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OBJECTIVE 5: PATIENT REGISTRATION AND ENROLLMENT
The CTSU protocol-specific instructions for patient enrollment are included in each protocol. Please refer to the protocol for the necessary patient entry instructions and forms. Protocol-specific instructions and tools are also available on the CTSU Registered Member Web Site; however, the protocol document is the critical reference source.
 
Before registering patients into a study, the following procedures should be completed:
 

Prepare for protocol submission to IRB

-Download the protocol and consent from CTSU Members' website.

-Download associated protocol materials from CTSU Members' website.

-Download the protocol-specific IRB Submission Application Template. This template is a protocol-specific tool that provides answers to questions most frequently asked by the IRB in the protocol review process. Staff can "cut and paste" from this document to accomodate any local IRB format.

 
Module Objectives
1
Summarize CTSU pre-registration information for Cooperative Group members
2
Initiate CTEP-AMS registration of Cooperative Group members
3
Explain the expansion of membership to investigators not Affiliated with a Cooperative Group (CTSU Independent Clinical Research Sites- CICRS)
4
Identify the protocol-specific registration process and regulatory requirements that enable a site to participate in a clinical trial through the CTSU
5
Define the sequential steps in the patient registration process
Upon receipt of IRB approval, submit protocol-specific site registration documents to the CTSU Central Regulatory Office in Philadelphia.
Consult protocol-specific notes (on protocol-specific web page) and order any protocol-specific items (e.g., Quality of Life forms) that are not available from the CTSU website.
Initiate meeting to educate staff about the specific details of the protocol. This will ensure successful management of the protocol, which will result in credible data. Take meeting minutes to document attendees and the information presented. (Note: The study coordinator may conduct additional educational sessions if it is determined that staff need more information about the protocol.)
Copy the IRB-approved informed consent form and have it available for the research team to provide to potential study participants.
Prepare for lab collections, as appropriate. (NOTE: Do not collect specimens until the patient has signed the informed consent form.) Ensure that packaging and shipping found in the protocol are followed.
Determine the population that is appropriate for the protocol.

Evaluate patient's eligibility using the inclusion/exclusion criteria.

Patient Registration Procedure

Registration is the process of entering a patient onto the study. Once the inclusion/exclusion criteria are reviewed for a patient and it is determined that the patient meets the criteria, the following activities must occur in order to successfully register a patient into a study:

Click for the Basics of Informed ConsentObtain Informed Consent: Every effort must be made to protect the rights of the study patients. An Investigator may not involve a patient in research (including tests to evaluate eligibility) unless the Investigator or his or her representative has obtained informed consent signed by the patient. An Investigator should ask for such consent only under circumstances that provide the prospective participant sufficient opportunity to consider whether or not to participate. Obtaining informed consent is more than getting a signature on a form; it is a process designed to:

  • Provide the patient with current and ongoing information about the study;
  • Ensure that the patient understands the information that has been presented and has an opportunity to ask questions;
  • Discuss the patient's rights as outlined in the consent;
  • Allow the patient the opportunity to accept or decline to participate; and
  • Allow the patient the opportunity to freely withdraw from the study at any time.

Ensure Confidentiality: The confidentiality of the patient must be protected. All records will be maintained in a secure environment. Clinical information may not be released without the written permission of the patient or legal guardian for minors, except as necessary for monitoring by the FDA, pharmaceutical sponsors, representatives of the NIH, NCI, CTSU, or Cooperative Group auditors. The informed consent document should list all the research team members who may have access to clinical information.

 

Obtain Patient Authorization (Health Insurance Portability and Accountability Act): All U.S. institutions that meet the definition of "covered entities" must obtain a patient authorization for release of protected health information. The CTSU and the Cooperative Groups have provided guidance documents and, in some cases, sample authorization forms for use by the sites. HIPAA-related documents are available on the CTSU Registered Member Web Site by accessing the Resources tab and then through the protocol-specific site registration documents. Also, a separate area about HIPPA exists in the Resources tab.

Please note that the CTSU and its associated contractors are not considered covered entities or business associates as defined by the HIPAA legislation. Neither CTSU nor its associated contractors are obligated to participate in business agreements with individual institutions.

For additional information on the HIPAA legislation please see the following links:

Determine Eligibility: Once a patient is identified as a potential candidate for a study and the informed consent for the protocol is obtained, the screening (or pre-entry or pre-treatment) to evaluate eligibility begins. This eligibility evaluation may include laboratory and/or clinical tests. The results of the tests determine whether or not the patient satisfies the inclusion/exclusion criteria of the protocol. All screening evaluations are performed prior to registering the patient on the protocol.

After the eligibility evaluation is complete, use the protocol-specific Eligibility Checklist to document that the participant fulfills the inclusion/exclusion criteria of the protocol. If the patient is eligible for the protocol, complete the study enrollment forms to register the patient. The Eligibility Checklist and study enrollment forms are available from the CTSU Registered Member Web Site. Download and complete these forms prior to contacting the CTSU to register the patient.

Register Patient: When the site is ready to register a patient, the CRA/Research Nurse notifies the CTSU Patient Registrars. CTSU Patient Registrar Hours of Operation will be 9 AM – 5:30 PM, Eastern Time, Monday – Friday (excluding holidays). Registrations received after 5:00 PM will be processed the next business day. Continue to fax patient registrations to 1-888-691-8039. For time of need CTSU patient enrollments, call 301-704-2376, 9AM – 5:30 PM.

Click to learn more about the patient registration process.

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