
Safety information: IB updates, safety letters, and investigator notifications
Process and file safety communications within required timelines, documenting investigator acknowledgment and maintaining a chronological safety information record.
The letter that nobody filed
A sponsor safety letter arrives at the site on a Tuesday morning. The coordinator prints it, walks it to the principal investigator's office, and leaves it on the desk. The investigator reads it between patients, nods -- the new safety finding does not change the study's benefit-risk profile at this site -- and returns to clinic. By Friday, the letter is buried under a stack of hospital correspondence on the investigator's desk. By the next monitoring visit, the monitor asks to see the safety letter. The coordinator remembers it arrived. The investigator remembers reading it. But the regulatory binder contains no trace of the letter, no documentation of the investigator's review, no acknowledgment form, and no evidence that anyone at the site assessed whether the new information required changes to the informed consent.