CCRP Exam with detailed answers
How many days does a sponsor have to report an emergency use of an IP to the FDA? -
correct answer-5 working days
How many members must sit on an IRB? - correct answer-5
How long must an IRB retain records per 21 CFR 56? - correct answer-3 years after
completion of research
What are the criteria for IRB approval of research? (7) - correct answer-1. Risks to subjects
are minimized
2. Risks are reasonable in relation to anticipated benefits
3. Selection of subjects is equitable
4. Informed consent will be sought from subjects or LARs
5. Informed consent will be documented
6. There is adequate provision of monitoring
7. There is adequate provision to protect the privacy of subjects
How many days does an IRB have to report a change in registration information due to a
change in chairperson or contact? - correct answer-90 days
How many days does an IRB have to inform the FDA that it is reviewing different types of
FDA products? - correct answer-30 days
How often must an IRB renew it's registration? - correct answer-3 years
What are the 8 basic elements of informed consent per FDA guidelines? - correct answer-
1. Statement that the study involves research, purpose and expected duration, description
of experimental procedures
2. Description of reasonably foreseeable risks
3. Benefits
4. Disclosure of alternative procedures or courses of treatment
5. Confidentiality measures
6. Compensation and treatments available if injury occurs
7. contact information
,8. Participation is voluntary and subject may discontinue at any time
What are the criteria for involving children in minimal risk research? (2) - correct answer-1.
No greater than minimal risk
2. Assent from kid + consent from parent obtained
What are the criteria for involving children in greater than minimal risk research with
prospect of benefit? (3) - correct answer-1. Risks are justified by benefits
2. Relation of anticipated benefit is at least as favorable as that presented by alternative
approaches
3. Assent + consent
What are the criteria for involving children in greater than minimal risk research with no
direct benefit? (4) - correct answer-1. Risks are minor increase over minimal risk
2. Intervention presents experiences that are reasonable commensurate with normal
medical and living situations
3. Intervention is likely to yield generalizable knowledge that is vital
4. Assent + consent
Sponsors must report SAEs to the FDA within how many days of discovering the event? -
correct answer-15 calendar days (21 CFR 312.32)
Investigators must report SAEs to a sponsor within how many days of discovering the
event? - correct answer-Immediately (21 CFR 312.64)
Sponsors must report what kind of serious events to the FDA within 15 calendar days? (4) -
correct answer-1) Serious and unexpected suspected adverse reactions
2) Findings from other studies that suggest a significant risk in humans
3) Findings from animal or in-vitro testing that suggest risks to humans
4) Increased rate of occurrence of serious suspected adverse reactions
Sponsors must submit Unanticipated Adverse Device Effects to the FDA within how many
days? - correct answer-10 working days (21 CFR 812.15)
Investigators must submit Unanticipated Adverse Device Effects to the FDA within how
many days? - correct answer-10 working days (21 CFR 812.15)
When was the Nuremberg Code issued? - correct answer-1947
,What are the 10 points made in the Nuremberg Code? - correct answer-1) Voluntary
informed consent should be obtained
2) Research should yield benefit to society
3) Research should be based on animal work
4) Avoid unnecessary suffering
5) Don't do research resulting in death or disabling injury
6) Risks should be justified by benefits
7) Proper prep and adequate facilities should be used
8) Conducted by scientifically qualified people
9) Subject can withdraw whenever
10) Researchers can end the study if risks are too great
When was the Declaration of Helsinki released? - correct answer-1964
Who developed the Declaration of Helsinki? - correct answer-World Medical Association
(WMA)
What is the Declaration of Helsinki? - correct answer-Document that laid out general
principles physicians should follow to conduct research with humans, based on
Nuremberg Code. First effort of medical community to regulate itself
When was the Belmont Report released? - correct answer-1979
Who created the Belmont Report? - correct answer-National Commission for the
Protection of Human Subjects of Biomedical and Behavioral Research (at direction of
National Research Act 1974)
What are the 3 principles in the Belmont Report? - correct answer-1) Respect for Persons:
informed consent required and individuals with diminished autonomy get special
protections
2) Beneficence: maximize benefit to research while minimizing risk to subjects
3) Justice: one group of people shouldn't assume risks for the benefit of another (equality
and diversity of participants)
In what order were historical declarations for human subjects protection released? -
correct answer-Nuremberg Code > Declaration of Helsinki > Belmont Report
, At what reading level should ICFs be written? - correct answer-6th-8th grade
What FDA guideline lists the basic elements of informed consent? - correct answer-21 CFR
50 (50.25)
What are the additional elements of informed consent per FDA guidelines? (7) - correct
answer-1) Statement that treatment may involve unforseeable risks
2) Circumstances in which subject participation may be terminated
3) Additional costs to subject
4) Consequences of subject's decision to withdraw
5) Statement that new findings will be provided to subject
6) # of subjects in study
7) clinicaltrials.gov statement (as applicable)
Who ultimately approves an ICF? - correct answer-IRB - sponsor can provide sample form
Describe the 2 most important points to consider when consenting patients (per 21 CFR
50) - correct answer-1) No person can participate without their or LAR consent (50.20)
2) Documentation of informed consent is required (50.27)
What are the 4 components of the consent process using a short form? - correct answer-1)
Short form consent document stating all elements of ICF have been presented orally to
pt/LAR
2) Oral presentation of required elements
3) IRB-approved summary of what is said
4) Witness present during presentation
How do you document short form consent? - correct answer-1) Subject/LAR signs short
form consent
2) Witness signs short form consent and summary
3) Person obtaining consent signs summary
- Copy of short form consent and summary are given to subject/LAR
How do you document long form consent? - correct answer-Subject/LAR signs long form
consent
How many days does a sponsor have to report an emergency use of an IP to the FDA? -
correct answer-5 working days
How many members must sit on an IRB? - correct answer-5
How long must an IRB retain records per 21 CFR 56? - correct answer-3 years after
completion of research
What are the criteria for IRB approval of research? (7) - correct answer-1. Risks to subjects
are minimized
2. Risks are reasonable in relation to anticipated benefits
3. Selection of subjects is equitable
4. Informed consent will be sought from subjects or LARs
5. Informed consent will be documented
6. There is adequate provision of monitoring
7. There is adequate provision to protect the privacy of subjects
How many days does an IRB have to report a change in registration information due to a
change in chairperson or contact? - correct answer-90 days
How many days does an IRB have to inform the FDA that it is reviewing different types of
FDA products? - correct answer-30 days
How often must an IRB renew it's registration? - correct answer-3 years
What are the 8 basic elements of informed consent per FDA guidelines? - correct answer-
1. Statement that the study involves research, purpose and expected duration, description
of experimental procedures
2. Description of reasonably foreseeable risks
3. Benefits
4. Disclosure of alternative procedures or courses of treatment
5. Confidentiality measures
6. Compensation and treatments available if injury occurs
7. contact information
,8. Participation is voluntary and subject may discontinue at any time
What are the criteria for involving children in minimal risk research? (2) - correct answer-1.
No greater than minimal risk
2. Assent from kid + consent from parent obtained
What are the criteria for involving children in greater than minimal risk research with
prospect of benefit? (3) - correct answer-1. Risks are justified by benefits
2. Relation of anticipated benefit is at least as favorable as that presented by alternative
approaches
3. Assent + consent
What are the criteria for involving children in greater than minimal risk research with no
direct benefit? (4) - correct answer-1. Risks are minor increase over minimal risk
2. Intervention presents experiences that are reasonable commensurate with normal
medical and living situations
3. Intervention is likely to yield generalizable knowledge that is vital
4. Assent + consent
Sponsors must report SAEs to the FDA within how many days of discovering the event? -
correct answer-15 calendar days (21 CFR 312.32)
Investigators must report SAEs to a sponsor within how many days of discovering the
event? - correct answer-Immediately (21 CFR 312.64)
Sponsors must report what kind of serious events to the FDA within 15 calendar days? (4) -
correct answer-1) Serious and unexpected suspected adverse reactions
2) Findings from other studies that suggest a significant risk in humans
3) Findings from animal or in-vitro testing that suggest risks to humans
4) Increased rate of occurrence of serious suspected adverse reactions
Sponsors must submit Unanticipated Adverse Device Effects to the FDA within how many
days? - correct answer-10 working days (21 CFR 812.15)
Investigators must submit Unanticipated Adverse Device Effects to the FDA within how
many days? - correct answer-10 working days (21 CFR 812.15)
When was the Nuremberg Code issued? - correct answer-1947
,What are the 10 points made in the Nuremberg Code? - correct answer-1) Voluntary
informed consent should be obtained
2) Research should yield benefit to society
3) Research should be based on animal work
4) Avoid unnecessary suffering
5) Don't do research resulting in death or disabling injury
6) Risks should be justified by benefits
7) Proper prep and adequate facilities should be used
8) Conducted by scientifically qualified people
9) Subject can withdraw whenever
10) Researchers can end the study if risks are too great
When was the Declaration of Helsinki released? - correct answer-1964
Who developed the Declaration of Helsinki? - correct answer-World Medical Association
(WMA)
What is the Declaration of Helsinki? - correct answer-Document that laid out general
principles physicians should follow to conduct research with humans, based on
Nuremberg Code. First effort of medical community to regulate itself
When was the Belmont Report released? - correct answer-1979
Who created the Belmont Report? - correct answer-National Commission for the
Protection of Human Subjects of Biomedical and Behavioral Research (at direction of
National Research Act 1974)
What are the 3 principles in the Belmont Report? - correct answer-1) Respect for Persons:
informed consent required and individuals with diminished autonomy get special
protections
2) Beneficence: maximize benefit to research while minimizing risk to subjects
3) Justice: one group of people shouldn't assume risks for the benefit of another (equality
and diversity of participants)
In what order were historical declarations for human subjects protection released? -
correct answer-Nuremberg Code > Declaration of Helsinki > Belmont Report
, At what reading level should ICFs be written? - correct answer-6th-8th grade
What FDA guideline lists the basic elements of informed consent? - correct answer-21 CFR
50 (50.25)
What are the additional elements of informed consent per FDA guidelines? (7) - correct
answer-1) Statement that treatment may involve unforseeable risks
2) Circumstances in which subject participation may be terminated
3) Additional costs to subject
4) Consequences of subject's decision to withdraw
5) Statement that new findings will be provided to subject
6) # of subjects in study
7) clinicaltrials.gov statement (as applicable)
Who ultimately approves an ICF? - correct answer-IRB - sponsor can provide sample form
Describe the 2 most important points to consider when consenting patients (per 21 CFR
50) - correct answer-1) No person can participate without their or LAR consent (50.20)
2) Documentation of informed consent is required (50.27)
What are the 4 components of the consent process using a short form? - correct answer-1)
Short form consent document stating all elements of ICF have been presented orally to
pt/LAR
2) Oral presentation of required elements
3) IRB-approved summary of what is said
4) Witness present during presentation
How do you document short form consent? - correct answer-1) Subject/LAR signs short
form consent
2) Witness signs short form consent and summary
3) Person obtaining consent signs summary
- Copy of short form consent and summary are given to subject/LAR
How do you document long form consent? - correct answer-Subject/LAR signs long form
consent
