Clinical Research Associate II

The Clinical Research Associate is the clinical sites' direct point of contact and accountable for managing site quality and delivery from site identification through close-out. The aim of this role is to build the relationship with the site, to be the sole position accountable for the site performance, including driving the site successfully to initiation, the development of a robust patient recruitment strategy, setting up a system, assessing compliance with regulations and the site's capability to comply with the study needs and recruitment expectations, and problem solving to address and resolve site issues.

This may include various tasks and roles within the CRA framework, contingent upon project phase and country demands, and complexity of the study. The Clinical Research Associate will oversee the conduct of the trial at designated sites, ensuring the rights and well-being of human subjects are protected, evaluating the quality and integrity of the reported data, evaluating the site efficacy of staff training and requiring retraining where necessary, developing strategy regarding patient recruitment, evaluating and building the relationship with the clinical site, using problem-solving to promote positive working relationships with the site and staff, and ensuring the conduct of the trial is in compliance with the currently approved protocol / amendment(s), with GCP and with the applicable regulatory requirement(s).

The Clinical Research Associate might be asked to complete tasks on behalf of the Clinical Operations Leader after receiving appropriate training.

Where available an 'initiation Clinical Research Associate' (iCRA) specializing in Pre SIV activities will be

assigned & accountable for managing and driving the strategy for the Pre SIV / startup tasks of the study. The iCRA also support protocol amendments if applicable.

In Japan for studies that are using Parexel SOPs, prior to SIV the iCRA will be responsible for preparing the initial site related IRB application and associated documents required prior to SIV as delegated by CRA, and reviewing and approving all essential documents (SRP, ICF etc.). Post SIV the iCRA would review / approve the documents as determined by Parexel SOPs (e.g. SRP & ICF). For studies that use client SOPs, the necessity for the iCRA role will depend on the contracted tasks / procedures; if the iCRA role is not required the CRA will cover all tasks necessary.

Key Accountabilities

Maintenance (from initiation through close out) :

Act as PAREXEL's direct contact with assigned sites, assess and ensure overall integrity of study implementation and adherence to study protocol at clinical sites, and perform problem-solving to address and resolve site issues.

• Build relationships with investigators and site staff.
• Facilitate and support site with access to relevant study systems and ensure sites are compliant with project specific training requirements.
• Evaluate if on-site staff assignment is still accurate and determine and implement corrective actions & follow-up, if necessary / relevant.
• Address and resolve issues at sites, including the need for additional training, potential deficiencies in documentation, and communication.
• Address / evaluate / resolve issues pending from the previous visit, if any.
• Follow-up on and respond to appropriate site related questions.
• Apply working knowledge and judgment to identify and evaluate potential data quality and data integrity issues. Determine and implement appropriate follow-up action.
• Actively participate in Investigator and other external or internal meetings and audits & regulatory inspections as required.
• Collect, review, and approve (if applicable) updated / amended site documentation, including regulatory documents as applicable.
• Evaluate site recruitment plan in collaboration with the site staff on an ongoing basis and provide strategy for improvements.
• Perform on-site visits; this includes Qualification and Initiation visits; apply judgment and knowledge to independently resolve site issues, questions and concerns.
• Conduct remote visits / contacts as requested / needed.
• Generate visit / contact report.
• Evaluate overall compliance and performance of sites and site staff : provide recommendations regarding site-specific actions and use judgment and experience to assess the ability and motivation of site staff.
• Assess & manage test article / study supply including supply, accountability and destruction / return status.
• Review & follow-up site payment status.
• Follow-up on CRF data entry, query status, and SAEs.
• Conduct on-site study-specific training (if applicable).
• Perform site facilities assessments
• Recognize impact of study non-compliance / issues / delays / changes on study timelines and communicate study issues that require immediate action, with proposed strategy for resolution

Overall Accountabilities From Site Identification To Close Out

Ensure timely and accurate completion of project goals and update of applicable trial management systems.

Skills

Knowledge And Experience

Education

Skills Required

Site Management experience, Clinical trials methodology and terminology