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Conducting and Reporting QA audits
         Literature survey




                   Ashish Kumar Awadhiya
                   Quality Assurance and Training
Table of Contents

 Definitions

 Role of QA personals

 Guidelines for conducting and reporting QA
  audits
 References




                                               2
Definition

•Good Clinical Practice               • that provides assurance
(GCP)
                                      • that the data and reported
•A standard for                         results are
•design, conduct,                     • credible and accurate
•performance, monitoring,             • and that the rights, integrity
•auditing, recording,                   and confidentiality of trial
                                        subjects are protected.
•analyses and reporting of
clinical trials



                        [1.24, ICH – GCP, E6]
                                                                         3
Definition
•Quality Assurance (QA):

 All those
 planned and systematic actions

 that are established to ensure that

 the trial is performed and

 the data are generated, documented (recorded), and

 reported in compliance with

 GCP and the applicable regulatory requirement (s).



                        [1.46, ICH-GCP, E6]
                                                       4
Definition
•   Audit :
 A systematic and independent examination of trial
    related activities and documents to determine whether
    the evaluated trial-related activities were
 conducted ,
 and the data were recorded ,
 analyzed and accurately reported ,
 according to the protocol, sponsor’s SOP, GCP and
    the applicable regulatory requirement (s).

                         [1. 6, ICH- GCP E6]
                                                            5
Role of QA

Preparation and review of SOPs

To act as a moderator for quality improvement

To provide advice on GCP matters

To train the clinical research staff

To confirm GCP and applicable regulatory compliance

To plan and conduct audits




                                                       6
Guidelines for conducting and reporting QA audits



Purpose

Responsibilities

Procedures




                                                    7
Purpose


 To define the procedures and operations for conducting

  and reporting the Quality Assurance Audits


 Includes procedures and activities about conduct and

  report the audits




                                                           8
Responsibilities
Quality Assurance Unit / Auditor
    Plans, communicates and conducts the audits
    Propose corrective action plan if applicable


Project / Clinical Team
    Ensures that documents and resources required to
     perform audits are provided.
    Ensures that corrective / preventive actions are taken
     place and gives written communication for the same
     (Audit Response)



                                                              9
Procedures

   Project selection
 Audit Plan
      Back ground information to prepare audit tools
      Audit plan preparation (audit objectives, scope of
       assessment, methodology, time frames)
      Review of audit plan with Project head and finally
       sign off by QA Head.
      Intimation of audits to all concerned persons
      Filing of audit plan
      If amended, should be intimated the same



                                                            10
Procedures

Conducting Audits
    Shall be conducted as per audit plan and applicable
     SOPs
    Should include opening interview with key personals to
     clear the objectives of the audit, current procedures,
     review of relevant documents.
    Should end with closing interview to discuss the
     observation and mutual agreement on the same




                                                              11
Procedures
   Reporting Audit Findings


      Should be based on defined grading : Minor, Major
       and Critical
      Special attention to Major and Critical findings: time
        frame and level of intimation.




                                                                12
Procedures
Reporting Audit Findings
    Should be clear, consistent and appropriate
    Should be accurately arranged according to severity.
    Should be approved by Head QA or designee
    Should be distributed within time frame to respective
      persons with confidentiality
    Significant misconduct and fraud should be
     reported separately up to the Higher Management
    Post compliance audit can be planned in necessary




                                                             13
Procedures

 Responding to Audits
    Should be within time frame
    Should have corrective action plan
    If possible provide the proof for the action planned
     and executed
   Written confirmation is necessary for critical/major
     findings
    Should resolve all the queries to close the audit




                                                            14
Procedures
   Audit Closure
      Should be after receiving the satisfactory responses
      Auditor will enter the same in QA audit log
      Audit Certificate should be issued by the Auditor
        [5.19.3, ICH-GCP,E6]




                                                              15
References


   ICH – GCP E6




                                16
Thank You!

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Audit conduct and report

  • 1. Conducting and Reporting QA audits Literature survey Ashish Kumar Awadhiya Quality Assurance and Training
  • 2. Table of Contents  Definitions  Role of QA personals  Guidelines for conducting and reporting QA audits  References 2
  • 3. Definition •Good Clinical Practice • that provides assurance (GCP) • that the data and reported •A standard for results are •design, conduct, • credible and accurate •performance, monitoring, • and that the rights, integrity •auditing, recording, and confidentiality of trial subjects are protected. •analyses and reporting of clinical trials [1.24, ICH – GCP, E6] 3
  • 4. Definition •Quality Assurance (QA): All those  planned and systematic actions  that are established to ensure that  the trial is performed and  the data are generated, documented (recorded), and  reported in compliance with  GCP and the applicable regulatory requirement (s). [1.46, ICH-GCP, E6] 4
  • 5. Definition • Audit :  A systematic and independent examination of trial related activities and documents to determine whether the evaluated trial-related activities were  conducted ,  and the data were recorded ,  analyzed and accurately reported ,  according to the protocol, sponsor’s SOP, GCP and the applicable regulatory requirement (s). [1. 6, ICH- GCP E6] 5
  • 6. Role of QA Preparation and review of SOPs To act as a moderator for quality improvement To provide advice on GCP matters To train the clinical research staff To confirm GCP and applicable regulatory compliance To plan and conduct audits 6
  • 7. Guidelines for conducting and reporting QA audits Purpose Responsibilities Procedures 7
  • 8. Purpose  To define the procedures and operations for conducting and reporting the Quality Assurance Audits  Includes procedures and activities about conduct and report the audits 8
  • 9. Responsibilities Quality Assurance Unit / Auditor  Plans, communicates and conducts the audits  Propose corrective action plan if applicable Project / Clinical Team  Ensures that documents and resources required to perform audits are provided.  Ensures that corrective / preventive actions are taken place and gives written communication for the same (Audit Response) 9
  • 10. Procedures  Project selection  Audit Plan  Back ground information to prepare audit tools  Audit plan preparation (audit objectives, scope of assessment, methodology, time frames)  Review of audit plan with Project head and finally sign off by QA Head.  Intimation of audits to all concerned persons  Filing of audit plan  If amended, should be intimated the same 10
  • 11. Procedures Conducting Audits  Shall be conducted as per audit plan and applicable SOPs  Should include opening interview with key personals to clear the objectives of the audit, current procedures, review of relevant documents.  Should end with closing interview to discuss the observation and mutual agreement on the same 11
  • 12. Procedures  Reporting Audit Findings  Should be based on defined grading : Minor, Major and Critical  Special attention to Major and Critical findings: time frame and level of intimation. 12
  • 13. Procedures Reporting Audit Findings  Should be clear, consistent and appropriate  Should be accurately arranged according to severity.  Should be approved by Head QA or designee  Should be distributed within time frame to respective persons with confidentiality  Significant misconduct and fraud should be reported separately up to the Higher Management  Post compliance audit can be planned in necessary 13
  • 14. Procedures  Responding to Audits  Should be within time frame  Should have corrective action plan  If possible provide the proof for the action planned and executed Written confirmation is necessary for critical/major findings  Should resolve all the queries to close the audit 14
  • 15. Procedures  Audit Closure  Should be after receiving the satisfactory responses  Auditor will enter the same in QA audit log  Audit Certificate should be issued by the Auditor [5.19.3, ICH-GCP,E6] 15
  • 16. References  ICH – GCP E6 16