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SOCRA CCRP copyright copyright Topics:
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SOCRA Certified Clinical Research Professional (CCRP) Sample Questions (Q43-Q48):
NEW QUESTION # 43
During an audit for a Phase II IND study, the auditor identified unreported serious protocol deviations. Which party must take prompt action to ensure compliance?
- A. The sponsor
- B. The CRO
- C. The investigator
- D. The IRB/IEC chair
Answer: A
Explanation:
The sponsor holds ultimate responsibility for trial oversight and compliance.
* ICH E6(R2) 5.20.1:If noncompliance is discovered, the sponsor must "take prompt action to secure compliance" and, if necessary, terminate participation of the investigator/institution.
* 21 CFR 312.56(b):Sponsors must ensure proper conduct and report investigators who fail to comply to the FDA and IRB.
While investigators commit to protocol adherence, once deviations are identified,the sponsor must actto safeguard subjects and trial validity.
References:ICH E6(R2) §5.20.1; 21 CFR 312.56(b).
NEW QUESTION # 44
A subject was instructed to do a glucose check 4 times a day for 10 days using an investigational glucose meter. The meter requires one new glucose test strip for each test. The subject received the meter along with
45 glucose test strips. How many unused test strips should the subject have after the 10 days?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
Explanation:
This is adrug/device accountability calculation question, testing compliance with investigational product tracking.
* The subject was instructed to perform4 glucose checks per day.
* Over10 days, that equals40 tests (4 × 10 = 40).
* Each test requires1 strip, so40 strips used.
* Subject was given45 strips, leaving5 unusedafter 10 days.
Investigators are responsible for maintaining accurate device/product accountability.
* ICH E6(R2) 4.6.3:"The investigator/institution should maintain records of the product's delivery to the trial site, the inventory, the use by each subject, and the return to the sponsor or alternative disposition."
* This ensures monitoring can confirm that product/device use aligns with the protocol and subject adherence.
Thus, the correct answer isB (5 unused test strips).
References:
ICH E6(R2), §4.6.3 (Investigational product accountability).
NEW QUESTION # 45
A sponsor-investigator implemented a protocol deviation in a device trial to eliminate an immediate hazard.
Before applying this change to all subjects, what must occur?
- A. Document change in study file
- B. Inform all subjects
- C. Obtain IRB/IEC approval
- D. Train sub-investigators
Answer: C
Explanation:
* 21 CFR 812.35(a)(2):Allows deviation without prior approval only to eliminate immediate hazards.
* Before applying broadly,IRB approvalmust be obtained.
References:21 CFR 812.35(a)(2).
NEW QUESTION # 46
A physician wants to conduct research using an approved/marketed cardiac stent for use in the carotid artery, which is not an indication for which the device is approved. In this case, the physician must obtain which of the following?
- A. IRB/IEC approval and an FDA IDE
- B. The Office for Human Research Protections (OHRP) and manufacturer approvals
- C. IRB/IEC approval and an FDA IND
- D. IRB/IEC and manufacturer approval
Answer: A
Explanation:
When a physician investigates amedical device for a new use (off-label indication), FDA regulations classify this as aSignificant Risk Device Study, requiring anInvestigational Device Exemption (IDE)in addition to IRB approval.
* 21 CFR 812.20(a):"A sponsor shall submit an application to FDA for aninvestigational device exemption (IDE)if the device is to be used in a clinical investigation to determine safety and effectiveness."
* 21 CFR 812.2(b):Significant Risk device studies requireboth FDA and IRB approvalbefore initiation.
An IND (B) applies to drugs and biologics, not devices. Manufacturer permission (A, D) is not a regulatory requirement, although collaboration may be necessary. OHRP approval is not applicable.
Thus, the correct answer isC (IRB/IEC approval and an FDA IDE).
References:
21 CFR 812.20(a) (IDE submission requirements).
21 CFR 812.2(b) (Significant risk device studies).
NEW QUESTION # 47
In accordance with the CFR and the ICH GCP Guideline, which of the following is directly responsible for submitting protocols and amendments to the IRB/IEC for review?
- A. The contract research organization
- B. The investigator
- C. The Food and Drug Administration
- D. The sponsor
Answer: B
Explanation:
Theinvestigatorbears direct responsibility for ensuring IRB/IEC review and approval before initiating a study or implementing any amendments.
* ICH E6(R2) 4.4.1:"Before initiating a trial, the investigator/institution should have written and dated approval/favorable opinion from the IRB/IEC for the trial protocol, written informed consent form, and any other written information to be provided to subjects."
* 21 CFR 312.66:"An investigator shall assure that an IRB that complies with the requirements... will be responsible for the initial and continuing review and approval of the proposed clinical study." While sponsors may provide protocol documents, the legal obligation to submit and maintain IRB/IEC approval rests with the investigator at each site. CROs act under sponsor delegation but cannot replace investigator accountability.
Thus, the correct answer isB (The investigator).
References:
ICH E6(R2), §4.4.1 (Investigator responsibilities).
21 CFR 312.66 (Investigator assurance of IRB oversight).
NEW QUESTION # 48
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