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    Clinical Trial Monitoring

    Clinical trial monitoring is the act of overseeing the progress of a clinical trial and ensuring it is conducted, recorded, and reported in accordance with the protocol, standard operating procedures, GCP, and applicable regulatory requirements.

    FDA's 2013 Guidance on Risk-Based Monitoring (and ICH E6(R3)) endorse a shift away from 100% source-data verification toward risk-based, centralized monitoring that uses data analytics to target on-site visits where risk is highest.

    Monitoring activities are documented in monitoring visit reports (MVRs) and the Trial Master File. Common monitoring approaches include on-site monitoring, remote monitoring, centralized statistical monitoring, and source data review.

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