Development↦Management↦Study Quality↦Implementation
What is it? Why is it important?
In studies, the safety of study participants and the quality of study data must be guaranteed through:
QA activities are defined prior to study start, and can include:
- The establishment of a risk-based Quality Management System (risk-based QMS).
- The establishment of a risk-based monitoring strategy / development of a risk-based monitoring plan
- The development of a study database including quality aspects for data collection procedures (e.g. quality requirements)
- The requirement of qualified study staff including applicable infrastructure
QC activities are implemented during study conduct, and can inlcude:
- The periodic review of QA activities
- The ongoing compliance with the study protocol, ICH GCP, study SOPs/WIs, applicable laws (e.g. Swiss law)
The SP-INV defines the required QA and QC activities of a study. The Site-INV of a participating study site(s) is required to comply with its defined activities.
What do I need to do?
As a SP-INV, define the QA activities of your study, such as to:
- Establish a risk-based QMS: Based on the study protocol, assess potential risks to data quality and participant safety and define:
- QA procedures in SOPs/WIs
- Risk-control measures
- Establish a risk-based monitoring strategy: Based on study complexity and potential risks to study participants. Define a study monitoring plan
- Develop a QA based database: Validate data collection procedures and tools (e.g. calculated fields, questionnaires, lab reports). Throughout the data lifecycle (from collection until analysis), define risks where study data might become distorted due to people’s influence or other external factors (e.g. data import and export). Develop a data management plan.
- Ensure staff qualification and infrastructure: Define qualification and training requirements for your study staff. Only delegate responsibilities to qualified staff able to comply with QA specifications
Define QC activities evaluating QA compliance during study conduct
Where can I get help?
Your local CTU↧ can support you with experienced staff regarding this topic
Basel, Departement Klinische Forschung, CTU, dkf.unibas.ch
Lugano, Clinical Trials Unit, CTU-EOC, www.ctueoc.ch
Bern, Clinical Trials Unit, CTU, www.ctu.unibe.ch
Geneva, Clinical Research Center, CRC, crc.hug.ch
Lausanne, Clinical Research Center, CRC, www.chuv.ch
St. Gallen, Clinical Trials Unit, CTU, www.kssg.ch
Zürich, Clinical Trials Center, CTC, www.usz.ch
References
ICH GCP E6(R2) – see in particular guidelines
- 5.0 Quality management
- 5.1 Quality assurance and quality control
ISO 9001:2015 - Quality Management Systems (access liable to costs) – Requirements
ISO 14155:2020 Medical devices (access liable to costs) - see in particular section
- 9.1 Clinical quality management