‘Major Disruption’ Clinical Trial Guidance
FDA has published a guidance, Considerations for the Conduct of Clinical Trials of Medical Procedures During Major Disruptions Due to Disasters and Public Health Emergencies, to assist sponsors, institutional review boards, and clinical investigators in assuring the safety of trial participants, maintaining compliance with good clinical practice, and minimizing risks to trial integrity during disasters and public health emergencies (PHEs) that may lead to major disruption of clinical trial conduct and operations. The document says disasters and public health emergencies can include, but are not limited to, hurricanes, earthquakes, military conflicts, infectious disease outbreaks, or bioterrorist attacks.
FDA says it is aware that not all trials can be initiated or continued during disasters and PHEs, and for some trials, there may be no alternative to stopping the trial earlier than planned to safeguard participants’ and trial staff’s safety. “The determination of whether to continue a trial should be based first and foremost on ensuring that participants will continue to be able to participate safely,” the guidance says. “The determination should also consider whether the key objectives of the trial can still be met, with appropriate trial modifications implemented.”