October 2007
* |
Required by ClinicalTrials.gov. |
WHO |
Additionally required by WHO/ICMJE. |
1. Titles and Background Information
Organization's Unique Protocol ID *
Definition: Unique identification assigned to the protocol by
the sponsoring organization, usually an accession number or a
variation of a grant number. Multiple studies conducted under the
same grant must each have a unique number.
Examples:
CC-99-H-0020, R01-123456-1, R01-123456-2
Secondary IDs WHO
Definition: Other identification numbers assigned to the
protocol, including ISRCTN (see http://isrctn.org)
and NIH grant numbers, if applicable. Provide up to 5 Secondary ID
Numbers, one per line.
Examples:
ISRCTN12345678
NCI-793-0115D
Brief Title *
Definition: Protocol title intended for the lay public.
Example: Safety Study of Recombinant Vaccinia Virus Vaccine to
Treat Prostate Cancer
Acronym
Definition: Acronym or initials used to identify
this study, if applicable. Enter only the acronym. If supplied, the
acronym is automatically displayed in parentheses following the brief
title.
Example:
Brief Title:
Women's Health Initiative
Acronym: WHI
Displayed on ClinicalTrials.gov as:
Women's Health Initiative (WHI)
Official Title WHO
Definition: Official name of the protocol provided by the study
principal investigator or sponsor.
Example: Phase 1 Study of
Recombinant Vaccinia Virus That Expresses Prostate Specific Antigen
in Metastatic Adenocarcinoma of the Prostate
Study Type *
Definition: Nature of the investigation. Select one.
Interventional: studies in human beings in which individuals are assigned to receive specific interventions. Subjects may receive diagnostic, therapeutic or other types of interventions. The assignment of the intervention may or may not be random. The individuals are then followed and biomedical and/or health outcomes are assessed.
Observational: studies in human beings in which biomedical and/or health outcomes are assessed in a pre-defined group of individuals. Subjects in the study may receive diagnostic, therapeutic, or other interventions, but the investigator does not assign specific interventions to the subjects of the study.
Expanded Access: records describing the procedure for obtaining an experimental drug or device for patients who are failing on currently available treatments for their condition and also are unable to participate in ongoing clinical trials. Expanded Access records are used to register all types of non-protocol access to experimental treatments, including protocol exception, single-patient IND, treatment IND, compassionate use, emergency use, continued access and parallel track.
2. Investigational New Drug Application (IND)/Investigational Device Exemption (IDE) Information: Complete the following only if the protocol involves an Investigational New Drug Application (IND) or Investigational Device Exemption (IDE) under US Food and Drug Administration regulations. (Will not be made public - for administrative purposes only.)
IND/IDE Protocol? *
Definition: Indicate if the protocol involves an
Investigational New Drug Application (IND) or Investigational Device
Exemption (IDE) under US Food and Drug Administration
regulations(Will not be made public - for administrative purposes
only.)
IND/IDE Grantor *
Definition: FDA center to which the IND or IDE was submitted,
i.e., Center for Drug Evaluation and Research (CDER) or Center for
Biologics Evaluation and Research (CBER) for INDs; Center for Devices
and Radiological Health (CDRH) for IDEs. Select one. (Will not be
made public - for administrative purposes only.)
IND/IDE Number *
Definition: Number assigned to an Investigational New Drug
Application (IND) or Investigational Device Exemption (IDE). (Will
not be made public - for administrative purposes only.)
Examples:
22,333; BB1234
IND/IDE Serial Number
Definition: Use the serial number
from the first submission of the protocol to the IND or IDE. (Will
not be made public - for administrative purposes only.)
Has Expanded Access?
Definition: Indicate whether any
non-protocol access is to be provided for the investigational drug or
device. If so, an Expanded Access record should also be created for
this IND/IDE.
3. Human Subjects Review Submitted studies must have approval from a human subjects review board prior to the recruitment of the first patient. Appropriate review boards include an Institutional Review Board, an ethics committee or an equivalent group that is responsible for review and monitoring of this protocol to protect the rights and welfare of human research subjects. A study may be submitted for registration prior to approval of the review board so long as the study is not yet recruiting patients.
Review board information is desired but not required for trials associated with U.S. FDA Investigational New Drug (IND) or Investigational Device Exemption (IDE) applications.
Review board information is required for internal administrative use and is not revealed to the public.
Board Approval Status
Definition: Human subjects review
board approval status. Select one.
Request not yet submitted: review board approval is required but has not yet been requested
Submitted, pending: review board approval has been requested but not yet granted
Submitted, approved: review board approval has been requested and obtained
Submitted, exempt: review board has granted an exemption in response to the approval request
Submitted, denied: review board has denied the approval request
Submission not required: the study does not require human subjects review
Board Approval Number
Definition: Number assigned by the
human subjects review board upon approval of the protocol. May be
ommitted if status is anything other than approved. If the human
subjects review board does not assign numbers, please enter the date
of approval in mm/dd/yyyy format.
Board Name *
Definition: Full name of the approving human subjects review
board.
Example: National Institutes of Health - NCI - IRB #1
Board Affiliation *
Definition: Official name of organizational affiliation of the
approving human subjects review board.
Example: US National
Institutes of Health
Board Contact *
Definition: Contact information for the human subjects review
board.
Data Monitoring Committee?
Definition: Indicate whether
a data monitoring committee has been appointed for this study. The
data monitoring committee (board) is a group of independent
scientists who are appointed to monitor the safety and scientific
integrity of a human research intervention, and to make
recommendations to the sponsor regarding the stopping of the trial
for efficacy, for harms or for futility. The composition of the
committee is dependent upon the scientific skills and knowledge
required for monitoring the particular study.
Oversight authority information is displayed on ClinicalTrials.gov.
Oversight Authorities *
Definition: The name of each national or international health
organization with authority over the protocol. Use the following
format for each authority:
country: organization
name
Examples:
United States: Institutional Review
Board
United States: Food and Drug Administration
Germany:
Federal Institute for Drugs and Medical Devices
Australia:
Therapeutic Goods Administration
4. Sponsors
Sponsor *
Definition: Name of primary organization that oversees
implementation of study and is responsible for data analysis.
Examples: National Institute of Allergy and Infectious
Diseases, Bristol-Myers Squibb
Collaborators WHO
Definition: Other organizations providing support, including
funding, design, implementation, data analysis and reporting. The
data provider is responsible for confirming all collaborators before
listing them. Provide up to 10 full names of collaborating
organizations.
5.
Study Description
Brief Summary *
Definition: Short description of the primary purpose of the
protocol intended for the lay public. Include a brief statement of
the study hypothesis.
Example: The purpose of this study
is to determine whether prednisone, methotrexate, and
cyclophosphamide are effective in the treatment of rapidly
progressive hearing loss in both ears due to autoimmune inner ear
disease (AIED).
Detailed Description
Definition: Extended description of
the protocol, including more technical information (as compared to
the Brief Summary) if desired. Do not include the entire protocol; do
not duplicate information recorded in other data elements, such as
eligibility criteria or outcome measures.
Example:
Sudden
out-of-hospital cardiac arrest (OOH-CA) remains a significant cause
of death, in spite of recent declines in overall mortality from
cardiovascular disease. Existing methods of emergency resuscitation
are inadequate due to time delays inherent in the transport of a
trained responder with defibrillation capabilities to the side of the
OOH-CA victim. Existing Emergency Medical Services (EMS) systems
typically combine paramedic Emergency Medical Technician (EMT)
services with some level of community involvement, such as bystander
cardiopulmonary resuscitation (CPR) training. Some communities
include automated external defibrillators (AEDs) at isolated sites or
in mobile police or fire vehicles. A comprehensive, integrated
community approach to treatment with AEDs would have community units
served by these volunteer non-medical responders who can quickly
identify and treat a patient with OOH-CA. Such an approach is termed
Public Access Defibrillation (PAD).
6. Status
Record Verification Date *
Definition: Date the protocol information was last verified.
Verification date is shown along with organization name on
ClinicalTrials.gov to indicate to the public whether the information
is being kept current, particularly recruiting status and contact
information. Update verification date when reviewing the record
for accuracy and completeness, even if no other changes are made.
Overall Recruitment Status *
Definition: Overall accrual activity for the protocol. Select
one.
Not yet recruiting: participants are not yet being recruited
Recruiting: participants are currently being recruited
Enrolling by invitation: participants are being (or will be) selected from a predetermined population
Active, not recruiting: study is ongoing (i.e., patients are being treated or examined), but participants are not currently being recruited or enrolled
Completed: the study has concluded normally; participants are no longer being examined or treated (i.e., last patient's last visit has occurred)
Suspended: recruiting or enrolling participants has halted prematurely but potentially will resume
Terminated: recruiting or enrolling participants has halted prematurely and will not resume; participants are no longer being examined or treated
Withdrawn: study halted prematurely, prior to enrollment of first participant
NOTE: Contact information is shown on ClinicalTrials.gov only when overall status is "Recruiting" or "Not yet recruiting".
Why Study Stopped?
Definition: For suspended, terminated
or withdrawn studies, provide a brief explanation of why the
study has been halted or terminated. If desired, use brief summary or
detailed description to provide additional information.
Study Start Date WHO
Definition: Date that enrollment to the protocol begins.
Completion Date
Definition: Final date on which data was
(or is expected to be) collected. A "Type" menu is also
included, with options Anticipated and Actual. For active studies,
set Type to Anticipated and specify the expected completion date,
updating the date as needed over the course of the study. Upon study
completion, change Type to Actual and update the date if necessary.
Expanded Access Status *
Definition: Status indicating availability of an experimental
drug or device outside any clinical trial protocol. This data element
is only applicable for Expanded Access records (see Expanded Access
under Study Type). Select one.
Available: expanded access is currently available for this treatment.
No longer available: expanded access was available for this treatment previously but is not currently available and will not be available in the future.
Temporarily not available: expanded access is not currently available for this treatment, but is expected to be available in the future.
Approved for marketing: this treatment has been approved for sale to the public.
7. Study Characteristics
Interventional Study Characteristics
Definition: Primary
investigative techniques used in the protocol. Select the most
appropriate term describing the protocol from each of the following
categories.
Primary Purpose * - reason for the protocol
Treatment: protocol designed to evaluate one or more interventions for treating a disease, syndrome or condition
Prevention: protocol designed to assess one or more interventions aimed at preventing the development of a specific disease or health condition
Diagnostic: protocol designed to evaluate one or more interventions aimed at identifying a disease or health condition
Supportive Care: protocol designed to evaluation interventions where the primary intent is to maximize comfort, minimize side effects or mitigate against a decline in the subject's health or function. In general, supportive care interventions are not intended to cure a disease.
Screening: protocol designed to assess or examine methods of identifying a condition (or risk factors for a condition) in people who are not yet known to have the condition (or risk factor).
Health Services Research: protocol design to evaluate the delivery, processes, management, organization or financing of health care.
Basic Science: protocol designed to examine the basic mechanism of action (e.g., physiology, biomechanics) of an intervention.
Other: describe in Detailed Description.
Study Phase *
Definition: Phase of investigation, as
defined by the US FDA for trials involving
investigational new drugs. Select only one.
N/A: for trials without phases
Phase 0: exploratory trials, involving very limited human exposure, with no therapeutic or diagnostic intent (e.g., screening studies, microdose studies). See FDA guidance on exploratory IND studies for more information.
Phase 1: includes initial studies to determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and to gain early evidence of effectiveness; may include healthy participants and/or patients
Phase 1/Phase 2: for trials that are a combination of phases 1 and 2
Phase 2: includes controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks
Phase 2/Phase 3: for trials that are a combination of phases 2 and 3
Phase 3: includes expanded controlled and uncontrolled trials after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug and provide an adequate basis for physician labeling
Phase 4: post-marketing studies to delineate additional information including the drug's risks, benefits, and optimal use
Study Design * - intervention assignments
Single Group: single arm study
Parallel: participants are assigned to one of two or more groups in parallel for the duration of the study
Cross-over: participants receive one of two alternative interventions during the initial phase of the study and receive the other intervention during the second phase of the study
Factorial: two or more interventions, each alone and in combination, are evaluated in parallel against a control group
Number of Arms
Definition: Number of intervention groups
(enter 1 for single-arm study).
Masking * - knowledge of intervention assignments
Open: no masking is used. All involved know the identity of the intervention assignment.
Single Blind: one party, either the investigator or participant, is unaware of the intervention assignment; also called single-masked study.
Double Blind: both participants and investigators are unaware of the intervention assignment
If Single Blind or Double Blind is selected, check the role(s) that are to be masked: Subject, Caregiver, Investigator or Outcomes Assessor.
Allocation * - participant selection
N/A: single arm study
Randomized Controlled Trial: participants are assigned to intervention groups by chance
Nonrandomized Trial: participants are expressly assigned to intervention groups through a non-random method, such as physician choice
Study Classification (formerly Endpoint) - type of primary outcome or endpoint that the protocol is designed to evaluate. Select one.
N/A: not applicable
Safety: show if the drug is safe under conditions of proposed use
Efficacy: measure of an intervention's influence on a disease or health condition
Safety/Efficacy
Bio-equivalence: scientific basis for comparing generic and brand name drugs
Bio-availability: rate and extent to which a drug is absorbed or otherwise available to the treatment site in the body
Pharmacokinetics: the action of a drug in the body over a period of time including the process of absorption, distribution and localization in tissue, biotransformation, and excretion of the compound
Pharmacodynamics: action of drugs in living systems
Pharmacokinetics/dynamics
Enrollment WHO
Definition: Number of subjects in the trial. A "Type"
menu is also included, with options Anticipated and Actual. For
active studies, set Type to Anticipated and specify the expected
enrollment, updating the number as needed over the course of the
study. Upon study completion, change Type to Actual and update the
enrollment if necessary.
Outcome Measures WHO
Definition: Specific measurements or observations used to
measure the effect of experimental variables in a study, or for
observational studies, to describe patterns of diseases or traits or
associations with exposures, risk factors or treatment.
Primary Outcome Measures
Definition: The specific
measure that will be used to determine the effect of the
intervention(s) or, for observational studies, related to core
objectives of the study and receiving the most emphasis in
assessment. Include the time frame for taking measurements.
Examples:
Measure: all cause mortality
Time Frame: one year
Measure:
Evidence of clinically definite ischemic stroke (focal neurological
deficits persisting for more than 24 hours) confirmed by
non-investigational CT or MRI
Time Frame: within the first 30
days (plus or minus 3 days) after surgery
Secondary Outcome Measures
Definition: Other key
measures that will be used to evaluate the intervention(s) or, for
observational studies, that are a focus of the study.
Observational Study Characteristics
Study Design - primary strategy for subject identification and follow-up. Select one.
Cohort: group of individuals, initially defined and composed, with common characteristics (e.g., condition, birth year), who are examined or traced over a given time period
Case-control: group of individuals with specific characteristics (e.g., conditions or exposures) compared to group(s) with different characteristics, but otherwise similar
Case-only: single group of individuals with specific characteristics
Case-crossover: characteristics of case immediately prior to disease onset (sometimes called the hazard period) compared to characteristics of same case at a prior time (i.e., control period)
Ecologic or community studies: geographically defined populations, such as countries or regions within a country, compared on a variety of environmental (e.g., air pollution intensity, hours of sunlight) and/or global measures not reducible to individual level characteristics (e.g., health care system, laws or policies median income, average fat intake, disease rate)
Family-based: studies conducted among family members, such as genetic studies within families or twin studies and studies of family environment
Other - explain in Detailed Description
Time Perspective * - temporal relationship of observation period to time of subject enrollment. Select one.
Prospective: look forward using periodic observations collected predominantly following subject enrollment
Retrospective: look back using observations collected predominantly prior to subject selection and enrollment
Cross-sectional: observations or measurements made at a single point in time, usually at subject enrollment
Other - explain in Detailed Description
Biospecimen Retention - select one
None Retained - no samples retained
Samples With DNA - samples retained, with potential for extraction of DNA from at least one of the types of samples retained (e.g., frozen tissue, whole blood)
Samples Without DNA - samples retained, with no potential for DNA extraction from any retained samples (e.g., fixed tissue, plasma)
Biospecimen Description
Definition: Specify all types of
biospecimens to be retained (e.g., whole blood, serum, white cells,
urine, tissue).
Enrollment
Definition: (see above)
Number of Groups/Cohorts
Definition: Number of study
groups/cohorts. Enter 1 for a single-group study. Many observational
studies have one group/cohort; case control studies typically have
two.
Outcome Measures
Definition: (see above)
8. Arms, Groups and Interventions
For interventional studies specify the arms:
Arm Number or Label - the number, letter or name used to identify the arm. Examples: A, 2, III
Experimental
Active Comparator
Placebo Comparator
Sham Comparator
No intervention
Other
Arm Description - brief description of the arm. This element may be omitted if the associated intervention descriptions contain sufficient information to describe the arm.
For observational studies specify the predefined participant groups (cohorts) to be studied. Do not use this section to specify strata (Detailed Design can be used for that purpose, if desired).
Group/Cohort Number or Label - the number, letter or name used to identify the group. Examples: A, 2, III, Surgical, Observation
Group/Cohort Description Definition: Explanation of the nature of the study group (e.g., those with a condition and those without a condition; those with an exposure and those without an exposure). Note that the overall study population should be described under Eligibility.
For all studies, and for expanded access records, specify the associated intervention(s).
Intervention Type * - select one per intervention
Drug
Device
Biological/Vaccine
Procedure/Surgery
Radiation
Behavioral (e.g., Psychotherapy, Lifestyle Counseling)
Genetic (including gene transfer, stem cell and recombinant DNA)
Dietary Supplement (e.g., vitamins, minerals)
Other
Intervention Name * - for drugs use generic name; for other types of interventions provide a brief descriptive name.
For investigational new drugs that do not yet have a generic name, a chemical name, company code or serial number may be used on a temporary basis. As soon as the generic name has been established, update the associated protocol records accordingly.
Intervention Description - cover key details of the
intervention. For drugs include dosage form, dosage, frequency and
duration.
Example:
50 mg/m2, IV
(in the vein) on day 5 of each 28 day cycle. Number
of Cycles: until progression or unacceptable toxicity develops.
Arms/Groups - if arms or groups have been specified for the protocol, select the ones for which the intervention is to be administered. For interventional studies with arms specified, all arms must have at least one intervention (unless arm type is "No Intervention") and each intervention must be assigned to at least one arm. For observational studies with groups specified, each intervention (if any) must be assigned to at least one group.
Other Names - list other names used to identify the intervention, past or present (e.g., brand name for a drug). These names will be used to improve search results in ClinicalTrials.gov.
9. Conditions and Keywords
Conditions or Focus of Study *
Definition: Primary disease or condition being studied, or
focus of the study. Diseases or conditions should use the National
Library of Medicine's Medical Subject Headings (MeSH) controlled
vocabulary when possible.
Keywords
Definition: Words or phrases that best describe
the protocol. Keywords help users find studies in the database. Use
NLM's Medical Subject Heading (MeSH) controlled vocabulary terms
where appropriate. Be as specific and precise as possible. Avoid
acronyms and abbreviations.
Study Population Description
Definition: For
observational studies only, a description of the population from
which the groups or cohorts will be selected (e.g., primary care
clinic, community sample, residents of a certain town).
Sampling Method - For observational studies only, select one and explain in Detailed Description.
Probability Sample: exclusively random process to guarantee that each participant or population has specified chance of selection, such as simple random sampling, systematic sampling, stratified random sampling, cluster sampling, and consecutive patient sampling
Non-Probability Sample: any of a variety of other sampling processes, such as convenience sampling or invitation to volunteer
Eligibility Criteria *
Definition: Summary criteria for participant selection. The
preferred format includes lists of inclusion and exclusion criteria
as shown below.
Example:
Inclusion Criteria:
- Clinical diagnosis of Alzheimer's Disease
- Must be able to swallow tablets
Exclusion Criteria:
- Insulin dependent diabetes
- Thyroid disease
Gender *
Definition: Physical gender of individuals who may participate
in the protocol. Select one.
Both: both female and male participants are being studied
Female: only female participants are being studied
Male: only male participants are being studied
Age Limits *
Minimum Age
Definition: Minimum age of participants.
Provide a number and select a unit of time (years, months, weeks,
days, hours or minutes). Select "N/A (No limit)" if no
minimum age is indicated.
Maximum Age
Definition: Maximum age of participants.
Provide a number and a unit of time (years, months, weeks, days,
hours or minutes). Select "N/A (No limit)" if no maximum
age is indicated.
Accepts Healthy Volunteers?
Definition: Indicate if
persons who have not had the condition(s) being studied or otherwise
related conditions or symptoms, as specified in the eligibility
requirements, may participate in the study. Select Yes/No.
11. Protocol Location, Contact and Investigator Information
Multiple locations may be specified. Location is composed of the following fields.
Recruitment Status * - protocol accrual activity at a facility. Select one.
Not yet recruiting: participants are not yet being recruited
Recruiting: participants are currently being recruited
Enrolling by invitation: participants are being (or will be) selected from a predetermined population
Active, not recruiting: study is ongoing (i.e., patients are being treated or examined), but participants are not currently being recruited or enrolled
Completed: the study has concluded normally; participants are no longer being examined or treated (i.e., last patient's last visit has occurred)
Suspended: recruiting or enrolling participants has halted prematurely but potentially will resume
Terminated: recruiting or enrolling participants has halted prematurely and will not resume; participants are no longer being examined or treated
Withdrawn: study halted prematurely, prior to enrollment of first participant
NOTE: Contact information is shown on ClinicalTrials.gov only for locations with status set to "Recruiting" or "Not yet recruiting".
Tip: When a trial's overall status changes to "Active, not recruiting," it is not necessary to change recruitment status for each location. Location recruitment status is only shown on ClinicalTrials.gov when Overall Status is "Recruiting".
Facility Contact Backup
Person to contact if Facility
Contact is not available (i.e., a second contact
person).
Investigators (at the protocol location)
Central Contact *
Definition: Person providing centralized, coordinated
recruitment information for the entire study.
Central Contact Backup
Person to contact if Central
Contact is not available.
Overall Study Officials *
Study official information is not required for trials associated with U.S. FDA Investigational New Drug (IND) or Investigational Device Exemption (IDE) applications.
Definition: Person(s) responsible for the overall scientific leadership of the protocol, including study principal investigator.
12. Related Information
References
Definition: Citations to publications related
to the protocol: background and/or results. Provide either the unique
PubMed Identifier (PMID) of an article or enter the full
bibliographic citation.
MEDLINE Identifier
Definition: unique PubMed Identifier
(PMID) for the citation in MEDLINE
Example: PMID: 10987815
Citation
Definition: bibliographic reference in NLM's
MEDLINE format
Example: Barza M; Pavan PR; Doft BH; Wisniewski
SR; Wilson LA; Han DP; Kelsey SF. Evaluation of microbiological
diagnostic techniques in postoperative endophthalmitis in the
Endophthalmitis Vitrectomy Study. Arch Ophthalmol 1997
Sep;115(9):1142-50
Results Reference?
Definition: Indicate if the reference
provided reports on results from this clinical research study.
Links
Definition: A Web site directly relevant to the
protocol may be entered, if desired. Do not include sites whose
primary goal is to advertise or sell commercial products or services.
Links to educational, research, government, and other non-profit
Web pages are acceptable. All submitted links are subject to review
by ClinicalTrials.gov.
URL
Definition: complete URL, including http://
Example:
http://www.alzheimers.org/
Description
Definition: title or brief description of the
linked page. If the page being linked is the protocol's home page on
the sponsor's Web site, include the words "Click here for more
information about this study:" and provide the name of the
protocol.
Examples:
Click here for more information about this study: Clinical Trial of
Eye Prophylaxis in the Newborn
The Alzheimer's Disease
Education and Referral (ADEAR) Center is a service of the National
Institute on Aging
File Type | application/msword |
File Title | Data Element Definitions |
Author | CMS |
Last Modified By | Jonna Capezzuto |
File Modified | 2007-10-11 |
File Created | 2007-10-11 |