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NEW QUESTION # 103
Which countries have officially adopted ICH-GCP E6(R2) as a standard, in addition to U.S., EU, Japan, Canada, and Australia?
Answer: D
Explanation:
India has aligned national regulations with ICH-GCP.
* DCGI/ICMR Guidelines (India):Explicitly adopt ICH E6(R2) as part of its Good Clinical Practice standards.China and Brazil are harmonizing, but full official adoption is noted in India.
References:Indian GCP Guidelines (2017 revision).
NEW QUESTION # 104
A coordinator for an ongoing industry-sponsored, multi-site Phase II clinical trial is taking an unexpected, long-term medical absence. The trial site retains coordinator services from an external source to support clinical trial activities. According to the ICH GCP Guideline, which of the following is responsible for implementing procedures to ensure the integrity of the clinical trial-related duties?
Answer: B
Explanation:
The investigator/institution bears responsibility for site conduct, oversight of delegated tasks, and ensuring qualified, trained staff-regardless of employment source. Exact extracts:
* ICH E6(R2) 4.1.1: "The investigator should bequalified... and haveadequate resourcesto properly conduct the trial."
* ICH E6(R2) 4.1.5: "The investigatorshould ensure that all persons assistingwith the trial are adequately informedabout the protocol, the investigational product(s), and their trial-related duties and functions."
* ICH E6(R2) 4.2.5: "The investigatormay delegate... butretains responsibilityfor the conduct of the trial at the site."Therefore, the investigator/institution (B) must implement procedures and oversight to maintain integrity of trial duties.
References:
ICH E6(R2) Good Clinical Practice, §4.1.1; §4.1.5; §4.2.5 (Investigator responsibilities; delegation and oversight).===========
NEW QUESTION # 105
A study coordinator is developing an informed consent form for the first time. As per the CFR and ICH GCP Guideline, which of the following elements must be included?
Answer: D
Explanation:
Theinformed consent processmust include all basic elements listed in federal regulations.
* 21 CFR 50.25(a)(4):Requires "a disclosure of appropriate alternative procedures or courses of treatment, if any, that might be advantageous to the subject."
* ICH E6(R2) 4.8.10(c):Mirrors this, requiring subjects to be informed of alternatives to participation, including available standard treatments.
This ensures the ethical principle ofRespect for Persons(Belmont Report), giving subjects the autonomy to choose among reasonable medical options.
Incorrect options:
* A: Contact information must be provided, but it is for the investigator (or IRB), not sponsor.
* B: Financial disclosures may be required for IRB review, not subject-facing.
* C: Subjects do receive a copy, but it is not a required consentelementin regulations.
Correct answer:D.
References:
21 CFR 50.25(a)(4).
ICH E6(R2), §4.8.10(c).
NEW QUESTION # 106
For a Significant Risk device study, an investigator must report within 5 working days which event?
Answer: D
Explanation:
* 21 CFR 812.150(a)(4):Any deviation from investigational plan made to protect the life or physical well- being of a subject in an emergency must be reported to the sponsor and IRBwithin 5 working days.
* Unanticipated adverse device effects have a 10-day reporting window.
References:21 CFR 812.150(a)(4).
NEW QUESTION # 107
After the sponsor's auditor completes the final audit report for a Phase II trial with an investigational new drug, which of the following is responsible for providing the audit certificate to the clinical site?
Answer: B
Explanation:
Audits are part of sponsor quality assurance to ensure trial compliance.
* ICH E6(R2) 5.19.3:"The sponsor's auditing procedures should include the provision of anaudit certificatewhere required."
* ICH E6(R2) 8.2.20:Audit certificates are essential documents generated and retained by the sponsor.
IRBs (A), regulators (B), and DSMBs (C) are not responsible for audit documentation. Therefore, only the sponsorissues and maintains audit certificates, providing them to sites when appropriate.
Correct answer:D.
References:
ICH E6(R2), §5.19.3.
ICH E6(R2), §8.2.20.
NEW QUESTION # 108
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