Clinical Trial Feasibility Checklist - Rochester
Clinical Trial Feasibility Checklist(Note: this is not an inclusive list of considerations)Validating Enrollment PotentialIf unsure of the potential subject population, search database or medical coding lists to determine the number of patients seen at site with a specific diagnosis code.Review and evaluate the inclusion and exclusion criteria to see if realistic. Consider if study includes treatment-na?ve population?Determine if the trial requires too much of the study patients or volunteers:– in time or cost i.e. some studies include standard of care (SOC) or rescue medications.Are there extenuating circumstances that would adversely affect recruitment - i.e. Traditional treatment becoming approved as over the counter?What is the expected screen failure ratio and will sponsor pay for unlimited screen fails?Are you or other local investigators conducting similar or competing protocols that could affect any of the above?Will a patient stipend be in the sponsor’s budget to cover subject cost to participate (mileage, parking, etc)?Are vulnerable populations involved (children, prisoners, decisionally challenged) that may require additional IRB and recruitment protections?Protocol ConsiderationsDo you have previous experience with the sponsor and/or CRO?Do you have experience in the therapeutic area under investigation?Are the procedures consistent with the site’s standards of care? Are they realistic?Does the Investigator feel the study is safe, ethically acceptable, scientifically sound, and appropriate in regard to risk-benefit ratio? Has placebo or wash out been discussed/considered?Is the study drug dosing complex? Do you expect compliance issues? Do you have staff resources available for subject teaching and follow up assessment?Are the follow-up visits reasonable? Are the visit windows acceptable and/or flexible enough? Do visits need to be conducted on certain days to ensure best use of protocol windows?Budget ConsiderationsDoes the sponsor’s preliminary budget seem adequate?Will the sponsor be willing to pay for recruitment expenses?Does the budget include costs for administrative start-up, IRB services, drafting the informed consent, and preparing the IRB submission?Will the sponsor pay the required overhead?Will the sponsor pay for items/events that are difficult to budget for in advance? i.e. adverse event reporting, protocol amendments, re-consenting subjects, unanticipated monitoring or sponsor audits, screen-fails, unplanned or re-scheduled missed visits, etc.Will the sponsor pay for document archiving or off-site storage?Is the payment schedule reasonable?Will the study likely be audited by the sponsor’s QA department or a regulatory agency? Will the sponsor reimbursement for preparation time be provided?Staff RequirementsDissect the protocol and use the event schematic to evaluate all tasks involved. Is it feasible in light of current work load (consider real start time)?Do you have qualified and ‘dedicated’ research staff to coordinate the trial?Do you have training needs?Review study case reports forms (CRF) and patient questionnaires if available and assess time required to complete.Does the PI have adequate time and scheduling availability to devote to the overall supervision of the trial?Will the study involve on-call time or coming in off hours for enrollment?Are there adequate sub-investigators to assist PI with the trial?How often will the monitor visit?Consider ancillary or specialty staff needs (pharmacy, labs, diagnostics, etc)Facility ConsiderationsIs adequate clinic and office space available?Is any special equipment required? Does the sponsor want standardized equipment among sites?Is access to emergency rescue equipment necessary?SuppliesWhat will the sponsor supply (CRFs, source documents, electronic consent template, packaged lab kits, pre-paid shipping, etc.)?Will electronic or remote data capture be used? If so, will sponsor provide hardware and training? ................
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