Study Conduct
- Obtain Funding & Types of Clinical Research completed
- Planning & Activation Process completed
- Study Conduct
- Study Closure not completed
- Data Analysis, Publications, and Dissemination of Results not completed
Overview
Once a project is launched, the study should be conducted with high quality standards and follow Good Clinical Practice guidelines. NIDCR-funded human subject studies should be conducted in a way that provides assurance that the data and reported results are credible and accurate, and that the rights, integrity, and confidentiality of trial subjects are respected and protected throughout the study. Routine monitoring for data quality and participant safety should also occur during the study conduct stage. Below is a list of resources to maintain good study conduct.
NIDCR's Additional Oversight During Study Conduct
For studies with additional oversight, NIDCR has certain expectations throughout the life cycle of the clinical research project, which may include several of the following:
- Study teams inform the Institute of any institutional review board (IRB)-approved amendments that have been made to the protocol and consent form.
- Study operations documents (e.g., Manual of Procedures (MOP)/Standard Operating Procedures (SOP), Data Management Plan, Statistical Analysis Plan, Data and Safety Monitoring Plan) should be updated accordingly and submitted to NIDCR, as appropriate.
- Comply with requirements for prompt safety reporting to NIDCR (e.g., Serious Adverse Events, Unanticipated Problems).
- Periodic review by an independent, NIDCR-appointed oversight board (e.g., DSMB, CSOC, DSMC).
- Follow internal quality management practices as outlined in a Quality Management Plan, or similar document, and provide periodic reports to NIDCR as requested.
- Periodic review by an NIDCR-appointed Medical Monitor.
- Participate in clinical site monitoring visits and activities conducted by NIDCR's contracted Clinical Research Associate [for additional information see the Clinical Monitoring Guidelines].
- Submit routine reports to monitor study progress (e.g., enrollment reports).
These processes are ongoing throughout the life cycle of the project.
Study teams should rigorously follow the IRB-approved protocol and MOP/SOP that were developed during study planning. For studies with additional NIDCR oversight, NIDCR expects that all updated documents should be filed within the study’s Essential Documents Binder.
Data & Safety Monitoring
Types of Additional Oversight: NIDCR has established the following oversight mechanisms to ensure the safety of participants, the validity and integrity of the data, the appropriate conduct of the study, and the availability of data in a timely manner. As listed below, the level of oversight assigned to each study varies, depending on the risk to human subjects and the complexity of the study. This oversight is advisory to NIDCR. For specific expectations for extramural studies, additional information can be found in the NIDCR Clinical Terms of Award.
| Resources | Description | Type of Study |
|---|---|---|
| Data and Safety Monitoring Board Guidelines | Describes the roles and responsibilities of the DSMB, including its organization, meeting format, and reports. |
Interventional |
| Data and Safety Monitoring Board Report Template | Provides a recommended structure for reporting data to the DSMB. Includes example text, instructions, and sample data tables. |
Interventional |
| Resources | Description | Type of Study |
|---|---|---|
| Data and Safety Monitoring Committee Report Template | Provides a recommended structure for reporting data to the DSMC overseeing research conducted by NIDCR’s Division of Intramural Research. Includes example text, instructions, and sample data tables. |
Interventional/Observational |
| Resources | Description | Type of Study |
|---|---|---|
| Clinical Study Oversight Committee Report Template | Provides a recommended structure for reporting data to the CSOC. Includes example text, instructions, and sample data tables. |
Observational |
| Clinical Study Oversight Committee Guidelines | Describes the roles and responsibilities of the CSOC, its membership and reports, and types of studies requiring a CSOC. |
Observational |
| Resources | Description | Type of Study |
|---|---|---|
| Medical Monitor Oversight Report Template | Provides a recommended structure for reporting data to the Medical Monitor. Includes example text, instructions, and sample data tables. |
Interventional/Observational |
| Resources | Description | Type of Study |
|---|---|---|
| Independent Safety Monitor (ISM) Guidelines | Describes the role of the ISM in monitoring the safety of a study. |
Interventional/Observational |
Safety & Problem Event Reporting
| Resources | Description | Type of Study |
|---|---|---|
| Safety Definitions for Clinical Research | Provides definitions of important safety terminology for educational purposes. Terminology may also be used for protocol development. |
Interventional/Observational |
| Reportable Events Table Template | Provides a template for organization of study-specific safety reporting requirements and a sample table for reference. |
Interventional/Observational |
| Resources | Description | Type of Study |
|---|---|---|
| Serious Adverse Event NIDCR Reporting Form Completion Instructions | Provides item-by-item instructions for completing the Serious Adverse Event (SAE) Form. |
Interventional/Observational |
| Serious Adverse Event NIDCR Reporting Form | For reporting Serious Adverse Events (SAEs) to NIDCR's Clinical Research Operations and Management Support (CROMS) contractor. |
Interventional/Observational |
| Adverse Event Log | Provides a sample log for tracking Adverse Events that can be used as a template and modified for a specific study. |
Interventional/Observational |
| Resources | Description | Type of Study |
|---|---|---|
| Protocol Deviation Reporting Form | May be used to document and report protocol deviations to NIDCR. |
Interventional/Observational |
| Protocol Deviation Reporting Form Completion Instructions | Provides item-by-item instructions for completing the Protocol Deviation Form. |
Interventional/Observational |
| Protocol Deviation Tracking Log | Used to record all protocol deviations that occur at a study site. |
Interventional/Observational |
| Resources | Description | Type of Study |
|---|---|---|
| Unanticipated Problem Form Completion Instructions | Provides item-by-item instructions for completing the UP Form. |
Interventional/Observational |
| Unanticipated Problem Form | For reporting Unanticipated Problems (UPs) to NIDCR's Clinical Research Operations and Management Support (CROMS) contractor. |
Interventional/Observational |
| Resources | Description | Type of Study |
|---|---|---|
| Pregnancy Notification and Outcome Form | For reporting pregnancies and pregnancy outcomes to NIDCR's Clinical Research Operations and Management Support (CROMS) contractor. |
Interventional/Observational |
Screening & Enrollment
| Resources | Description | Type of Study |
|---|---|---|
| Site Screening and Enrollment Log | Used to list subjects screened; includes those who fail screening and those who are enrolled. |
Interventional/Observational |
| Enrollment Report Template | May be used to report study subject accrual and completion numbers to NIDCR. Includes definitions of study status and recruitment status terms. |
Interventional/Observational |
| Resources | Description | Type of Study |
|---|---|---|
| Quality Management (QM) of Clinical Research – Brief Overview | Reviews QM term definitions and activity examples, and provides an overview of available tools and templates. |
Interventional/Observational |
| Clinical Quality Management Plan (QMP) Template | Provides a proposed structure, sample language, and other guidance to be used as a starting point for preparing a study specific Quality Management Plan (QMP). |
Interventional/Observational |
| Quality Management (QM) Quarterly Review Tool | Provides a structure for QM review of study-wide materials and processes to be completed on a quarterly basis. |
Interventional/Observational |
| Quality Management (QM) Annual Review Tool | Structure for QM review of study-wide materials and processes to be completed on an annual basis. |
Interventional/Observational |
| Quality Management (QM) Essential Documents Review Tool | Structure for the development of study and site-specific QM review of Essential Documents. |
Interventional/Observational |
| Quality Management (QM) Subject/Participant Data Review Tool | Structure for QM review of subject data and associated materials. Both single subject and multiple subject formats are provided. Includes sample text. |
Interventional/Observational |
| Quality Management Summary Report Template | Summarizes results of site-level QM efforts and provides a framework for reporting results of QM activities. |
Interventional/Observational |
| An Introduction to Site-Level Quality Management (QM) within the Clinical Research Process | To clarify Quality Management as it relates to site-level documentation, processes, and activities. Secondary purpose: To clarify tools that are available to support site-level QM. |
Interventional/Observational |