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Member Site

For Study Coordinators

  • New CPN Website Design
    • Tour of the Redesigned CPN Website
  • Roster and Regulatory Forms
    • DCP Recruitment Plan Template, February 2010
    • CPN Roster and Regulatory Forms Packet, October 2011
    • CPN Electronic Regulatory Binder Requirements, March 2009
    • CPN Recruitment Summary Form
    • NCI, DCP Financial Disclosure Form
    • CTEP Individual 1572 Form
    • CTEP Financial Disclosure Form
    • CTEP Supplemental Investigator Data Form and Instructions
    • DCP Delegation of Tasks Form
    • CPN Site Monitoring Visit Appointment Log
    • CPN Patient Recruitment/Screening Log
  • Pharmacy: Drug Accountability, Audit, and Return Forms
    • DCP Guidelines for Agent Returns
    • DCP Agent Return Form
    • DCP's Pharmacy Audit Form
    • DCP's Drug Request Form
  • Serious Adverse Event (SAE) and Deviation Reporting
    • DCP's Serious Adverse Event Form
    • DCP's Serious Adverse Event Form Instructions
    • DCP's Deviation Reporting Form
  • Common Terminology Criteria for Adverse Events (CTCAE)
    • CTEP website CTCAE information
    • CTCAE V 4.03

Studies

  • 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)
    • Specimen Kit Order Form
  • MAY10-15-03 CPN Barrett's Esophagus Study
    • Fax Cover Sheet for Submission of all CRFs to CPN QAS
    • Fax Cover Sheet for Submission of CRF 17 to C. Holtz
    • Study Agent Order Form
    • Study Kit Order Form
  • MAY10-15-02 CPN Pioglitazone Study
    • Fax Cover Sheet for Submission of all CRFs to CPN QAS
    • Biopsy Specimen Submission Worksheet

Questions

If you have questions regarding specific clinical trials or questions about anything else, please contact the CPN Operations Office.

Study Coordinator Roles

Study Coordinator

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.

Members only 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
  • Current accrual information for all CPN studies
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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.

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