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. 2024 Jun 24;58(5):987–995. doi: 10.1007/s43441-024-00674-x

Table 4.

Ranking of themes based on primary focus (N = 572 inquiries)

Rank Primary focus theme # Inquiries Percentage (%)
#1 COVID-19-related study/research/treatment proposals 120 21
#2 Informed Consent process/content/documentation 47 8
#3 Electronic signature/record/system compliance 47 8
#4 Remote data monitoring/wearables/mobile data health handling 46 8
#5 Informing/interacting with FDA 45 8
#6 Study eligibility/screening procedures/COVID-19 study participation 38 7
#7 IP distribution/supply/suspension 34 6
#8 Study/protocol amendment/change/deviation handling 27 5
#9 IRB/IEC organization/operation 21 4
#10 New/alternative clinical site/investigator 20 4
#11 Issuance of COVID-19-related regulatory guidelines/resources 20 4
#12 AE handling /safety reporting 19 3
#13 Study delay/suspension/premature termination/resumption after pause 18 3
#14 Study design/regulatory approval and process including digital tools 16 3
#15 Virtual site visits/telehealth 16 3
#16 Clinical data/statistical analysis /end of study database lock 10 2
#17 FDA inspection during pandemic 8 1
#18 cGMP/labelling compliance 7 1
#19 Altered efficacy endpoint/primary outcome assessment 5 1
#20 Bioequivalence/bioavailability assessment 4 1
#21 Human specimen handling 3 1
#22 User fee review activities 1 0.2