SOCRA CCRP Regulatory Compliance 2 — Questions and Answers
Question 1: Which regulatory body must approve a new drug's IND before Phase 1 clinical trials can begin in the US?
- IRB
- NIH
- FDA (Correct answer)
- DEA
Correct answer: FDA
The FDA must receive and approve (or allow 30 days to pass without clinical hold) an IND before Phase 1 trials can begin in the US.
Question 2: What is a 'clinical hold' in the context of FDA regulations?
- A pause in patient enrollment requested by the IRB
- An FDA order to delay or suspend a clinical investigation (Correct answer)
- A temporary halt due to site staffing issues
- A sponsor-initiated pause for protocol amendments
Correct answer: An FDA order to delay or suspend a clinical investigation
A clinical hold is an FDA order to delay a proposed or suspend an ongoing clinical investigation based on safety or compliance concerns.
Question 3: Under 21 CFR Part 50, which individuals are considered 'vulnerable' populations requiring additional protections?
- Employees of the sponsor
- Pregnant women, prisoners, and children (Correct answer)
- Elderly individuals over 65
- Non-English speaking participants
Correct answer: Pregnant women, prisoners, and children
21 CFR Part 50 subparts C and D provide additional protections for children and prisoners as vulnerable populations.
Question 4: What is the purpose of a Certificate of Confidentiality (CoC) in US clinical research?
- To protect sponsor proprietary data from competitors
- To protect researchers from being compelled to disclose identifiable research information (Correct answer)
- To certify that a site maintains data confidentiality standards
- To exempt the study from HIPAA requirements
Correct answer: To protect researchers from being compelled to disclose identifiable research information
A Certificate of Confidentiality protects identifiable, sensitive research information from compelled disclosure in legal, administrative, or other proceedings.
Question 5: Which section of the Code of Federal Regulations addresses IRB composition and review procedures?
- 21 CFR Part 11
- 21 CFR Part 50
- 21 CFR Part 56 (Correct answer)
- 21 CFR Part 312
Correct answer: 21 CFR Part 56
21 CFR Part 56 covers IRB regulations, including composition, functions, operations, and review criteria.
Question 6: A sponsor submits an IND to the FDA. If the FDA does not respond within how many days, the sponsor may proceed with the trial?
- 14 days
- 21 days
- 30 days (Correct answer)
- 45 days
Correct answer: 30 days
If the FDA does not place the IND on clinical hold within 30 days of receipt, the sponsor may proceed with the proposed clinical investigation.
Which regulatory body must approve a new drug's IND before Phase 1 clinical trials can begin in the US?