For Internal Use Only STANFORD UNIVERSITY Research Compliance Office Human Subjects Research Sponsor-Investigator Checklist – IND (Drugs) This checklist is based on the Sponsor and Investigator responsibilities outlined in the FDA Code of Federal Regulations, 21CFR 312, Investigational New Drug Application, Subparts A-D. Documents listed in the column on the right correspond to regulations listed in the left column. Additional responsibilities: Dean of Research memo, June 4, 2007 e-mail Protocol Director: e-mail Admin Contact: e-mail Coordinator: Institution/Division/Department: eProtocol: Initial IRB Review Date: mm/dd/yyyy (Panel # (650) 723-xxxx Address/ rm # (650) 725-xxxx Address/ rm # (650) 725-xxxx Address/ rm # ) CR Date: mm/dd/yyyy (Panel # ) Protocol Title: Children’s Finding: Risk Level: IND #: xxx (Effective date: mm/dd/yyyy) Multi-site: Monitoring Entity: IND Description: xxx FDA IND Annual Report Due by: Training Participants: IND holder: Review Participants: Trainer: Training Date(s): mm/dd/yyyy Reviewer: Review Date(s): Trainer Recommendations: FDA Treatment IND guidance Reviewer Recommendations: Stanford University CONFIDENTIAL – For Internal Use Only Page 1 of 10 [manufacturer] Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. Guidance Documents/Info to include in Regulatory Binder(s) FDA Regulations - IND 21CFR 312 Subparts A-D What is a clinical trial? 1.0 Regulatory Documentation *SU DoR clinicaltrials.gov-registration-facts All correspondence with FDA including: 1.1 As the Sponsor, maintain an effective IND: Initial IND submission. (312.23) Certify that study is registered* on clinicaltrials.gov; send form, 3674, to the FDA (with 1571 form); Original IND application (including 1571) Date____________ Clinical protocol Protocol amendments: (312.30) o New protocol; o Changes to existing protocol; o New Investigator; Investigational Brochure/Product Information FDA IND Acknowledgement letter FDA letter of no objection IND Effective Date____________ Amendments (w/ 1571) Information Amendments: (312.31) o New technical information; o Discontinuation of clinical investigation; Dates______________ IND safety reports (312.32) o Written reports (e.g., MedWatch 3500A) to FDA and all participating investigators within required timeframe; o Follow-up information to a safety report should be submitted as soon as available; Annual Reports (312.33) o File with FDA within 60 days of the anniversary date that the IND went into effect [Required, even if no subjects have been enrolled]. IND Safety reports (w/ 1571) Dates_______________________________ Evidence of correspondence to other investigators N/A Annual reports (w/ 1571) Date__________ Period______________ Date__________ Period______________ Date__________ Period______________ Other FDA Correspondence Stanford University CONFIDENTIAL – For Internal Use Only Page 2 of 10 Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. FDA Regulations - IND 21CFR 312 Subparts A-D Guidance Documents/Info to include in Regulatory Binder(s) 1.2 As the Investigator, assure IRB review and approval. (312.66) IRB documentation – printed from eProtocol (IRB approved protocol, IRB approval letters, and IRB approved consents): An investigator shall assure that an IRB that complies with the requirements set forth in part 56 will be responsible for the initial and continuing review and approval of the proposed clinical study. [21CFR 56 (56.115 (5))] The investigator shall also assure that he or she will promptly report to the IRB all changes in the research activity and all unanticipated problems involving risk to human subjects or others, and that he or she will not make any changes in the research without IRB approval, except where necessary to eliminate apparent immediate hazards to human subjects. Initial review Continuing review Date: __________ Date: __________ Amendments/Modifications Date: __________ Date: __________ Events & Information that require Prompt Reporting to the IRB Adverse event reports – Date: __________ Additional guidance is available on the IRB website: Human Subjects and IRB Home Page Protocol deviations/Non-Compliance Other IRB correspondence IRB Rosters - copies for all years that study is approved by IRB Submit Documents for IRB Review (Initial and current updates/amendments) Including, but not limited to: Investigational Brochure/Product Information Dates: __________ Clinical protocol FDA IND Acknowledgement and “safe to proceed” letter, if received. Other FDA correspondence, e.g., clinical hold, release of hold, and annual reports. Stanford University CONFIDENTIAL – For Internal Use Only Page 3 of 10 Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. Guidance Documents/Info to include in Regulatory Binder(s) FDA Regulations - IND 21CFR 312 Subparts A-D 2.0 Qualified Investigators 2.1 As the Sponsor, select qualified investigators: (312.50, 53) a. Select Investigators qualified by training and experience; Instructions for IND Application FAQs for completing 1572 Form How to complete financial disclosure forms FDA Guidance - Financial Disclosure by Clinical Investigators For Sponsor and each site Investigator; Signed FDA form 1572* b. Report new Investigators to FDA w/in 30 days with signed FDA Dates: ______________________________ form 1572* and CV; For each clinical investigator: c. Investigational product will be shipped to only those investigators participating in the study; CV or Biographic Sketch d. Obtain Investigator information from PIs, if multicenter trial; and Medical Licenses (copy of wallet card, valid for all years IND is held) e. Maintain complete and accurate records involving Investigators’ qualifications and financial disclosures (including any changes), to minimize the potential for study bias. ** Financial disclosures (FDA 3454/3455 or equivalents): Use 3454, if there are NO financial interests or conflicts. Use 3455, if there are financial interests or conflicts. ** Collect information before permitting an investigator to participate in clinical study. *Reminder: Section #4, clinical labs, should also list research labs and other diagnostic facilities. Stanford University CONFIDENTIAL – For Internal Use Only Page 4 of 10 Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. FDA Regulations - IND 21CFR 312 Subparts A-D Guidance Documents/Info to include in Regulatory Binder(s) 2.2 As Investigator, conduct study according to signed investigator statement, protocol, and applicable regulations: (312.50, 66) Events and Information that Require Prompt Reporting to the IRB Report violations/deviations to IRB; FDA Guidance on Safety Reporting Review guidelines applicable to study: Protect rights, safety, and welfare of subjects; Violation/deviation Promptly report to IRB any “on-site” adverse events in accordance with institutional requirements; and Adverse event reporting requirements IRB Obtain informed consent in accordance with provisions in 21 CFR 50. FDA Informed consent Recruitment Stanford University CONFIDENTIAL – For Internal Use Only Page 5 of 10 Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. Guidance Documents/Info to include in Regulatory Binder(s) FDA Regulations - IND 21CFR 312 Subparts A-D Clinical Trial Data Monitoring Committees 3.0 Monitoring 3.1 As the Sponsor, ensure ongoing monitoring investigations: (312.56) a. Select monitors by training and experience; (312.53 (4)(d)) b. Ensure proper monitoring; Guideline for monitoring clinical investigations Documentation of safety monitoring plan Documentation of data monitoring plan Monitor of study: Protocol Director Other: ____________________ c. Ensure PI compliance or discontinue shipments of the investigational drug; All Correspondence with monitor: d. Review and evaluate drug safety and effectiveness; and e. Discontinue investigation within five (5) working days when unreasonable and significant risk to subject are identified. Monitoring log N/A Who will be reviewing safety data: Protocol Director DSMB Medical Monitor Other ____________ Stanford University CONFIDENTIAL – For Internal Use Only Page 6 of 10 Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. Guidance Documents/Info to include in Regulatory Binder(s) FDA Regulations - IND 21CFR 312 Subparts A-D FDA Good Clinical Practice Guidance (GCP) 4.0 Record Keeping (Review GCP sections 8.2 and 8.3: Before and during the Clinical Trial) 4.1 As the Investigator, maintain adequate and accurate case Source data histories on each subject’s participation in the trial. (312.62 (b)) Progress notes – Concomitant medications recorded – Case histories include the case report forms and supporting data Subject eligibility documented including, for example, signed and dated consent forms and medical (use Inclusion/Exclusion checklist) records including, for example, progress notes of the physician, the CRFs (Case Report Forms) signed or initialed and dated – See Page 10 individual's hospital chart(s), and the nurses' notes. Appropriately documented consent forms The case history for each individual shall document that informed consent was obtained prior to participation in the study. Documentation that informed consent was obtained prior to study procedures Documentation that subject was given a copy of signed and dated consent form Signature/date of staff obtaining data * Reference specific subject observations 5.0 Drug 5.1 As the Investigator, ensure control of investigational drug: Drug will be administered only to those subjects enrolled in the clinical study and under investigator or designee’s supervision. (312.61) Enrollment log (Document chronological enrollment of subjects by trial number, e.g., study/subject ID) Screening log (Document subjects who entered pretrial screening - can be combined with enrollment log) Randomization log (if applicable) Delegation of Responsibility log (signed and initialed by each investigator, with their study participation start/stop dates, etc) Stanford University CONFIDENTIAL – For Internal Use Only Page 7 of 10 Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. Guidance Documents/Info to include in Regulatory Binder(s) FDA Regulations - IND 21CFR 312 Subparts A-D 5.2 As the Sponsor and/or Investigator, record of drug acquisition Drug Receipt and disposition: Drug received from Industry Drug accountability log includes: a. As the Sponsor, maintain adequate record of receipt, shipment, Receipt date or other disposition of investigational drug; (312.57) Quantity Lot # b. As the Sponsor, assure return of all unused investigational drug Return/disposition from individual investigators participating in trial or authorize Method of disposal alternative disposition of unused product; and (312.59) Drug manufactured onsite c. As the Investigator, maintain written records of any disposition of the drug, including dates, quantity and use by subjects. (312.59, 62) Drug Shipment Single center study – no drug shipment Drug shipped to multiple sites Drug accountability log includes: Date Destination Who shipped Quantity Lot # Return/disposition Method of disposal Drug dispensing record including: Research Pharmacy will manage drug Date Lot # Quantity ID of subject administered Disposition/record of return ID of person dispensing Return of drug, count & reason Stanford University CONFIDENTIAL – For Internal Use Only Page 8 of 10 Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. FDA Regulations - IND 21CFR 312 Subparts A-D Guidance Documents/Info to include in Regulatory Binder(s) 5.3 As the Sponsor, inform other investigators about the investigational product (if applicable). Plan to distribute updated information to all Investigators about product, safety information, protocol changes, etc. All Sponsors will keep each investigator informed of new observations discovered by or reported to the sponsor on the investigational product. (312.55) Current Investigator’s Brochure Initial and ongoing study education (Document who, what, and when, e.g., Training Log/Meeting Minutes) Single study center Multi-center study 6.0 Inspection 6.1 As the Sponsor or Investigator: Allow inspection of records and reports. (312.58, 68, and 62) [See FDA form 1572 Section 9. Commitments] Upon request, permit FDA officer to access, copy and verify any records or reports made by the investigator Basic review of FDA inspection procedures 7.0 Communication with Sponsor or Investigator, if applicable 7.1 A Sponsor may transfer obligations from the IND holder to a Contract Research Organization (CRO). (312.52) Written documentation, describing responsibilities transferred to CRO N/A Any such transfer shall be described in writing. Stanford University CONFIDENTIAL – For Internal Use Only Page 9 of 10 Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue. FDA Regulations - IND 21CFR 312 Subparts A-D Guidance Documents/Info to include in Regulatory Binder(s) 7.2 As the Investigator, provide reports to the sponsor: (312.64) a. Progress reports b. Safety reports c. Final reports d. Financial disclosure reports e. Changes in financial disclosure All pertinent correspondence between sponsor and investigators (examples: enrollment numbers, adverse events, financial information and any changes in financial information) N/A As the Sponsor, collect and maintain Investigator reports for all sites if: Multi-site study per IND protocol Multiple protocols under one IND 7.3 As the Sponsor or Investigator, maintain records of correspondence with sponsor, monitor, and FDA, if applicable. Sponsor Monitor FDA N/A 8.0 Additional Good Clinical Practice (GCP) documentation 8.1 Laboratory Documentation Current laboratory certification Laboratory normal values – 8.2 Documentation of study staff signature/initials. (Obtain signatures and initials of all persons authorized to make entries and/or corrections on Case Report Forms- CRFs) Stanford University CONFIDENTIAL – For Internal Use Only Page 10 of 10 Staff signature log – often combined with delegation of authority log Document1 Hyperlinks to additional information are highlighted in yellow. General hints are highlighted in blue.