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STANDARD OPERATING PROCEDURE FOR THE ... - Accord

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ACCORD<br />

NHS Lothian R&D and<br />

The University of Edinburgh<br />

SOP Number: CR008v2.0<br />

Effective Date: 14/SEP/2011<br />

5.3.1 For all studies that require a CTA annual safety reports must be submitted to<br />

the competent authority, the REC that approved the study and the sponsor. The<br />

annual safety report will be prepared in the Development Safety Update Report<br />

(DSUR) format.<br />

5.3.2 The DSUR is due on the anniversary of Clinical Trial Authorisation (CTA)<br />

being granted by the competent authority or the Development International Birth Date<br />

(DIBD) – see 5.3.5. The DIBD falls on the date of the first authorisation to conduct a<br />

clinical trial of the Investigation Medicinal Product (IMP) in question. Reports must be<br />

submitted every year until completion of the trial.<br />

5.3.3 For studies that require a CTA lasting less than a year, a DSUR must be<br />

submitted with a Declaration of the End of Trial Notification Form within 90 days of<br />

the trial ending or within 15 days if the trial is stopped early.<br />

5.3.4 A DSUR must be submitted for all clinical trials, even if they have not started<br />

before the first anniversary of approval. The report should clearly explain the<br />

reasons why the trial has not started.<br />

5.3.5 CIs conducting more than one trial with the same Investigational Medicinal<br />

Product (IMP) may submit one DSUR for all these trials. Such combined annual<br />

safety reports will be due on the DIBD. If it is not possible to ascertain the DIBD, the<br />

date of the CTA for the first study implicated can be used instead.<br />

5.3.6 The report will be prepared by the CI. Guidance on how to complete the<br />

DSUR can be found here:<br />

http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2010/0<br />

9/WC500097061.pdf<br />

An example for a complete DSUR can be found here:<br />

http://www.ich.org/fileadmin/Public_Web_Site/ICH_Products/Guidelines/Efficacy/E2F<br />

/Examples_DSUR/E2F_Example_non-commercial_DSUR.pdf<br />

The draft DSUR will be forwarded to the Senior Clinical Trials Monitor or QA Officer,<br />

or designee, (contact details at www.accord.ed.ac.uk) for review. The Senior Clinical<br />

Trials Monitor, or designee, or QA Officer will ensure the DSUR is reviewed to ensure<br />

reconciliation (including appropriate line listings) with the ACCORD safety database.<br />

The ACCORD office can also provide guidance on the completion of this report upon<br />

request. The CI must review and sign the report.<br />

5.3.7 When sending the DSUR to the REC, there is an additional form supplied by<br />

NRES that must accompany the report. This is found here:<br />

http://www.nres.npsa.nhs.uk/applications/after-ethical-review/safetyreports/safetyreports-for-ctimps/submitting-safety-reports-to-the-rec/<br />

This will be completed by the chief investigator or designee.<br />

5.3.8 The CI, or designee, will forward the completed DSUR and NRES covering<br />

form to the Senior Clinical Trials Monitor, or designee, or QA Officer.<br />

Parties using this SOP must visit www.accord.ed.ac.uk to guarantee adherence to the<br />

latest version<br />

Page 4 of 5

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