SOP Guide for Pharma

BA-BE Studies: SOP for Maintaining Privacy and Confidentiality of Volunteers – V 2.0

BA-BE Studies: SOP for Maintaining Privacy and Confidentiality of Volunteers – V 2.0

Standard Operating Procedure for Maintaining Privacy and Confidentiality of Volunteers in BA/BE Studies

Department BA-BE Studies
SOP No. SOP/BA-BE/104/2025
Supersedes SOP/BA-BE/104/2022
Page No. Page 1 of 9
Issue Date 17/04/2025
Effective Date 20/04/2025
Review Date 17/04/2026

1. Purpose

To establish a standardized procedure for maintaining the privacy and confidentiality of volunteer identity and data during all phases of Bioavailability/Bioequivalence (BA/BE) studies in compliance with ICH GCP, Schedule Y, and national ethical standards.

2. Scope

This SOP is applicable to all clinical trial staff, including investigators, study coordinators, nurses, data management personnel, and archivists who have

access to identifiable volunteer data at the clinical research facility.

3. Responsibilities

  • Principal Investigator (PI): Ensures all staff are trained on confidentiality requirements and protocols.
  • Clinical Research Coordinator (CRC): Ensures all volunteer forms and records are coded and handled securely.
  • QA Officer: Audits and verifies compliance with confidentiality standards.
  • IT/Data Manager: Manages electronic data access controls and password-protected systems.

4. Accountability

The PI and Head of Quality are accountable for ensuring that all study-related volunteer information is protected from unauthorized access, use, disclosure, or loss.

5. Procedure

5.1 Volunteer Coding and Identity Protection

  1. Assign a unique Volunteer ID (e.g., VOL-104-001) at the time of enrollment.
  2. Ensure personal identifiers (name, address, contact) are recorded only in the screening log (Annexure-1) maintained under lock and key.
  3. CRFs and study documents must refer to the volunteer only by their assigned ID.

5.2 Secure Storage of Physical Records

  1. Keep all identifiable documents in locked cabinets within an access-controlled archive room.
  2. Access must be granted only to authorized personnel listed in Annexure-2: Access Control Log.

5.3 Electronic Data Protection

  1. Store volunteer data in password-protected systems with access restricted to designated users.
  2. Enable audit trails to track all data access and modifications.
  3. Backups must be encrypted and stored separately as per the data policy.

5.4 Training and Confidentiality Agreements

  1. All staff handling volunteer data must:
    • Sign a Confidentiality Agreement (Annexure-3)
    • Undergo annual training on data privacy

5.5 Disclosure and Exceptions

  1. Volunteer data may be disclosed only:
    • With written consent from the subject
    • During authorized regulatory inspections or audits
  2. All disclosures must be documented in Annexure-4: Disclosure Record Log.

5.6 Disposal and Archival

  1. Archive documents with volunteer identifiers for the minimum retention period mandated by regulations (typically 5 years post-study or as per sponsor).
  2. At end of retention period, destroy documents using secure methods (shredding/incineration) and document in Annexure-5: Confidential Data Disposal Log.

6. Abbreviations

  • BA: Bioavailability
  • BE: Bioequivalence
  • PI: Principal Investigator
  • CRC: Clinical Research Coordinator
  • QA: Quality Assurance
  • CRF: Case Report Form

7. Documents

  1. Volunteer Screening Log – Annexure-1
  2. Access Control Log – Annexure-2
  3. Confidentiality Agreement Form – Annexure-3
  4. Disclosure Record Log – Annexure-4
  5. Confidential Data Disposal Log – Annexure-5

8. References

  • ICH E6(R2) – Good Clinical Practice
  • Indian GCP Guidelines
  • Schedule Y – Drugs and Cosmetics Rules
  • Data Protection and Privacy Bill (India)

9. SOP Version

Version: 2.0

10. Approval Section

Prepared By Checked By Approved By
Signature
Date
Name
Designation
Department

11. Annexures

Annexure-1: Volunteer Screening Log

Volunteer ID Full Name Contact Screening Date Enrolled
VOL-104-001 Rajesh Kumar 9876543210 10/04/2025 Yes

Annexure-2: Access Control Log

Name Designation Access Level Date Granted
Sunita Reddy Data Manager Full 05/04/2025

Annexure-3: Confidentiality Agreement Form

Employee Name Role Date Signed Signature
Ajay Verma CRC 08/04/2025 Signed

Annexure-4: Disclosure Record Log

Date Recipient Purpose Authorized By
15/04/2025 Regulatory Inspector Routine Inspection PI

Annexure-5: Confidential Data Disposal Log

Date Documents Destroyed Method Destroyed By Verified By
17/04/2025 Old CRFs (Study BE-2020) Shredding Admin QA

Revision History:

Revision Date Revision No. Details Reason Approved By
10/01/2022 1.0 Initial Release Regulatory Requirement QA Head
17/04/2025 2.0 Enhanced with electronic data controls and annexures GCP Compliance QA Head
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