Clinical Trial Challenges from Covid-19: Q & A

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FDA has issued an updated guidance entitled “Conduct of Clinical Trials of Medical Products during COVID-19 Pandemic.” The document has an appendix on common questions and answers. It was issued earlier in the month because the agency recognizes that the Covid-19 pandemic may impact medical product clinical trials. “For example, challenges may arise from quarantines, site closures, travel limitations, interruptions to the supply chain for the investigational product, or other considerations if site personnel or trial subjects become infected with SARS-CoV-2, the virus that causes Covid-19,” the agency says.

 

Clinical trial protocol modifications may be required, FDA says, and that there may be “unavoidable protocol deviations” due to Covid-19. The guidance outlines general considerations to assist sponsors in assuring the safety of trial participants, maintaining compliance with good clinical practice, and minimizing risks to a trialֺ’s integrity. The new appendix further explains those considerations by responding to related questions the agency has received. Issues addressed include submitting protocol amendments, documenting protocol deviations, initiating virtual clinical trial visits for monitoring patients, making changes to ship investigational products directly to patients, and obtaining and documenting informed consent from patients in isolation due to Covid-19.

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