UCSF DSM Examples & Checklist

DSM Protocol Checklist

The DSM Protocol should contain:

  1. Study Risk Assessment
  2. Description of anticipated adverse events and their expected frequency
  3. Describe the steps you will take to minimize the risks/discomforts to subjects
  4. Description of safety monitoring
  5. Describe which research results, if any, will be made available to subjects and/or to their physicians
  6. Description of how AEs (adverse events) are graded
  7. Plan for AE reporting
  8. Describe who will perform the safety reviews: Individual versus Contracted Research Organization (CRO), or a Data and Safety Monitoring Board (DSMB)

The DSM Plan section of the protocol should describe:

  • Primary and secondary outcome measures
  • Inclusion/exclusion criteria
  • Sample size
  • List of participating enrolling clinics or data collection centers
  • Projected timetable
  • Target population distribution (e.g., women, minorities, etc.)
  • Data acquisition and transmission
  • Data entry methods
  • Data analysis plan
  • Quality assurance plan
  • Reporting mechanisms of AEs/SAEs to the IRB, FDA, and NIDA.
  • Reporting mechanisms of IRB actions to NIDA
  • Report of changes or amendments to the protocol
  • Trial stopping rules
  • Conflict of interest
  • Potential risks and benefits for participants
  • Collection and reporting of AEs and SAEs
  • Management of SAEs or other study risks
  • Plans for Interim Analysis of efficacy data
  • Responsibility for data and safety monitoring
  • Frequency of DSM reviews
  • Content of DSM report
  • DSM Board Plan (if applicable)

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