFRIGERATION
STUDY RELATED DUTIES
FDA INSPECTION
SUBJECT ELIGIBILITY

 

 

 

CO-INVESTIGATORS

Failure to provide a complete list of the sub-investigators who assisted in the conduct of the investigation

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CORRECTIONS TO STUDY DOCUMENTS

Entries were written over in the CRF

White correction fluid was used to obscure entries on the CRF

Handwritten note without a date; inserted at the top of the first page of the consent form with no IRB approval of this consent form modification 

Progress notes for subject, contained changes that were not initialed or dated, and were illegible

Numerous mark-overs and obscuring of original data

Crossed out data without dates or initials; indicating who corrected the forms or when the corrections were made

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DOCUMENTATION OF RESPONSIBILITY

Start and stop dates not recorded for study personnel

Study visits conducted by personnel not medically qualified to evaluate the subjects' disease status; including the study coordinator

Unauthorized personnel dispensed investigational product and an unauthorized nurse administered the investigational product

Subjects enrolled were not seen by the investigator or sub-investigator at any time during their participation

Conducting too many studies; unable to remember specific study details

Failure to provide research staff members with direct supervision resulting in inadequate communication and lack of accountability

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DRUG STORAGE/REFRIGERATION

Failure to ensure that the refrigerator used to store the investigational product maintained the proper temperature as required by the protocol

No twenty-four hour temperature recording system to verify that the required temperature was maintained

Failure to ensure that study drugs were stored at the required temperature to ensure the drugs maintained their specified characteristics

No documentation to show that the study drugs were in a refrigerator maintained according to protocol

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FDA INSPECTION

Failure to permit an FDA officer to have access to records and reports relating to a clinical investigation

Failure to acknowledge the seriousness of violation/actions

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INFORMED CONSENT

Notations in the informed consent document that it had been read to the subject over the telephone; no consent forms signed

Failure to provide a copy of the informed consent to subjects

Someone other than subject entered the date next to the signature line

Informed consents signed at the time of the prescreening phase were discarded

Investigator signed consent prior to the subject

Informed consent document lacked a principal investigator signature

Signed consent forms approximately one month after the patients signed them

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PROGRESS REPORTS TO IRB /CONTINUING REVIEW

Failure to submit annual progress report to the IRB

Failure to provide documentation that the IRB had approved continuation of the study

Conducting the study without continuous IRB approval

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RECRUITMENT

Failure to obtain IRB approval for recruitment materials prior to enrolling subjects in the study

Failure to indicate that the device is investigational in recruitment materials

Failure to obtain IRB approval for media advertisement used to recruit and enroll subjects

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STUDY RELATED DUTIES

Signed consent forms approximately one month after the patients signed them

Safety data such as lab tests not reviewed and signed off until weeks/months after the tests are performed

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SUBJECT ELIGIBILITY

Subject enrolled into the study although they did not meet the inclusion criteria

Failure to perform the required pregnancy test for all female subjects enrolled

Data important in determining subject eligibility for enrollment, differ from corresponding source documents

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Human Research Quality Improvement Program 2004