
Why records matter: the regulatory, legal, and scientific purposes
Explore the three purposes of essential records -- regulatory compliance, legal protection, and scientific reconstruction -- with real-world examples of consequences when records fail.
The binder that could not answer the question
An FDA inspector opens a regulatory binder at a clinical trial site in the southeastern United States. The protocol section contains the original signed protocol and three of five amendments -- but amendments two and four are missing. The investigator cannot demonstrate that site staff reviewed or implemented those amendments before enrolling participants under the revised procedures. The inspector issues a Form 483 observation. Within months, the site receives a Warning Letter. The sponsor places enrollment on clinical hold pending a corrective action review. Fourteen months of recruitment at that site -- gone. Not because the science was flawed. Not because a participant was harmed. Because the binder could not answer a straightforward question: did the people running this trial know what the current rules were?