In accordance with the ICH E2A Guideline, the sponsor must report an adverse event that is life-threatening, unexpected, and associated with the investigational drug to the regulatory authority as soon as possible but no later than how many calendar days after first knowledge of the event?
Serious adverse events are subject to expedited reporting requirements.
ICH E2A 3.2.2: ''Fatal or life-threatening unexpected ADRs should be reported as soon as possible but no later than 7 calendar days after first knowledge.''
ICH E2A 3.2.3: Other serious unexpected events must be reported within 15 days.
Thus, the 7-day rule applies to life-threatening and unexpected events (as in this case).
Correct answer: B (7 days).
ICH E2A, 3.2.2.
For an investigational new drug study that has potential side effects of myalgia, arthralgia, and lethargy, which of the following could serve as an acceptable consent statement?
Consent forms must present information in language understandable to the subject, avoiding technical jargon.
21 CFR 50.20: ''The information... shall be understandable to the subject... and not include any exculpatory language.''
ICH E6(R2) 4.8.6: Information should be presented in language non-technical and understandable to the subject.
Thus, while medical terms (myalgia, arthralgia) are precise, they may not be understandable to laypersons. The correct format uses layman's terms: ''muscle aches, joint pain, and tiredness'' (B).
Correct answer: B.
21 CFR 50.20.
ICH E6(R2), 4.8.6.
After randomization, investigational drug is shipped to site. Who is responsible for accountability?
ICH E6(R2) 4.6.1: ''Responsibility for investigational product accountability at the trial site rests with the investigator.''
May delegate to pharmacist or coordinator, but ultimate responsibility lies with investigator.
Which countries have officially adopted ICH-GCP E6(R2) as a standard, in addition to U.S., EU, Japan, Canada, and Australia?
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.
A revised protocol added genomic testing to banked tissue samples. Before shipping samples, what must the site do?
21 CFR 56.109(a): IRB must review and approve any protocol amendments before implementation.
ICH E6(R2) 4.5.2: Changes affecting subjects (e.g., genomic testing) require IRB/IEC approval and updated consent.
Thus, site must first obtain IRB approval for revised protocol and ICF.
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