clinical research professionals on the basis of specific job functions. It is felt that offering job specific examinations provides higher value to the
Clinical Research Associate (CRA): Assuring that the research site personnel, including the investigators, are conducting the study according to GCP guidelines.
- Assuring that all applicable regulatory requirements are being met by the investigator's site.
- Assuring that applicable adverse events are properly reported to the sponsor.
- Reviewing of site record accuracy regarding drug accountability.
- Clinical trial-related activities for the sponsor such as protocol development, site/investigator selection, study initiation activities, study termination activities, CRF processing/management activities (including in-house sponsor review and query resolution), final study report development, and supervision of other CRAs.
The CCRA® exam is accredited by the National Commission for Certifying Agencies (NCCA).
Clinical Research Coordinator (CRC): A CRC, regardless of job title, works at a clinical research site under the immediate direction of a principal investigator, whose research activities are conducted under Good Clinical Practice (GCP) Guidelines. CRCs typically perform tasks such as:
- Site preparation
- Patient screening and recruitment
- Patient enrollment
- Conducting study visits
- Maintaining and dispensing drug supplies
- Completing and ensuring the quality of case report forms
- Maintaining source documents
- Ensuring site quality
The CCRC® exam is accredited by the National Commission for Certifying Agencies (NCCA).
Clinical Trial Investigator (non-physician) (CTI): A Clinical Trial Investigator, regardless of job title, works at a clinical research site as the non-physician or unlicensed physician investigator whose research activities are conducted under Good Clinical Practices (GCP), FDA regulations and ICH guidelines. Clinical Trial Investigators perform, at a minimum, the following tasks:
- Evaluating the study proposal and decide on participation.
- Facilitating or verify formal approvals according to FDA and ICH-GCP and any applicable local requirements.
- Performing and/or supervising the conduct of study-related procedures and monitor the safety of the trial subjects and investigational staff.
- Collecting accurate and verifiable data and other essential study documents.
- Ensuring compliance with FDA and ICH-GCP, the protocol and any investigational product.
- Communicating with subjects, sponsor's personnel and IEC/IRB.
Additionally, Clinical Trial Investigators are responsible for:
- Ensuring that all site initiation activities are performed to start and conduct the study.
- Participating in the selection of trial subjects according to the recruitment strategy.
- Ensuring that study-related procedures are delegated only to individuals who are sufficiently trained/experienced.
- Ensuring adequate close-out of the study.
Physician Investigator: A physician investigator (MD or equivalent degree) with a current medical license to practice where the trials are being conducted and who serves as the primary, sub- or co-investigator or monitors, supervises, or designs clinical trials and accepts responsibility for the safe and ethical conduct of a clinical trial, herein defined as a systematic experiment designed to evaluate the pharmacokinetics, pharmacodynamics, pharmacoeconomics, safety, efficacy, and effectiveness of a drug, biological, medical device (therapeutic or diagnostic), procedure or other intervention involving human participants.Physician Investigators perform, at a minimum, the following tasks:
- Responsible for the safe and ethical conduct of a clinical trial
- Evaluates the study proposal and decides on participation
- Facilitates or verifies formal approvals according to FDA and ICH GCP and local requirements
- Ensures that all site initiation activities are performed to start and conduct the study
- Participates in the selection of trial subjects according to the recruitment strategy
- Performs and/or supervises the conduct of study-related procedures and monitors the safety of the trial subjects and investigational staff
- Collects accurate and verifiable data and other essential study documents
- Ensures compliance with FDA and ICH GCP, the protocol and the handling of the investigational product
- Communicates with subjects, sponsor's personnel and IEC/IRB
- Ensures adequate close-out of the study
The educational requirements for CPIs is a medical (MD or equivalent degree) and be in good standing with local, state, and national licensing and regulatory authorities and certifying bodies.