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210530P - WRITING THE PROTOCOL

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Presentation prepared by Dr Omar Hasan Kasule Sr MB ChB (MUK), MPH (Harvard), DrPH (Harvard) Professor of Epidemiology and Bioethics King Fahad Medical City.


INTRODUCTION

  • The protocol is the most important clinical trial document. It is the basic plan and guide for the researcher
  • The protocol describes the objectives, design, conduct, and analysis of a study
  • CONSORT (CONsolidated Standards of Reporting Trials) 2010 guideline is a good reference for clinical trial design (http://www.consort-statement.org)


PROTOCOL INTRODUCTION

  • Protocol Title, Protocol Number, Protocol Date, and Protocol Version.
  • Name and address of the sponsor
  • Name and title of Principal Investigator, address, and site contact details
  • Name and address(es) of laboratories/technical departments or other institutions involved.
  • Protocol synopsis: summary/overview of the protocol—The synopsis is a summary of your protocol and


BACKGROUND

  • Name and descriptions of the investigational product as well as the justification for the route of administration, dosage, dosage regimen, and treatment periods.
  • Statement of compliance with the protocol, GCP, and the applicable regulatory requirements.
  • Description of the population to be studied.
  • Summaries of potential risks and benefits and why the value of the information to be gained outweighs the risks involved.
  • Relevant references to literature and data that provide background for the trial.


OBJECTIVES and PURPOSES

  • Primary and secondary objectives of the study.
  • Primary outcome measures (endpoints).
  • Secondary outcome measures (endpoints).


DESIGN

  • Specific Primary and Secondary endpoints are to be measured during the trial.
  • Type/design of the trial to be conducted: double-blind, placebo-controlled, open-label, dose-escalation)
  • The phase of the study: 1,2,3,4
  • Sites of the study: single or multi
  • Randomization and allocation
  • Stopping/discontinuing rules
  • Study procedures: IP administration, visits, evaluations,
  • Eligibility, inclusion, and exclusion criteria
  • Treatments: (a) Names of products, acquisition, formulation, packaging, labeling, storage, and stability (b) Dosage, preparation, and administration of IP (c) Accountability procedures. (d) Procedures for monitoring participant compliance. (e) Prohibited medications/treatments before and during the trial. (f) Withdrawal times of concomitant medication and/or treatments where applicable. (g) Rescue treatments or medications that are included in the study design.


ASSESSMENT OF SAFETY:

  • Safety parameters
  • Adverse Events
  • Serious Adverse Events (Expected and Unexpected)


STATISTICS:

  • Hypotheses
  • Computations
  • Interim analysis
  • data safety and monitoring board (DSMB)


ADMINISTRATIVE:

  • Permission by the host institution,
  • Compliance with regulatory requirements and inspections,
  • Quality and quality assurance


ETHICS, REGULATORY, AND LEGAL:

  • Statements to follow ethical codes and regulations,
  • Reviews by IRB,
  • Confidentiality of participant information, maintenance of records


DATA HANDLING AND RECORD KEEPING:

  • How will data be accurate and reliable
  • Methods of data capture
  • Data review and reports
  • How long will documents be kept?


PUBLICATION POLICY

 

LITERATURE REFERENCES

Adapted from A Comprehensive and Practical Guide to Clinical Trials Edited by Delva Shamley and Brenda Wright. Pages 6-8. Elsevier 2017