Clinical Trial Toolkit for Clinical Researchers Summary Sheet Title: Purpose: N2-FHA SOP Details: Investigational Drug Accountability Log: Pharmacy/Site Drug Supply Record To document all study site drug disposition and accountability. Use with N2 SOP 010_05 The accountability log should depict a complete and accurate record of how the drug was received, dispensed, and disposed of, including quantities used and final disposition. The column headings indicated on the log template below are only suggestions and may be modified to meet study needs. Rules & Regulations Best Practice Recommendations: Version 1.0: 2014 03 06 HC Guide - 0068 items 8.2.14 and 8.2.15 require documentation to ensure proper storage, packaging, dispensing and disposition of investigational products and trial-related materials. Update and complete the log as study drug is dispensed and/or received, to ensure comprehensiveness and accuracy of the data. A new line should be completed each time study drug is dispensed and/or received. The Investigational Drug Accountability Log may be used to record overall supply study product supplies and accountability. A separate log called “Subject Record” may be used to record the dispensation and return of study drug on a subject by subject basis. Ensure that the first section of the log is completed to include the name of the institution, Investigator name, product name, etc. This will minimize the potential for errors and entering data into the wrong record. In the “Quantity Dispensed and/or Received” column, use a ‘+’ before the number when receiving drug; use a ‘-’ before the number when dispensing drug. See the example provided below within the log. In the “Balance Forward” column, use the diagonal line across the box to record the previous balance forward / the resulting balance, e.g. 500 / 600. See the example provided below within the log. The record keeper should initial the line item as the information is entered. Ensure all record keeper information is recorded on the task distribution list or on a site delegation log. Create additional lines and pages as required. For non blinded clinical studies maintain this log in the Essential Documents Binder, behind the ‘Study Drug Records’ tab. (Synonyms for this binder include Investigator Binder, Regulatory Binder, Investigator Site File (ISF), and Study File.) It is recommended, for blinded clinical studies, that study drug accountability records be filed in a separate location (e.g., the research Page 1 of 3 pharmacy) so blinding can be maintained. Number each log page and store pages in reverse chronological order, with the newest pages of the log placed at the front of the section. At the conclusion of the study, identify the final page of the log by checking the box in the footer. Remove this Summary Sheet before using this log. Log Revision History: Version Number Date Summary of Revisions Made: 1.0 14Mar2012 First approved version of Stock Record log References: 1. This document has been developed using resources made publicly available through the generosity of the National Institute of Dental and Craniofacial Surgery – an Institute of the U.S. National Institutes of Health. Accessed March 6, 2014 @ 2. http://www.hc-sc.gc.ca/dhp-mps/compli-conform/clini-pract-prat/docs/gui_68-eng.php 3. http://www.google.ca/url?sa=t&rct=j&q=investigational+product+accountability+log+lifespan&source= web&cd=1&cad=rja&ved=0CDMQFjAA&url=http%3A%2F%2Fwww.lifespan.org%2Fdoc%2FPage.asp%3 FPageID%3DDOC022945&ei=AXRwUdCmGYe9iwLu3oCoCg&usg=AFQjCNEpBIlfrX_usR5QT1gCSWxckeUX 8w&bvm=bv.45373924,d.cGE Version 1.0 - 2012-03-14 Page 2 of 3 Investigational Drug Accountability Log: Pharmacy/Site Drug Supply Record Name of Institution: Product Name: Investigator Name: Manufacturer: Protocol No.: Dose Form and Strength: Protocol Title: Dispensing Area: Line No. Date Ex. 15Feb2012 Dispensed To / Received From Manufacturer Dose Quantity Dispensed and/or Received 10 mg + 100 tabs Balance Forward / Balance 500 600 Lot No. Recorder’s Initials 98765 JAD 1. 2. 3. 4. 5. 6. 7. 8. Version 1.0: 2014 03 16 _________ Page 3 of 3 Page Check if final page of log: