Description

CRA II, client-dedicated, home-based, Israel

Role Summary

The Site Monitor will be responsible for data integrity, data quality and ensuring compliance with ICH GCP and local requirements at the site level. Monitoring will be conducted in line with the Study Monitoring Plan and will be performed virtually for the majority of activities to supplement on-site visit requirements. The Site Monitor will collaborate with the Site Manager to assure that the site is in compliance with the protocol and is inspection ready. The Level 2 Site Monitors should have at least 3 years of demonstrated experience of monitoring (virtual or onsite) and will need to speak the local language of the countries they will monitor in. Level 2 monitors will also have demonstrated experience in managing complex protocols in Oncology or other TA's where protocols are determined to be high risk.

Responsibilities

Clinical Trial Monitoring
• Ensuring regulatory, ICH-GCP and protocol compliance. Uses judgment and experience to

evaluate overall performance of site and site staff and to provide recommendations regarding site specific actions; immediately communicates/escalates significant issues to the project team and develops action plans. Maintains a working knowledge of ICH/GCP Guidelines or other

applicable guidance, relevant regulations, and company SOPs/processes.
• Verifies the process of obtaining informed consent has been adequately performed and

documented for each subject/patient, as required/appropriate. Demonstrates diligence in

protecting the confidentiality of each subject/patient. Assesses factors that might affect subject/patient safety and clinical data integrity at an investigator/physician site as protocol deviation/violations and pharmacovigilance issues.
• Per the Clinical Monitoring/Study Monitoring Plan (CMP/SMP): Ability to conduct

monitoring activities using different methods, e.g., both on-site and remote, where allowed by

country regulations.
• Conducts Source Document Review and Source Data Verification of appropriate site source

documents and medical records

- Verifies required clinical data entered in the case report form (CRF) is accurate and complete.
• Manages reporting of protocol deviations and appropriate follow-up.

Applies query resolution techniques remotely and on site, and provides guidance to site staff as

necessary, driving query resolution to closure within agreed timelines

- Utilizes available hardware and software to support the effective conduct of the clinical study

data review and capture.
• May perform investigational product (IP) inventory, reconciliation and reviews storage and

security. Verifies the IP has been dispensed and administered to subjects/patients according to the protocol. Verifies issues or risks associated with blinded or randomized information related to IP. Applies knowledge of GCP/local regulations and organizational procedures to ensure IP is

appropriately (re)labelled, imported and released/returned.

- Manages reporting of identified issues and manages follow-up to resolution.
• Documents activities via follow-up letters, monitoring reports, communication logs, and other

required project documents as per SOPs and Clinical Monitoring Plan/Study Monitoring Plan.
• Ensures all activities are managed by site personnel who are appropriately delegated and trained.
• Enters data into tracking systems as required to track all observations, ongoing status and

assigned action items to resolution.

- For assigned activities, understands project scope, budgets, and timelines; manages site-level

activities / communication to ensure project objectives, deliverables and timelines are met. Must be able to quickly adapt to changing priorities to achieve goals / targets.
• Review Data entry timeliness in line with outlined requirements, missing pages, outstanding data queries, timelines for database locks.
• Review site signature sheet and delegation of duties log to confirm any newly added or removed

site staff are documented appropriately and the log is up to date. Where the site or Site Signature Sheet and Delegation of Duties Log indicates site personnel are no longer active on a study review and assess training compliance with any new/updated training requirements (i.e., protocol amendment(s), etc.)
• Conduct Follow-up for Escalated AEM Report Query
• Check the site/external facilities, equipment and supplies (clinical and non-clinical) continue to

be adequate to conduct the trial and with their expiry dates (as applicable)

Check site-specific logs are complete and up to date (e.g., Site Visit Log, Screening and

Enrollment Log, Signature Sheet and Delegation of Duties Log, Subject Identification Code List,

Investigational Product Accountability Log).
• Will collaborate with primary Site Manager who will act as the primary liaison with site

personnel.
• Prepares for and attends Investigator Meetings and/or sponsor face to face meetings. Participates in global clinical monitoring/project staff meetings (inclusive of Sponsor representation, as applicable) and attends clinical training sessions according to the project specific requirements.
• Provides guidance at the site and project level towards audit readiness standards and supports

preparation for audit and required follow-up actions.
• May mentor other Level 1 Site Monitors to support their development and utilization of

monitoring systems and processes.