PROPOSED LAB MANUAL TEMPLATE Introduction This document has been prepared as a guide to help in the preparation of laboratory manuals used by Phase I Units / Central Laboratories to assist in labelling, sample collection, handling, storage, shipment and retention of biological samples generated in Phase I or Multi-Centre PK Clinical Trials. There is no regulatory requirement to follow the suggested process. Companies should feel free to adapt the generic template to their own requirements and the extent of the detail should reflect the specific needs of individual projects and studies. The document has been generated because it is felt within the EBF community that a ‘generic’ approach to the drafting of the Lab Manual will help to raise standards across the industry. Red text highlighted in yellow is added as prompt information only and should not be included in the final study manual. PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 2 of 18 TITLE PAGE Study No: xxxx Sponsor Name: XXXXXXXXXXXXXXXXXXXX Clinical Study Protocol Title: Example : An open-label Phase I dose-escalation study to evaluate the safety, tolerability, maximum tolerated dose, pharmacokinetics, and pharmacodynamics of the xxx in subjects with xxxx Date: DD-MM-YYYY Clinical Study Phase: xx Protocol version: xx Protocol date: DD/MM/YYYY Study Manager: XXX Author: XXX This document should serve as a source of information regarding, labelling collection, handling, storage, shipment and retention of biological samples (Pharmacokinetic/PK) in clinical trials. It does not contain information regarding safety, clinical chemistry or biomarker samples. It should assist : a. Pharmaceutical companies in gathering all required information regarding PK samples b. Central Laboratories and CROs in receiving all information regarding PK samples The further use of the document may be as a source of information for database set up, creation of CRO formatted handling instructions or as a manual for CRO. This is at the discretion of the Central Lab / CRO PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 3 of 18 TABLE OF CONTENTS TABLE OF CONTENTS .............................................................................................. 3 1. DOCUMENT HISTORY ........................................................................................... 4 2. PURPOSE AND SCOPE ......................................................................................... 4 3. CONTACTS / KEY PERSONNEL/ RESPONSIBLE STAFF .................................... 4 4. DOCUMENTS / INFORMATION ............................................................................. 5 5. SUPPLIES ............................................................................................................... 6 6. EQUIPMENT ........................................................................................................... 7 7. LABELLING ............................................................................................................. 8 8. SAMPLE HANDLING AND COLLECTION PROCEDURES .................................... 9 8.1 Blood/Plasma/Serum Samples (complete a separate subheader for each matrix type) ............................................................................................................................ 9 8.2 Urine/ Faeces Sample Collection and Processing ............................................... 10 9. STORAGE AND STABILITY ................................................................................. 11 10. SHIPPING ........................................................................................................... 12 11. SAMPLE DISPOSAL ........................................................................................... 13 12. SIGNATURES ..................................................................................................... 13 13. APPENDIX .......................................................................................................... 14 Appendix 13.1. Example of a Sample Shipment List/Sample Inventory (delete unnecessary columns as appropriate) ....................................................................... 15 Appendix 13.2. Example Sample Receipt Form ........................................................ 16 Appendix 13.3. Urine Handling Sheet Example (amend as appropriate) .................. 17 Appendix 13.4. Centrifuge Adjustment Conversion Table – Relationship between rpm and RCF .................................................................................................................... 18 PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 4 of 18 1. DOCUMENT HISTORY Version version 1 version 2 Date 23.01.2014 19.02.2014 Description of change protocol version 1.0 amendment 2 2. PURPOSE AND SCOPE This lab manual applies to clinical study number: xxxxxxx, title:……. This lab manual describes the processes for the labelling, collection, processing, storage and shipment of blood/plasma/serum/urine/ (biological) samples for PK analysis. The specifications can be used as basis for a lab manual (Phase I units) and statement of work (central laboratories) (Remove this text prior to finalisation). 3. CONTACTS / KEY PERSONNEL/ RESPONSIBLE STAFF Definition of Key Contacts Sponsor Clinical Study Manager: Responsible for trial management at the sponsor. Early Phase Clinical Unit Study Manager / Project leader: Responsible for the trial management in the clinical unit. Sponsor Sample Management: Responsible for sample logistics for samples shipped to the sponsor. Sponsor Bioanalytical Lead: Accountable for the quality and delivery of the PK bioanalytical data. CRO Bioanalytical Lead: Responsible for the quality and delivery of the PK bioanalytical data if sourced to an external provider. Sponsor Clinical Study Manager Name and Address Title Email Phone/Fax number Early Phase Clinical Unit Study Manager / Project Leader Name and Address Title Email Phone/Fax number Sponsor Sample Management Name and Address Title Email Phone/Fax number Sponsor Bioanalytical Lead Name and Address Title Email Phone/Fax number CRO Bioanalytical Lead Name and Address Title Email Phone/Fax number Other Laboratory Contact (As required, e.g. CRO for Lab Diagnostics) Name and Address Title Email Phone/Fax number PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 5 of 18 It is important that all people listed here have input into this document. (Remove prior to finalisation) 4. DOCUMENTS / INFORMATION Documents that should be supplied prior to sample collection if applicable: Document Available at Clinical Unit Available at Bioanalytical Lab Clinical Protocol Subject List Data Reporting Template Data Management Plan Randomisation List (if applicable) Randomisation Code (Shared by Sponsor Stats group with bioanalytical lab) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Document for sample storage (if applicable to the Site) Sample Storage document The following information will be included on the Sample Storage Document Study (short) title Study number Matrix type (plasma/serum/whole blood/urine/other) Sample type(primary/back-up/PK) Sampling date (DD-MMM-YYYY format) and scheme time Date in/Date out A new form will be used per study (sub) group Documents that require completion prior to sample shipment: Sample Shipment List / Sample Inventory (see Appendix 13.1) Additional information to be sent with the shipment as a minimum [amend as appropriate]: Fill number of samples, per matrix type. Record the AirWay Bill Number. Date and Sign the form. E-mail a copy to Bioanalytical Lab or Central Lab (if required). The Sample Shipment List/Sample Inventory (see Appendix 13.1) should be added to the shipment and should be QC checked against the sample tube labels within the shipment, prior to transportation between any clinical or laboratory facilities as well as on arrival. At least on the day of shipment of the samples the following documents must be available, if applicable: Detailed (electronic) Sample shipment list in e.g. Excel format; this list should contain all sample identifiers that are required for reporting of the results. Detailed (electronic) shipment list in appropriate LIMS design (upload file) or for export from LIMS. PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 6 of 18 5. SUPPLIES A. Sample Collection Tubes: Sample / Matrix Collection Analyte Tube/ Container PK Analyte X PK Analyte Y Blood Blood PK Urine Analyte X Tissue 24 hr. Urine Tissue K2EDTA B. Aliquot / Transport Tubes: Sample Matrix Containerb PK Plasma Analyte X PK Plasma Analyte X PK Plasma Analyte Y PK Plasma Analyte Y PK Urine Urine Analyte X+Y Cryotube Volume Supplier Part # Reference #a Comments 2 mL 4 mL Volume Supplier (#) 1.8 mL (x1) 1.8 mL (x1) 2 mL (x2) 2 mL (x1) 20 mL (2x) Part # / Capb a Reference # Comments Primary Backup Primary Backup Indicate ‘or equivalent’ if acceptable as ‘Part Number/ Reference number’ may be specific to a global region. b Indicate additional specifications below, if applicable a C. Additional Supplies and/or Specifications: Sample Collection Specifications Examples: Needles, if specific requirements are applicable PK analyte cryotube: round bottom, self-standing, star-footed, internal thread Cap: colored Disposable transfer pipette: Indicate the type of material required if applicable Site Storage Container Specifications: Examples: Box with gridded insert to hold cryotubes upright Tissue block holder Box for maintaining separation between samples and freezer walls in automatically defrosting freezers PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 7 of 18 6. EQUIPMENT A. Investigator Site Equipment Centrifuge: Temperature: Room Temp, 4°C-8°C Speed: (1500 to 2000 x g), (1500 to 4000 x g) Freezer: Controlled temperature: approximately -20°C or below freezer. Non-automatically defrosting (Indicate alternative supplies in section 5 for maintaining constant temp, if applicable). Controlled temperature: approximately -70°C or below. Controlled Refrigerator (for chilling collection tubes, if applicable). Electronic Ice Bucket (or chipped ice alternative for processing, if applicable). Dry Ice (for handling frozen samples, if applicable). Indicate if/if not ok for samples to be stored in dry ice on day of collection. B. Attachments Related to this Section: RPM / RCF graph (see Appendix 13.1). PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 8 of 18 7. LABELLING Biological samples such as blood/plasma/serum/urine/CSF/biopsy,saliva samples for PK evaluation must be labelled with pre-printed, freezer-safe labels containing the following information [Amend as appropriate]: Please complete one table per analyte: Possible Information Sponsor Study Number Mandatory? Please tick: Yes No Pre-Printed? Please tick: Yes No Subject Number Yes No Yes No Period/Cycle Yes No Yes No Treatment Yes No Yes No Visit Yes No Yes No Nominal Day and Time Yes No Yes No Analyte Yes No Yes No Matrix Yes No Yes No Aliquot (Name) Yes No Yes No Barcode Yes No Yes No If necessary, please specify: Label all tubes in the same manner. Barcodes should be placed vertically. Example of a pre-printed PK plasma label and its placement: Study Site Subject Day 1 Predose Analyte Plasma Aliquot Please confirm if a specific marker is required for completion of the label! Please confirm if additional clear tape (e.g. liquid nitrogen resistant) is required or prohibited! PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 9 of 18 8. SAMPLE HANDLING AND COLLECTION PROCEDURES All text in blue requires update, standard options have been added where applicable for ease of completion. A separate sub-section should be completed for each type of sample. The text below may be moved into relevant sections but if applicable to all sections should remain in this area to avoid duplication. 8.1 Blood/Plasma/Serum Samples (complete a separate subheader for each matrix type) Blood samples for determination of [analyte name] will be collected at the timepoints detailed in [Section xxx] of the clinical protocol and processed as follows: Blood/Plasma/Serum SAMPLE COLLECTION Any specific conditions Blood sample tubes to be chilled before use Blood samples to be protected from light Blood samples should be inverted X times to ensure mixing Blood samples to be collected on ice Any stabilisers to be added? Volume blood draw required x mL Sample collection tube anticoagulant of tube, include details of tube size Plasma tube Include details of the tube size and type (e.g. polypropylene) SAMPLE PROCESSING Sample processing Sample to be processed/centrifuged/ refrigerated/frozen at X°C within x min of the time of collection For serum / plasma samples include the below as required. For whole blood samples delete the below Leave samples to stand for 30 minutes at X°C/ ambient temperature prior to centrifugation. (serum only) Centrifuge at x g for x min at X°C (or ambient temp) Include any details of stabilisers to be added to plasma tubes Transfer samples equally into x tubes (insert number) Ensure that the primary tube contains x mL plasma / serum Sample to be stored at X°C within X minutes of collection PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 10 of 18 8.2 Urine/ Faeces Sample Collection and Processing Urine samples for the analysis of [analyte name] will be collected at the time points detailed in [Section xxx] of the clinical protocol. Detail any specific sample collection procedures here (see Appendix 13.1, Urine Handling Sheet) URINE/FAECES SAMPLE COLLECTION Any specific conditions protected from light addition of surfactants / stabilisers : [addition of surfactants / stabilisers as required e.g. 1% Tween 80 Aqueous Solution (v/v) to be added to bulk prior to aliquots being removed, to give 0.1% Tween v/v (see urine handling sheets in Appendix 13.3), Ensure sample is well mixed.]. Duplicate sample required Yes / No (remove this if pooling taking place at a different lab) Volume required X mL (primary) X mL (back-up) (remove this if pooling taking place at a different lab) Sample collection container Urine will be collected into individual [polypropylene – type to be specified and any additives required] containers and stored at 40C during the collection interval. Include details of sample storage conditions prior to shipment here if the below section is not required. Aliquot tube X mL polypropylene/ polyethelyne tubes SAMPLE PROCESSING (delete this section if bulk samples / individual voids are shipped to an analytical lab) Sample processing Before transferring, if combining urine/faeces collections ensure appropriate mixing has taken place and the total volume or weight (using SG=1) has been recorded. Transfer urine/ faeces into X appropriately labelled polypropylene tubes. The primary and duplicate samples should contain XmL of urine. Fill tubes ensuring that sufficient gap remains e.g. no more than ¾ full at the top of the samples for required sample mixing. Sample to be stored at X°C during multiple collections, then pooled, mixed, aliquoted and frozen at X°C. PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 11 of 18 9. STORAGE AND STABILITY Refrigerators/freezers must be temperature controlled. Please ensure that primary samples and backup samples are stored in different refrigerators/freezers. Store blood/plasma/serum/urine at room temperature/refrigerated/frozen at –20°C or lower / –70°C or below. [please select] Storage and stability information on test item is as follows: Analyte Matrix Plasma Storage temperature below -20°C Stability data (optional) 24 months Compound A Compound B Serum below -70°C 36 months Compound C Urine below -20°C 24 months and/or: * Blood/plasma/serum/urine stability investigations ( - XX°C for at least XX days) are still ongoing (delete as appropriate). The primary blood/plasma/serum/urine samples are to be stored at the site/central lab until shipment [please select]. (Please refer to section 10 for shipment frequency). PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 12 of 18 10. SHIPPING A separate sub-section should be completed for each type of sample (e.g. PK). The text below may be moved into relevant sections but if applicable to all sections should remain in this area to avoid duplication. Follow all required shipping regulations (confirm with courier what is required). Frequency of shipping will be every X months (amend as necessary). Information Shipment date Mandatory? Please tick: Yes No Done? Please tick: Yes No Notification to recipient Yes No Yes No Tracking number provided Yes No Yes No Shipment scheduled to arrive on working day Manifest (Sample Shipment List / Sample Inventory) enclosed (as / Appendix 13.1) Shipment receipt form enclosed (as / Appendix 13.2) Package labelled with study number Frozen/refrigirated/ambient shipment Sufficient dry ice/cold packs included Temperature logger required Samples required to be organized per subject Shipment of back-up samples Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No If necessary, please specify: When: Expected delivery date All pharmacokinetic/ Biomarker/ Total radioactivity plasma/serum/urine/ whole blood / faeces samples (include type of analysis and matrix of matrices to be shipped) along with the corresponding documentation, sample manifest and sample receipt form (for completion by receiver) are to be shipped to: Attn: Asterix the Gaul Central Lab Telephone: +33-(0)1234-456789 E-mail: [email protected] This information should also be e-mailed to the above person at the receiving laboratory, as also described in section 4. PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 DD-MMM-YYYY Page 13 of 18 11. SAMPLE DISPOSAL Blood/plasma/serum/urine samples will be stored at room temperature -20°C or below / 70°C or below in freezers with temperature monitoring prior to and after analysis until their disposal is authorised by XXXX. The laboratory will retain documentation that includes authorization and confirmation of destruction. All samples will be destroyed X months after finalization of the bioanalytical report (only after approval of XXXX). For samples that have been taken without consent or are in excess the site should inform XXXX. XXXX will confirm if the sample can be destroyed. To request destruction of samples the site /central lab should complete a sample destruction form and send it to XXXX. 12. SIGNATURES We have reviewed this Lab Manual and agree with the content. __________________________ A. Body Sponsor Clinical Study Manager _____________ Date ____________________________ A. Pipetman Early Clinical Phase Unit Lead _____________ Date __________________________ A. Sample Sponsor Bioanalytical Lead _____________ Date _________________________ A. Quality CRO Bioanalytical Lead _____________ Date PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Final Version: 1.0 13. APPENDIX DD-MMM-YYYY Page 14 of 18 PK Lab Manual for Clinical Study XXXyyy-123 Company Ref: CONFIDENTIAL Draft (Final) Version: 1.0 DD-MMM-YYYY Page 15 of 18 Appendix 13.1. Example of a Sample Shipment List/Sample Inventory (delete unnecessary columns as appropriate) Responsible Person: Sponsor Clinical Study number: Total number of samples: Site # Box Barcode Study # Pos 1 1234567 1234 Sub # Period Treatment 101 1 20mg/kg 2 1235678 1234 101 1 20mg/kg 3 1246789 1234 101 1 20mg/kg Remarks Visit Collection Collection Time-point Date Time and Split 1 DD-MMM- 08:45 AM PK Pre-dose YYYY Plasma 1 1 DD-MMM- 08:45 AM PK 1 hr YYYY Plasma 1 1 DD-MMM- 08:45 AM PK 3 hr YYYY Plasma 1 Analyte Specimen Type Specimen condition Analyte 1 Plasma Frozen Anticoagulant Analyte 1 Plasma Frozen Anticoagulant Analyte 1 Plasma Frozen Anticoagulant PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Draft (Final) Version: 1.0 Appendix 13.2. Example Sample Receipt Form Sponsor clinical study number Pharma 1 Received from US clinical site, brief address Date shipped DD-MMM-YYYY Date and time received Courier Courier consignment number Species and matrix Human/plasma and urine Total number of samples 120 plasma 40 urine Dry ice remaining? Samples frozen? Sample manifest correct? Sample discrepancies? Condition of samples on arrival Serial Number Temperature Data Logger Samples received by Signature Date DD-MMM-YYYY Page 16 of 18 PK Lab Manual for Clinical Study XXXyyy-123 Company Ref: CONFIDENTIAL Draft (Final) Version: 1.0 DD-MMM-YYYY Page 17 of 18 Appendix 13.3. Urine Handling Sheet Example (amend as appropriate) Subject No:__________ Initials: _________ Dose Date: ______________________________ Screening No: _________ At end of collection period, record weight of specimen. Calculate the volume of 1% Tween 80 solution to be added to the specimen. Record the volume of surfactant solution added to the specimen. Cap specimen bottle and shake well. Transfer 2 x 2mL aliquots and 1 x 10mL aliquot to pre-labelled polypropylene tubes. Freeze sample aliquots at 20°C. If volume in collection period exceeds 1 pooled container, complete this action with each container starting a new sheet for the remainder (2 nd container) of the collection. Mix roughly and combine the collection prior to taking the aliquots. Timepoint Weight of container to the nearest decimal point (g) A Total Weight of container and sample to the nearest decimal point (g) B Predose 0 to 4 hours 4 to 8 hours 8 to 24 hours Comments (Please quote timepoint): Total weight minus Weight of container (B-A) = net sample weight to the nearest decimal point (g) Calculate volume (mL) of 1%Tween 80 to be added = net sample weight (g) / 10 Volume (mL) of 1% Tween 80 solution added to specimen Confirm sample well shaken (yes/no) 2 x 2 mL aliquot 1 x 10 mL aliquot transferred to 2 x 3.5 mL tubes and 1 x 20mL tube (tick for each) Discard the remaining (yes/no) Initials PK Lab Manual for Clinical Study XXXyyy-123 CONFIDENTIAL Company Ref: Draft (Final) Version: 1.0 DD-MMM-YYYY Page 18 of 18 Appendix 13.4. Centrifuge Adjustment Conversion Table – Relationship between rpm and RCF
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