Table 3.
DEVIATION CATEGORIES: A. Safety B. Informed Consent C. Eligibility D. Protocol implementation E. Other, specify in log DEVIATION CODES: Numbers listed by the sample protocol deviations |
Eligibility (Category C) 12. Participant did not meet eligibility criterion 13. Randomization of an ineligible participant 14. Participant randomized prior to completing Baseline Assessment, etc. 15. Randomization and/or treatment of participant prior to IRB approval of protocol 16. Other, specify in log |
Safety (Category A) 1. Not reporting an SAE within 24 h 2. Laboratory tests not done 3. AE/SAE is not reported to IRB 4. Other, specify in log |
Protocol implementation (Category D) 17. Failure to keep IRB approval up to date 18. Participant receives wrong treatment 19. Participant seen outside visit window 20. Use of unallowable concomitant treatments 21. Prescribed dosing outside protocol guidelines 22. Missed assessment 23. Missed visit 24. Other, specify in log |
Informed Consent (Category B) 5. Failure to obtain informed consent 6. Consent form used was not current IRB-approved version 7. Consent form does not include updates or information required by IRB 8. Consent form missing 9. Consent form not signed and dated by participant 10. Consent form does not contain all required signatures 11. Other, specify in log |