
The essentiality determination: applying the framework to decide what must be retained
Teaches the RC to apply ICH E6(R3) Appendix C, Section C.3 criteria as the analytical framework governing what the site's records infrastructure must accommodate.
When the sponsor asks you to retain something that is not on the list
A sponsor's clinical monitoring plan arrives at the site. Buried in Section 12 -- records retention requirements -- is a line the regulatory coordinator has not encountered before: "The site shall retain all centralized monitoring reports and related queries for the duration of the retention period." The RC checks the Essential Records Table in ICH E6(R3) Appendix C. Centralized monitoring reports are listed. But the related queries -- the specific data clarification requests generated by statistical signal detection algorithms and sent to the site for resolution -- are not listed as a separate line item.