Document1 Chief Investigator Trial Master File INDEX Please note the ticks in the columns below indicate that the documents should be filed in the respective files. Index may vary according to trial specifics. TABLE OF CONTENT Insert Date when Filed. Insert NA, if Not Applicable CI TMF Index 1.0 UCL SPONSORSHIP First Contact Questionnaire Sponsorship Letter (s)-In principle/Final Legal Representative Letter of Engagement (if applicable) Insurance Registration Form Insurance/Indemnity Letter Peer Review (if applicable) 2.0 FUNDING AND AGREEMENTS IMP IMP Supply Agreement Technical Agreements (i.e. manufacturing/QP release, packaging, radiolabelling, IMP importation) Other Central Services Central Laboratory Services Agreement/ Material Transfer Agreement if not with the CTSA (if applicable) CRO Agreement / Service Level Agreement (if applicable) Randomisation / Code break agreements (if applicable) Other Funding Funding – Grant Application Funding – Grant Award Funding agreement Other Responsibility Assignments (note CTSAs maintained in section 18) Sponsor-CI Agreement Legal Representative-Sponsor Agreement Other Miscellaneous Confidentiality agreements Other 3.0 Research Ethics Committee (REC) (please file in chronological order and clearly label each submission separately) Initial signed application and supporting documentation to REC (including cover letter, REC validation letter, favourable/ provisional/with conditions letter / response to conditions of approval) Substantial and Non Substantial Amendment s (including, Signed Annex 2, Supporting Documents, cover letter, favourable opinion letter /with conditions, response to conditions of approval- where applicable ) Annual Progress Report to REC and acknowledgement Serious Breach notifications End of Trial Notification to REC and MHRA Final Report Notification and Supporting Documents Other 4.0 Medicines and Healthcare Regulatory Agency (please file in chronological order and clearly label each submission separately) Initial signed application and supporting documentation to MHRA (including cover letter, validation letter, acceptance/with conditions/grounds for non-acceptance letter /response to conditions of approval/non acceptance) Serious Breach notifications End of Trial Notification to MHRA Final Report Notification and Supporting Documents Version 03, dated 09 May 2014 Page 1 of 4 Document1 Other 5.0 Amendments- (please file in chronological order and clearly label each submission separately) Please log all amendments specific to the study here. This includes MHRA or REC or R&D Insert Date when Filed. Insert NA, if not applicable Log of Amendment(s) (non-substantial and substantial) Substantial and Non Substantial Amendment s (including, Signed Annex 2, Supporting Documents, cover letter, favourable opinion letter /with conditions, response to conditions of approval- where applicable ) Other 6.0 PROTOCOL Current Approved Protocol & Signature Page Superseded versions and Signature Pages Protocol Development Documentation 7.0 PATIENT/SUBJECT INFORMATION (sites to hold relevant documents on letter headed paper) Sponsor Review/Approval of following documents: Template Patient/ Information Sheet and Consent Form (PIS)/ ICF Template GP Letter Other Current Approved Template Patient/ Information Sheet and Consent Form (PIS)/ICF, GP letter Superseded versions of Template Patient/ Information Sheet and Consent Form (PIS)/ICF, GP letter Template Quality of Life Questionnaires (validated NHS or trial specific if applicable) Superseded versions of Template Quality of Life Questionnaires (validated NHS or trial specific if applicable) Template Patient Diaries (if applicable) Superseded versions of patient diaries Original Signed Informed Consent Forms (per patient/donor) Other 8.0 CLINICAL TRIAL IMP Documentation Note maybe located in separate pharmacy/IMP file Summary of drug arrangements Current Product Information (Full/Simplified IMPD) Current IMP Safety Information document (IB or SPC) Superseded version of Product Information Superseded version of IMP Safety Information document (IB or SPC) Sample of Approved Label MA (IMP) Licence (if applicable) Certified QP Release Statement (if applicable) QP declaration (if applicable) IMP Certificate of Analysis (if applicable) TSE Certificate (if applicable) Master Randomisation List (if applicable) IMP Prescription Template IMP Accountability Log Template (if applicable) IMP Destruction Log Template (if applicable) Temperature Log Template (if applicable) Temperature Deviation Log (if applicable) IMP Recalls Other 9.0 DATA MANAGEMENT UCL Data Protection Application Form UCL Data Protection Registration Confirmation Current Approved CRF Superseded versions of CRFs CRF Review/ approval checklist signed by CI and statistician Data management plan/SOP Database validation documentation (if applicable) Data Query documentation (if applicable) Completed CRFs, Diary Cards and Quality of Life Questionnaires Version 03, dated 09 May 2014 Page 2 of 4 Document1 Other 10.0 STATISTICS Insert Date when Filed. Insert NA, if not applicable Statistician letter of engagement Statistical Review Statistical Analysis Plan (if applicable) Interim Data Analysis Final Data analysis Other 11.0 TRIAL OVERSIGHT COMMITTEES (if applicable) Trial Management Group (TMG) Reports/Minutes Data Monitoring Committee/Independent Data Monitoring Committee (DMC)/(IDMC) reports/minutes Trial Steering Committee (TSC) reports/minutes Terms of Reference/Charters for above Committees (if applicable) Other 12.0 PUBLICATIONS Current Results + Related publications Other 13.0 PHARMACOVIGILANCE Serious/Adverse Events Log (N.B. for Phase I trials all AEs should be recorded in the log) Sample SAE form and pregnancy form JRO SOP for the Recording and Reporting of (Protocol and GCP) deviations, violations, serious breaches and urgent safety measures Completed Serious Adverse Events (SAEs) and e-SUSAR forms and logs Completed Pregnancy Reporting Form Notification of Urgent Safety Measures 24 hrs contact card for blinded trials Emergency Un-blinding SOP (if applicable) Notification of Safety Information to Investigators and relevant journal information regarding IMP Development Safety Update Report (DSUR) and documentation of submission to MHRA and REC. Other 14.0 MONITORING Trial Site Initiation Report/letter/slides Pharmacy Initiation Summary letter Letter/email of Intent to Monitor Site (site visits only) Sponsor Monitoring Reports (site visits only) Completed UK Compliance reports from Site CI’s review of PI UK compliance reports JRO review of CI/PI UK compliance reports Trial Monitoring Visit Log Trial Close Out Checklist Related Correspondence Other 15.0 AUDITS & INSPECTIONS Letter of Intent to Audit by Sponsor Rep or External Rep Audit Summary Report for Site (where applicable to that site) Other 16.0 CORRESPONDENCE Emails/Letters Phone call logs Other 17.0 CENTRAL LABORATORIES/SAMPLES Version 03, dated 09 May 2014 Page 3 of 4 Document1 Accreditation Certificates/Conformity Documentation Other 18.0 PROCEDURAL DOCUMENTS Insert Date when Filed. Insert NA if not applicable Trial Specific SOPs (if applicable) JRO SOPs Other 19.0 SITE SPECIFIC DOCUMENTS (per site) Chief Investigator TMF Agreements CTSA (Clinical Trial Site Agreement including pharmacy/laboratory and material transfer agreement) Other NHS Permissions (UK sites only) Copy of signed SSI form Copy of signed NHS permission Form Local R&D NHS Permission Letter Local R&D Substantial Amendment submission/ approvals/acknowledgement Site Staff Staff Signature and Delegation of Tasks Log CI/PI CVs and GCP certificate(s) Staff CVs and GCP certificates (if CI site only) IMP (Note may be located in separate pharmacy file) Local dispensing/pharmacy procedure SOPs IMP Ordering and Shipping Records Completed IMP prescriptions IMP Accountability Form – completed IMP Storage Records IMP Temp records IMP Destruction Log - completed Laboratory Local Laboratory Certification/Accreditation (if applicable) Laboratory Reference Ranges (if applicable) Sample Retention Records Site Patient Activity Open to recruitment letter Completed Patient screening log Completed Subject Enrolment, Withdrawal and Completion log, Subject ID Code List Protocol Deviation log Version 03, dated 09 May 2014 Page 4 of 4