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FDA Inspections of Clinical Research Sites: A Preparation Primer

This 20+ page “how to” instructional article includes the following information below:

  • Origin of FDA GCP inspections
  • When FDA GCP inspections are conducted?
  • Management of FDA GCP inspections
  • Anatomy of an FDA GCP inspection
  • Which areas FDA inspects during the clinical research process
  • Good documentation practices
  • Which GCP deficiencies does FDA find during clinical research inspections
  • Top 5 bioresearch monitoring FDA inspectional observations
  • Most frequent FDA GCP inspectional observations
  • After the inspection-FDA follow up inspection actions
  • Sample FDA GCP Warning Letter
  • Determinations that an FDA Investigator must make during a Clinical Investigator Inspection


Article Excerpt
"An FDA investigator ensures a thorough inspection of a clinical investigation site by acquiring documented evidence to these key questions:

  •  What was the source of the subjects?
  • Did the subjects exist?
  • Did the subjects have the disease being studied under the study?
  • Did the subjects meet inclusion/exclusion criteria?
  • Was consent obtained?
  • Was IRB approval of required study documents obtained?
  • Was the clinical protocol followed?
  • Did the subjects receive the assigned study drug in the dose, administration route and frequency specified by the protocol?
  • Are case report forms complete and in agreement with source data (compare to NDA data listing)?
  • Are records and reports adequate and complete?"

End Excerpt

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