Dr. Sarah Chen, a principal investigator at Riverside Medical Center in Columbus, Ohio, manages eight active studies, six of which are IND studies requiring active 1572s. The sponsor of BEACON-1 -- the largest of these studies, a Phase III oncology trial -- has notified the site that a pre-planned sponsor audit will take place in three weeks. The RC begins an audit preparation review of the regulatory files.
During the review, the RC discovers two problems. First, a sub-investigator -- Dr. Patel, a hematology fellow -- completed his fellowship and left the institution four months ago. He remains listed on the 1572s for three of the six active IND studies. He is no longer performing study activities, but his name appears on forms submitted to the FDA as a current member of the research team. Second, the institutional clinical laboratory added a new satellite location three and a half months ago. The site began sending research specimens to the satellite lab within weeks of its opening for two IND studies. The satellite laboratory is not listed on any active 1572.
The challenge:
The RC has three weeks before the BEACON-1 audit. At least four 1572s are outdated -- three for the departed sub-investigator and at minimum two for the unlisted laboratory. How should the RC approach this situation? What is the correction sequence? And what systemic change prevents this from recurring?