During the pre-study evaluation, carefully scrutinize clinical sites in the following areas:
- interest in the study
- stability of the clinical staff onsite
- investigator/staff interactions
- workload
- level of training
- conduct GCP training at the start and throughout the study as necessary
- emphasize company policy on fraud at the initiation visit
- be expert on the protocol particularly with parameters that determine eligibility and primary efficacy
- minimize the use of enrollment incentives and pressure to perform and enroll
- don't place needless requirements or unreasonable demands on clinical sites
- maintain frequent interaction with clinical sites through regular monitoring visits and phone calls.
Be involved as a monitor and sponsor. Practice follow-up. Train and insist on integrity and quality control and GCP.
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