GCP compliance in the laboratory Checklist Introduction Samples collected from clinical trial participants that undergo analyses or evaluations which drive clinical care (e.g. safety and eligibility screening), or which monitor the efficacy of Investigational Medicinal Products (IMPs) and therefore impact on the evaluation of trial outcomes, are required to be conducted to Good Clinical Practice (GCP) in the Laboratory standards. This is to ensure that sample analysis is performed to an acceptable standard so that patient safety is not compromised and that data produced is reliable and accurately reported. The MHRA has responsibility for monitoring laboratories that perform these types of analytical assays and will carry out inspections. You may be involved in developing analytical assays or evaluations using clinical trial samples which are required to be performed to GCP standards, and which will be carried out within a laboratory at the University of Birmingham. Below is a checklist of procedures which, if implemented, will enable you to conduct sample analyses or evaluations in a manner which is compliant with GCP regulations. How to use this checklist You are advised to consider the implementation of the procedures listed. The relevant Quality Control Document (QCD) which can help with the development of written procedures and associated proforma are referenced. It is recommended that a trial-specific Laboratory Manual is produced which contains the overall analytical plan and associated written procedures. Templates for the analytical plan and the Laboratory Manual are available (see UoB-CLN-LAB-QCD-035 Analytical Plan and UoB-CLN-LABQCD-014 Laboratory manual). Checklist PROCEDURE ADVICE/COMMENTS RELEVANT QCD ORGANISATION Define and document the roles and responsibilities of the named individuals involved and reporting lines, including back up arrangements Produce an organogram Ensure the trial protocol (or relevant sections) is readily accessible to laboratory staff Keep a copy in the laboratory Ensure current versions of written procedures are readily accessible to laboratory staff Keep hard copies in the laboratory within a Laboratory Manual or easily accessible electronically; ensure superseded documents are stored separately for reference and are archived with all other trial documents Ensure mechanisms are in place to ensure that the laboratory is informed if consent is withdrawn to ensure that no further data is generated or collected Written procedure recommended to indicate lines of communication Restrict access to the laboratory, or laboratory area, to appropriate personnel UoB-CLN-LAB-QCD-001 GCP Compliance in the laboratory checklist v1.0 (EAv1.0) UoB-CLN-LABQCD-014 UoB-CLN-LABQCD-004 Page 1 of 4 GCP compliance in the laboratory Checklist UoB-CLN-LABQCD-005 v Maintain and document laboratory housekeeping regimes UoB-CLN-LABQCD-026 Ensure the risk assessments associated with laboratory procedure are in place Carry out regular internal audits or quality checks UoB-CLN-LABQCD-017 STAFF Ensure laboratory staff have a signed and dated copy of their job description which clearly defined their roles and responsibilities with respect to the analysis Ensure laboratory staff have received appropriate GCP training Set up training records UoB-CLN-LABQCD-020 Ensure laboratory staff have been adequately trained to undertake their respective tasks and records of training and competency are set up and available for inspection Set up training records; these need to be readily available and archived with all other trial documents UoB-CLN-LABQCD-020 EQUIPMENT UoB-CLN-LABQCD-002 UoB-CLN-LABQCD-003 Ensure ALL equipment which used during the analyses is maintained, regularly serviced and calibrated Written instructions should be produced to enable this and records must be kept and available for inspection; service records may be held centrally by senior technical staff but ensure that they could be found at inspection UoB-CLN-LABQCD-021 UoB-CLN-LABQCD-022 UoB-CLN-LABQCD-023 UoB-CLN-LABQCD-024 UoB-CLN-LABQCD-025 UoB-CLN-LABQCD-031 Ensure equipment which is shared with other researchers analysing nonclinical trial samples is maintained to a standard that will not compromise the integrity of clinical trial samples Written procedure recommended UoB-CLN-LAB-QCD-001 GCP Compliance in the laboratory checklist v1.0 (EAv1.0) UoB-CLN-LABQCD-006 UoB-CLN-LABQCD-027 Page 2 of 4 GCP compliance in the laboratory Checklist Ensure storage units housing samples and key reagents, controls and standards are separate and secure, preferably under restricted access Ensure computer systems are validated and documentation demonstrating this is available ASSAY VALIDATION Properly validate analytical assay with defined acceptance criteria prior to the start of clinical trial sample analysis and document this process Produce an assay validation plan and report and consider getting these documents reviewed and signed off by an appropriate person UoB-CLN-LABQCD-008 UoB-CLN-LABQCD-033 UoB-CLN-LABQCD-034 CONDUCT DURING SAMPLE ANALYSIS Ensure samples are assessed upon receipt into the laboratory and that action will be taken if integrity or viability has been compromised, or if samples are missing, unexpected or mislabelled Ensure receipt of all samples is properly logged, that appropriate anonymisation processes are in place, that they are processed, stored and analysed according to the trial protocol and that all samples remain traceable throughout their life cycle Ensure analytical procedures are followed by trained staff Written procedures should be produced UoB-CLN-LABQCD-007 Written procedures should be produced Precise written instructions should be available and it is recommended that these are contained within the Laboratory Manual UoB-CLN-LABQCD-012 Ensure key reagents, controls and standards used during sample analysis are stored and managed appropriately Written procedure recommended Ensure raw analytical data produced (either electronic or hard copy) is stored safely and securely Written procedure recommended UoB-CLN-LABQCD-013 UoB-CLN-LABQCD-030 UoB-CLN-LAB-QCD-001 GCP Compliance in the laboratory checklist v1.0 (EAv1.0) UoB-CLN-LABQCD-011 Page 3 of 4 GCP compliance in the laboratory Checklist Ensure analytical data produced can be traced back to original raw data and the procedures and materials used Develop worksheets to record the relevant information for each analytical run Ensure analytical results are reported accurately Written procedures should be produced which include instructions for data handling and all necessary steps to ensure accuracy, for example crosschecking, review, validation of any data manipulations UoB-CLN-LABQCD-015 Ensure electronic data is stored securely and backed up ADVERSE EVENTS UoB-CLN-LABQCD-009 Ensure procedures are in place in the event of laboratory adverse events such as security breaches, equipment failure or calibration failure, analytical failure, breaches in GCP, deviations from the trial protocol or written procedures Written procedures should be produced which enable adverse events to be dealt with and recorded in a timely manner and which define reporting lines clearly UoB-CLN-LABQCD-016 UoB-CLN-LABQCD-019 UoB-CLN-LABQCD-028 UoB-CLN-LABQCD-032 UoB-CLN-LABQCD-009 Ensure that the risk or impact to patient safety or sample and data integrity is assessed following adverse events and that corrective and preventative measures are implemented UoB-CLN-LABQCD-010 Records should be kept and available for inspection UoB-CLN-LABQCD-028 UoB-CLN-LABQCD-029 UoB-CLN-LABQCD-032 Ensure circumstances for the repeat analysis of samples where, for example, out of range or aberrant results are obtained are clearly defined and implemented Written procedures should be produced UoB-CLN-LAB-QCD-001 GCP Compliance in the laboratory checklist v1.0 (EAv1.0) UoB-CLN-LABQCD-018 Page 4 of 4