- Before
- Spends the morning pulling CTMS and EDC extracts and reconciling them with the CRAs’ trackers to answer one question.
- Now
- Reads her standing questions at 06:30, checks the answers that need her, and files the ones that matter to the TMF.
One question, from asked to filed in the TMF
VLT-302 is a Phase 3 study in plaque psoriasis: 88 sites in 11 countries, Protocol v4.0, Amendment 3 just approved. Here is one morning’s question, screen by screen, in the working solution.
- 01Morning
The study as it stands, re-answered at 06:30
Lena Ortiz · Study managerLena opens Home. Her standing questions were re-answered after the CTMS and EDC extracts arrived: 67 participants still to re-consent for Amendment 3, 12 fewer than yesterday; 74 open queries older than 30 days; 512 of 540 randomised against plan. “Needs you” holds four items, one marked “Sources disagree”.
“Blinded data only · your site access”
- 02One question
Asked in plain words
Lena Ortiz · Study managerShe types “Which sites still need re-consent for Amendment 3?” and presses Ask. Five specialists take it in turn, each step shown as it runs: the question router picks documents and data, the document reader reads 12 passages, the data analyst runs one query over 3 extracts and 167 rows, and the cross-checker compares the result with a second source.
- 038.8 seconds later
The number first, every claim cited
Answer writer67 participants at 7 sites still need to sign consent form v5.0. 81 of 88 sites have ethics approval, and at those sites 371 of 438 participants on study have signed. 14 participants are overdue — they had a visit after approval without signing — at Site 214 Warsaw, 131 Leeds and 305 Valencia. Seven sites are still waiting for their ethics committee.
Confidence 0.94 · 6 sources · answered from documents and data
- 04One click
The exact passage behind the rule
Study document readerCitation 1 opens Amendment 3’s summary of changes at page 4, section 3, Informed consent, with the sentence highlighted: re-consent at the participant’s next scheduled visit following IRB/IEC approval, and before any procedure added by the amendment. The data citations open the CTMS and EDC rows they rest on.
- 05Cross-checked
Two sources disagree — and the difference is explained
Cross-checkerThe CRAs’ re-consent tracker, updated 3 Oct, shows 64 outstanding; EDC shows 67. Three participants at Site 214 signed v5.0 on paper on 6 Oct and are not yet entered in EDC. The answer uses EDC, says so, and lists the three as a follow-up.
The cross-checker never hides a disagreement; an unexplained gap goes to a person.
- 06Shown
How it was worked out, step by step
Study data analystSix plain-language steps — find the rule, sites with approval, who is on study, which consent they signed, who is overdue, cross-check — each with its citation. Below them, the read-only query that produced the numbers, run on this morning’s blinded extracts with Lena’s site access.
“Nothing in CTMS or EDC can be changed from here.”
- 07Proposed
Five follow-ups, for the right CRAs
Follow-up plannerRe-consent 6 overdue participants at Site 214 before any further study procedure, 5 at Site 131 and 3 at Site 305; enter the 3 paper signatures in EDC; chase ethics approval at 7 sites. Owners are the site CRAs and due dates the next visit; the ethics chase stays with Lena. Lena ticks them and presses Create — Priya Raman, Sam Patel, Elena Vidal and she are notified.
The planner only proposes. A person creates the follow-ups.
- 08Checked and filed
Checked, signed, and a study record
Lena Ortiz · Study managerLena marks the answer as checked, then files it to the TMF at 01.01 Trial oversight as a study note, with the data timestamp — CTMS 06:00, EDC 05:30. She signs with her password and the meaning of the signature: “I confirm this answer is accurate for the data stated”.
Answers are working notes until a person files them to the TMF.
- 09Same morning
On the board, traced to the question
Priya Raman · CRAPriya’s new actions sit in To do — re-consent 6 participants at Site 214 by Oct 9, enter the 3 paper signatures by Oct 8 — each marked “from Q-1042”, next to the work already in progress and done.