Standard Operating Procedure for Maintaining Blinding in Blinded Studies
Department | BA-BE Studies |
---|---|
SOP No. | SOP/BA-BE/098/2025 |
Supersedes | SOP/BA-BE/098/2022 |
Page No. | Page 1 of 10 |
Issue Date | 17/04/2025 |
Effective Date | 20/04/2025 |
Review Date | 17/04/2026 |
1. Purpose
To outline the procedure for maintaining the integrity of blinding during the conduct of blinded Bioavailability/Bioequivalence (BA/BE) studies to ensure unbiased assessment, compliance with regulatory requirements, and valid interpretation of study data.
2. Scope
This SOP applies to all clinical, pharmacy, and QA personnel involved in the handling, dispensing, administration, and documentation of blinded investigational products (IPs) in BA/BE studies conducted at the research
3. Responsibilities
- Pharmacist: Maintains blinding by preparing and dispensing coded IPs and ensuring that treatment identity is not disclosed.
- Clinical Research Coordinator (CRC): Records IP administration without revealing identity and reports any suspected unblinding incident.
- Principal Investigator (PI): Ensures clinical staff are unaware of treatment allocation and oversees blinding protocol adherence.
- QA Officer: Audits processes and documents for any breach in blinding and ensures preventive actions are in place.
4. Accountability
The PI and Study Director are accountable for the maintenance of blinding and for ensuring all staff follow procedures that prevent unintentional or intentional unblinding during the study.
5. Procedure
5.1 Preparation and Labeling of IPs
- Pharmacist receives treatment allocation codes and packaging instructions from sponsor or randomization master list.
- Label each treatment as per Annexure-1: Blind Label Template, with:
- Study code
- Subject ID
- Dose number
- “For Clinical Trial Use Only”
- Do not mention product name or identity on the label.
5.2 Dispensing and Administration
- Only unblinded pharmacist or designee dispenses the IP as per the randomization code.
- Administer IP to the subject by trained nursing staff not involved in randomization or aware of product identity.
- CRC records time and dosing details in Annexure-2: IP Administration Log, maintaining the blind.
5.3 Emergency Unblinding
- Emergency unblinding is permitted only if subject safety requires knowledge of the administered treatment.
- Unblinding may only be authorized by the PI and must be documented in Annexure-3: Unblinding Authorization Form.
- Inform sponsor and ethics committee immediately after the unblinding event.
5.4 Monitoring and Deviation Handling
- All staff must report any suspected or actual breach of blinding to QA and the PI.
- Document incidents in Annexure-4: Blinding Deviation Log.
- Conduct Root Cause Analysis (RCA) and implement corrective and preventive actions.
5.5 Training and Documentation
- Train all involved staff on blinding procedures prior to study start.
- Maintain training records as part of the trial master file (TMF).
6. Abbreviations
- BA: Bioavailability
- BE: Bioequivalence
- CRC: Clinical Research Coordinator
- PI: Principal Investigator
- IP: Investigational Product
- QA: Quality Assurance
- RCA: Root Cause Analysis
7. Documents
- Blind Label Template – Annexure-1
- IP Administration Log – Annexure-2
- Unblinding Authorization Form – Annexure-3
- Blinding Deviation Log – Annexure-4
8. References
- ICH E6(R2) – Good Clinical Practice
- Indian GCP Guidelines
- Study Protocol and Blinding Plan
9. SOP Version
Version: 2.0
10. Approval Section
Prepared By | Checked By | Approved By | |
---|---|---|---|
Signature | |||
Date | |||
Name | |||
Designation | |||
Department |
11. Annexures
Annexure-1: Blind Label Template
Study Code | Subject ID | Dose Number | Storage Condition | Labelled By |
---|---|---|---|---|
BE2025-098 | VOL-098 | Dose 1 | 2–8°C | Ravi Nair |
Annexure-2: IP Administration Log
Subject ID | Dose Time | Form Administered | Given By | Remarks |
---|---|---|---|---|
VOL-098 | 08:00 AM | Tablet | Sunita Reddy | None |
Annexure-3: Unblinding Authorization Form
Date | Subject ID | Reason | Authorized By | Outcome |
---|---|---|---|---|
17/04/2025 | VOL-098 | Medical emergency | Dr. A. Shah | Treatment revealed |
Annexure-4: Blinding Deviation Log
Date | Subject ID | Description of Deviation | Corrective Action | Notified To |
---|---|---|---|---|
17/04/2025 | VOL-098 | IP identity disclosed by error | Re-training | QA & Sponsor |
Revision History:
Revision Date | Revision No. | Details | Reason | Approved By |
---|---|---|---|---|
10/01/2022 | 1.0 | Initial Release | New Study Setup | QA Head |
17/04/2025 | 2.0 | Added unblinding form and deviation log | GCP Compliance | QA Head |