OnCore Study Management Guidelines V13.5 Reference Guide OnCoreSupport@ucdenver.edu This manual has been adapted for this institution based on materials provided by Forte. For further detailed information refer to http://www.ucdenver.edu/research/ResearchAreas/OnCore. Additional information can be found at www.Onsemble.net. Table of Contents Introduction …………………………………………… 2 Protocol Menu Details …………………………………………… 2 Accrual Information …………………………………………… 5 Administrative Groups …………………………………………… 9 Protocol Staff …………………………………………… 10 Sponsor Details …………………………………………… 12 Grant/Contract …………………………………………… 13 IND/IDE …………………………………………… 14 Treatments …………………………………………… 15 Disease Diagnosis …………………………………………… 17 Participating Institution …………………………………………… 17 Accrual Summary …………………………………………… 22 Protocol Status …………………………………………… 22 Reviews …………………………………………… 25 Documents/Information …………………………………………… 31 FAQ’s …………………………………………… 32 Eligibility …………………………………………… 34 Protocol Calendar …………………………………………… 35 Notifications …………………………………………… 36 Deviation …………………………………………… 41 New Protocol …………………………………………… 41 Protocol Search …………………………………………… 42 1 Introduction OnCore is a clinical trials Management system that links many different efforts associated with clinical research such as protocol documentation, subject management, staffing, and billing and invoicing. It is being implemented throughout the University of Colorado and certain affiliated groups. This particular manual outlines the process for study management that includes new study entry and protocol status changes. Protocol Menu Overview The Protocol menu contains pages related to the management of the protocol. The PC Console is the starting point in OnCore, where creation of a protocol occurs, in addition a user can: track basic information set up protocol staff, enter sponsor information, define participating institutions, track committee reviews, update protocol status, define treatment arms, upload protocol documents, view the protocol calendar, as well as and view accrual information. The PC Console > Main > Details tab is where basic information about a protocol is recorded. This page is the first page populated when creating a new protocol in OnCore. Protocol Details In Update Mode, an asterisk indicates a required field, and required fields will vary based on configuration options. For protocols using the Oncology library or Cancer Center configuration, a DT4 superscript displays on all fields required for the Data Table 4 report. Protocol No.: Indicates the main identifier for a protocol. For UCD this is the COMIRB#. The protocol number displays in the Protocol Header and is used in most reports. The protocol number is used to find a protocol in any of the Select Protocol find-as-you-type fields throughout OnCore. Library: Determines the Reference Codes, Forms, Protocol Annotations, Notifications and Signoffs available for the protocol. This field is available and required only in OnCore instances using Enterprise configuration. This field cannot be changed once the status of the protocol has changed from 'New'. Department: Identifies the institutional funding body for the study. Fiduciary reporting is available based upon this field. Additionally, the privilege scope of Department is driven off of this field. Organizational Unit: This field is available and required only in OnCore instances using Enterprise configuration. Organizational Units are used to organize protocols into logical structural divisions, which is useful for reporting purposes and to restrict access to protocols. The organizational units available for selection are determined by the organizational units in your staff record. The privilege scope of Organizational Unit is driven off of this field. We currently have selected Health Affairs and Cancer Center. 2 Title: Identifies the full-length name of the protocol. The title populates to other pages within the OnCore application and is displayed in some reports. Short Title: Contains abbreviated version (100 characters maximum) of the protocol title. The short title entered here populates to other screens within the OnCore application and is displayed in some reports. It is the only title used on the NCI Data Table 4 report. The Short Title and Title both populate to the SIP Console. Objectives: Identifies the objective for the protocol according to your institution's SOPs. Objectives populate to the SIP Console and display on the public website. Phase: Indicates the study phase of the protocol. The phase selected here populates to the SIP Console and displays on the public website. Protocol Search provides a Search By Phase option. Scope: Indicates the enrollment scope. Typically, 'Local' indicates the trial will only be open for the research center, 'National' indicates a multiinstitutional trial. This is an information-only field and does not indicate scope for Data Table 4 reporting or any other OnCore functionality. Age: Indicates the age of subject participants. Options are 'Adult', 'Children', or 'Both'. Consent Age Majority: Triggers warnings to reconsent subjects at the age of majority when set to 'Yes'. This field is only active when the 'Age' selected is Children or Both. Drug Accountability: Indicates whether drugs are being used and recorded within the protocol. Options are 'Yes', 'No', or 'N/A'. This is an information-only field and does not drive any OnCore functionality. IIT: Indicates whether the principal investigator initiated the protocol; options are 'Yes', 'No', or blank. This field is used in the Data Table 4 Revised -- Clinical Research Protocols report. Involves Therapy: Options are 'Yes', 'No', or 'N/A'. Exclude Protocol Web: Excludes the protocol from displaying on the SIP (Study Information Portal) if the box is checked. Open for Affiliates Only: Indicates if the protocol can be opened for accrual at affiliate sites but not at the Research Center if set to 'Yes'. Summary Accrual Info. Only: This field is marked as 'Yes' when only summary subject data will be collected for a protocol. This enables the collection of subject accrual data summaries on the Accrual tab in PC Console, and disables the 3 Subjects > CRA Console > New Subject Registration page. If the protocol meets the requirements to include on the Data Table 4 Report, accrual totals are included. This setting cannot be changed once subjects are accrued to the protocol. Protocol Type: Indicates the type of protocol and is used for reporting purposes. The reference code for this field has a parent of either 'Therapeutic' or 'NonTherapeutic'. When a protocol type with a parent of 'Therapeutic' is selected, subject accruals are included in the Data Table 3 Report. Cancer Control: This field appears only when OnCore is configured as a Cancer Center environment or when a library of Oncology is chosen. The NCI definition of cancer control science is 'the conduct of basic and applied research in the behavioral, social, and population sciences to create or enhance interventions that, independently or in combination with biomedical approaches, reduce cancer risk, incidence, morbidity and mortality, and improve quality of life (Cancer Control Program Review Group, 1998— modified).' Marking this field as 'Yes' causes the protocol to display as 'Cancer Control' on SIP (Study Information Portal), but this designation can be overridden in Protocols > SIP Console. Cancer Prevention: Indicates that the protocol involves subjects that do not currently have cancer if set to 'Yes'. Subjects could be at risk of the cancer or in remission. Use this field to indicate the protocol is being used for prevention. This field appears only when OnCore is configured as a Cancer Center environment or when a library of Oncology is chosen. Data Table 4 Report Type: The drop-down consists of report types that become sections within the NCI Data Table 4 report. In the Data Table 4 Revised – Clinical Research Protocols report, the protocol is listed under the report type selected here. The protocol will not populate to the Data Table 4 report when this field is Not Applicable or left blank. (NCI Report types are: Interventional, Observational, Ancillary/Correlative, Not Applicable or blank.) This field appears only when OnCore is configured as a Cancer Center environment or when a library of Oncology is chosen. Registration Center: Typically used to indicate the type of organization responsible for subject registration. This is an information-only field and does not drive any OnCore functionality. Involves Correlates: Enables the 'Correlates & Companions' tab in the PC Console when set to 'Yes'. This tab allows you to do two things: assign companion studies and track correlates (basic specimen collection information). Data Monitoring: Records the party responsible for monitoring the protocol data. This is an information-only field and does not drive any OnCore functionality. 4 Adjuvant: Indicates that the study drug is enhancing or otherwise affecting the impact of another drug, if set to 'Yes'. Options are 'Yes', 'No', or 'N/A'. This is an information-only field and does not drive any OnCore functionality. Includes Specimen Banking: Indicates whether the protocol is a specimen banking protocol. Checking this box causes the Specimen Collection Configuration tab to display. It also indicates that consent records are tracked in the Specimen Collection Console instead of Subject Console > Consent. Companion Study?: Indicates that this protocol is a companion to another study. Multi-Site Trial: For non-oncology protocols, this is an information-only field and does not drive any OnCore functionality. For protocols in the Oncology library, this field affects Data Table 4 reporting as follows: Investigational Drug: Investigational Device: If marked as 'Yes', the protocol is considered multi-site on the Data Table 4 report, regardless of whether multiple institutions are listed in the PC Console > Institution tab. If marked as 'No', the protocol is not considered multi-site on the Data Table 4 report, regardless of whether additional institutions are listed in the PC Console > Institution tab. If left blank, the protocol is determined as multi-site based on whether more than one institution is listed in the PC Console > Institution tab. Options are 'Yes', 'No', or 'N/A'. This field sets the value of the Investigational Drug field on the Main > IND/IDE tab, and vice versa. Options are 'Yes', 'No', or 'N/A'. This field sets the value of the Investigational Device field on the Main > IND/IDE tab, and vice versa. Accrual Information In Update Mode, an asterisk indicates a required field, and required fields will vary based on library. A DT4 superscript will show on field labels related to the Data Table 4 report when OnCore is configured as a Cancer Center, or when the Library selected is 'Oncology'. Not Applicable: In Update Mode, a Not Applicable checkbox appears in the right side of the header for this section. When the Not Applicable box is checked, N/A will appear as a field value for all Target Accrual fields or Accrual Goal fields for the protocol. Additionally, the protocol will not display in the Open or Suspended Protocols at or over Target Accrual report. The Accrual Target Met Notification will filter out Not Applicable Protocols. Protocol Target Accrual: Use the Protocol Target Accrual to enter the number of subjects to accrue for the protocol. The target accrual number entered displays in 5 the top header of most screens within OnCore and will populate in some reports, including the NCI Data Table 4 Revised - Clinical Research Protocols report. This number also triggers the system-generated Protocol Target Accrual Met notifications if the notification is activated. RC Total Accrual Goal (Lower): Indicates the minimum side of the range for the research center (local) total accrual. Enter the minimum number of subjects to accrue for the research center running the protocol. If there is no upper goal, enter the total research center accrual in this field. The Low Accrual Report utilizes this field. RC Total Accrual Goal (Upper): Indicates the maximum side of the range for the research center (local) total accrual. Enter the maximum number of subjects to accrue for the research center running the protocol. This is an information-only field and does not drive any OnCore functionality. RC Annual Accrual Goal: Indicates the estimated number of subjects that will accrue for the year at the research center running the protocol. It may be shown on the NCI Data Table 4 Revised--Clinical Research Protocols report. Affiliate Accrual Goal: Indicates the estimated number of subjects that will accrue at the Affiliates running the protocol. This field should include any institution but the research center (e.g. affiliate institutions and VA.) Accrual Duration (Months): Indicates the estimated number of months the protocol will be accepting subjects to accrue. This is an information-only field and does not drive any OnCore functionality. Completion Date: In Update Mode, an asterisk indicates a required field, and required fields will vary based on configuration library Primary Completion Date: The date that the final subject was examined or received an intervention for the purposes of final collection of data for the primary outcome, whether the clinical trial concluded according to the pre-specified protocol or was terminated. For active studies, select Anticipated and specify the expected completion date, updating the date as needed over the course of the study. Upon study completion, select Actual and update the date if necessary. Study Completion Date: Final date on which data was (or is expected to be) collected. Use the Anticipated or Actual choices as described above. Management Details: The PC Console > Main > Management tab is where administrative information about the protocol is tracked. Additional protocol identifiers, such as WIRB number, are stored on this page. 6 Management Groups are also selected here, which may impact user access to the protocol. IRB No.: Used to hold a protocol number assigned by the IRB, (i.e. WIRB) if applicable. This number can be used to find a protocol in any of OnCore's Select Protocol find-as-you-type fields. Pharmacy No.: Used to hold a protocol number assigned by the pharmacy, if applicable. This number can be used to find a protocol in any of the Select Protocol find-as-you-type fields throughout OnCore. Priority Score: A numeric priority score may be assigned to the protocol, typically by the scientific review committee. This is an information-only field and does not drive any OnCore functionality. This field automatically shows up as a result column in Protocol Search. PRMS No.: Used to hold a protocol number assigned by the Protocol Review Management Committee, if applicable. This number can be used to find a protocol in any of OnCore's Select Protocol find-as-youtype fields. PRMS Review Required: Indicates that the protocol cannot be opened to accrual until there is an approved PRMS Initial Review entered in OnCore if set to 'Yes'. All Cancer Center trials must be set to ‘Yes’. Additionally, if ePRMS is enabled for the library selected, and the protocol was created through the PC Console, setting this field to 'Yes' will prompt the user 'Do you want to create an ePRMS initial submission?' Note that when a protocol is in the Terminated, Abandoned, Closed to Accrual, or IRB Study Closure status, OnCore will not generate an initial submission. DSMC Review Frequency (months): Used to automatically calculate a re-review date based on the DSMC Review Date. Enter the number of months between required reviews. CTRC Participation: Indicates whether or not the Clinical and Translational Research Center (CTRC) is providing support for the protocol. CTRC No.: Used to hold a protocol number assigned by the CTRC, if applicable. This number can be used to find a protocol in any of OnCore's 'Select Protocol' find-as-you-type fields. CTRC Approval Date: Date that CTRC support for this protocol was approved. CTRC Category: Indicates level of support from the CTRC. The value is the category assigned by the CTRC. A category value is the National Institute for Health’s (NIH) method of assigning financial responsibility for hospital costs for patients receiving CTRC support. 7 NCT Id.: The protocol identifier assigned by clinicaltrials.gov. PDQ No.: Indicates the PDQ(R) (Physician Data Query) number assigned by the NCI for the protocol's listing in its comprehensive research database. NCI Trial Id.: The trial ID assigned by CTRP. If populated, a link to the ClinicalTrials.gov site will be added to the protocol listing in SIP. CTMS Export: Indicates whether the protocol should be available for CTMS export. This checkbox appears only for protocols using an Oncology library. Comments: This is an information-only field and does not drive any OnCore functionality. Toxicity Scheme: Determines the toxicity choices in Adverse Event (AE) and Serious Adverse Event (SAE) reporting. The drop-down options shown here may vary based on your institution's operating procedures. Once toxicities have been tied to a subject associated with the protocol (either on an SAE or an Adverse Event form), the toxicity scheme cannot be changed. The only exception is when the toxicity is set to 'CTC V3'. In these cases a link will be made available that reads Switch to CTCAE v4.0. Clicking the link will migrate all 'CTC V3' toxicities entered to the corresponding 'CTC V4' codes. This migration cannot be undone. Automated Subject MRN: A value of 'Yes' causes subject medical record numbers to be automatically populated for enrolled subjects. Entering 'No' and leaving the field blank both indicate that subject MRNs will be entered manually. A default value for this field can be configured. Automated Sequence No.: This is not used at UCD unless specified by the PI. Used to automatically generate a sequence number for subjects. A default value for this field can be configured. Options are 'Yes', 'No', 'Randomization Block', or 'Stratification Block'. The options are detailed below. Randomization Block: Randomization will manage a single list of sequence numbers to be used for subjects. If 'Randomization Block' is selected, the PC Console > Main > Randomization tab will be enabled. Stratified Block: Selecting 'Stratified Block' allows you to upload a file containing a sequence of numbers associated with the strata your biostatistician defines. If 'Stratification Block' is selected, the PC Console > Main > Stratification tab will be enabled. 8 Use Randomize Algorithm: Selecting 'Yes' enables the Randomization tab with an additional set of options to configure OnCore to manage randomization and stratification assignments. This is used for investigator-initiated studies that are being administered within Oncore. Note that selecting 'Yes' disables the Randomization and Stratification block options for the previous field. Internal Account No.: Records internal tracking numbers, i.e. Speedtype Hospital Account No.: Records the protocol number used by the hospital system. This is the G-Code provided by UCH. This field is not used in other areas of OnCore. Allow Duplicate Enrollment?: When checked, subjects can be added to the protocol multiple times. Each On Study Date in the Subject Console > On Study tab will be counted as a separate accrual. Allow On Treatment date to be entered before On Study date: When checked, a subject's On Treatment Date in the Subject Console > Treatment tab may be prior to the On Study Date listed in the Subject Console > On Study tab. Populate On Follow-Up Date with Off Treatment Date: When checked, the Follow-Up Start Date on the Subject Console > Follow-Up tab will automatically populate with the Off Treatment Date on the Subject Console > Follow-Up tab. The Follow-Up Start Date can be removed if needed. Administrative Groups Administrative Groups are used for reporting and security purposes. Management Group is available for all protocols. Program Areas is only available for protocols using the 'Oncology' library or when OnCore is configured as a Cancer Center. Program Areas: Selected Program Areas are used in the Data Table 4 Report. Values are designated as either Planned or Approved in Admin > Reference Codes, Program Area domain. Management Group: Management Groups are used for reporting and access privileges. In standard OnCore reports, accrual will count for the Primary Management Group. Management Groups can also be used for security purposes. When the scope of a privilege for a role is defined as 'Management Group', the management group must be entered in this section in order for those users to access the protocol. The same Management Group must be assigned to a user in the user’s staff information screen. The Team Console also 9 provides functionality and access to protocol information where the protocol and users are assigned to the same Management Group. Protocol Staff The PC Console > Main > Staff tab is where staff members associated with the protocol are displayed and manage In Update Mode, an add block appears above the Protocol Staff table. The add block offers three ways to add staff to the protocol: 1.) by selecting a team associated with another protocol in OnCore, 2.) by creating a new staff record, or 3.) by selecting individual staff that already have staff records in OnCore. Select Team: This button is used to add several staff members at once, if those staff members have worked together on another protocol in OnCore. Clicking on the button will display a protocol selection field. Select a protocol and click the Show Team button to display a pop-up window containing a list of the protocol's staff. Use checkboxes to select applicable staff members, enter Start Dates for each if desired, and click Submit to add selected staff to the protocol. Create Staff: Users with the New Staff privilege will be able to create new staff records directly from this page, rather than going to the Staff Console > New Staff page. Clicking the Create Staff button opens a pop-up window in which new staff details can be added. The new staff record will populate the fields in the add block (you will need to click the Add button to assign them to the protocol), and will also be available for selection on other protocols. Individual staff: Members are added by selecting values from the Staff Name and Role fields and clicking on the Add button. Staff Name: This find-as-you-type field presents active staff records Role: The staff member's role in relation to the protocol; this list is defined in Admin > Reference Codes. Note that protocol roles are not the same as a user's Access Role. Some OnCore functionality is associated with protocol roles that have specific codes. An individual may have multiple roles on a protocol. A separate entry must be made for each role. Once staff members have been added to the protocol, they will appear in the staff table below. The Protocol Staff table can be sorted by clicking on any of the column headers. An individual may be listed multiple times in different roles and associated with different institutions. The OnCore user that created the protocol is automatically included as a staff member with a Role of 'Protocol Creator'. 10 RC/OCT (or CC/OCT Only): When checked, the table displays only protocol staff associated with the institutions with the types of Research Center/Cancer Center or Office of Clinical Trials. Active Staff Only: When checked, displays only staff that are 'Active' on the protocol. Staff members are considered inactive on the protocol if they have a past Stop Date or a future Start Date. Last Name/First Name/Middle Name: With the appropriate privilege, the first and last name fields appear as links to the Staff Console. Contact information for a staff member can be viewed by hovering over their first or last name. Institution: The staff member will be automatically associated with the institution listed in the staff record. This can be overridden with the appropriate privilege by clicking on the Edit link. Start Date: An optional field indicating the date that a staff member is considered 'Active' on the protocol. For privileges having a scope of 'Assigned', an entry here will preclude access until that date. Stop Date: An optional field indicating the final date on which a staff member is considered active on the protocol. For privileges having a scope of 'Assigned', an entry here will prevent access beyond that date, and will prevent the staff member from continuing to receive any role-based notifications for the protocol. Reason: The reason a Stop Date has been entered. This is an informationonly field and does not drive any OnCore functionality. View Attachments: Select a staff record and click the View Attachments button to see the following display of attachments for the staff member(s). The Get Attachments button will download a zip file of the attachments with a folder for each staff member. Edit Staff: Clicking on the Edit link opens a pop-up window for modifying or deleting the corresponding staff member. The staff member's name appears in the pop-up header, along with the phone number and email address stored in the staff record. All entries related to the staff member are displayed. Additional entries may be made for the staff member, representing multiple roles or institutions. Institution: Institutions available for selection are those associated with the protocol on the PC Console > Institution tab. The institution listed in the staff record will appear by default. Users with the appropriate privilege can override a staff member’s default institution by selecting another Institution from the dropdown 11 list. Changing a staff member’s Institution on this page applies only to this protocol; it does not affect the default institution listed in the staff record. Sponsor Details The PC Console > Main > Sponsor page is where the protocol sponsor information is managed and displayed. Add Sponsor: This button displays a find-as-you-type field that searches all sponsor records in OnCore. Once selected, click the Add link to assign the sponsor to the protocol. Create Sponsor: This button permits creation of new sponsor records, and is available only with the appropriate privilege. Contact the OnCore Support team if you do not see your sponsor in the drop-down list. . Sponsor Code: A unique code identifying the sponsor. Sponsor Name: The descriptive name for the sponsor will appear on some standard reports. Sponsor Type: Sponsor type is a reference code and will affect Data Table 4 reporting. Sponsor Type should be assigned according to your institutions SOPs. This will be prepopulated based on the sponsor. Below the Add Sponsor and Create Sponsor buttons, the 'Sponsor Details' table displays all sponsors that have been added to the protocol. Sponsor: Displays the descriptive name for the sponsor. Sponsor Protocol No.: Indicates a number assigned by the sponsor for the protocol. This value may be used to find a protocol in any Select Protocol find-as-you-type fields throughout OnCore. Role(s): Displays the sponsor's role on the protocol (or edit if no role has been specified). This field may have multiple values and is displayed as a link. Clicking the link allows you to manage the sponsor's role(s). At least one Legal/ Contracting Sponsor must be listed for every protocol. This is the entity that holds the contract with UCD Office of Grants and Contracts (OGC). Principal Sponsor: For protocols that meet the criteria to be included on the NCI Data Table 4 Report, the Principal Sponsor indicator will be used to determine the sponsor number to use on the report. At least one sponsor must be marked as the Principal Sponsor for the protocol to be included in the report. If more than one sponsor is marked as Principal, a warning message will appear upon clicking Submit, indicating potential problems with NCI Data Table 4 accrual reporting. 12 Delete?: This checkbox will be unavailable if the Sponsor is associated with a Subject Related or Protocol Related procedure in the Financials Console. Grant/Contract : This link displays the Grant/Contract Details table, where the sponsor's grant and fund accounts for the protocol can be created, selected and edited. Data Table 4 Report Setting: This section is only visible when OnCore is configured when the library selected is Oncology. Sponsor type override: The Principal Sponsor's default Sponsor Type may be overridden for users with the appropriate privilege. The override is applied only for this protocol and will change the way the protocol is categorized on the Data Table 4 reports. Grant/Contract The Grant/Contract link displays a table that lists all grants and funds associated with the protocol for a particular sponsor. Users may either select an existing grant or fund to associate with the protocol or add a new grant or fund for the sponsor. The 'Add Grant/Contract' add block is used to create a new grant/fund account and assign it to the protocol. The table below the add block displays all existing grants and funds associated with the protocol. These entries can be edited or selected for association with the protocol. Fund Acct. No.: The Fund Account number for the sponsor. This is the number OGC provides (252XXXX) at study set up. Grant No.: The Grant number for the sponsor. This is the official grant number provided by the study sponsor. NCI/NIH Grant?: Indicates whether the grant/fund is an NIH or NCI grant. This field is left blank if neither applies. NIH Institution or NCI Division/Program: Specifies the specific NIH Institution or NCI Division/Program. PI: A find-as-you-type field that searches all active staff records in OnCore. Grant/Contract Title: A descriptive title for the grant or fund. Select?: A grant or fund is associated with the protocol by checking the Select? checkbox and clicking the Add button. A grant or fund can be removed from the protocol by clicking the Close button and checking the corresponding Delete? checkbox. Note that this only deletes the association between the protocol and the grant/contract. A grant/contract record can only be deleted from OnCore on the Admin > Sponsor page. Edit?: Clicking on the Edit link displays the grant/contract details in the add block, where any of the fields can be edited. Note that the grant/contract record 13 cannot be deleted from OnCore on this page. A grant/contract record can only be deleted on the Admin > Sponsor page. IND/IDE The PC Console > Main > IND/IDE page tracks investigational device and investigational drug information for the protocol. ID: The drug/device identification number. This is a required field. Holder Type: Limited to values provided by CTRP, and determine the values available in the NCI/NIH Institution field. Holder Name: A free text field to capture the name of the holder. This is a required field. NCI/NIH Institution: Active if the Holder Type selected is 'NCI' or 'NIH'. The values presented are dependent on the Holder Type value, and are limited to values provided by CTRP. Grantor: The values for this field depend upon whether an IND or IDE is being added. Values are limited to values provided by CTRP. Submit Date: The date that the IND/IDE application was submitted. May not be known if it is an industry study. FDA Approval Date: The date of FDA approval for the IND/IDE. May not be known if industry study. Expiration Date: Usually used to hold the date of the last required yearly report. Expanded Access: Indicates whether the IND/IDE has "expanded access" (similar to compassionate use). Expanded Access Status: Active if the Expanded Access field is marked as 'Yes'. Values are limited to values provided by CTRP. Serial Number: The drug/device serial number. Exempt (if applicable): When the record is marked as exempt, the ID field is mandatory. Comments: This is an information-only free text field. In Inquiry Mode, this page will display a read-only view of all steps, treatment arms, drugs, devices and modalities associated with the protocol. If no steps have been defined for the protocol, this page will read 'No information entered'. To add or edit information on this page, click the Update button. Treatments A protocol must have at least one step defined before treatment arms can be added. Protocols may have one or multiple steps. 14 Step Code: Defines the step(s) in the protocol. This field permits up to 4 characters which must be unique per protocol. Once a step is added to the protocol, arms for that step can be created by selecting the associated Arms link. Step Type: This field defines the step as Registration or Randomization. This designation is for information only and does not drive any functionality, unless the protocol uses the Randomization algorithm. If the ‘Use Randomize Algorithm’ field in the PC Console > Main > Management tab is set to 'Yes', marking a step as 'Randomization' makes all arms within the step available for subject randomization on the PC Console > Main > Randomization tab. Note: this does not affect protocols using a Randomization/Stratification block. Delete?: To delete a step, check this checkbox and click Submit. This checkbox is inactive if subjects have been assigned to an arm associated with this protocol in the Subject Console > Treatment tab. Arms: Click to add or edit treatment arms within a step. Protocol Arms Treatment arms can be defined for each step by clicking on the corresponding Arms link. All protocols must have at least one arm, in order for subjects to be able to have a status of On Treatment. Additionally, protocols using calendars must have at least one arm is defined. A study may have one arm or multiple arms, and OnCore will permit subjects to be assigned to multiple arms. Note that OnCore provides the flexibility to create utility arms to support advanced calendar building. Arm Code: Enter a short identifier for the arm. This field is limited to 10 characters and will display on calendars, Reports, DSMC Console, and other locations. Arm Description: Enter a description of the arm. Both the Arm Code and Arm Description will display in the Subject Console > Treatment tab when assigning a subject to a treatment arm. Suspended?: When checked, the arm will be unavailable for subject registration in the Subject Console > Treatment tab. Delete?: To delete an arm, check the corresponding Delete? checkbox and click Submit. This checkbox will be inactive if subjects have been assigned this arm in the Subject Console > Treatment tab. Modalities/Drugs/Devices: Click to add/edit modalities, drugs and devices for each arm. Modalities, Drugs and Devices can be added by clicking on the Modalities/Drugs/Devices link associated with each arm. 15 To add a modality, drug or device, use the corresponding find-as-you-type field to select a value and click the Add button. Once a modality, drug or device has been selected for the arm, it will display in a table within the appropriate section. The table lists the Code and Description for each value selected. An entry can be deleted by checking the corresponding 'Delete?' checkbox and clicking Submit at the bottom of the page Levels: Click to add/edit levels for each arm. Treatment levels can be added by clicking on the levels link associated with each arm. Note that if one arm has levels associated with it, all arms must have levels. Level Code: This field permits four characters and must be unique per arm. Level Description: Displays along with the Level Code in the Subject Console > Treatment tab when assigning a subject to a treatment arm. Suspended?: When checked, the level will be unavailable for subject assignment in the Subject Console > Treatment tab. Delete?: To delete a level, check the corresponding checkbox and click Submit. The checkbox will be inactive if subjects have been assigned to this level in the Subject Console > Treatment tab. Disease/Diagnosis The PC Console > Treatment > Disease/Diagnosis page displays disease/diagnosis information for the protocol. In the Health Affairs library the system will display this tab as 'Disease/Diagnosis'. In the Oncology library, only 'Disease' will display. The disease or diagnosis selected for the protocol will be used to restrict the initial list of choices presented in the Subject Console > On Study tab. To add a disease or diagnosis, click the Select button. In the pop-up window that appears, select one or multiple values and click the Add button. In the Cancer Center configuration or if the library selected for the protocol is ‘Oncology’, Data Table 3 Disease Sites will be available for selection. If any library other than Oncology is selected, a site-specific Diagnosis Group list will be available for selection. The value(s) selected will display in the Disease or Diagnosis table. Participating Institutions The PC Console > Institution page is used to display, add, and delete the institutions and study sites that are participating in the protocol. Each is known as a 'participating institution' (or a 'protocol institution') within the context of the protocol. Institution: Institution names will display as links to the Protocol Institution Console for users whose default institution is the Office of Clinical Trials (OCT/CTO). Users at all other institutions will see links only for their default institutions. Beneath the 16 institution name is a bulleted list of those study sites that have been marked as participating on the protocol. An institutions' study sites are defined on the Admin > Institutions > Institution page. Participating institutions are added to the protocol using the Add block that is visible in Update Mode. To remove an institution from the protocol, check the corresponding Delete? checkbox (visible only in Update Mode). Coordinating Center: When a study is being conducted among a consortium (or hospital network), this field is used to specify the Institution with the Principal Investigator that is ultimately responsible for the protocol. (This column will only display with the appropriate configuration. An additional configuration may be used to specify that no participating institution may accrue subjects until the Coordinating Center is 'Open to Accrual'.) This field is editable in Update Mode. Use Center IRB: Indicates whether the institution uses the Research Center's IRB. If marked as 'Y', the institution will be available to add to the Research Center's IRB review on the PC Console > Reviews > IRB tab. If marked as 'N', IRB reviews for the institution need be recorded in Protocol Institution > IRB Reviews. The Research Center institution will not display a value in this field. This checkbox is editable in Update Mode. IRB Approval Date: If this institution has an 'Approved' Initial IRB review, the date of approval appears here. IRB Renewal Date: The approval date of the most recent continuation review (or the Initial Approval Date if there is no continuation review). IRB next Review Date: The expiration date of the IRB Review. Current Status: The status of the protocol at this institution. Status Date: The date that the Current Status became effective. Calendar Version: This column is visible only when OnCore is configured to display the most current approved calendar version for each participating institution. Total Accrual: The number of accruals at this institution. Pending Amendment: Displays a link when a global amendment has been approved at the Research Center but has not yet been approved by the participating institution. Expired Items: Displays an Item link when one or more staff-specific or protocol-specific regulatory items have expired. Clicking the link will display a pop-up summary of the expired item(s). Institutions Pending Approval: Lists all participating institutions that have not yet approved the global amendment in an IRB review. 17 A global amendment is an amendment that has been created, approved, and marked as Global in an IRB review by the Research Center. Marking an amendment as 'global' means that it must have IRB approval at every participating institution. When a global amendment has not been approved at a participating institution, it is called a pending amendment. At the bottom of the Institution page, the Pending Amendments link displays a summary of the global amendments for this protocol, and which institutions have yet to approve them. Clicking on this link displays The Change Type, Version Date, Change Description, and Comments fields display the details of any pending amendments, as listed in the Research Center's IRB Review. Each institution with a pending amendment will display a link in the Pending Amendment column of the Participating Institutions table. Clicking the link prompts a pop-up window to appear. Marking a pending amendment as Not Applicable makes the amendment unavailable in the participating institution's IRB review 'Global Amendments' section. The hyperlink will remain, however, so that not applicable items could be reversed and marked as applicable. If all items are selected in the IRB Review, the hyperlink disappears. To approve a Global Amendment for an institution, navigate to the Protocol Institution > IRB Reviews tab. Add or Edit the appropriate review record, then select the Global Amendment to record its approval by the institution. After selecting the global amendment within the approved IRB record, the amendment will no longer appear as a pending amendment. Participating Networks The Participating Networks table lists the networks in which the protocol is a participant. A network is a clinical trial cooperative group. In update mode click the Select button to display a pop-up of networks available to the protocol (this varies by Library). Use the checkboxes in the pop-up to indicate network participation. Each institution may be part of one or more networks. These associations are defined on the Networks page. A number of OnCore reports provide accrual information by network. For these reports to work properly, protocols must indicate their network participation and networks must have their institution associations defined. Accrual The PC Console > Accrual page displays detailed subject accrual data for the protocol. Depending on privileges, subjects listed in the Accrual Details table link to the corresponding subject record in the Subject Console. Current Subject Totals 18 The Current Subject Totals table lists the number of subjects currently at each status. Each subject's current status is displayed in the Status field of the CRA Console > Accrual tab. Consented (Withdrawn) (Refused) The number of subjects for which the most recent status date is the Signed Date for an Accepted consent in the Subject Console > Consent tab. Subjects are counted in parentheses as (Withdrawn) or (Refused) if the Status field in the Other Consent Status section displays Withdrawn or Consent Refused, respectively. Eligible (Withdrawn) The number of subjects for which the most recent status date is the Status Date field on the Subject Console > Eligibility tab, where the Eligibility Status selected is Eligible or Eligible (O), and for which eligibility has not been withdrawn. Subjects for which eligibility has been withdrawn (as indicated by a selection from the Reason Withdrawn field) are counted in parentheses. Not Eligible The number of subjects for which the most recent status date is Status Date on the Subject Console > Eligibility tab and for which the Eligibility Status selected is Not Eligible. On Study The number of subjects for which the most recent status date is On Study Date on the Subject Console > On Study tab. On Treatment The number of subjects for which the most recent status date is On Treatment Date on the Subject Console > Treatment tab. Off Treatment The number of subjects for which the most recent status date is Off Treatment Date on the Subject Console > Follow-up tab. On Follow-up The number of subjects for which the most recent status date is Follow-Up Start Date on the Subject Console > Follow-up tab. If this date is the same as the Off Treatment Date, the subject is counted in the On Follow-up column. Off Study The number of subjects for which the most recent status date is Off Study Date on the Subject Console > Follow-up tab. Expired 19 The number of subjects for which the most recent status date is Expired Date on the Subject Console > Follow-up tab. If this date is the same as the Off Study Date, the subject is counted in the Expired column. Cumulative Subject Totals The Cumulative Subject Totals table lists the total number of subjects to have achieved each status at some point in the life of the protocol, regardless of the subject's current status. Accrual Details table The Accrual Details table lists all subjects accrued to the protocol and their corresponding key information. View Eligibility Summary: Links to the PC Console > Eligibility page. Page Size: Defines the maximum number of subjects displayed per page. Filter: Enter text into this field and press Enter to limit the list to those subjects for which the entered text is included in any of the data columns. Page x of y: The Page dropdown and associated arrows are used to navigate among the pages of the table. The double arrows navigate to the first (<<) or last (>>) page, while the single arrows navigate to the next page. Subject MRN: The subject's MRN displays as a link to the corresponding subject record in the Subject Console, depending on privileges. Last Name/First Name: Displays subject's Last Name and First Name with the appropriate privileges. Initials: Subject Initials display in place of MRN, Last Name, and First Name for users with the privilege that permits initials but not other subject identifying information. Depending on privileges, this field may also be a link to the corresponding subject record in the Subject Console. Arm: Displays the current or most recent Arm assigned to the subject on the Subject Console > Treatment tab. For studies using the OnCore Randomization Algorithm which have been marked as 'Blinded', this column will only display with the appropriate privilege. Level: Displays the current or most recent Level assigned to the subject. The Level Code is applied to the subject in Subject Console/Treatment and originates from the arm and level information entered on the PC Console > Treatment tab. 20 Study Site: Displays the Study Site listed in the Subject Console > On Study tab. Sequence No.: Displays the value listed in the Sequence No. field in the Subject Console > On Study tab. Consent Signed Date: Indicates the date of the earliest consent with a status of 'Accepted' listed in the Subject Console > Consent tab. This date sets subject status to 'Consented'. If there are no 'Accepted' consents, this field will be blank. On Study Date: Displays the On Study Date from the Subject Console > On Study tab. Indicates the date that the subject is considered accrued to the protocol and sets Subject Status to 'On Study'. Off Treatment Date: Displays the Off Treatment Date from the Subject Console > Follow-Up tab. This date sets subject status to 'Off Treatment'. Off Study Date: Displays the Off Study Date from the Subject Console > Follow-Up tab. This date sets subject status to 'Off Study'. Expired Date: The Expired Date is entered in either the Subject Console > Demographics tab or the Subject Console > Follow-Up tab and indicates that the subject is deceased. This date sets subject status to 'Expired'. View PDF: Clicking this link will generate a PDF file containing basic protocol information and the Accrual Details table. If the Include PHI checkbox is not checked, the pdf will not include subject MRNs or first and last names. Save Sort Preferences: The table can be sorted by clicking any of the column headers. A second click on the same header will reverse the sort order. Rightclicking in the column header provides a secondary sort option. Clicking this link saves your current sorting scheme for re-use the next time you display this page. Accrual Summary The PC Console > Accrual page is used to display and modify summary accrual information for the protocol. The Accrual Summary table displays subject accruals by date range, institution and institution type. From Date: The start date of this summary accrual entry. Thru Date: The end date of summary accrual entry. CC Accrual: The number of accruals at the Research/Cancer center during the date range. VA Accrual: The number of accruals at the VA during the date range. 21 Affiliate Accrual: The number of accruals at all affiliates during the date range. Accrual Detail The Accruals table displays subject summary accrual entries. From Date: The start of the accrual period. Thru Date: The end of the accrual period. Institution: The institution credited with this group. Institution Type: The Institution type. Gender: Gender of the accrual group. Age Group: Age range of the accrual group. Ethnicity: Ethnicity of the accrual group. Race: Race of the accrual group. Disease Site: Disease Site of the accrual group. Recruited By: Recruiter of the accrual group. Zip Code: Zip code the accrual group. Accrual: Number of subjects in the accrual group. The Edit link displays the summary accrual entry in the add block, ready for editing. The Copy link will populate the add block data fields with the data found in the table entry. This is a convenience feature, as it allows you to create a new summary accrual entry with data similar to an existing entry. Creating a New Summary Accrual Entry Clicking the Update button will display an add block to add summary accrual entries. Protocol Status OnCore protocol statuses are assigned (and unassigned) in a predetermined order. The PC Console > Status page displays the protocol's status history. Users with the appropriate privileges will see buttons that can be used to assign the next status or undo the current status. The current status of a protocol can be seen on the right side of the PC Console and CRA Console headers. Status New Description Assigned when the protocol is created. 22 PRMS Approval Assigned when a PRMS Initial Review is completed for the protocol. (Cancer Center requires an approved PRMS Initial Review.) IRB Initial Approval Assigned when an IRB Initial Review is completed for the protocol. Protocol Signoffs After the 'IRB Initial Approval' status is assigned, organization-specific Protocol Signoffs (e.g. 'Research Manager Signoff', may be required. These signoff statuses are configurable by library. The multiple signoffs follow a preset order. OnCore displays a signoff button for the next available signoff status. Please refer to Sign Off manual for further details. This status is typically assigned when a sponsor puts the protocol on hold prior to opening to accrual. On Hold The On Hold button is displayed until the protocol status becomes 'Open to Accrual'. The Off Hold button is displayed when a protocol is 'On Hold'. When a protocol is removed from 'On Hold' status, the protocol reverts to its previous status. When an approved Initial IRB Review or an approved Initial PRMS Review is entered for a protocol having the status 'On Hold', OnCore updates the status of the protocol to 'IRB Initial Approval' or 'PRMS Approval' and insert an 'Off Hold' status into the table. Abandoned This status indicates no further action is expected for this protocol. An Abandon button is displayed until a protocol is 'Open to Accrual'. When a protocol has the status of 'Abandoned', an Undo Abandon button is displayed. Clicking the button reverts the protocol to its previous status. Open to Accrual This status indicates that subjects may be added to the protocol. An Open button is displayed after IRB initial approval and all protocol signoffs have been completed. When a protocol has a status of 'Open to Accrual', an Undo Open button is displayed. If the Exclude Protocol on Web field in PC Console > Main > Details is set to 'No' and the Display Protocol field in the SIP Console Configuration is set to 'No', when the Open button is clicked the Display protocol on SIP? checkbox is visible. If checked, this checkbox updates the Display Protocol field in the SIP Console Configuration, setting it to 'Yes'. Suspended This status indicates that a protocol is temporarily closed to accrual. OnCore does not allow you to place subjects On Study when a protocol is 'Suspended'. A Suspend button is displayed after the protocol is marked 'Open to Accrual'. When a protocol has a status of 'Suspended', an Undo Suspend button is displayed. Clicking the button reverts the protocol to its previous status. If the Exclude Protocol on Web field in PC Console > Main > Details is set to 'No' and the Display Protocol field in the SIP Console Configuration is set to 'No', when the Undo Suspend button or Open button is clicked for a 'Suspended' protocol the Display protocol on SIP? 23 checkbox appears. If checked, this checkbox updates the Display Protocol field in the SIP Console Configuration, setting it to 'Yes'. Closed to Accrual Indicates that a protocol is closed to accrual. The Close To Accrual button is displayed when the protocol has a status of 'Open to Accrual'. After a protocol is marked as 'Closed to Accrual', an Undo Closed to Accrual button is displayed. IRB Study Closure Typically the final status for the protocol when the expected outcome is successfully completed. The IRB Study Closure button is displayed after the protocol is marked 'Closed to Accrual'. When a protocol is assigned the status of 'IRB Study Closure', an Undo IRB Study Closure button is displayed. Terminated This status is typically used when a protocol ends prior to completing the expected outcome, and indicates that no further protocol action is required. The Terminate button is displayed after the protocol is 'Closed to Accrual'. The Terminate button is also displayed after 'IRB Study Closure'. When a protocol is marked as 'Terminated', an Undo Terminate button is available. When the Open for Affiliates Only field is marked 'Yes' in the Protocol > PC Console > Main > Details page, a For Affiliates Only button displays on the Status page that allows the protocol For Affiliates status to be changed to 'For Affiliates Only'. This is an active status that indicates that research Only center will not open the protocol, but allows the research center to track and monitor the protocol. Once a protocol's status is 'For Affiliates Only', the next available status is 'IRB Study Closure'. If the research center decides to open the protocol, an Undo button is available. Status Categories On various reports, protocol statuses are grouped into Pending, Active, and Completed categories. The statuses for each category are as follows: Pending: New, PRMS Approval, IRB Initial Approval, On Hold, and all Protocol Signoffs. Active: Open to Accrual, Suspended, and Closed to Accrual. Completed: Abandoned, Terminated, and IRB Study Closure. Status Table Status: The status assigned on the date indicated. This field may not be edited. The Page Overview section contains a detailed table of status descriptions. Date: The date the status was assigned. This field may be edited for all statuses except IRB and PRMS Approval. Future dates are not permitted. Initiator: Records the initiator of the status change. Data is selected from the Status Change Initiator domain. This field may be edited for all statuses except IRB and PRMS Approval. 24 Change Reason: Records the reason for the status change. Can be configured as a required field for certain statuses. Data is selected from the Status Change Reason domain. This field may be edited for all statuses except IRB and PRMS Approval. Comments: A free text field for comments. This field may be edited for all statuses except IRB and PRMS Approval. Last Changed By: OnCore automatically populates this column with the name of the OnCore user who assigned the status or changed the protocol record. Status History History: This button appears at the upper right of the Status table. When this button is clicked, a popup box appears showing the history of modifications to the protocol status: Action - Indicates whether this entry indicates the creation or deletion of an institution status. Action Date/Time: The date and time that the Action occurred. User -The user record that performed the Action. Report/Notification links: With the appropriate privileges and configurations, the following links will appear below the Protocol Status table: Protocol Activation Notice Appears when the protocol status becomes 'Open to Accrual' and Console/Notifications|Protocol Activation Notice has been configured for the protocol. Clicking the link displays a page that allows users to review and send the notification. PRMS Submission Form Generates a (customizable) PDF suitable for submission to a Scientific Review Committee. Protocol Closure Notice Appears when the protocol status becomes 'Closed to Accrual' and the Protocol Closure Notice has been configured for the protocol. Clicking on the link displays a page that allows users to review and send the notification. Protocol Termination Notice Appears when the status of the protocol becomes 'Terminated' and the Protocol Termination Notice has been configured for the protocol. Clicking on the link displays a page that allows users to review and send the notification. Reviews The PC Console > Reviews > Summary page summarizes committee review information that has been entered in each of the Reviews horizontal tabs. IRB Action History 25 The Action History table shows a read-only view of all IRB reviews entered for the protocol. When multiple reviews are listed, different background colors are used to improve readability. Filter By Review Reason This dropdown menu permits users to filter the list of reviews by values entered in the Review Reason field. The blank option at the top of the drop-down list will display all reviews, and is the default selection. Delete This checkbox can be used to delete an IRB review record by checking the box and clicking Submit. The checkbox may be disabled for any of the following reasons: one or more details are associated with it. one or more follow-up reviews are associated with it. it has triggered a financial event which has been added to an invoice. Hovering over the checkbox will display the reason, as follows: Details: This link displays the read-only view of the IRB Review Details. Edit: This link is visible to users with the appropriate privilege. The Add buttons at the top and bottom of the page permit the creation of a new IRB record for the Research Center, and are available only with the appropriate privilege. Update IRB Review Information collected for an IRB review is divided into five sections: Review Information table Details tab Communications tab Notes tab Related Reviews tab At the bottom of the page, the following links may appear: IRB Approval Notice If the 'IRB Approval Notice is configured for the protocol, this link will appear once the review is saved with an Action of 'Approved'. This is a manual notification; clicking the link will display IRB Approval Notification page, where the notification can be edited before sending. As of version 13, files that have been uploaded to the review may be selected to send as attachments with the notification. To Meeting Agenda This link appears once a review has been saved with the Review Date field populated, and leads to the Agenda Management page for the corresponding meeting date. 26 Create Follow-Up Review This button appears after a review has been created. A follow-up review is used to track any related reviews that may be scheduled when a decision has been deferred. Clicking the button automatically creates a follow-up review, with six data fields copied from the original record: Submit Date, Expiration Date, Committee, Review Reason, Review Number, and Institutions (each of these fields is editable, if necessary). Additional follow-up review data (including an Action of 'Approved') may be supplied. The follow up review will then appear on the Related Reviews tab of the parent review. Review Information table The upper portion of the page is where information about the meeting and the committee decision is entered: When creating an IRB Review, some details may be entered prior to the meeting (e.g. Review Date, Submit Date) while other details must be recorded afterward (e.g. Action). Review Date: The date of the IRB review committee meeting. This date must be less than or equal to the Action Date (assuming both dates are present). Submit Date: The date of submission of the review request. This date must be less than or equal to the Review Date and the Action Date (assuming both dates are present). Committee: When an existing Review Date is selected, this field is automatically populated with the associated committee name. Review Reason: The reason for the review (e.g. 'Initial Review', 'Continuing Review'). This field is a reference code; two of its values are required and affect OnCore functionality: Initial Review: Each protocol can only have one approved IRB Review with a Review Reason of Initial Review. This review sets the protocol status to 'IRB Initial Approval' and is used in some reports. Continuing Review: This Review Reason is used in the IRB Review Expiration Notice and some reports. Review Type: Indicates whether a review is 'Full', 'Expedited', etc. Review Type values beginning with the word 'Full' will create a new entry for the corresponding Review Date in Agenda Management. Action: The action/decision of the review committee. An action of 'Approved' with an Action Date on an 'Initial Review' will set the protocol status to 'IRB Initial Approval' for that date. If the 'IRB Approval Notice is configured for the protocol, saving an action of 'Approved' will cause an IRB Approval Notice link to appear at the bottom of the page. 27 Action Date: The date of the action/decision of the review committee. Expiration Date: The expiration date of the action/decision of the review committee. This date is used by the IRB Review Expiration Notice. The expiration date of the review will automatically become the expiration date for any documents included in the details section of the review and released to the PC Console. Review No.: The submission number for a review record of a specific review reason (e.g. 'Initial Review', 'Amendment') for this protocol. (This value must be unique per Protocol/Committee/Reason.) Summary: Free-text field for additional review information. Institution: After the IRB Review is created, this field will display the Research Center institution by default. Use the Edit link to display a pop-up window where additional institutions can be selected to share this review. The pop-up window will only display those institutions that have been designated as using the Research Center IRB. Details tab The Details tab is used to enter amendments, consent forms, or meeting date changes. A counter is displayed on the tab label, showing the number of entries the tab contains. Use the Add button to display an add block to enter the following data: Type: This values in this field are reference codes in the domain Review Change Type (under Committee). This domain has special functionality: Values with a parent of Consent cause this record to become available in the Subject Console > Consent tab for selection. Values without a parent of Consent appear on the PC Console > Documents/Info tab once released. Document Search displays only the most recent released version of each detail Type. After saving the Detail record, the Type field appears as a link. Clicking the link permits the selection of additional Type values. An entry with multiple Type values and includes an uploaded file or URL is considered a Combined Consent. Amendment No.: The amendment number, if this is an amendment. Received Date: The date that this detail was received. Version Date: The version date is used to identify the most recent document of each document Type for display in Document Search. 28 Description: Free-text field to add description information. Comments: Free-text field for other comments. Global: An amendment may be marked as 'Global' if each participating institution's IRB must approve the amendment as approved by the Research Center's IRB. Checking this box will cause the record to appear as a 'Pending Amendment' on the PC Console > Institution tab. Reconsent Required: When an amendment is an updated consent form, this checkbox can be used to indicate a reconsent requirement for enrolled subjects. Checking this checkbox causes a » link to appear. Click the link to indicate whether the reconsent should apply to subjects with a status of On Treatment (including 'On Arm' and 'Off Arm'), subjects with a status of On Follow-Up, or both. This will cause an 'RR' superscript to appear next to each subject's name in the CRA Console until the subject has been reconsented. Attach File or URL: Upload a file for storage in the OnCore database, or link to an external URL for supporting documentation. Note that you may include only attachment (file or URL link) per entry. A stored file will be displayed as a link. Click the link to display the file. By default, stored files and URLs default are unavailable (unreleased) outside of the review. Use the Release checkbox to make the file or URL available in document search and (if not a Consent document) on the PC Console > Documents/Info > Attachments page). Select Previous Detail: This button can be used to choose a detail or file that has been included in a previous IRB review for the protocol. Clicking the button displays the following popup box: All previous reviews with details will display. Details can be displayed or hidden by using the +/- toggle to the left of the review number. Individual Details may be selected by checking the 'Include?' checkbox. Those Details that include file attachments will also show a 'Copy Docs?' checkbox that may be selected. Select the desired entries then click Save to include the details/docs in the review. Communications tab The Communications tab may be used to enter information about communications specific to this review. This could include the dates of queries sent to the protocol's PI and dates of responses received. A counter is displayed on the tab label, showing the number of entries the tab contains. Communication Type: The type of communication sent or received. T Sent To: This is a find-as-you-type field that searches all active staff. 29 Sent Date: The date the communication was sent. Resp. Reqd?: Indicates whether a response from the receiver is required. This value is automatically applied based on the Communication Type selected. Response: The following options are available form a drop down menu: Lack of Adequate Eligible Patients Meeting Acceptance/Decline Other PI Assessment Protocol Revised Recruitment Plan Submitted Study Closed by PI Responded By: This is a find-as-you-type field that searches all active staff. Response Date: The date of the response. Comments: A free-text field for comments about the communication. Notes tab The Notes tab is used to enter free-text notes specific to the review. This tab contains a free-text field with a 4000 character limit. Other External Committee The PC Console > Reviews > Other External Committee Actions page is where the actions of additional committees that review the protocol are displayed and managed. An additional committee is one not already represented by the PRMS, DSMC or IRB tabs. Additional committees are defined by your OnCore Administrator. An IRB review committee may defer approval of a submission to a later date. OnCore provides functionality to create and manage follow up review records. This tab only displays if the review record either has an associated follow up review, or is a follow up to another review record. When this tab appears, it will show a minimum of two reviews: the parent review and its follow up review, which are linked. This tab provides a history of the submission's progression through the review process. Other Committee Actions History The Other External Committee Actions History provides a read-only view of all committee actions that have been recorded in this section. Update Other Committee Action Committee: A committee defined by the External Committee reference code. Committee No.: The number used by this committee to reference this protocol. 30 Submit Date: The date the protocol information was submitted to the committee. Review Date: The date the committee reviewed the protocol. Action: The committee's decision regarding the protocol. Action Date: The effective date of the committee's decision. Submission: A free text field for collecting information regarding the protocol submission. Comment: A free text field for comments about the committee action. Next Review Date: The date the committee should next review the protocol. Documents/Info The PC Console > Documents/Info > Attachments page is used to manage attachments (uploaded files or URLs). This page automatically displays released (non-Consent) documents that were uploaded to an IRB review. Documents not subject to approval by the IRB may be uploaded directly to this page. Document Type: The document types available for selection on this page are reference codes in the domain Document Type in the Protocol group. Note that Document Type is not the same domain used to upload documents in an IRB Review. File Name/URL: The file name or URL for the document displays as a link. File name links represent uploaded documents; clicking the link opens or downloads the file. URL links open the page in new browser window or tab. Description: A free-text field. Version Date: The document version date is a required field. Only the most recent version of each Document Type display in Document Search for each protocol (unless your system is configured to display all documents). Expiration Date: For documents attached within IRB Review, the document inherits the expiration date of the review in which it was approved. For documents uploaded to the Attachments tab, this field is optional. Created Date: Automatically displays the date the document uploaded into OnCore. Created User: Automatically displays the User Id for the user account responsible for uploading the attachment. Edit This link is available for documents uploaded directly to this page. Documents approved by the IRB must be edited within the IRB review record. Delete 31 This checkbox is available for documents uploaded directly to this page. Documents approved by the IRB must be deleted within the IRB review record. Archive/Notes page The PC Console > Documents/Info > Archive/Notes page is used to display and manage the storage location of protocol materials and any protocol-specific notes. When the Update button is clicked, archive and note information may be added, modified, or deleted. Archive Details Archive Date: The date of storage. Archive Type: The type of documents archived, such as financial information, patient files or regulatory documents. Location: A description of the physical location of the archive. Box: Identifies the physical box containing the archived documents. Contents: Information about the archive contents. Notes Details Note Date: A date field useful to indicate when the note was entered, when the note was applicable, etc. Note: A protocol-specific note. FAQs The PC Console > Documents/Info > FAQs page lists and manages the Frequently Asked Questions (FAQs) and answers about the protocol. In Inquiry Mode, an Edit link appears next to each FAQ, where the entry can be modified or deleted. Question: A free-text field of 1024 characters. Click and drag the lower right corner to expand the text box. Answer: A free-text field of 1024 characters. Click and drag the lower right corner to expand the text box. Keywords: A free-text field of 255 characters. There is no functionality associated with keywords; they are simply used as a visual cue for users. Eligibility 32 The PC Console > Eligibility page is used to create and manage the protocol's eligibility questionnaires, and provide a summary of subject eligibility records. Eligibility Version History Table If a questionnaire has been created for the protocol, entries will appear in this table. Version No.: The version of the questionnaire, displayed as a link. Clicking the link will display the questionnaire. Version Date: The date the questionnaire was 'Released' (made available to subjects) or last modified. Subject Count: The number of subjects who have completed the questionnaire. Status: The questionnaire status, which may be 'In Progress' or 'Released'. The Create New Version button is used to create a questionnaire. If no questionnaire versions exist, the new questionnaire will be empty. If a questionnaire version already exists, the new questionnaire will be a copy of the latest version. After clicking the button, the Eligibility Version Details page is displayed. The Delete Latest Version button will delete the latest version of a questionnaire. Eligibility Summary Table Total: The number of subjects who have had their eligibility determined. Eligible (Withdrawn): The number of subjects who have been found eligible, and the number of those subjects that have withdrawn from the study. Eligible Override: The number of subjects who have been found eligible with an override condition, and the number of those subjects that have withdrawn from the study. Not Eligible: The number of subjects who have been found ineligible. Eligibility Details Table This table lists the subjects that have an eligibility record. If eligibility was determined by an online questionnaire, data will appear in the Form Version field. If the Form Version field is blank, eligibility was entered directly in the Subject Console. Subject MRN: The MRN of the subject, displayed as a link. Clicking the link will display the subject in the Subject Console. Subject Initials: The initials of the subject's name. Pre-Screening Consent Date: The Signed Date entered for a consent type of 'Screening Consent'. Status: The current subject status. Reason Withdrawn: The reason the subject has withdrawn from the study. 33 Form Version: The questionnaire version that the subject completed. Entered By: The person who entered the eligibility record. Entered Date: The date the eligibility record was entered. The View PDF button will generate a PDF file containing protocol data, the Eligibility Summary table, and the Eligibility Details table. Viewing a Questionnaire If a questionnaire is already in place, it will be displayed. Display Order: Determines the display order of a question in the questionnaire. Question: A question phrased to elicit a 'Yes' or 'No' answer. Eligible: The answer that is acceptable to retain eligibility. NA?: If set to 'Y', this question may be answered as 'Not Applicable', and does not make the subject ineligible. Modifying a Questionnaire In update mode, the Category field is displayed at the top of the page. Category: A drop-down field used to select a predefined category of eligibility questions. After selecting a value in the Category field, click the Add button to display a pop-up window where questions associated with the category may be selected: Questions may be added to this protocol's questionnaire by selecting the corresponding Select? checkboxes and clicking the Submit button. Question If a question does not appear in the list, it may be created by entering the question here and clicking the Add button. This will add the question to the pop-up list, where it may be selected or edited. Questions should be phrased to elicit a 'Yes' or 'No' answer. Edit This link will display for questions that have yet to be added to a questionnaire (i.e. a question may be modified until it is used). After questions have been selected, they are displayed at the bottom of the page. Use the data entry fields to configure question order, select the responses that render the subject eligible, and mark questions where a 'Not Applicable' response will be available. When the questionnaire is completed, click the Submit button to save your work. 34 Click the Release button to give the questionnaire a status of 'Released', making it available to subjects. Protocol Calendar The PC Console > Protocol Calendar page displays the details of the Protocol Calendar as defined in eCRFS/Calendars > Specifications: scheduled visits, procedures to be performed during each visit, and forms (eCRFs) used to record visit data. The page has two tabs. The Released tab displays the latest released version of the calendar. The Unreleased tab will display a new version of the calendar that is in development but not yet released. The Procedure column lists the scheduled protocol procedures. If a procedure has component items, they are listed below the procedure name. (The Show Items and Hide Items links toggle the display of the component items.) The Forms column lists the forms (eCRFs) used to collect information for the corresponding procedures. A procedure may have multiple forms. Form names are links, and clicking a link will display a Form Preview page. Form Preview pages provides an opportunity to view form text and layout of data entry fields, practice form data entry, and generate PDF versions of forms. The remaining columns form a grid of scheduled visits. At the top of the grid are headers that organize the visits as Treatment visits or Follow Up visits. Within the Treatment section, protocol arms are shown. Arms display in different colors to aid readability. The top row displays the Arm Code followed by a colon and the Arm Name. Within each arm, treatment segments are shown. A treatment segment defines a period of time where visits may be scheduled. Some treatment segments may define cycles (repeating periods). The text below the treatment segment name defines the characteristics of the segment. In the screenshot above: o The segment Treatment ABC is a cycling segment. It is defined as two cycles of 24 days. o The segment Regimen MNO is a 28-day period. Visits may occur on days 1, 11, and 20 of that period. Within each treatment segment, Scheduled visits are shown. Visits are given default names at calendar creation. Here are some examples: o D1 indicates the first day of a period. o C2D8 indicates the eighth day of the second cycle. o W4 indicates the fourth week of a period. A visit may be given a different name by the calendar creator. The remainder of the grid defines subject visit schedules. A character in a cell indicates that a procedure is scheduled for a particular date. By default, the character is an 'X', but this is configurable. If a procedure is scheduled to be performed multiple times during a visit, the character is preceded by the appropriate numeric value (e.g. 2X means the procedure will be performed twice). 35 At the bottom of the page is the Calendar Foot Notes table, which lists the footnotes used by the calendar. A footnote may be attached to a procedure, visit, and visit procedure (a particular procedure on a particular visit). Buttons Calendars that have too many visits to fit on a single page will display a scroll bar below the calendar grid. The Freeze Panes button will hold the Procedure column in place while the scroll bar is being used. Click the View Excel button to generate an Excel representation of the calendar. Click the PDF Forms button to generate a PDF representation of all the calendar's forms. Notifications The PC Console > Notifications page is used to view and manage a protocol's notifications. (Notification management is done per library, but this page allows the library's settings to be overridden at the protocol level.) The notifications listed in the upper part of the table are those that must be manually triggered by clicking an OnCore link. The notifications listed in the Automatic Notification portion of the table are triggered by a specific action or a scheduled batch process. Category: Each notification belongs to one of the categories: 'Protocol, 'Subject', or 'Financial'. Notification: The notification name, displayed as a link. Clicking the link will display a page to set set a protocol-specific configuration for the notification. Default: If selected, the notification will be governed by the configuration defined in the protocol's library. Custom: If selected, the notification will be governed by a protocol-specific configuration. The first time this is selected for a notification, a 'Not Configured' message will appear in the rightmost column indicating that custom configuration has yet to be done. Disable: If selected, the notification will not be sent. The "radio button" at the top of the column may be used to disable all of a protocol's notifications. At the bottom of the page are four hyperlinks: Protocol Monitoring Rules Displays a page to configure the Safety Monitoring Notice when Serious Adverse Events are entered for the protocol. The Institution Monitoring Rules table shown at the top of the page displays the system-wide safety monitoring rules. The table is used to list, add, or modify safety monitoring rules specific to this protocol. Each table defines rules consisting of the following fields: 36 Number of SAEs: The number of SAEs of specified toxicity (see next field) that must occur. Toxicity: Defines the SAE toxicities that apply to this rule. Each SAE has an Unexpected field, which may be set to 'Yes', 'No', or blank. This field supplies two choices: A choice of 'Unexpected' matches SAEs where the Unexpected field is set to 'Yes'. A choice of 'Same' matches SAEs where the Unexpected field is set to 'No' and the SAEs have identical values in their Toxicity field. Grade: The minimum toxicity grade that constitutes a match (includes SAEs with this grade or greater). Months: The time range, in months, in which the SAEs must occur. No. of Subjects: The number of subjects that must experience an SAE of the specified toxicity. Active: A checkbox used to enable or disable this rule. After a rule has been added to the Protocol Monitoring Rules table, the Rule Attribute dropdown field appears in the header of the table. Use this field to indicate whether the Protocol Monitoring Rules override the system-wide rules for this protocol or supplement them as additional rules. Low Accrual Rule Displays a page to configure the Low Accrual Study Notification when a protocol's accrual has not reached a predefined level a number of months after the Open to Accrual date. Accrual Institution: A drop-down list to indicate the Institution type that is subject to this rule. Options are 'Research Center', 'Affiliates', and 'All Institutions'. Accrual Duration (Months): The number of months after the protocol's Open to Accrual date to check whether the Accrual Institution has not met the Low Accrual Threshold. Low Accrual Threshold: If the Accrual Institution has not had this number of accruals within the Accrual Duration, the notification will be sent. Subject Status Rules 37 PC Console/Subject Status Rules Displays a page to Notice when thresholds of subject statuses are met. These notifications are sent when the number of subjects that have been assigned a selected status have reached a predefined threshold. The notifications can be configured to send the first time the threshold is hit, again for each additional subject, and again for the next group of subjects. Rules are defined by subject status. Status: A drop-down field of subject statuses. The selected status defines the rule for sending a corresponding Subject Status Rule status Notice notification. Subject Threshold: The number of subjects that must be assigned the selected status to trigger the corresponding notification. Repeat: Provides options to send the notification more than once as additional subjects are assigned the selected status. Subject Visit Duration Rules Displays a page to configure the Subject Visit Duration Notice when a subject has one status date, but not another within a configured time period. These notifications are sent when a subject has been assigned a status but has not been assigned another within a configured time period. For example, this notification may be used to report subjects that have consented to treatment but have been waiting weeks to go on study. The Subject Visit Duration Notice is a one-time notification (it will not be resent). Begin Visit: A drop-down field of subject statuses ('Consented', 'On Study', 'On Treatment'). End Visit: A drop-down field of subject statuses ('Consented', 'On Study', 'On Treatment'). Max. Duration (Days): Defines the maximum number of days after the Begin Visit status that a subject is expected to have been assigned the End Visit status. No. of days after Begin Visit date to send notification: If a subject remains in the Begin Visit status for this many days without being assigned the End Visit status, the notification is sent. The upper portion of the page is used to define the notification recipients. Recipients may be identified by email addresses or protocol staff role. Reply To: Required field. Any replies by notification recipients will go to this address. For automatic notifications, the email address entered here will 38 be the 'From' field of the notification email and is also CC'd when the email is sent. For manual notifications, if the text '{ONCORE_USER}' is added to the Reply To field, the notification will automatically include the email address of the user that triggered the notification to send. To: The email addresses of those who should receive this notification. Multiple addresses must be separated by semicolons. Cc: The email addresses of those who should be copied when the notification is sent. Multiple addresses must be separated by semicolons. In the Additional Recipients section, an "add block' is provided to generically select the protocol staff members that will receive the notification. Role Scope: Selecting 'Protocol' limits the recipients to those having the Staff Role on the notification-generating protocol. Selecting 'All' will expands the recipient list to those having the Staff Role on any protocol in the library. Notifications are only sent to staff that are current, based on staff start and stop dates. Staff Role: Indicates which Staff Role within the selected scope is to receive the notification. Recipient Type: Indicates whether the recipient is part of the 'To' or 'Cc' list in the notification email. At the bottom of the page are fields used to define the email contents and refine the recipient list. Subject: The subject of the notification email. (For most notifications, the protocol number will automatically be included in the subject line.) Text: This will be the body text of the notification email. For many notifications, there is predefined text automatically included in the body of the email (e.g. protocol number). To view the predefined text, enable the notification and click the Preview button. Show Subject PHI?: If checked, subject PHI (full name and MRN) will be included in the body text. (This option is available to a small set of notifications.) Include Affiliate Subjects?: If checked, the notification email will be triggered by subjects accrued to any institution listed on the protocol. If unchecked, the notification will be triggered only by subjects accrued to the research center institution. Enabled?: If unchecked, this notification will not send. 39 Include Part Affiliates: When checked, institutions participating in the protocol will be sent a notification if they have an email address specified in their institution record. Deviations The PC Console > Deviations > Protocol Deviations page is used to display and manage protocol deviation records. Show Only Unreported Deviations Unchecked the table, displays all deviations. When checked, the table displays only deviations without a date entered in the IRB Reported Date field. New Protocol Deviation Button This button displays for users with the appropriate privilege. The Protocol Deviations Overview table can be sorted by any of the columns. Right-click a column to designate a secondary sort criteria. Date Discovered: Displays as a link to the Protocol Deviation Inquiry for the selected protocol. Update: This button is used to quickly update the IRB Reported Date for the selected protocols. Note that this field is not used to update the protocol deviation details. Click the Date Discovered link to edit protocol deviation details beyond the IRB Reported Date. Delete: This button deletes the selected protocol deviation(s). View PDF: Generates a PDF file with all of protocol deviations displayed. Protocol Deviation Inquiry This page is shown when the Date Discovered link is clicked for a given protocol deviation. The PI Report Format field is a drop-down used with the PI Report button to generate a printable report of the deviation. This is a customizable report generally used to submit the deviation information to an IRB for review. To return to the Protocol Deviation Overview table, click the Protocol Deviation horizontal tab. New Protocol Deviation Date Discovered: Required field; the date the deviation was discovered. Reported By: Auto-populates with the name of the user that clicked the New Protocol Deviation button, but may be edited. 40 Deviation Date: Required field; the date the deviation occurred. Category: A drop-down list. Description of Deviation: A free-text field describing the deviation. Effect on Patient Safety: A free-text field. Action Taken: A free-text field. Did the deviation put the participant or others at increased risk and/or negatively affect the primary study aims?: Options are 'Yes' and 'No'. Report to IRB?: A drop-down list indicating when the deviation was/will be reported to the IRB, or whether IRB reporting is Not Applicable. Date Reported to IRB: The date the deviation was/will be reported to the IRB. Report to Sponsor?: Indicates whether the deviation has been/will be reported to the protocol Sponsor. Date Reported to Sponsor: The date the sponsor was/will be notified of the deviation. PI Report Format: A drop-down used with the PI Report button to generate a printable report of the deviation. New Protocol The PC Console > New Protocol page is used to start the protocol creation process. Required fields are marked with an asterisk, and vary based on configuration options. After fields are completed click submit. Protocol Details Enter in the fields described previously in the document or refer to the Study Management data definitions sheet. Protocol Search The Protocols > Protocol Search page finds a list of protocols based on a variety of search criteria. Conducting a Search Dozens of fields are provided to collect criteria, and uers may use any number of them when conducting a search. Supplying data in multiple fields will narrow the search results - all criteria needs to be met for a protocol to be matched. At the bottom of the page, the Sort By: drop-down fields allow users to use the search result data to order the list of results. (The search results page has sorting capabilities as well.) When search criteria and sorting options are in place, click the Search button to generate a list of matching protocols. 41 To clear all search and Result Column? fields, click the Clear button. Saved Searches Search criteria that are often used may be saved to increase searching productivity. Creating a Saved Search After you have created a protocol search that you would like to be able to run again, click the Save As... button found at the top of the page. A pop-up will appear for you to enter a name for your search and click the Save button. All search criteria and Result Column? checkbox data are stored under the supplied name. Note that dates are saved as calendar dates, not date widget shortcuts (e.g. a date field populated by the shortcut 'yb' is saved as the calendar date in the field when the Save is performed). Your saved searches will be available in the Saved Searches drop-down field at the top of the page. Saved searches also display in the 'Saved Searches' widget on your Home page. Executing a Saved Search To re-execute a saved search, select it from the Saved Searches drop-down field at the top of the page or click the search link in the 'Saved Searches' widget on your Home page. The Protocol Search page will display with the search name at the top, and the search criteria will load into their respective fields. You may modify the search criteria if you wish. Once your criteria is in place, use the Submit button to execute your search. Managing Saved Searches To modify the criteria of a saved search, select it (see the previous section) and make your changes. Clicking the Update button at the top of the page will save the new criteria under the current search name. Clicking the Save As... button will allow you to save the new criteria as another (new) saved search. To modify the criteria of a saved search, select it (see the previous section), make your changes, then click the Update button at the top of the page. To delete a saved search, select it (see the previous section) and click the Delete button at the top of the page. 42