There is a modification to the CRF and a sudden increase in the number of queries generated in the EDC system. Which action is most likely to reduce the number of queries?
When a CRF modification leads to a sudden increase in EDC queries, the most likely cause is an error or misconfiguration in the edit checks introduced during or after the change. Therefore, the first step should be to review the edit checks for correctness.
The GCDMP (Chapter: Database Design and Validation) emphasizes that any database or CRF modification should trigger retesting of affected validation rules. Incorrect logic, thresholds, or missing conditional statements in automated edit checks can cause false or redundant queries, leading to unnecessary data management burden and site frustration.
Manually handling edit checks (option A) or adding SDV (option B) does not address the root cause. Having monitors close queries (option D) would mask the problem rather than resolve it.
Thus, the correct corrective measure is Option C --- review and validate the edit checks to ensure proper functionality.
Reference (CCDM-Verified Sources):
SCDM Good Clinical Data Management Practices (GCDMP), Chapter: Database Design and Validation, Section 5.5 -- Edit Check Testing and Review
ICH E6 (R2) GCP, Section 5.5.3 -- Validation and Change Control for Electronic Systems
FDA 21 CFR Part 11 -- System Validation and Change Documentation
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