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If you need to manually update a protocol status to Closed to Accrual, the Closed to Accrual status button will become available only after the study has been in the Open to Accrual status. If a protocol closed before it opens, the Abandoned or Terminate status will be more appropriate (see definitions below).

IRB Study Closure

Once the protocol has been closed with IRB, the protocol status in OnCore will need to be manually updated to IRB Study Closure. The IRB Study Closure button is displayed after the protocol is marked Closed to Accrual. When a protocol is assigned the status of IRB Study Closure, an Undo IRB Study Closure button is displayed. If you update the status to IRB Study Closure while the protocol still has active subject (accrued subjects without Off Study dates), a warning appears but does not prevent you from updating the status.

Definitions

• New: Automatic status upon creating a new protocol shell; the Last Changed By field will auto-populate with the name of the staff who created the protocol shell.
• PRMC Approval: (Oncology library only) Assigned when a PRMC Initial Review is completed for the protocol; this status may not be required if PRMC Review is not required for the protocol.
• IRB Initial Approval: Assigned when an IRB Initial Review is completed for the protocol.
• Protocol Signoffs: see Open to Accrual section above for more details
  • CRC Signoff: (Oncology library only): Clinical research coordinator
  • Team Lead Signoff: Manager or Team lead
  • Regulatory Signoff:  (Oncology library only) Regulatory coordinator
• On Hold: This status is typically assigned when a sponsor puts the protocol on hold prior to opening to accrual.  When a protocol is removed from On Hold status by clicking Off Hold, the protocol reverts to its previous status. 
• Abandoned: This status indicates that no further action is expected for this protocol prior to Open to Accrual. An Abandon button is displayed until a protocol is Open to Accrual. When a protocol has the status of Abandoned, an Undo Abandon button is displayed. Clicking the button reverts the protocol to its previous status.
  
• Open to Accrual: Protocol has been approved, is open, and is actively enrolling subjects. Open to Accrual signoff is not available until all protocol signoffs have occurred.
• Closed to Accrual: Protocol is not actively enrolling subjects.  For studies that require PRMC Review, the study should not be closed to accrual until the PRMC Closure review has been submitted. 
  The following fields are required:
  • Initiator: Choose the party that initiated the closed to accrual status change.
  • Reason: Records the reason for the status change.
• Suspended: This status indicates that a protocol is temporarily Closed to Accrual but may reopen. OnCore does not allow you to place subjects On Study when a protocol is Suspended.
• IRB Study Closure: Typically the final status for the protocol when the expected outcome is successfully completed and comes after Closed to Accrual.
• Terminate: This status is typically used when a protocol ends prior to completing the expected outcome, and indicates that no further protocol action is required. The Terminate button is displayed after the protocol is Closed to Accrual or after IRB Study Closure. When a protocol is marked as Terminated, an Undo Terminate button is available. If you update the status to Terminated while the protocol still has active subject (accrued subjects without Off Study dates), a warning appears but does not prevent you from updating the status.
• Undo: Whenever an Undo status option is available, this will remove the status from the Protocol Status block. (It will still appear in the History.)
  • User Undo if a signoff was completed erroneously and should be removed.
  • Do NOT use Undo if the status was active at one time but has since changed.