CTRP_Registry_Non proprietary_Batch_Upload_Template

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scope of work template
							CTRP Trial Registration Batch Upload Specification V3

I. Getting ready to send the batch file
1. Prior to your initial batch submission please contact NCI Apps Support to gain approval to send batch fi
1a. NCI Apps Support may be reached at ncicb@pop.nci.nih.gov or 888-478-4423
1b. Once step 1a has been accomplished you will no longer need to contact Apps Support prior to sendin
2. Access the NCI Trial Registration application batch upload web page (at https://trials.nci.nih.gov/registry
2a. An Excel spreadsheet (.xls) containing mandatory and optional data for the trial(s)
2b. A separate zip file containing applicable trial documents (e.g. Protocol; IRB approval; Informed Conse


II. Instructions for preparing the trial data file
1. The trial elements required for registration should be listed in the order specified in the Batch Upload D
2. Each trial should be uniquely identified (this can be your cancer center unique trial identifier)
3. This version of the spec:
1) Supports only interventional trials
2) Supports only non-proprietary trials submission
3) Supports amendment to non-proprietary CTRP trials with 'Abstraction Verified Response' and 'Abstract
4) Supports update to non-proprietary CTRP trials with processing status 'Accepted' and above.
5) Supports up to 100 trials per data file
6) Supports multiple grants per trial submitted
7) Supports multiple IND/IDE per submitted trial
8) Supports generic contact for Responsible Party - Sponsor

III. Instructions for preparing the trial documents zip file
1. Rename the document files if names are not unique for avoiding files replacement at compressing.
Ex: prefix files with unique trial identifier XXXX_document_name.document_extension.
2. Make sure each of the document file names prefixed with trial identifiers are unique per trial if prefixing
3. Provide the document names (incl. extension) in the file containing the trial data. Up to 7 files can be sp
4. Zip all trial-related documents. Please do not include any pathname in the zip file.

Note: Please note that some elements will be ignored at update submission to existing CTRO trials.
 roval to send batch files to CTRP

upport prior to sending subsequent batch files
als.nci.nih.gov/registry/admin/batchUpload.action) where sites may upload:

 oval; Informed Consent; Participating Sites; Change Memo) for the trials in the data file




  the Batch Upload Data Element Spec tab in this spreadsheet
 identifier)



ponse' and 'Abstraction Verified No Response' processing statuses
and above.




 at compressing.

 e per trial if prefixing is used.
Up to 7 files can be specified in one single trial record


ng CTRO trials.
Trial    Trial data element                   Required for Required for
elements                                      original     amendment
Order                                         submission
1        Unique Trial Identifier              Yes          Yes
2        Submission Type                      Yes          Yes




3        NCI Trial Identifier                              Yes




4        Amendment Number



5        Amendment Date                                    Yes




6        Lead Organization Trial Identifier   Yes          Yes
7    NCT


8    Title                                         Yes                Yes

9    Trial Type                                    Yes                Yes


10   Primary Purpose                               Yes                Yes




11   Primary Purpose 'Other' value specification   Yes if Primary    Yes if Primary
                                                   Purpose = 'Other' Purpose = 'Other'




12   Phase                                         Yes                Yes

13   Phase 'Other' value specification             Yes if Phase =     Yes if Phase =
                                                   'Other'            'Other'
14   [Sponsor] Organization Name                   Yes                Yes

15   [Sponsor] CTEP Organization Number (CTEP
     Identifier)
16   [Sponsor] Street Address                      Yes                Yes
17   [Sponsor] City                                Yes                Yes
18   [Sponsor] State/Province                      Yes for            Yes for
                                                   US/Canada/Austr    US/Canada/Austr
                                                   alia               alia

19   [Sponsor] Zip/Postal code                     Yes                Yes
20   [Sponsor] Country                             Yes                Yes

21   [Sponsor] Email Address                       Yes                Yes
22   [Sponsor] Phone

23   [Sponsor] TTY
24   [Sponsor] FAX
25   [Sponsor] URL
26   Responsible Party                             Yes                Yes
27   Sponsor Contact Type                          Yes if             Yes if
                                                   Responsible        Responsible
                                                   Party is Sponsor   Party is Sponsor
28   [Sponsor Contact] Title                      Yes if              Yes if
                                                  Responsible         Responsible
                                                  Party is Sponsor    Party is Sponsor
                                                  and Sponsor         and Sponsor
                                                  Contact Type is     Contact Type is
                                                  'Generic'           'Generic'

29   [Sponsor Contact] First Name                 Yes if              Yes if
                                                  Responsible         Responsible
                                                  Party is Sponsor    Party is Sponsor
                                                  and Sponsor         and Sponsor
                                                  Contact Type is     Contact Type is
                                                  'Personal'          'Personal'

30   [Sponsor Contact] Middle Name


31   [Sponsor Contact] Last Name                  Yes if              Yes if
                                                  Responsible         Responsible
                                                  Party is Sponsor    Party is Sponsor
                                                  and Sponsor         and Sponsor
                                                  Contact Type is     Contact Type is
                                                  'Personal'          'Personal'

32   [Sponsor Contact] CTEP Person Number (CTEP
     Identifier)



33   [Sponsor Contact] Street Address             Yes if              Yes if
                                                  Responsible         Responsible
                                                  Party is Sponsor    Party is Sponsor
                                                  and Sponsor         and Sponsor
                                                  Contact Type is     Contact Type is
                                                  'Personal'          'Personal'

34   [Sponsor Contact] City                       Yes if              Yes if
                                                  Responsible         Responsible
                                                  Party is Sponsor    Party is Sponsor
                                                  and Sponsor         and Sponsor
                                                  Contact Type is     Contact Type is
                                                  'Personal'          'Personal'

35   [Sponsor Contact] State/Province             Yes if country is   Yes if country is
                                                  USA, Canada or      USA, Canada or
                                                  Australia and       Australia and
                                                  Responsible         Responsible
                                                  Party is Sponsor    Party is Sponsor
                                                  and Sponsor         and Sponsor
36   [Sponsor Contact] Zip/Postal code              Yes: if            Yes: if
                                                    Responsible        Responsible
                                                    Party is Sponsor   Party is Sponsor
                                                    and Sponsor        and Sponsor
                                                    Contact Type is    Contact Type is
                                                    'Personal'         'Personal'

37   [Sponsor Contact] Country                      Yes: if            Yes: if
                                                    Responsible        Responsible
                                                    Party is Sponsor   Party is Sponsor
                                                    and Sponsor        and Sponsor
                                                    Contact Type is    Contact Type is
                                                    'Personal'         'Personal'

38   [Sponsor Contact] Email Address                Yes: if          Yes: if
                                                    Responsible      Responsible
                                                    Party is Sponsor Party is Sponsor

39   [Sponsor Contact] Phone                        Yes: if          Yes: if
                                                    Responsible      Responsible
                                                    Party is Sponsor Party is Sponsor


40   [Sponsor Contact] TTY
41   [Sponsor Contact] FAX
42   [Sponsor Contact] URL
43   [Lead Organization] Name                       Yes                Yes
44   [Lead Organization] CTEP Organization Number
     (CTEP Identifier)
45   [Lead Organization] Street Address             Yes                Yes
46   [Lead Organization] City                       Yes                Yes
47   [Lead Organization] State/Province             Yes for            Yes for
                                                    US/Canada/Austr    US/Canada/Austr
                                                    alia               alia

48   [Lead Organization] Zip/Postal code            Yes                Yes
49   [Lead Organization] Country                    Yes                Yes

50   [Lead Organization] Email Address              Yes                Yes
51   [Lead Organization] Phone


52   [Lead Organization] TTY
53   [Lead Organization] FAX
54   [Lead Organization] URL
55   [Lead Organization] Organization Type




56   [Principal Investigator] First Name            Yes                Yes
57   [Principal Investigator] Middle Name

58   [Principal Investigator] Last Name                  Yes                  Yes
59   [Principal Investigator] CTEP Person Number (CTEP
     Identifier)
60   [Principal Investigator] Street Address             Yes                  Yes
61   [Principal Investigator] City                       Yes                  Yes
62   [Principal Investigator] State/Province             Yes for              Yes for
                                                         US/Canada/Austr      US/Canada/Austr
                                                         alia                 alia

63   [Principal Investigator] Zip/Postal code            Yes                  Yes



64   [Principal Investigator] Country                    Yes                  Yes



65   [Principal Investigator] Email Address              Yes                  Yes



66   [Principal Investigator] Phone                      Yes                  Yes


67   [Principal Investigator] TTY

68   [Principal Investigator] FAX

69   [Principal Investigator] URL
70   Summary 4 Funding Category                          For interventional   For interventional
                                                         trial only and if    trial only and if
                                                         Lead Org is NCI-     Lead Org is NCI-
                                                         designated           designated
                                                         Cancer Center        Cancer Center

71   [Summary 4 Funding Sponsor/Source] Organization Yes                      Yes
     Name
72   [Summary 4 Funding Sponsor/Source] CTEP
     Organization Number (CTEP Identifier)
73   [Summary 4 Funding Sponsor/Source] Street       Yes                      Yes
     Address
74   [Summary 4 Funding Sponsor/Source] City         Yes                      Yes

75   [Summary 4 Funding Sponsor/Source]                  Yes if country is Yes if country is
     State/Province                                      USA, Canada or USA, Canada or
                                                         Australia         Australia

76   [Summary 4 Funding Sponsor/Source] Zip/Postal       Yes                  Yes
     code
77   [Summary 4 Funding Sponsor/Source ] Country         Yes                  Yes
78   [Summary 4 Funding Sponsor/Source ] Email   Yes               Yes
     Address
79   [Summary 4 Funding Sponsor/Source ] Phone

80   [Summary 4 Funding Sponsor/Source ] TTY
81   [Summary 4 Funding Sponsor/Source ] FAX
82   [Summary 4 Funding Sponsor/Source ] URL
83   Program Code


84   [NIH Grant] Funding Mechanism               Yes: if NIH grant Yes: if NIH grant
                                                 exists            exists


85   [NIH Grant] Institute Code                  Yes: if NIH grant Yes: if NIH grant
                                                 exists            exists


86   [NIH Grant] Serial Number                   Yes: if NIH grant Yes: if NIH grant
                                                 exists            exists


87   [NIH Grant] NCI Division/Program Code       Yes: if NIH grant Yes: if NIH grant
                                                 exists            exists



88   Current Trial Status                        Yes               Yes
89   Why Study Stopped?          Yes if Current     Yes if Current
                                 Trial Status is    Trial Status is
                                 Withdrawn,         Withdrawn,
                                 Temporarily        Temporarily
                                 Closed to          Closed to
                                 Accrual,           Accrual,
                                 Temporarily        Temporarily
                                 Closed to          Closed to
                                 Accrual and        Accrual and
                                 Intervention or    Intervention or
                                 Administratively   Administratively
                                 Complete           Complete
90   Current Trial Status Date   Yes                Yes

91   Study Start Date            Yes                Yes


92   Study Start Date Type       Yes                Yes




93   Primary Completion Date     Yes                Yes
94    Primary Completion Date Type      Yes               Yes




95    IND/IDE Type                      Yes: if IND/IDE   Yes: if IND/IDE
                                        trial             trial




96    IND/IDE Number                    Yes: if IND/IDE   Yes: if IND/IDE
                                        trial             trial


97    IND/IDE Grantor                   Yes: if IND/IDE   Yes: if IND/IDE
                                        trial             trial


98    IND/IDE Holder Type               Yes: if IND/IDE   Yes: if IND/IDE
                                        trial             trial


99    [IND/IDE] NIH Institution         Yes If IND/IDE    Yes If IND/IDE
                                        trial AND         trial AND
                                        (IND/IDE Holder   (IND/IDE Holder
                                        Type) = NIH       Type) = NIH



100   [IND/IDE] NCI Division /Program   Yes if IND/IDE    Yes if IND/IDE
                                        trial AND If      trial AND If
                                        (IND/IDE Holder   (IND/IDE Holder
                                        Type) = NCI       Type) = NCI
101   [IND/IDE] Has Expanded Access?                  Yes if IND/IDE       Yes if IND/IDE
                                                      trial                trial




102   [IND/IDE] Expanded Access Status                If (Has              If (Has
                                                      Expanded             Expanded
                                                      Access?) = Yes       Access?) = Yes




103   Oversight Authority Country                     Yes                  Yes
104   Oversight Authority Organization Name           Yes                  Yes
105   FDA Regulatory Information Indicator            Yes                  Yes

106   Section 801 Indicator                           Yes if FDA           Yes if FDA
                                                      Regulatory           Regulatory
                                                      Information          Information
                                                      Indicator is 'Yes'   Indicator is 'Yes'
107   Delayed Posting Indicator                       Yes if section       Yes if section
                                                      801 Indicator is     801 Indicator is
                                                      'Yes'                'Yes'


108   Data Monitoring Committee Appointed Indicator   Yes                  Yes
109   Protocol Document File Name                     Yes                  Yes
110   IRB Approval Document File Name          Yes   Yes




111   Participating Sites Document File Name




112   Informed Consent Document File Name
113   Other Trial Related Document File Name




114   Change Request Document Name             Yes




115   Protocol Highlight Document Name
Required for Valid Values   Comments
update

Yes
Yes          O, A, U        O - original submission
                            (including the first submission to
                            CTRP); A - amendment
                            submission to the already
                            published trial in CTRP; U -
                            update to the CTRP trial.
                            Amendment submission can be
                            accepted only if the trial
                            processing status is 'Abstraction
                            Verified Response' or
                            'Abstraction Verified No
                            Response'. Update can be
                            submitted for trials that have
                            been accepted or have
                            processing status other than
                            'Submitted' and 'Rejected'. See
                            Processing Status Transition tab
                            for information about trial
                            processing statuses
Yes                         This element is applicable to
                            amendment submission and
                            update to the CTRP trials only.
                            This is the trial identifier
                            assigned by the CTRP.
                            Amendment can only be
                            accepted for trials that have
                            'Abstraction Verified Response'
                            or 'Abstraction Verified No
                            Response' processing status in
                            CTRP. Update can be submitted
                            for trials that have 'Accepted'
                            status and above.

                            This element is applicable to
                            amendment submission only.
                            Use amendment number that is
                            recorded in user's system.
                            This element is applicable to
                            amendment submission only.
                            Use date of amendment as
                            documented in the amended
                            protocol document
                            AS IS in the protocol document
                            & assigned by the lead
                            organization (unique in the lead
                            organization system)
                                                              Unique identifier assigned to the
                                                              published trials in PRS
                                                              (ClinicalTrials.gov)
                    Max 4000 characters                       Title from the protocol document

Yes                 Interventional, Observational             Currently only Interventional
                                                              trials are accepted

Yes                 Treatment, Prevention,                    If 'other' selected, specify in 12
                    Supportive Care, Screening,
                    Early Detection, Diagnostic,
                    Epidemiologic, Outcome,
                    Observational, Ancillary,
                    Correlative, Health Service
                    Research, Other, Basic
                    Science
Yes if Primary
Purpose = 'Other'




Yes                 0, I, I/II, II, II/III, III, IV, Pilot,   If 'other' selected, specify in 14
                    N/A, Other
Yes if Phase =
'Other'




                    2-letter state/province code
                    required for US/Canada, 2-3
                    letter code required for
                    Australia

                    3-letter country code required


                                                              Include Phone Extension if any
                                                              in the same field



                    PI, Sponsor
Yes if              Personal, Generic                         Used for defining contact type
Responsible                                                   for the Responsible Party
Party value is                                                Sponsor (see 27)
provided
Yes if                                           Applicable to the Responsible
Responsible                                      Party=Sponsor Generic Contact
Party value is                                   only
provided and
contact type is
Generic

Yes if                                           Applicable to the Responsible
Responsible                                      Party=Sponsor Personal
Party value is                                   Contact only
provided and
contact type is
Personal

                                                 Applicable to the Responsible
                                                 Party=Sponsor Personal
                                                 Contact only
Yes if                                           Applicable to the Responsible
Responsible                                      Party=Sponsor Personal
Party value is                                   Contact only
provided and
contact type is
Personal

                                                 Applicable to the Responsible
                                                 Party=Sponsor Personal
                                                 Contact only

Yes if                                           Applicable to the Responsible
Responsible                                      Party=Sponsor Personal
Party value is                                   Contact only
provided and
contact type is
Personal

Yes if                                           Applicable to the Responsible
Responsible                                      Party=Sponsor Personal
Party value is                                   Contact only
provided and
contact type is
Personal

Yes if            2-letter state/province code   Applicable to the Responsible
Responsible       required for US/Canada, 2-3    Party=Sponsor Personal
Party value is    letter code required for       Contact only
provided and      Australia
contact type is
Personal
Yes if                                               Applicable to the Responsible
Responsible                                          Party=Sponsor Personal
Party value is                                       Contact only
provided and
contact type is
Personal

Yes if              3-letter country code required   Applicable to the Responsible
Responsible                                          Party=Sponsor Personal
Party value is                                       Contact only
provided and
contact type is
Personal

Yes if
Responsible
Party = Sponsor
value is provided
Yes if                                               Include Phone Extension if any
Responsible                                          in the same field
Party value
=Sponsor is
provided




                    2-letter state/province code
                    required for US/Canada, 2-3
                    letter code required for
                    Australia

                    3-letter country code required


                                                     Include Phone Extension if any
                                                     in the same field




                    Institution, ordering group,
                    repository, research based,
                    cooperative group, cancer
                    center, consortium, drug
                    company, network
                  2-letter state/province code
                  required for US/Canada, 2-3
                  letter code required for
                  Australia




                  3-letter country code required




                                                   Include Phone Extension if any
                                                   in the same field




For interventional National, Externally Peer-      applicable if Lead Org is NCI-
trial only and if  Reviewed, Institutional,        designated Cancer Center
Lead Org is NCI- Industrial
designated
Cancer Center

Yes                                                applicable if Lead Org is NCI-
                                                   designated Cancer Center
                                                   applicable if Lead Org is NCI-
                                                   designated Cancer Center
Yes                                                applicable if Lead Org is NCI-
                                                   designated Cancer Center
Yes                                                applicable if Lead Org is NCI-
                                                   designated Cancer Center
Yes if country is 2-letter state/province code     applicable if Lead Org is NCI-
USA, Canada or required for US/Canada, 2-3         designated Cancer Center
Australia         letter code required for
                  Australia
Yes                                                applicable if Lead Org is NCI-
                                                   designated Cancer Center
Yes               3-letter country code required   applicable if Lead Org is NCI-
                                                   designated Cancer Center
Yes                                                 applicable if Lead Org is NCI-
                                                    designated Cancer Center
                                                    applicable if Lead Org is NCI-
                                                    designated Cancer Center



                                                    Summary 4 element, no LOV
                                                    exists, codes are specific to
                                                    cancer centers
Yes: if NIH grant Refer Funding Mechanism in        If more than one grant is
exists            Valid Values worksheet.           recorded provide this value for
                                                    all grants separated by
                                                    semicolon (;)
Yes: if NIH grant Refer Institute Code in Valid     If more than one grant is
exists            Values worksheet.                 recorded provide this value for
                                                    all grants separated by
                                                    semicolon (;)
Yes: if NIH grant format: 5 or 6 digits             If more than one grant is
exists                                              recorded provide this value for
                                                    all grants separated by
                                                    semicolon (;)
Yes: if NIH grant Refer NCI Division/Program        Defaults to N/A if not specified. If
exists            Code in Valid Values              more than one grant is recorded
                  worksheet. Specify only the       provide this value for all grants
                  code.                             separated by semicolon (;)

Yes                In Review, Approved, Active,     1) Trials with current trial status
                   Closed to Accrual, Closed to     'Withdrawn' are not accepted for
                   Accrual and Intervention ,       the original submission. 2)
                   Temporarily Closed to Accrual,   Submission of amendment or
                   Temporarily Closed to Accrual    update to existing study with
                   and Intervention, Complete,      Completed, Administratively
                   Administratively Complete are    Completed, Withdrawn and
                   applicable to original           Disapproved current trial status
                   submission, amendment and        are not accepted. 3) Please use
                   update. Withdrawn status is      'In Review' status at submission
                   only applicable to Update        of pre-IRB approved study.
                   functionality.
Yes if Current                           Mandatory if Current Trial Status
Trial Status is                          is Withdrawn, Temporarily
Withdrawn,                               Closed to Accrual, Temporarily
Temporarily                              Closed to Accrual and
Closed to                                Intervention or Administratively
Accrual,                                 Complete
Temporarily
Closed to
Accrual and
Intervention or
Administratively
Complete
Yes                                      Date when the status has came
                                         in effect
Yes                                      Date that enrollment to the
                                         protocol begins

Yes                Actual, Anticipated   Only current/past date (in
                                         respect to batch upload date) is
                                         accepted for actual type and
                                         only future date is accepted for
                                         anticipated type. 'Anticipated'
                                         type is valid for 'In Review' and
                                         'Approved' and 'Withdrawn'
                                         current trial status only. 'Actual'
                                         type is valid for any other current
                                         trial status besides 'In Review',
                                         'Approved' and 'Withdrawn'. For
                                         more information check State-
                                         Dates tab in this file.

Yes                                      Date that the final subject was
                                         examined or received an
                                         intervention for the purposes of
                                         final collection of data for the
                                         primary outcome, whether the
                                         clinical trial concluded according
                                         to the prespecified protocol or
                                         was terminated
Yes               Actual, Anticipated            Only current/past date (in
                                                 respect to batch upload date) is
                                                 accepted for actual type and
                                                 only future date is accepted for
                                                 anticipated type. 'Actual' type is
                                                 valid for 'Administratively
                                                 Complete' or 'Complete' current
                                                 trial statuses only. 'Anticipated'
                                                 type is valid for any other current
                                                 trial status besides
                                                 'Administratively Complete' or
                                                 'Complete'. For more
                                                 information check State-Dates
                                                 tab in this file.




Yes: if IND/IDE   IND, IDE                       If more than one IND/IDE is
trial                                            recorded provide this value for
                                                 all IND/IDE separated by
                                                 semicolon (;).


Yes: if IND/IDE                                  If more than one IND/IDE is
trial                                            recorded provide this value for
                                                 all IND/IDE separated by
                                                 semicolon (;)
Yes: if IND/IDE   CDER, CBER, CDRH               If more than one IND/IDE is
trial                                            recorded provide this value for
                                                 all IND/IDE separated by
                                                 semicolon (;)
Yes: if IND/IDE   Investigator, Organization,    If more than one IND/IDE is
trial             Industry, NIH, NCI             recorded provide this value for
                                                 all IND/IDE separated by
                                                 semicolon (;)
Yes If IND/IDE  Refer NIH Institution in Valid   If more than one IND/IDE is
trial AND       Values worksheet.                recorded provide this value for
(IND/IDE Holder                                  all IND/IDE separated by
Type) = NIH                                      semicolon (;). If NIH institution is
                                                 not applicable to a single
                                                 IND/IDE, provide NA as
                                                 replacement for the value
Yes if IND/IDE  Refer NCI Division/Program       If more than one IND/IDE is
trial AND If    Code in Valid Values             recorded provide this value for
(IND/IDE Holder worksheet.                       all IND/IDE separated by
Type) = NCI                                      semicolon (;). If NCI
                                                 division/program is not
                                                 applicable to a single IND/IDE,
                                                 provide NA as replacement for
                                                 the value
Yes if IND/IDE    Yes, No                        If more than one IND/IDE is
trial                                            recorded provide this value for
                                                 all IND/IDE separated by
                                                 semicolon (;).

If (Has           Available, No longer available, If more than one IND/IDE is
Expanded          Temporarily not available,      recorded provide this value for
Access?) = Yes    Approved for marketing          all IND/IDE separated by
                                                  semicolon (;). If expanded
                                                  access is not applicable to a
                                                  single IND/IDE, provide NA as
                                                  replacement for the value
Yes               see Oversight Authority tab
Yes               see Oversight Authority tab
Yes               Yes, No                         Must be 'Yes; if trial includes
                                                  IND/IDE
Yes if FDA        Yes, No                         Must be not NULL if FDA
Regulatory                                        Regulatory Information Indicator
Information                                       is 'Yes'
Indicator is 'Yes'
Yes if section     Yes, No                       Must be not NULL if section 801
801 Indicator is                                 Indicator is 'Yes'. Delayed
'Yes'                                            Posting Indicator is applicable
                                                 only to study that includes
                                                 device intervention
Yes               Yes,No
                                                 1) Include file extension. 2) If
                                                 you have at least two files with
                                                 the same name, rename files
                                                 (ex. prefix unique trial identifier
                                                 to document name).             3)
                                                 Submit amended protocol for
                                                 amendment submission.
1) Include file extension. 2) if
you have at least two files with
the same name, rename files
(ex. prefix unique trial identifier
to document name).             3)
Submit dummy file if IRB
approval is not required with the
statement 'IRB' approval is not
required'.             4) Submit
dummy file with the following
info: name of Review Board
(address, phone, email) and
Board Affiliation name in case of
pre-IRB approved studies
submission. 5) One IRB
Approval is only needed.




1) Include file extension. 2) f
you have at least two files with
the same name, rename files
(ex. prefix unique trial identifier
to document name).              3)
Requited if case of multi-site trial
and if the participation sites
information is not included in the
protocol document. 4) If
participating site changes
(recruitment status, program
code) or collaborator's info
change occur, submit this
document for amendment or
update
1) Requited if is not included in
the protocol document.2)
Include file extension. 3) f you
have at least two files with the
same name, rename files (ex.
prefix unique trial identifier to
document name).
1) Include file extension. 2) f
you have at least two files with
the same name, rename files
(ex. prefix unique trial identifier
to document name).

1) This element is applicable to
the amendment only and
includes the changes that
occurred in the protocol
document due to amendment. 2)
Include file extension. 3) f you
have at least two files with the
same name, rename files (ex.
prefix unique trial identifier to
document name).
1) This element is applicable to
the amendment only and
includes the protocol document
with highlighted changes from
the previous version. 2) Include
file extension. 3) f you have at
least two files with the same
name, rename files (ex. prefix
unique trial identifier to
document name).
NOTE: These are the valid values for the data elements. They are presented in vertical format - no relation across


Funding                      Institute
Mechanism                    Code                      NCI Division/Program Code
B09                          AA                        CCR
                                                       CTEP
C06                          AG
                                                       DCB
DP1                          AI
DP2                          AO                        DCCPS
                                                       DCEG
DP3                          AR
                                                       DTP
D43                          AT
                                                       DCP
D71                          BC
                                                       DEA
E11                          CA
                                                       OD

F05                          CB
                                                       OSB/SPOREs
F30                          CL
                                                       CIP
F31                          CM
                                                       CDP
F32                          CN
F33                          CO                        TRP
                                                       RRP
F34                          CP
                                                       N/A
F37                          CT
F38                          DA

G07                          DC

G08                          DE
G11                          DK
G12                          EB
G13                          ES

G20                          EY

G94                          GM

HD4                          GW

H13                          HB
H25                          HC
H28                          HD
H50                          HG
H57                          HI
H62                          HL
H64                          HO
H75   HR
H79   HV
I01   JT
KD1   LM
KL1   MD
KL2   MH
K01   NB
K02   NR
K05   NS
K06   OD
K07   OF
K08   OL
K12   OR
K14   PC
K18   SC
K22   SF
K23   WH
K24   RC
K25   RG
K26   RM
K30   RR
K99   TW
L30   WT
L32
L40
L50
L60
M01
PL1
PN1
PN2
P01
P20
P30
P40
P41
P42
P50
P51
P60
P76
RC1
RC2
RC3
RL1
RL2
RL5
RL9
RS1
R00
R01
R03
R04
R06
R08
R13
R15
R17
R18
R21
R24
R25
R30
R33
R34
R36
R37
R41
R42
R43
R44
R49
R55
R56
R90
SC1
SC2
SC3
S06
S10
S11
S21
S22
TL1
TU2
T01
T02
T09
T14
T15
T32
T34
T35
T36
T37
T42
T90
UA1
UC1
UC2
UC3
UC6
UC7
UE1
UE2
UD1
UH1
UH2
UH3
UL1
UR3
UR6
UR8
US3
US4
UT1
UT2
U01
U09
U10
U11
U13
U17
U18
U19
U24
U34
U1A
U1Q
U1S
U1T
U1V
U21
U22
U23
U27
U2G
U2R
U30
U32
U36
U38
U41
U42
U43
U44
U45
U47
U48
U49
U50
U51
U52
U53
U54
U55
U56
U57
U58
U59
U60
U61
U62
U65
U66
U75
U79
U81
U82
U83
U84
U87
U90
VF1
X01
X02
X98
Z02
no relation across




            NIH Institution
            NEI-National Eye Institute
            NHLBI-National Heart, Lung, and Blood
            Institute
            NHGRI-National Human Genome Research
            Institute
            NIA-National Institute on Aging
            NIAAA-National Institute on Alcohol Abuse
            and Alcoholism
            NIAID-National Institute of Allergy and
            Infectious Diseases
            NIAMS-National Institute of Arthritis and
            Musculoskeletal and Skin Diseases
            NIBIB-National Institute of Biomedical
            Imaging and Bioengineering
            NICHD-Eunice Kennedy Shriver National
            Institute of Child Health and Human
            Development
            NIDCD-National Institute on Deafness and
            Other Communication Disorders
            NIDCR-National Institute of Dental and
            Craniofacial Research
            NIDDK-National Institute of Diabetes and
            Digestive and Kidney Diseases
            NIDA-National Institute on Drug Abuse
            NIEHS-National Institute of Environmental
            Health Sciences
            NIGMS-National Institute of General Medical
            Sciences
            NIMH-National Institute of Mental Health
            NINDS-National Institute of Neurological
            Disorders and Stroke
            NINR-National Institute of Nursing Research

            NLM-National Library of Medicine
            CIT-Center for Information Technology
            CSR-Center for Scientific Review
            FIC-John E. Fogarty International Center for
            Advanced Study in the Health Sciences
            NCCAM-National Center for Complementary
            and Alternative Medicine
            NCMHD-National Center on Minority Health
            and Health Disparities
            NCRR-National Center for Research
            Resources (NCRR
            CC-NIH Clinical Center
            OD-Office of the Director
           A            B              C         D            E              F            G
    Unique Trial   Submission   NCI Trial    Amendment   Amendment   Lead             NCT
    Identifier     Type         Identifier   Number      Date        Organization
                                                                     Trial Identifier

1


2              10 O                                                  CCG-0903      NCT000123



                                NCI-2009-
3           1000 A              00001        A1             5/5/2009 RTOG-85-31




4           2001 O                                                   GOG-9201




5           3000 O                                                   E3993




                                                                     NCCTG-90-
6           4000 O                                                   60-51




                                NCI-2009-
7           5000 U              00001
                  H                        I            J               K            L
    Title                           Trial Type    Primary      Primary Purpose Phase
                                                  Purpose      'Other' value
                                                               specification

1

  A Phase I study of Taxol in
2 refractory leukemia in children   Interventional Treatment                  I

  Phase III Study of Zoladex
  Adjuvant to Radiotherapy in
  Unfavorable Prognosis
3 Carcinoma of the Prostate         Interventional Treatment                  III


  A Phase I trial of Ifosfamide and
  Taxol in refractory Pelvic
4 Malignancies                      Interventional Treatment                  I
  Phase III study of priming with
  granulocyte-macrophage colony
  stimulating factor (rhu-gm-
  csf)and of three induction
  regimens in adult patients (over
  55) with acute non-lymphocytic
5 leukemia                          Interventional Treatment                  III

  Phase III Comparison of
  Methotrexate, Vinblastine,
  Doxorubicin, and Cisplatin
  (MVAC) vs. Doxorubicin and
  Cisplatin (AC) in Women with
  Advanced Primary or Recurrent
  Metastatic Carcinoma of the
6 Uterine Endometrium            Interventional Treatment                     III
  An Open-Labeled, Non-
  Randomized Phase I Study of
  Alvocidib (Flavopiridol)
  Administered with Oxaliplatin
  and Fluorouracil/Leucovorin in
  Patients with Advanced Solid
7 Tumors                         Interventional Treatment                     I
            M                 N            O                 P                   Q
    Phase 'Other'   [Sponsor]         [Sponsor]    [Sponsor] Street       [Sponsor] City
    value           Organization Name CTEP         Address
    specification                     Organization
                                      Number
1

                    Children's Oncology
2                   Group               C001        2115 E Jefferson St   Rockville



                    Radiation Therapy
3                   Oncology Group      RT0098      200 Water Street      New York



                    Gynecologic
4                   Oncology Group      GC009       100 Main St           Fairfax




                    Eastern Cooperative
5                   Oncology Group      EC6000      100 Village Lane      Boston




                    North Central
                    Cancer Treatment
6                   Group               NCT123      200 Springdale Rd     Hartford




                    North Central
                    Cancer Treatment
7                   Group               NCT123      200 Springdale Rd     Hartford
            R                       S                                 T
    [Sponsor]        [Sponsor] Zip/Postal code    [Sponsor] Country
    State/Province



1


2 MD                                         20185 USA




3 NY                                         22102 USA




4 VA                                         22032 USA




5 MA                                         11760 USA




6 CT                                         33333 USA




7 CT                                         33333 USA
              U                 V             W                    X         Y
    [Sponsor] Email   [Sponsor] Phone   [Sponsor] TTY   [Sponsor] FAX   [Sponsor]
    Address                                                             URL



1


2 test@cog.org        222-444-8888




3 mailto@rtog.com     222-444-8888




4 mailto@gog.com      222-444-8888




5 mailto@ecog.com     222-444-8888




6 mailto@ncctg.com    222-444-8888




7 mailto@ncctg.com    222-444-8888
          Z            AA           AB            AC              AD               AE
    Responsible   Sponsor      Sponsor       [Sponsor       [Sponsor          [Sponsor
    Party         Contact Type Contact Title Contact] First Contact] Middle   Contact]
                                             Name           Name              Last Name

1


2 PI




3 Sponsor         Personal                      Mary                          Wilson



                               Clinical Study
4 Sponsor         Generic      Department




                               Director of
                               Clinical Study
5 Sponsor         Generic      Department




6 Sponsor         Personal                      Todd                          Wright




                               Director of
                               Clinical Study
7 Sponsor         Generic      Department
         AF               AG              AH         AI           AJ          AK         AL
  [Sponsor Contact]                   [Sponsor [Sponsor                   [Sponsor   [Sponsor
  CTEP Person                         Contact]C Contact]     [Sponsor     Contact]   Contact]
  Number            [Sponsor          ity       State/Provin Contact]     Country    Email
                    Contact] Street             ce           Zip/Postal              Address
1                   Address                                  code


2




3                    101 Chestnut St Rockville MD            20852        USA        mwilson@rtog.com




4                                                                                    mailto@gog.com




5                                                                                    mailto@esog.com




6                    400 Main St      HandersonTN            20390        USA        twright@esog.com




7                                                                                    twright@esog.com
        AM               AN              AO         AP         AQ           AR               AS
    [Sponsor   [Sponsor Contact] TTY [Sponsor   [Sponsor   [Lead        [Lead          [Lead
    Contact]                         Contact]   Contact]   Organization Organization   Organization
    Phone                            FAX        URL        ] Name       ] CTEP         ] Street
                                                                        Organization   Address
1                                                                       Number
                                                           Gynecologic
                                                           Oncology
2                                                          Group       GC009           100 Main St


                                                           Children's
                                                           Oncology
3 301-111-1111                                             Group        C001           2115 E Jefferson St
                                                           North
                                                           Central
                                                           Cancer
                                                           Treatment
4 240-345-4567                                             Group        NCT123         100 Meadow Rd


                                                           North
                                                           Central
                                                           Cancer
                                                           Treatment
5 345-345-3456                                             Group        NCT123         100 Meadow Rd




                                                           Children's
                                                           Oncology
6 607-123-1234                                             Group        C001           2115 E Jefferson St




7 607-123-4567
         AT                AU                AV            AW                AX
    [Lead         [Lead Organization]   [Lead         [Lead         [Lead Organization]
    Organization] State/Province        Organization] Organization] Email Address
    City                                Zip/Postal    Country
                                        code
1


2 Fairfax         VA                           22032 USA




3 Rockville       MD                           20185 USA




4 Hartford        CT                           33333 USA




5 Hartford        CT                           33333 USA




6 Rockville       MD                           20185 USA




7
            AY                 AZ            BA            BB            BC             BD
    [Lead Organization]   [Lead         [Lead         [Lead         [Lead         [Principal
    Phone                 Organization] Organization] Organization] Organization] Investigator]
                          TTY           FAX           URL           Organization First Name
                                                                    Type
1

                                                                    cooperative
2                                                                   group          Nita



                                                                    cooperative
3                                                                   group          Miljenko



                                                                    cooperative
4                                                                   group          Maurie




                                                                    cooperative
5                                                                   group          Jacob




                                                                    cooperative
6                                                                   group          Harry




7
          BE            BF              BG              BH               BI             BJ              BK
    [Principal    [Principal      [Principal      [Principal      [Principal      [Principal      [Principal
    Investigator] Investigator]   Investigator]   Investigator]   Investigator]   Investigator]   Investigator]
    Middle Name Last Name         CTEP Person     Street          City            State/Provinc   Zip/Postal
                                  Number          Address                         e               code
1

                                               2424
2                 Seibel                 17297 Springdae Rd Milwaukee             WI              53186



                                               100 Village
3 B               Pilepich                9300 Hill Lane          Natick          MA              01760




4                 Markman                 9977 100 Main St        Boston          MA              34567




                                               100 Old
5 J               Rowe                   10528 Meadow Rd          Houston         TX              33323




                                               100 Old
6                 Long                    6975 Meadow Rd          Houston         TX              32323




7
          BL              BM              BN              BO              BP              BQ             BR
    [Principal      [Principal      [Principal      [Principal      [Principal      [Principal      Summary 4
    Investigator]   Investigator]   Investigator]   Investigator]   Investigator]   Investigator]   Funding
    Country         Email           Phone           TTY             FAX             URL             Category
                    Address
1

                    nseibel@cnm 111-111-
2 USA               c.org       1111


                    MPilepich@m
                    ednet.ucla.ed 111-111-
3 USA               u             1112                                                              Institutional


                    mmarkman@
                    mdanderson. 111-111-
4 USA               org         1113




                    rowe@ramba
                    m.health.gov. 111-111-
5 USA               il            1114




                    long.harry@     111-111-
6 USA               mayo.edu        1111




7
       BS             BT              BU             BV            BW               BX               BY
  [Summary 4     [Summary 4     [Summary 4     [Summary 4     [Summary 4      [Summary 4       [Summary 4
  Funding        Funding        Funding        Funding        Funding         Funding          Funding
  Sponsor/Sour   Sponsor/Sour   Sponsor/Sour   Sponsor/Sour   Sponsor/Sour    Sponsor/Sour     Sponsor/Sour
  ce]            ce] CTEP       ce] Street     ce] City       ce]             ce] Zip/Postal   ce ] Country
1 Organization   Organization   Address                       State/Provinc   code
  Name           Number                                       e

2




3 NCI                                         Rockville
                                2115 E Jefferson              MD                     20852 USA




4




5




6




7
        BZ             CA             CB             CC             CD          CE         CF
  [Summary 4     [Summary 4     [Summary 4     [Summary 4     [Summary 4 Program      [NIH Grant]
  Funding        Funding        Funding        Funding        Funding      Code       Funding
  Sponsor/Sour   Sponsor/Sour   Sponsor/Sour   Sponsor/Sour   Sponsor/Sour            Mechanism
  ce ] Email     ce ] Phone     ce ] TTY       ce ] FAX       ce ] URL
1 Address


2                                                                                    1 F34



  mailto@ctrp.o 111-111-
3 rg            1111




4                                                                         IM          K08;CO6




5




6




7                                                                         BR
          CG              CH             CI            CJ              CK               CL              CM
    [NIH Grant]    [NIH Grant]     [NIH Grant]    Current Trial   Why Study        Current Trial   Study Start
    Institute Code Serial Number   NCI            Status          Stopped?         Status Date     Date
                                   Division/Progr
                                   am Code
1


2 AG                        72345 CTEP            Complete                              8/1/2009        2/1/2009

                                                                  Accrual target
                                                  Temporarily     was reached
                                                  Closed to       for this phase
3                                                 Accrual         of the study          8/2/2009        1/2/2009




4 HV;AO           97521;012345     CTEP;CTEP In Review                                  8/3/2009      10/3/2009




5                                                 Approved                              8/4/2009      10/4/2009




                                                  Administrativ Closed
6                                                 ely Complete prematurely              8/5/2009        1/5/2009




7                                                 Approved                              8/1/2009      12/1/2009
         CN            CO           CP            CQ           CR        CS          CT
    Study Start   Primary      Primary       IND/IDE Type IND/IDE   IND/IDE     IND/IDE
    Date Type     Completion   Completion                 Number    Grantor     Holder Type
                  Date         Date Type

1


2 Actual              8/1/2009 Actual




3 Actual             10/2/2010 Anticipated




4 Anticipated        10/3/2011 Anticipated




5 Anticipated     9/4/20012    Anticipated




6 Actual              8/5/2009 Actual        IND;IND     67899;10,264 CDER;CDER NIH;NCI




7 Anticipated        12/1/2010 Anticipated
           CU           CV            CW           CX             CY           CZ              DA
    [IND/IDE]     [IND/IDE]      [IND/IDE]   [IND/IDE]       Oversight    Oversight      FDA
    NIH           NCI Division   Has         Expanded        Authority    Authority      Regulatory
    Institution   /Program       Expanded    Access          Country      Organization   Information
                                 Access?     Status                       Name           Indicator
1
                                                             United States Federal       No
                                                                           Government
2
                                                             United States Federal       No
                                                                           Government


3
                                                             United States Food and      Yes
                                                                           Drug
                                                                           Administratio
                                                                           n
4
                                                             United States Federal       No
                                                                           Government




5
                                                             United States Federal       No
                                                                           Government




                                             NA;Approved
6 NIA;NA          NA;DCP         No;Yes      for marketing
                                                             United States Federal       No
                                                                           Government




7
          DB            DC          DD           DE           DF           DG               DH
    Section 801   Delayed     Data         Protocol     IRB Approval Participating    Informed
    Indicator     Posting     Monitoring   Document     Document     Sites            Consent
                  Indicator   Committee    File Name    File Name    Document         Document
                              Appointed                              File Name        File Name
1                             Indicator
                              Yes          protocol_doc
                                           ument_T10.d IRB_Approval Participating_ 10_Informed_
2                                          oc           .doc        Sites_T10.xls Consent.PDF
                              Yes

                                           protocol_doc IRB_Approval Participating_
                                           ument_T1000 _06082007.d Sites_T1000_
3                                          .doc         oc           new.xls
    Yes           No          Yes

                                           protocol_doc             Participating_ Informed_Co
                                           ument_T2001 IRB_Approval Sites_T2001. nsent_T2001.
4                                          .doc         _T2001.doc xls             PDF
                              Yes



                                           3000_protoco             3000_Particip 3000_Informe
                                           l_document.d 3000_IRB_Ap ating_Sites.xl d_Consent.P
5                                          oc           proval.doc  s              DF
                              Yes




                                           4000_protoco             4000_Particip 4000_Informe
                                           l_document.d 4000_IRB_Ap ating_Sites.xl d_Consent.P
6                                          oc           proval.doc  s              DF
                              Yes




7
          DI          DJ              DK
    Other Trial   Change        Protocol
    Related       Memo          Highlight
    Document      Document      Document
    File Name     Name          Name
1

  10_Other_do
2 cument.doc


                  changememo
                  _document_1
3                 234.doc


  Other_docum
  ent_T2001.do
4 c




  3000_Other_
  document.do
5 c




  4000_Other_
  document.do
6 c




7
NCI Division/Program Code   Definition
CCR                         Center for Cancer Research
CTEP                        Cancer Therapy Evaluation Program

DCB                         Division of Cancer Biology
DCCPS                       Division of Cancer Control and Population
                            Sciences
DCEG                        Division of Cancer Epidemiology and
                            Genetics
DTP                         Developmental Therapeutics Program

DCP                         Division of Cancer Prevention
DEA                         Division of Extramural Activities

OD                          Office of the Director, NCI, NIH
OSB/SPOREs                  Organ Systems Branch (OSB) /Specialized
                            Programs of Research Excellence
                            (SPOREs)
CIP                         Cancer Imaging Program
CDP                         Cancer Diagnosis Program
TRP                         Translational Research Program
RRP                         Radiation Research Program
N/A                         Not applicable
Country                          3-letter code
AFGHANISTAN                      AFG
ALBANIA                          ALB
ALGERIA                          DZA
AMERICAN SAMOA                   ASM
ANDORRA                          AND
ANGOLA                           AGO
ANGUILLA                         AIA
ANTARCTICA                       ATA
ANTIGUA AND BARBUDA              ATG
ARGENTINA                        ARG
ARMENIA                          ARM
ARUBA                            ABW
AUSTRALIA                        AUS
AUSTRIA                          AUT
AZERBAIJAN                       AZE
BAHAMAS                          BHS
BAHRAIN                          BHR
BANGLADESH                       BGD
BARBADOS                         BRB
BELARUS                          BLR
BELGIUM                          BEL
BELIZE                           BLZ
BENIN                            BEN
BERMUDA                          BMU
BHUTAN                           BTN
BOLIVIA                          BOL
BOSNIA AND HERZEGOWINA           BIH
BOTSWANA                         BWA
BOUVET ISLAND                    BVT
BRAZIL                           BRA
BRITISH INDIAN OCEAN TERRITORY   IOT
BRUNEI DARUSSALAM                BRN
BULGARIA                         BGR
BURKINA FASO                     BFA
BURUNDI                          BDI
CAMBODIA                         KHM
CAMEROON                         CMR
CANADA                           CAN
CAPE VERDE                       CPV
CAYMAN ISLANDS                   CYM
CENTRAL AFRICAN REPUBLIC         CAF
CHAD                             TCD
CHILE                            CHL
CHINA                            CHN
CHRISTMAS ISLAND                 CXR
COCOS (KEELING) ISLANDS          CCK
COLOMBIA                         COL
COMOROS                          COM
CONGO                            COG
COOK ISLANDS                     COK
COSTA RICA                       CRI
COTE D'IVOIRE                    CIV
CROATIA (local name: Hrvatska)   HRV
CUBA                             CUB
CYPRUS                           CYP
CZECH REPUBLIC                   CZE
DENMARK                          DNK
DJIBOUTI                         DJI
DOMINICA                         DMA
DOMINICAN REPUBLIC               DOM
EAST TIMOR                       TMP
ECUADOR                          ECU
EGYPT                            EGY
EL SALVADOR                      SLV
EQUATORIAL GUINEA                GNQ
ERITREA                          ERI
ESTONIA                          EST
ETHIOPIA                         ETH
FALKLAND ISLANDS (MALVINAS)      FLK
FAROE ISLANDS                    FRO
FIJI                             FJI
FINLAND                          FIN
FRANCE                           FRA
FRANCE, METROPOLITAN             FXX
FRENCH GUIANA                    GUF
FRENCH POLYNESIA                 PYF
FRENCH SOUTHERN TERRITORIES      ATF
GABON                            GAB
GAMBIA                           GMB
GEORGIA                          GEO
GERMANY                          DEU
GHANA                            GHA
GIBRALTAR                        GIB
GREECE                           GRC
GREENLAND                        GRL
GRENADA                          GRD
GUADELOUPE                       GLP
GUAM                             GUM
GUATEMALA                        GTM
GUINEA                           GIN
GUINEA-BISSAU                    GNB
GUYANA                           GUY
HAITI                            HTI
HEARD AND MC DONALD ISLANDS      HMD
HOLY SEE (VATICAN CITY STATE)    VAT
HONDURAS                         HND
HONG KONG                        HKG
HUNGARY                          HUN
ICELAND                          ISL
INDIA                            IND
INDONESIA                        IDN
IRAN (ISLAMIC REPUBLIC OF)       IRN
IRAQ                             IRQ
IRELAND                                      IRL
ISRAEL                                       ISR
ITALY                                        ITA
JAMAICA                                      JAM
JAPAN                                        JPN
JORDAN                                       JOR
KAZAKHSTAN                                   KAZ
KENYA                                        KEN
KIRIBATI                                     KIR
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF       PRK
KOREA, REPUBLIC OF                           KOR
KUWAIT                                       KWT
KYRGYZSTAN                                   KGZ
LAO PEOPLE'S DEMOCRATIC REPUBLIC             LAO
LATVIA                                       LVA
LEBANON                                      LBN
LESOTHO                                      LSO
LIBERIA                                      LBR
LIBYAN ARAB JAMAHIRIYA                       LBY
LIECHTENSTEIN                                LIE
LITHUANIA                                    LTU
LUXEMBOURG                                   LUX
MACAU                                        MAC
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF   MKD
MADAGASCAR                                   MDG
MALAWI                                       MWI
MALAYSIA                                     MYS
MALDIVES                                     MDV
MALI                                         MLI
MALTA                                        MLT
MARSHALL ISLANDS                             MHL
MARTINIQUE                                   MTQ
MAURITANIA                                   MRT
MAURITIUS                                    MUS
MAYOTTE                                      MYT
MEXICO                                       MEX
MICRONESIA, FEDERATED STATES OF              FSM
MOLDOVA, REPUBLIC OF                         MDA
MONACO                                       MCO
MONGOLIA                                     MNG
MONTSERRAT                                   MSR
MOROCCO                                      MAR
MOZAMBIQUE                                   MOZ
MYANMAR                                      MMR
NAMIBIA                                      NAM
NAURU                                        NRU
NEPAL                                        NPL
NETHERLANDS                                  NLD
NETHERLANDS ANTILLES                         ANT
NEW CALEDONIA                                NCL
NEW ZEALAND                                  NZL
NICARAGUA                                    NIC
NIGER                                          NER
NIGERIA                                        NGA
NIUE                                           NIU
NORFOLK ISLAND                                 NFK
NORTHERN MARIANA ISLANDS                       MNP
NORWAY                                         NOR
OMAN                                           OMN
PAKISTAN                                       PAK
PALAU                                          PLW
PANAMA                                         PAN
PAPUA NEW GUINEA                               PNG
PARAGUAY                                       PRY
PERU                                           PER
PHILIPPINES                                    PHL
PITCAIRN                                       PCN
POLAND                                         POL
PORTUGAL                                       PRT
PUERTO RICO                                    PRI
QATAR                                          QAT
REUNION                                        REU
ROMANIA                                        ROM
RUSSIAN FEDERATION                             RUS
RWANDA                                         RWA
SAINT KITTS AND NEVIS                          KNA
SAINT LUCIA                                    LCA
SAINT VINCENT AND THE GRENADINES               VCT
SAMOA                                          WSM
SAN MARINO                                     SMR
SAO TOME AND PRINCIPE                          STP
SAUDI ARABIA                                   SAU
SENEGAL                                        SEN
SEYCHELLES                                     SYC
SIERRA LEONE                                   SLE
SINGAPORE                                      SGP
SLOVAKIA (Slovak Republic)                     SVK
SLOVENIA                                       SVN
SOLOMON ISLANDS                                SLB
SOMALIA                                        SOM
SOUTH AFRICA                                   ZAF
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS   SGS
SPAIN                                          ESP
SRI LANKA                                      LKA
ST. HELENA                                     SHN
ST. PIERRE AND MIQUELON                        SPM
SUDAN                                          SDN
SURINAME                                       SUR
SVALBARD AND JAN MAYEN ISLANDS                 SJM
SWAZILAND                                      SWZ
SWEDEN                                         SWE
SWITZERLAND                                    CHE
SYRIAN ARAB REPUBLIC                           SYR
TAIWAN, PROVINCE OF CHINA                      TWN
TAJIKISTAN                             TJK
TANZANIA, UNITED REPUBLIC OF           TZA
THAILAND                               THA
TOGO                                   TGO
TOKELAU                                TKL
TONGA                                  TON
TRINIDAD AND TOBAGO                    TTO
TUNISIA                                TUN
TURKEY                                 TUR
TURKMENISTAN                           TKM
TURKS AND CAICOS ISLANDS               TCA
TUVALU                                 TUV
UGANDA                                 UGA
UKRAINE                                UKR
UNITED ARAB EMIRATES                   ARE
UNITED KINGDOM                         GBR
UNITED STATES                          USA
UNITED STATES MINOR OUTLYING ISLANDS   UMI
URUGUAY                                URY
UZBEKISTAN                             UZB
VANUATU                                VUT
VENEZUELA                              VEN
VIET NAM                               VNM
VIRGIN ISLANDS (BRITISH)               VGB
VIRGIN ISLANDS (U.S.)                  VIR
WALLIS AND FUTUNA ISLANDS              WLF
WESTERN SAHARA                         ESH
YEMEN                                  YEM
YUGOSLAVIA                             YUG
ZAIRE                                  ZAR
ZAMBIA                                 ZMB
ZIMBABWE                               ZWE
Country         Country 3-letter code State/Province
UNITED STATES   USA
                                      Alabama
                                      Alaska
                                      Arizona
                                      Arkansas
                                      California
                                      Colorado
                                      Connecticut
                                      Delaware
                                      Florida
                                      Georgia
                                      Hawaii
                                      Idaho
                                      Illinois
                                      Indiana
                                      Iowa
                                      Kansas
                                      Kentucky
                                      Louisiana
                                      Maine
                                      Maryland
                                      Massachusetts
                                      Michigan
                                      Minnesota
                                      Mississippi
                                      Missouri
                                      Montana
                                      Nebraska
                                      Nevada
                                      New Hampshire
                                      New Jersey
                                      New Mexico
                                      New York
                                      North Carolina
                                      North Dakota
                                      Ohio
                                      Oklahoma
                                      Oregon
                                      Pennsylvania
                                      Rhode Island
                                      South Carolina
                                      South Dakota
                                      Tennessee
                                      Texas
                                      Utah
                                      Vermont
                                      Virginia
                                      Washington
                                      West Virginia
                                      Wisconsin
                                      Wyoming
CANADA    CAN
                Alberta
                British Columbia
                Manitoba
                New Brunswick
                Newfoundland and Labrador
                Northwest Territories
                Nova Scotia
                Nunavut
                Ontario
                Prince Edward Island
                Quebec
                Saskatchewan
                Yukon
AUSTRIA   AUT
                Australian Capital Territory
                New South Wales
                Northern Territory
                Queensland
                South Australia
                Tasmania
                Victoria
                Western Australia
2-3 letter state/province code   Old values

AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT

ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Oversight Authority Country   Oversight Authority Organization Name

Afghanistan                   Ministry of Public Health
Algeria                       Ministry of Health
Argentina                     Human Research Bioethics Committee
Argentina                     Administracion Nacional de Medicamentos,
                              Alimentos y Tecnologia Medica

Australia                     Department of Health and Ageing
                              Therapeutic Goods Administration
Australia                     Human Research Ethics Committee
Australia                     National Health and Medical Research
                              Council
Austria                       Ethikkommission
Austria                       Agency for Health and Food Safety
Austria                       Federal Ministry for Health and Women
Austria                       Federal Office for Safety in Health Care
Bangladesh                    Bangladesh Medical Research Council
Bangladesh                    Directorate of Drug Administration
Bangladesh                    Ethical Review Committee
Belarus                       Ministry of Health
Belgium                       Institutional Review Board
Belgium                       Directorate general for the protection of
                              Public health: Medicines
Belgium                       Federal Agency for Medicinal Products and
                              Health Products
Belgium                       Ministry of Social Affairs, Public Health and
                              the Environment
Belgium                       The Federal Public Service (FPS) Health,
                              Food Chain Safety and Environment
Bolivia                       Ethics Committee
Bolivia                       Ministry of Health
Brazil                        National Health Surveillance Agency
Brazil                        Ministry of Health
Brazil                        National Committee of Ethics in Research
Bulgaria                      Ministry of Health
Bulgaria                      Bulgarian Drug Agency
Burkina Faso                  Ministry of Health
Burkina Faso                  Ministry for Higher Education and Research

Cambodia                      Ministry of Health
Cameroon                      Ministry of Public Health
Canada                        Canadian Institutes of Health Research
Canada                        Ethics Review Committee
Canada                        Health Canada
Canada                        Ministry of Health & Long Term Care, Ontario

Chile                         Comisi?n Nacional de Investigaci?n
                              Cient?fica y Tecnol?gica
Chile                         Instituto de Salud Publica de Chile
China                         Ethics Committee
China                         Ministry of Health
China                         State Food and Drug Administration
Colombia                      INVIMA Instituto Nacional de Vigilancia de
                              Medicamentos y Alimentos
Colombia             Institutional Review Board
Croatia              Minister of Science, Education and Sports
Croatia              Ministry of Health and Social Care
Czech Republic       Ethics Committee
Czech Republic       State Institute for Drug Control
Denmark              Danish Dataprotection Agency
Denmark              Danish Medicines Agency
Denmark              Ethics Committee
Denmark              National Board of Health
Denmark              The Danish National Committee on
                     Biomedical Research Ethics
Denmark              The Ministry of the Interior and Health
Denmark              The Regional Committee on Biomedical
                     Research Ethics
Dominican Republic   Secretar?a del Estado de Salud P?blica y
                     Asistencia Social (SESPAS)
Ecuador              Public Health Ministry
Egypt                Institutional Review Board
Egypt                Ministry of Health and Population
Estonia              The State Agency of Medicine
Ethiopia             Ethiopia Science and Technology
                     Commission
Finland              Ethics Committee
Finland              Ministry of Social Affairs and Health
Finland              National Agency for Medicines
France               Afssaps - French Health Products Safety
                     Agency
France               Direction G?n?rale de la Sant?
France               French Data Protection Authority
France               Institutional Ethical Committee
France               Ministry of Health
France               National Consultative Ethics Committee for
                     Health and Life Sciences
Gambia               Department of State for Health and Social
                     Welfare
Gambia               MRC Ethics Committee
Georgia              Ministry of Health
Germany              Federal Ministry of Food, Agriculture and
                     Consumer Protection
Germany              Federal Ministry of Education and Research

Germany              Federal Institute for Drugs and Medical
                     Devices
Germany              Ethics Commission
Germany              Paul-Ehrlich-Institut
Ghana                Committee on Human Research
Ghana                Ministry of Health
Greece               National Organization of Medicines
Greece               Ethics Committee
Greece               Ministry of Health and Welfare
Guinea-Bissau        Ministry of Health
Hong Kong            Joint CUHK-NTEC Clinical Research Ethics
                     Committee
Hong Kong            Ethics Committee
Hong Kong            Department of Health
Hungary         National Institute of Pharmacy
Iceland         Ministry of Health and Social Security
Iceland         Icelandic Medicines Control Agency
India           Science and Engineering Research Council

India           Institutional Review Board
India           Ministry of Science and Technology
India           Ministry of Health
India           Department of Atomic Energy
India           Drugs Controller General of India
India           Indian Council of Medical Research
Ireland         Ministry of Health
Ireland         Medical Ethics Research Committee
Ireland         Irish Medicines Board
Israel          Ethics Commission
Israel          Ministry of Health
Israel          Israeli Health Ministry Pharmaceutical
                Administration
Israel          The Israel National Institute for Health Policy
                Research and Health Services Research

Italy           Ministry of Health
Italy           National Monitoring Centre for Clinical Trials -
                Ministry of Health
Italy           Ethics Committee
Italy           National Institute of Health
Italy           National Bioethics Committee
Italy           The Italian Medicines Agency
Jamaica         Ministry of Health
Japan           Foundation for Biomedical Research and
                Innovation
Japan           Pharmaceuticals and Medical Devices
                Agency
Japan           Ministry of Health, Labor and Welfare
Japan           Ministry of Education, Culture, Sports,
                Science and Technology
Japan           Institutional Review Board
Jordan          Ethical Committee
Kazakhstan      Ethical Commission
Kenya           Ethical Reveiw Committee
Kenya           Institutional Review Board
Kenya           Ministry of Health
Latvia          State Agency of Medicines
Lebanon         Ministry of Public Health
Lebanon         Institutional Review Board
Liechtenstein   Control Authority for Medicinal Products
Lithuania       Bioethics Committee
Lithuania       State Medicine Control Agency - Ministry of
                Health
Macedonia       Ethics Committee
Malawi          National Health Sciences Research
                Committee
Malawi          College of Medicine Research and Ethics
                Committee
Malaysia        Ministry of Health
Mali          Ministry of Health
Mauritius     Ministry of Health and Quality of Life
Mexico        National Council of Science and Technology

Mexico        Ethics Committee
Mexico        Federal Commission for Protection Against
              Health Risks
Mexico        Ministry of Health
Mexico        National Institute of Public Health, Health
              Secretariat
Mexico        Federal Commission for Sanitary Risks
              Protection
Morocco       Ministry of Public Health
Mozambique    Ministry of Health (MISAU)
Netherlands   The Central Committee on Research
              Involving Human Subjects (CCMO)
Netherlands   Dutch Health Care Inspectorate
Netherlands   Medical Ethics Review Committee (METC)
Netherlands   Medicines Evaluation Board (MEB)
Netherlands   Independent Ethics Committee
New Zealand   Health Research Council
New Zealand   Food Safety Authority
New Zealand   Health and Disability Ethics Committees
New Zealand   Institutional Review Board
New Zealand   Medsafe
Nigeria       The National Agency for Food and Drug
              Administration and Control
Norway        Data Inspectorate
Norway        The National Committees for Research
              Ethics in Norway
Norway        Norwegian Medicines Agency
Norway        Norwegian Institute of Public Health
Norway        Directorate for Health and Social Affairs
Norway        Norwegian Social Science Data Services
Pakistan      Ministry of Health
Pakistan      Research Ethics Committee
Panama        Ministry of Health
Peru          Ethics Committee
Peru          Ministry of Health
Peru          General Directorate of Pharmaceuticals,
              Devices, and Drugs
Philippines   Bureau of Food and Drugs
Philippines   Department of Health
Poland        Ministry of Scientific Research and
              Information Technology
Poland        Drug Institute
Poland        Ministry of Health
Poland        Office for Registration of Medicinal Products,
              Medical Devices and Biocidal Products

Portugal      Ethics Committee for Clinical Research
Portugal      National Pharmacy and Medicines Institute

Portugal      Health Ethic Committee
Romania       National Medicines Agency
Romania        State Institute for Drug Control
Saudi Arabia   Research Advisory Council
Saudi Arabia   Ministry of Health
Senegal        Ministere de la sante
Serbia         Ethics Committee
Sierra Leone   Ministry of Health and Sanitation
Singapore      Health Sciences Authority
Singapore      Domain Specific Review Boards
Singapore      Clinical Trials & Epidemiology Research Unit
               (CTERU)
Slovenia       Agency for Medicinal Products - Ministry of
               Health
Slovenia       Ministry of Health
South Africa   National Health Research Ethics Council
South Africa   Medicines Control Council
South Africa   Department of Health
Spain          Ministry of Health
Spain          Spanish Agency of Medicines
Spain          Ministry of Health and Consumption
Spain          Comit? ?tico de Investigaci?n Cl?nica
Spain          Ethics Committee
Sri Lanka      Ministry of Healthcare & Nutrition
Sudan          Ministry of Health
Sweden         Medical Products Agency
Sweden         The National Board of Health and Welfare
Sweden         Swedish National Council on Medical Ethics

Sweden         Regional Ethical Review Board
Sweden         Institutional Review Board
Switzerland    Ethikkommision
Switzerland    Federal Office of Public Health
Switzerland    Swissmedic
Switzerland    Laws and standards
Taiwan         Department of Health
Taiwan         National Bureau of Controlled Drugs
Taiwan         Institutional Review Board
Tanzania       National Institute for Medical Research
Tanzania       Food & Drug Administration
Tanzania       Ministry of Health
Thailand       Ethical Committee
Thailand       Khon Kaen University Ethics Committee for
               Human Research
Thailand       Food and Drug Administration
Thailand       Ministry of Public Health
Tunisia        Office of Pharmacies and Medicines
Tunisia        Ministry of Public Health
Turkey         Ethics Committee
Turkey         Ministry of Health
Uganda         Research Ethics Committee
Uganda         Ministry of Health
Uganda         National Council for Science and Technology

Ukraine        State Pharmacological Center - Ministry of
               Health
Ukraine        Ministry of Health
United Arab Emirates   General Authority for Health Services for Abu
                       Dhabi
United Arab Emirates   Drug Control Department - Medicines and
                       Pharmacy Control - Ministry of Health
United Kingdom         Food Standards Agency
United Kingdom         Medicines and Healthcare Products
                       Regulatory Agency
United Kingdom         Research Ethics Committee
United Kingdom         National Health Service
United Kingdom         Department of Health
United States          Federal Government
United States          Institutional Review Board
United States          Food and Drug Administration
Zambia                 Research Ethics Committee
Zambia                 Ministry of Health
Zimbabwe               Medical Research Council

						
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