Cancer Prevention Network

CPN's clinical trial Study Coordinators and Clinical Research Assistants have a critically important role. They are the individuals on the front line of patient care who make it possible for the Physician investigators to do cancer prevention research. Study Coordinators take responsibility for educating patients, keeping accurate and complete files and records, and insuring compliance with all regulations regarding patient safety and confidentiality. On behalf of CPN, thank you.

The following documents are available for Study Coordinators:

Roster and Regulatory Forms: DCP Recruitment Plan Template, February 2010 CPN Roster and Regulatory Forms Packet, January 2010 Memo regarding revised CPN Roster and Regulatory Forms Packet, August 2009 CPN Electronic Regulatory Binder Requirements, March 2009 CPN Recruitment Summary Form, October 2008 FDA Financial Disclosure Form CTEP Financial Disclosure Form CTEP Supplemental Investigator Data Form and Instructions CPN Site Signature Sheet and Delegation of Duties Log CPN Site Monitoring Visit Appointment Log CPN Patient Recruitment/Screening Log	For MAY03-1-02 CPN Lung/Sulindac Study: Cover sheet for faxing CRFs to QAS
	For MAY04-4-01 CPN Barrett's esophagus Study: Fax Cover Sheet for Submission of all CRFs to CPN QAS Fax Cover Sheet for Submission of CRF 7 to C. Holtz Fax Cover Sheet for Submission of CRF 8 to C. DeMars Esomeprazole Order Form Revised Study Kit Order Form Aspirin/Placebo Order Form (fillable pdf format) Barrett's Esophagus Definitions
Pharmacy: Drug Accountability, Audit, and Return Forms: Investigational Agent Accountability Form DCP Guidelines for Agent Returns DCP's Pharmacy Audit Form DCP's Drug Request Form DCP's Drug Return Form	MAY06-8-01 CPN Myo-inositol Study: Fax Cover Sheet for Submission of all CRFs to CPN QAS Study Agent Order Form (fillable pdf format)
Deviations and Adverse Event Reporting: DCP's Serious Adverse Event Form DCP's Deviation Notification Form and Policy DCP's Fillable Deviation Reporting Form	Go to the Members Only section for the following documents: All protocols and protocol-related documents Consent Forms Recruitment brochures and other tools Directories of Cancer Prevention Network personnel Directories for all Participating Site study personnel Official communications from the CPN Operations Office Minutes of CPN Meetings Current accrual information for all CPN studies
Common Terminology Criteria for Adverse Events (CTCAE): CTCAE Versions 3.0 and 4.03 are available from NCI. CTEP website CTCAE information CTCAE V 4.03 CTCAE v3 MedDRA 9 and 10 codes CTCAE v3 Map to MedDRA 6 codes (pdf)

If there are any other documents or forms needed, please contact the CPN Operations Office.
Thank you and good luck.

CPN
Operations Office
200 First Street SW
Rochester, MN 55905
Fax: 507-284-5280
E-mail: contact@cancerpreventionnetwork.org

The mission of the Cancer Prevention Network is to organize, promote, and conduct cancer prevention research through a coordinated multidisciplinary network of dedicated investigators and study personnel.