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CITI Program Good Clinical Practice (GCP) Catalog Rev. 5 June 2014 Good Clinical Practice (GCP) Series CITI Program’s GCP series consists of three basic courses, GCP for Clinical Trials with Investigational Drugs and Medical Devices – U.S. FDA Focus, GCP for Clinical Trials with Investigational Drugs and Biologics – ICH Focus, and GCP for Clinical Trials with Investigational Medical Devices. This catalog provides a listing and description of each module within the GCP courses, as well as their recommended use, continuing education (CE) eligibility, and language availability.

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Page 1: Good Clinical Practice (GCP) Catalog - Office of …Program$ Good$Clinical$Practice$(GCP)$Catalog$ Page$ 1$ Basic$Courses$ For$basic$courses$in$the$GCP$series,$it$is$highly$recommendedthat$organizations$present$all$

CITI  Program   Good  Clinical  Practice  (GCP)  Catalog   Rev.  5  June  2014  

Good  Clinical  Practice  (GCP)  Series  CITI  Program’s  GCP  series  consists  of  three  basic  courses,  GCP  for  Clinical  Trials  with  Investigational  Drugs  and  Medical  Devices  –  U.S.  FDA  Focus,  GCP  for  Clinical  Trials  with  Investigational  Drugs  and  Biologics  –  ICH  Focus,  and  GCP  for  Clinical  Trials  with  Investigational  Medical  Devices.    This  catalog  provides  a  listing  and  description  of  each  module  within  the  GCP  courses,  as  well  as  their  recommended  use,  continuing  education  (CE)  eligibility,  and  language  availability.  

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CITI  Program   Good  Clinical  Practice  (GCP)  Catalog   Rev.  5  June  2014  

Table  of  Contents  Courses    Basic  Courses                                      GCP  FOR  CLINICAL  TRIALS  WITH  INVESTIGATIONAL  DRUGS  AND                                      MEDICAL  DEVICES  (U.S.    FDA  FOCUS)………………………………………………………………..1                                                                          GCP  FOR  CLINICAL  TRIALS  WITH  INVESTIGATIONAL  DRUGS  AND                                      BIOLOGICS  (ICH  FOCUS)…………………………………………………………………………………8                                      GCP  FOR  CLINICAL  TRIALS  WITH  INVESTIGATIONAL  MEDICAL  DEVICES…………………….13

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Basic  Courses  For  basic  courses  in  the  GCP  series,  it  is  highly  recommended  that  organizations  present  all  modules  in  a  given  course  as  required  for  a  learner  to  earn  a  completion  report.  For  more  information,  see  the  Using  CITI  Program  Content:  Good  Clinical  Practice  (GCP)  document.    

GCP  for  Clinical  Trials  with  Investigational  Drugs  and  Medical  Devices                                        (U.S.  FDA  Focus)  This  course  is  intended  for  research  personnel  involved  in  drug,  device,  or  biologic  studies  and  who  would  benefit  from  FDA-­‐focused  training.    

Continuing  Education  (CE)  Credits  and  Units  These  modules  hold  the  following  credit  designations:    

• Physicians:  Up  to  6  AMA  PRA  Category  1  Credits  TM  • Psychologists:  6  CEP  Credits  • Nurses:  6  CNE  Contact  Hours  • Other  Participants:  Up  to  6  AMA  PRA  Category  1  Credits  TM  

Credit  Designation  Period:      

• Physicians,  Psychologists,  and  Other  Participants:  1  July  2013  to  30  June  2016  • Nurses:  30  October  3013  to  30  October  2015  

Module  Title   Recommended  Use  

The  CITI  Good  Clinical  Practice  Course  for  Clinical  Trials  Involving  Drugs  and  Devices   Required  

Overview  of  New  Drug  Development   Required  

Overview  of  ICH  GCP   Required  

ICH  –  Comparison  Between  ICH  GCP  E6  and  U.S.  FDA  Regulations   Required  

Conducting  Investigator-­‐Initiated  Studies  According  to  FDA  Regulations  and  GCP   Required  

Investigator  Obligations  in  FDA-­‐Regulated  Clinical  Research   Required  

Managing  Investigational  Agents  According  to  GCP  Requirements   Required  

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Overview  of  U.S.  FDA  Regulations  for  Medical  Devices   Required  

Informed  Consent   Required  

Detecting  and  Evaluating  Adverse  Events   Required  

Reporting  Serious  Adverse  Events   Required  

Monitoring  of  Clinical  Trials  by  Industry  Sponsors   Required  

Audits  and  Inspections  of  Clinical  Trials   Required  

Completing  the  CITI  GCP  Course   Required  

Humanitarian  Use  Devices  (HUDs)   Supplemental  

 The  CITI  Good  Clinical  Practice  Course  for  Clinical  Trials  Involving  Drugs  and  Devices  This  module  provides  an  overview  of  the  GCP  course  along  with  links  to  the  Belmont  Report.      Language  Availability  English   (ID:  1350)  Spanish  (ID:  12149)  Portuguese  (ID:  16335)  Korean   (ID:  16028)  Chinese  (ID:  12751)  Thai   (ID:  13440)  French   (ID:  13505)  Vietnamese  (ID:  16558)  

Overview  of  New  Drug  Development    This  module  describes  the  role  of  industry  sponsors  in  the  conduct  of  clinical  trials  under  an  investigational  new  drug  (IND)  application  according  to  FDA  regulations.  It  provides  an  overview  of  definitions,  procedures,  and  timelines  associated  with  the  development  of  a  new  drug.    Language  Availability  English   (ID:  1351)  Spanish  (ID:  12159)  Portuguese  (ID:  16336)  Korean   (ID:  16029)    Chinese  (ID:  12777)  Thai   (ID:  13433)  French   (ID:  13514)  Vietnamese  (ID:  16559)    Overview  of  ICH  GCP    The  purpose  of  this  module  is  to  provide  a  basic  understanding  of  the  role  of  the  ICH  guidelines  and  the  impact  on  conducting  clinical  research  according  to  GCP.  The  purpose  of  the  ICH  and  the  basic  requirements  for  compliance  with  ICH  are  described,  including  an  overview  of  the  ICH  E6  GCP  guidelines.  This  module  concludes  with  a  discussion  of  when  

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the  ICH  GCP  guidelines  apply  and  an  introduction  to  how  these  differ  from  the  FDA  regulations.    Language  Availability  English   (ID:  1352)  Spanish  (ID:  12720)  Portuguese  (ID:  16337)  Korean   (ID:  16030)    Chinese  (ID:  12779)  Thai   (ID:  13438)  French   (ID:  13509)  Vietnamese  (ID:  16560)  

ICH  –  Comparison  Between  ICH  GCP  E6  and  U.S.  FDA  Regulations  This  module  expands  on  the  introduction  presented  in  the  ICH  Overview  module.  The  major  differences  between  ICH  guidelines  and  FDA  regulations  are  presented,  including  critical  areas  such  as  confidentiality  of  medical  records,  signature  of  the  person  conducting  the  consent  discussion,  and  impartial  witnesses  for  illiterate  subjects.  This  module  also  covers  the  differences  between  ICH  GCP  E6  and  the  FDA  in  terms  of  elements  of  consent.    Language  Availability  English   (ID:  1354)  Spanish  (ID:  12153)  Portuguese  (ID:  16338)  Korean   (ID:  16031)  Chinese  (ID:  13988)  Thai   (ID:  13442)  French   (ID:  13508)  Khmer  (ID:  16259)  Vietnamese  (ID:  16115)

Conducting  Investigator-­‐Initiated  Studies  According  to  FDA  Regulations  and  GCP  This  module  discusses  topics  important  to  researchers  who  are  also  the  sponsors  of  studies  and  thus  are  conducting  investigator-­‐initiated  studies.  Topics  discussed  include  how  to  determine  whether  an  investigational  new  drug  (IND)  application  or  an  investigational  device  exemption  (IDE)  is  required,  the  role  of  the  sponsor-­‐investigator,  documentation  required  for  INDs  and  IDEs,  and  reports  that  must  be  submitted  to  the  FDA  for  active  INDs/IDEs.    Language  Availability  English   (ID:  1355)  Spanish  (ID:  12154)  Portuguese  (ID:  16339)  Korean   (ID:  16032)  Chinese  (ID:  12780)  Thai   (ID:  13436)  French   (ID:  13507)  Vietnamese  (ID:  16561)  

Investigator  Obligations  in  FDA-­‐Regulated  Clinical  Research    This  module  describes  the  commitments  and  obligations  assumed  by  investigators  when  they  conduct  industry-­‐sponsored  clinical  investigations  under  investigational  new  drug  

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(IND)  requirements,  including  the  requirements  of  the  FDA  Form  1572,  Statement  of  Investigator.  Required  study  records  and  reporting  requirements  continue  the  discussion.  An  overview  of  the  investigator's  relationship  with  the  sponsor  organization  as  well  as  the  investigator's  commitment  to  the  subjects,  the  institutional  review  board/independent  ethics  committee  (IRB/IEC),  and  the  U.S.  FDA  are  also  included.    Language  Availability  English   (ID:  1356)  Spanish  (ID:  12155)  Portuguese  (ID:  16340)    Korean   (ID:  16033)    Chinese  (ID:  12782)  Thai   (ID:  13435)  French   (ID:  13513)  Vietnamese  (ID:  16562)

Managing  Investigational  Agents  According  to  GCP  Requirements  This  module  focuses  on  specific  requirements  associated  with  the  management  of  investigational  products  by  investigators.  This  includes  requirements  for  shipping  and  storage  of  investigational  agents,  as  well  as  recording  the  receipt,  use,  and  final  disposition  of  investigational  agents.  This  module  also  reviews  what  constitutes  investigational  products  and  the  management  requirements  for  their  use  by  study  subjects.   Language  Availability  English   (ID:  1357)    Spanish  (ID:  12156)  Portuguese  (ID:  16341)  Korean   (ID:  16034)    Thai   (ID:  13443)  French   (ID:  13512)  Vietnamese  (ID:  16563)  

Overview  of  U.S.  FDA  Regulations  for  Medical  Devices  This  module  provides  a  review  of  the  responsibilities  of  investigators  conducting  clinical  research  involving  medical  devices.  It  includes  a  discussion  of  the  difference  between  significant  risk  and  non-­‐significant  risk  devices.  The  characteristics  and  marketing  requirements  for  Class  I,  II,  and  III  devices  are  reviewed.  This  module  concludes  with  a  review  of  investigator  and  institutional  review  board/independent  ethics  committee  (IRB/IEC)  responsibilities  associated  with  clinical  trials  of  medical  devices  and  a  discussion  of  the  different  options  associated  with  early  access  to  investigational  devices  in  advance  of  FDA  approval.   Language  Availability  English   (ID:  1358)  Spanish  (ID:  12151)  Portuguese  (ID:  16342)  Korean   (ID:  16035)    Chinese  (ID:  13925)  Thai   (ID:  13439)  French   (ID:  13511)  Vietnamese  (ID:  16564)  

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Informed  Consent  This  module  discusses  informed  consent  guidelines,  the  required  and  optional  elements  of  informed  consent,  and  the  process  for  obtaining  informed  consent.  There  is  also  a  discussion  of  the  differences  between  FDA  and  U.S.  Department  of  Health  and  Human  Services  (HHS)  regulations.  Some  of  the  challenges  associated  with  informed  consent  and  the  concept  of  vulnerable  subjects  are  also  reviewed.   Language  Availability  English   (ID:  1359)  Spanish  (ID:  12220)  Portuguese  (ID:  16343)  Korean   (ID:  16036)  Chinese  (ID:  13931)  Thai   (ID:  13441)  French   (ID:  13510)  Vietnamese  (ID:  16565)  

Detecting  and  Evaluating  Adverse  Events  This  module  reviews  the  definition  of  adverse  events  (AEs)  and  related  clinical  trial  terminology.  It  describes  the  process  for  identifying  AEs  in  clinical  research,  the  issues  to  consider  in  assessing  the  severity  and  causality  of  AEs  with  examples  to  illustrate  the  evaluation  process.  This  module  also  contains  a  discussion  on  determining  severity  and  causality.  Reporting  of  AEs  to  the  institutional  review  board/independent  ethics  committee  (IRB/IEC)  completes  the  module.   Language  Availability  English   (ID:  1360)  Spanish  (ID:  12152)  Portuguese  (ID:  16344)  Korean   (ID:  16037)    Chinese  (ID:  13930)  Thai   (ID:  13432)  French   (ID:  13667)  Vietnamese  (ID:  16566)

Reporting  Serious  Adverse  Events  This  module  discusses  the  criteria  for  reporting  of  serious  adverse  events  (SAEs)  to  regulatory  agencies,  and  sponsors.  The  discussion  includes  definitions  for  "serious"  and  "unexpected"  adverse  events  and  it  reviews  the  requirements  for  the  reporting  of  SAEs  within  time  frames  required  by  the  FDA  and  the  ICH.  This  module  provides  categories  of  relatedness  to  the  investigational  agent  and  how  they  affect  reporting.    Language  Availability  English   (ID:  1361)  Spanish  (ID:  12158)  Portuguese  (ID:  16345)  Korean   (ID:  16038)    Chinese  (ID:  13934)  Thai   (ID:  13434)  French   (ID:  13515)  Vietnamese  (ID:  16567)  

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Monitoring  of  Clinical  Trials  by  Industry  Sponsors  This  module  describes  the  obligation  of  industry  research  sponsors  to  monitor  the  progress  of  clinical  trials  under  an  investigational  new  drug  (IND)  or  investigational  device  exemption  (IDE)  application  in  the  U.S.  The  types  of  site  visits  conducted  by  industry  sponsors  are  described,  along  with  the  basic  requirements  for  each  type  of  site  visit.  This  module  describes  the  role  of  the  investigative  site  during  interactions  with  industry  sponsors  as  well  as  the  requirements  for  recordkeeping  in  studies  regulated  by  the  FDA.      Language  Availability  English   (ID:  1362)  Spanish  (ID:  12157)  Portuguese  (ID:  16346)  Korean   (ID:  16039)    Thai   (ID:  12753)  French   (ID:  13517)  Vietnamese  (ID:  16568)  

Audits  and  Inspections  of  Clinical  Trials  This  module  provides  a  basic  understanding  of  the  monitoring,  auditing,  and  inspecting  of  clinical  trials  conducted  according  to  GCP  standards.  It  describes  the  different  entities  that  can  inspect  or  audit  a  clinical  trial,  the  factors  that  can  determine  whether  an  investigator  will  be  audited,  what  the  auditors  and  inspectors  are  looking  for,  and  the  results  and  consequences  that  can  occur  as  a  consequence  of  FDA  inspection  findings.  Some  FDA-­‐regulated  research  may  also  involve  federal  funding,  thereby  requiring  oversight  by  the  Office  for  Human  Research  Protections  (OHRP).  As  a  result,  this  module  includes  information  on  OHRP  compliance  site  visits  and  outcomes.  The  purpose  of  the  FDA  Bioresearch  Monitoring  Program  is  also  discussed.    Language  Availability  English   (ID:  1363)  Spanish  (ID:  12150)  Portuguese  (ID:  16347)  Korean   (ID:  16040)    Chinese  (ID:  13917)  Thai   (ID:  13444)  French   (ID:  13506)    Vietnamese  (ID:  16569)  

Completing  the  CITI  GCP  Course  This  module  summarizes  the  issues  presented  in  the  preceding  modules.    Language  Availability  English   (ID:  1364)  Spanish  (ID:  12161)  Portuguese  (ID:  16348)  Korean   (ID:  16041)    Chinese  (ID:  13919)  Thai   (ID:  13445)  French   (ID:  13548)  Vietnamese  (ID:  16570)    

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Humanitarian  Use  Devices  (HUDs)  This  module  provides  a  basic  overview  of  the  FDA  regulations  and  responsibilities  regarding  HUDs.  It  describes  the  Humanitarian  Use  Device  (HUD)  program  and  Humanitarian  Device  Exemption  (HDE)  regulatory  process,  and  explains  the  applicable  requirements  and  differences  between  1)  a  “clinical  use”  of  a  HUD  to  treat  or  diagnose  patients  or  2)  a  “HUD  investigation.”  This  module  also  categorizes  the  FDA  regulations  and  IRB  review  requirements  for  HUD  investigations  within  and  outside  of  the  HDE  approved  indications,  and  identifies  additional  federal  rules  or  institutional  requirements  that  may  apply  to  the  clinical  use  of  a  HUD  or  HUD  investigations.    Language  Availability English (ID: 16306) Note: This module does not hold CE credit designation.    

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GCP  for  Clinical  Trials  with  Investigational  Drugs  and  Biologics  (ICH  Focus)    This  course  is  intended  for  research  personnel  involved  in  drug  and  biologic  studies  and  who  would  benefit  from  a  more  internationally  focused  training.  It  should  be  noted,  however,  that  when  appropriate,  references  to  FDA  regulations  and  guidance  are  included.      This  ICH  E6  GCP  Investigator  Site  Training  meets  the  Minimum  Criteria  for  ICH  GCP  Investigator  Site  Personnel  Training  identified  by  TransCelerate  BioPharma  as  necessary  to  enable  mutual  recognition  of  GCP  training  among  trial  sponsors.  Organizations  that  wish  to  utilize  this  course  in  keeping  with  the  minimum  criteria  must  designate  all  available  (ICH  Focus)  modules  as  “Required.”  

Continuing  Education  (CE)  Credits  and  Units  These  modules  hold  the  following  credit  designations:    

• Physicians:  4  AMA  PRA  Category  1  Credits  TM  • Psychologists:  3  CEP  Credits  • Nurses:  4  CNE  Contact  Hours  • Other  Participants:  4  AMA  PRA  Category  1  Credits  TM  

Credit  Designation  Period:      

• Physicians,  Psychologists,  and  Other  Participants:  17  October  2012  to  16  October  2015  

• Nurses:  7  June  2013  to  7  June  2015  

Module  Title   Recommended  Use  

The  CITI  Good  Clinical  Practice  Course  for  Clinical  Trials  Involving  Drugs  and  Biologics   Required  

Overview  of  New  Drug  Development   Required  

Overview  of  ICH  GCP   Required  

ICH  -­‐  Comparison  Between  ICH  GCP  E6  and  U.S.  FDA  Regulations   Required  

Conducting  Investigator-­‐Initiated  Studies  According  to  FDA  Regulations  and  GCP   Required  

Investigator  Obligations  in  FDA-­‐Regulated  Research   Required  

Managing  Investigational  Agents  According  to  GCP  Requirements   Required  

Informed  Consent  in  Clinical  Trials  of  Drugs  and  Biologics   Required  

Monitoring  Clinical  Trials  of  Drugs  by  Industry  Sponsors   Required  

Audits  and  Inspections  of  Clinical  Trials  of  Drugs  and  Biologics   Required  

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The  CITI  Good  Clinical  Practice  Course  for  Clinical  Trials  Involving  Drugs  and  Biologics  This  module  provides  an  overview  of  the  GCP  course  along  with  links  to  the  Belmont  Report.      Language  Availability  English   (ID:  14613)  Spanish  (ID:  15273)  Portuguese  (ID:  16359)  Korean  (ID:  16052)  

Overview  of  New  Drug  Development  This  module  describes  the  role  of  industry  sponsors  in  the  conduct  of  clinical  trials  under  an  investigational  new  drug  (IND)  application  according  to  FDA  regulations.  It  provides  an    overview  of  definitions,  procedures,  and  timelines  involved  for  the  development  of  a  new  drug.    Language  Availability  English   (ID:  14621)  Spanish  (ID:  15280)  Korean  (ID:  16059)

Overview  of  ICH  GCP  The  purpose  of  this  module  is  to  provide  an  overview  of  the  role  of  the  ICH  guidelines  and  their  impact  on  conducting  human  clinical  research.  The  purpose  of  and  the  basic  requirements  for  compliance  with  the  ICH  are  described,  including  an  overview  of  the  ICH  E6  GCP  guidelines.  This  module  concludes  with  a  discussion  on  when  the  ICH’s  GCP  guidelines  apply  and  an  introduction  on  how  these  differ  from  the  FDA  regulations.      Language  Availability  English   (ID:  14622)  Spanish  (ID:  15281)  Portuguese  (ID:  16366)  Korean  (ID:  16060)  

ICH  -­‐  Comparison  Between  ICH  GCP  E6  and  U.S.  FDA  Regulations  This  module  expands  on  the  introduction  presented  in  the  ICH  Overview  module.  The  major  differences  between  ICH  guidelines  and  FDA  regulations  are  presented,  including  a  discussion  of  specific  areas  such  as  confidentiality  of  medical  records,  signature  of  person  conducting  the  consent  discussion,  impartial  witnesses  for  illiterate  subjects,  and  the  elements  of  informed  consent.    Language  Availability    English   (ID:  14625)  Spanish  (ID:  15282)  Portuguese  (ID:  16367)  Korean  (ID:  16061)  

Detecting  and  Evaluating  Adverse  Events   Required  

Reporting  Serious  Adverse  Events  in  Investigations  of  Drugs  and  Biologics   Required  

Completing  the  CITI  GCP  Course   Required  

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Conducting  Investigator  -­‐  Initiated  Studies  According  to  FDA  Regulations  and  GCP  Medical  research  is  important  and  investigators  strive  to  find  novel  therapies,  new  drugs,  and  modifications  or  new  uses  for  existing  drugs.  This  module  introduces  the  requirements  that  must  be  met  to  conduct  investigator-­‐initiated  trials  of  investigational  drugs.  This  module  provides  an  overview  of  when  an  investigational  new  drug  (IND)  application  must  be  filed,  the  information  that  must  be  provided,  and  the  requirements  for  monitoring  of  clinical  trials.  Given  ICH  E6  as  a  standard  for  the  elements  of  clinical  research  including  design,  conduct,  performance,  monitoring,  and  auditing,  this  module  provides  a  discussion  as  to  the  purposes  of  monitoring  and  summarizes  its  components.    Language  Availability  English   (ID:  14614)  Spanish  (ID:  15274)  Portuguese  (ID:  16360)  Korean  (ID:  16053)  

Investigator  Obligations  in  FDA-­‐Regulated  Research  When  investigators  participate  in  an  industry-­‐sponsored  clinical  investigation,  they  assume  certain  professional  and  legal  obligations.  Investigators,  therefore,  must  understand  the  study  and  regulatory  requirements  to  ensure  the  successful  outcome  of  a  clinical  investigation.  This  module  provides  an  overview  of  investigator  commitments  and  obligations,  and  it  summarizes  the  investigator’s  relationship  with  the  industry-­‐sponsor.  Particular  attention  is  focused  on  two  aspects  of  the  sponsor’s  site  assessments  covered  by  ICH  guidelines:  adequate  resources  and  medical  care  of  trial  subjects.  Reporting  and  record-­‐retention  are  also  included,  with  applicable  references  to  both  FDA  and  ICH  requirements.    Language  Availability  English   (ID:  14615)    Spanish  (ID:  15275)  Portuguese  (ID:  16361)  Korean  (ID:  16054)  

Managing  Investigational  Agents  According  to  GCP  Requirements  GCP  standards  require  specific  management  of  investigational  products  by  principal  investigators.  Definitions  and  information  related  to  the  requirements  for  the  use  of  investigational  products,  as  defined  by  the  FDA  and  ICH,  are  presented  as  a  basis  for  this  module.  ICH  requirements  associated  with  investigator  control  continues  the  discussion.  This  module  concludes  with  sections  on  shipping,  storage,  dispensing,  and  final  disposition  of  investigational  agents.  Language  Availability  English   (ID:  14617)  Spanish  (ID:  15276)  Portuguese  (ID:  16362)  Korean  (ID:  16055)  

Informed  Consent  in  Clinical  Trials  of  Drugs  and  Biologics  This  module  discusses  the  informed  consent  guidelines  (as  reflected  in  both  FDA  regulations  and  ICH  guidelines),  which  set  the  required  and  additional  elements  of  informed  consent.  This  module  also  includes  a  discussion  of  the  documentation  of  consent  with  

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specific  discussion  on  the  role  of  legally  authorized  representatives.  Some  of  the  challenges  associated  with  informed  consent  and  the  concept  of  vulnerable  subjects  are  also  covered,    including  issues  related  to  subjects  who  cannot  consent  and  the  exceptions  to  the  informed  consent  requirements.    Language  Availability  English   (ID:  14618)  Spanish  (ID:  15277)  Portuguese  (ID:  16363)  Korean  (ID:  16056)

Monitoring  Clinical  Trials  of  Drugs  by  Industry  Sponsors  U.S.  federal  regulations  and  ICH  guidelines  require  that  sponsors  of  clinical  research  monitor  the  studies  of  investigational  drugs  to  ensure  that  they  comply  with  standards  for  the  protection  of  human  research  subjects.  This  module  describes  the  obligation  of  industry  sponsors  to  monitor  the  progress  of  clinical  trials  under  an  investigational  new  drug  (IND)  application  as  well  as  the  requirements  for  site  record-­‐keeping  in  studies  that  are  regulated  by  the  U.S.  FDA  and  in  adherence  to  ICH  E6.    Language  Availability  English   (ID:  14619)  Spanish  (ID:  15279)  Portuguese  (ID:  16365)  Korean  (ID:  16057)

Audits  and  Inspections  of  Clinical  Trials  of  Drugs  and  Biologics  This  module  provides  basic  information  on  monitoring,  audits,  and  inspections  of  clinical  trials  conducted  according  to  standards  for  GCP.  It  describes  the  different  entities  that  can  inspect  or  audit  a  clinical  trial,  the  factors  that  can  determine  whether  an  investigator  will  be  audited,  what  the  auditors  and  inspectors  are  looking  for,  and  the  results  and  consequences  that  can  occur  as  a  result  of  FDA  inspection  findings.  Regulatory  documents  reviewed  during  inspections  are  presented  and  referenced  to  FDA  and  ICH  GCP  requirements.    Language  Availability  English   (ID:  14620)  Spanish  (ID:  15279)  Portuguese  (ID:  16365)  Korean  (ID:  16058)  

Detecting  and  Evaluating  Adverse  Events  This  module  provides  a  review  of  the  definition  of  adverse  events  (AEs)  and  related  clinical  trial  terminology  in  accordance  with  ICH  guidelines.  It  describes  the  process  for  identifying  AEs  in  clinical  research  and  identifies  the  factors  to  consider  in  assessing  the  severity  and  causality  of  AEs.  Examples  are  provided  to  illustrate  the  evaluation  process.  This  module  also  includes  discussion  on  determining  AE  severity  and  causality,  and  the  reporting  of  AEs  to  IRBs.    Language  Availability  English   (ID:  14623)  

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Spanish  (ID:  15283)  Portuguese  (ID:  16368)  Korean  (ID:  16062)  

Reporting  Serious  Adverse  Events  in  Investigations  of  Drugs  and  Biologics  This  module  discusses  the  criteria  for  reporting  serious  adverse  events  (SAEs)  to  regulatory  agencies,  and  sponsors.  The  discussion,  framed  by  both  FDA  regulations  and  ICH  guidelines,  includes  definitions  for  "serious"  and  "unexpected"  adverse  events  (AEs),  and  the  time  frames  for  the  reporting  of  SAEs.  This  module  provides  categories  of  relatedness  to  the  investigational  agent  and  how  they  affect  reporting.      Language  Availability  English   (ID:  14624)  Spanish  (ID:  15284)  Portuguese  (ID:  16369)  Korean  (ID:  16063)  

Completing  the  CITI  GCP  Course  This  module  summarizes  the  issues  presented  in  its  preceding  modules.    Language  Availability  English   (ID:  14626)  Spanish  (ID:  15285)  Portuguese  (ID:  16370)  Korean  (ID:  16064)    

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GCP  for  Clinical  Trials  with  Investigational  Medical  Devices  This  course  is  intended  for  research  personnel  involved  in  device  studies.  It  should  be  noted  that,  where  appropriate,  reference  to  FDA  regulations  and  guidance  is  included.    

Continuing  Education  (CE)  Credits  and  Units  These  modules  hold  the  following  credit  designations:    

• Physicians:  3  AMA  PRA  Category  1  Credits  TM  • Psychologists:  3  CEP  Credits  • Nurses:  3  CNE  Contact  Hours  • Other  Participants:  3  AMA  PRA  Category  1  Credits  TM  

Credit  Designation  Period:      

• Physicians,  Psychologists,  and  Other  Participants:  15  February  2013  to  14  February  2016  

• Nurses:  28  August  2013  –  28  August  2015  

Module  Title   Recommended  Use  

The  CITI  Good  Clinical  Practice  Course  for  Clinical  Trials  Involving  Investigational  Medical  Devices   Required  

Overview  of  U.S.  FDA  Regulations  for  Medical  Devices   Required  

Investigator  Obligations  in  FDA-­‐Regulated  Clinical  Research  of  Devices   Required  

Conducting  Investigator-­‐Initiated  Clinical  Trials  of  Devices   Required  

Managing  Investigational  Devices  According  to  GCP  Requirements   Required  

Informed  Consent  in  Clinical  Trials  of  Devices   Required  

Monitoring  Clinical  Trials  of  Devices   Required  

Audits  and  Inspections  of  Clinical  Trials  of  Devices   Required  

Reporting  Requirements  for  Device  Studies   Required  

Completing  the  CITI  GCP  Course   Required  

Humanitarian  Use  Devices  (HUDs)   Supplemental  

 The  CITI  Good  Clinical  Practice  Course  for  Clinical  Trials  Involving  Investigational  Medical  Devices    This  module  provides  an  overview  of  the  GCP  for  Clinical  Trials  with  Investigational  Medical  Devices  course  along  with  links  to  the  Belmont  Report.      

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Language  Availability  English   (ID:  14633)  Spanish  (ID:  15286)  Portuguese  (ID:  16349)  Korean  (ID:  16042)  

Overview  of  U.S.  FDA  Regulations  for  Medical  Devices  This  module  reviews  the  responsibilities  of  investigators  conducting  clinical  research  involving  medical  devices.  It  includes  a  discussion  of  the  difference  between  significant  risk  (SR)  and  non-­‐significant  risk  (NSR)  devices.  The  characteristics  and  marketing  requirements  for  Class  I,  II,  and  III  devices  are  reviewed.  This  module  concludes  with  a  review  of  investigator  and  institutional  review  board/independent  ethics  committee  (IRB/IEC)  responsibilities  associated  with  clinical  trials  of  medical  devices  and  a  discussion  of  the  different  options  associated  with  early  access  to  investigational  devices  in  advance  of  FDA  approval.    Language  Availability  English   (ID:  14637)  Spanish  (ID:  15290)  Portuguese  (ID:  16353)  Korean  (ID:  16046)  

Investigator  Obligations  in  FDA-­‐Regulated  Clinical  Research  of  Devices  Investigators  assume  responsibilities  when  participating  in  clinical  investigations  sponsored  by  device  companies  under  investigational  device  exemption  (IDE)  requirements.  This  module  describes  the  commitments  and  obligations  assumed  by  investigators.  Required  study  records  and  reporting  requirements  continue  the  discussion.  An  overview  of  the  investigator's  relationship  with  the  sponsor  organization  as  well  as  the  investigator's  commitment  to  the  subjects,  the  institutional  review  board/independent  ethics  committee  (IRB/IEC),  and  the  FDA  is  also  included.    Language  Availability  English   (ID:  14635)  Spanish  (ID:  15288)  Portuguese  (ID:  16351)  Korean  (ID:  16044)  

Conducting  Investigator-­‐Initiated  Clinical  Trials  of  Devices  This  module  discusses  topics  relevant  to  researchers  who  are  also  the  sponsors  of  studies,  i.e.,  investigator-­‐initiated  device  studies.  Topics  discussed  include  significant  risk  (SR)  and  non-­‐significant  risk  (NSR)  device  studies,  sponsor-­‐investigator  investigational  device  exemptions  (IDEs),  and  reporting  requirements.    Language  Availability  English   (ID:  14634)  Spanish  (ID:  15287)  Portuguese  (ID:  16350)  Korean  (ID:  16043)  

Managing  Investigational  Devices  According  to  GCP  Requirements  This  module  focuses  on  specific  requirements  associated  with  the  management  of  investigational  products  by  principal  investigators,  with  a  specific  focus  on  GCP  standards.  

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This  module  includes  a  discussion  of  the  regulation  of  studies  involving  investigational  devices,  including  sponsor  requirements  for  selecting  investigators,  investigator  control  of  devices,  packaging  and  shipping,  and  storage  of  devices.      Language  Availability  English   (ID:  14636)  Spanish  (ID:  15289)  Portuguese  (ID:  16352)  Korean  (ID:  16045)  

Informed  Consent  in  Clinical  Trials  of  Devices  This  module  discusses  the  informed  consent  guidelines,  the  required  and  optional  elements  of  informed  consent  and  the  process  for  obtaining  informed  consent.  There  is  also  a  discussion  of  the  differences  between  FDA  and  U.S.  Department  of  Health  and  Human  Services  (HHS)  regulations.  Challenges  associated  with  informed  consent  and  the  concept  of  vulnerable  subjects  is  also  covered.    Language  Availability  English   (ID:  14638)  Spanish  (ID:  15291)  Portuguese  (ID:  16354)  Korean  (ID:  16047)  

Monitoring  Clinical  Trials  of  Devices  This  module  describes  the  obligation  of  industry  research  sponsors  to  monitor  the  progress  of  clinical  trials  under  an  investigational  device  exemption  (IDE)  in  the  U.S.  The  types  of  site  visits  conducted  by  industry  sponsors  are  described  along  with  the  basic  requirements  for  each  type  of  site  visit.  The  role  of  the  investigative  site  during  interactions  with  industry  sponsors  as  well  as  the  required  documentation  and  a  review  of  record  keeping  in  studies  regulated  by  the  FDA  are  also  covered.    Language  Availability  English   (ID:  14639)  Spanish  (ID:  15292)  Portuguese  (ID:  16355)  Korean  (ID:  16048)  

Audits  and  Inspections  of  Clinical  Trials  of  Devices  This  module  provides  a  basic  understanding  of  monitoring,  audits,  and  inspections  of  clinical  trials  conducted  according  to  standards  for  GCP.  It  describes  the  different  entities  that  can  inspect  or  audit  a  clinical  trial,  the  factors  that  can  determine  whether  an  investigator  will  be  audited,  what  the  auditors  and  inspectors  are  looking  for,  and  the  results  and  consequences  that  can  stem  from  FDA  inspection  findings.  Because  some  FDA-­‐regulated  research  may  involve  federal  funds  there  may  also  be  Office  for  Human  Research  Protections  (OHRP)  oversight.  As  a  result,  the  module  includes  an  overview  of  OHRP  compliance  site  visits  and  outcomes.  The  purpose  of  the  FDA  Bioresearch  Monitoring  Program  is  also  discussed.    Language  Availability  English   (ID:  14640)  

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CITI  Program   Good  Clinical  Practice  (GCP)  Catalog   Page  

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Spanish  (ID:  15293)  Portuguese  (ID:  16356)  Korean  (ID:  16049)  

Reporting  Requirements  for  Device  Studies  The  use  of  investigational  devices  can  pose  significant  risks  to  subjects,  and  the  FDA  requires  reporting  of  certain  events  to  ensure  that  all  entities  are  adequately  informed  when  new  risks  appear.  This  module  explains  the  reporting  requirements  of  21  CFR  812,  the  FDA  regulations  for  the  conduct  of  investigational  device  studies.    Language  Availability  English   (ID:  14641)  Spanish  (ID:  15294)  Portuguese  (ID:  16357)  Korean  (ID:  16050)  

Completing  the  CITI  GCP  Course  This  module  summarizes  the  issues  presented  in  its  preceding  modules.    Language  Availability  English   (ID:  14642)  Spanish  (ID:  15295)  Portuguese  (ID:  16358)  Korean  (ID:  16051)  

Humanitarian  Use  Devices  (HUDs)  This  module  provides  a  basic  overview  of  the  FDA  regulations  and  responsibilities  regarding  HUDs.  It  describes  the  Humanitarian  Use  Device  (HUD)  program  and  Humanitarian  Device  Exemption  (HDE)  regulatory  process,  and  explains  the  applicable  requirements  and  differences  between  1)  a  “clinical  use”  of  a  HUD  to  treat  or  diagnose  patients  or  2)  a  “HUD  investigation.”  This  module  also  categorizes  the  FDA  regulations  and  IRB  review  requirements  for  HUD  investigations  within  and  outside  of  the  HDE  approved  indications,  and  identifies  additional  federal  rules  or  institutional  requirements  that  may  apply  to  the  clinical  use  of  a  HUD  or  HUD  investigations.    Language  Availability English (ID: 16306) Note: This module does not hold CE credit designation