1. Study Closure Process Entropy is not a method Rachel Sheppard Regulatory Director, OCRSS

2. Timing Sponsor/Investigator notification of closure and data lock No identifiable data collection after closure Case by case review when to close with IRB

3. Clinical Preparation Usually receive notification of closure Scheduling visit and coordinating departments Resolve outstanding queries Have all subject source documents available Complete IP accountability records/inventory Prepare equipment for return Communicate with study team (Investigators, regulatory, financial, hospital personnel)

4. Regulatory Preparation Notify IRB and Hospital offices of closure Resolve any outstanding monitoring findings Check all licenses and CVs Review Financial Disclosures Review/Provide Delegation of Authority Log Secure any sequestered data and place with files for storage

5. Financial Preparation Verify the status of A/R and payments Notify hospital billing and contracting Reconcile account Review payment terms in CTA Calculate final payment due Review with PI

6. Sponsor Activities Return/destruction of IP or instruction to staff Review of Investigator obligations Storage plan Regulatory review CRF review AE/Deviation review Closure of all open items Communication of FDA status (if applicable) Letter/email issued to site for closure

7. Best practice Pre closure checklist Accessibility of files Know storage requirements Request electronic CRF on CD for storage FD after one year if change Who keeps records Base transfer to long term storage on audit risk