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INfluenza Vaccine to Effectively Stop cardioThoracic Events and Decompensated heart failure Trial
Frequently Asked Questions
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Multiple research sites for the PI and SubI: What are your recommendations to set up with separate shipments of vaccines?It is best to provide us with separate feasibility forms (we can provide as many links as necessary) to identify individuals we will need to know to perform the study/shipments, etc. If a network of sites identify the same central contracting officer, REB address, etc. that's ok, simply provide that information in the appropriate sections. We'll assign an individual site ID number as necessary for logistical purposes and documentation of regulatory/GCP training, and ability to manage study drug, reporting purposes, etc.
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How long does it take to get portal access to the 2 systems?eSOCDAT: A study coordinator at each site has been granted eSOCDAT access. They can create and activate accounts for all peronnel at that site. OpenClinica: Frontier grants access by checking against the personnel log in eSOCDAT, so personnel should be in the system before requesting access. Frontier grants access within 3 days, but typically it's the same day or next.
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Will you be providing the anaphylaxis kits?We will not be providing the kits as it is standard for hospitals to have this kind of equipment.
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What kind of hospitalization documentation do you want, labs, admission note, diagnostics done (CXR, cardiac cath., CT) and discharge summary?"For eligibility, either a hospital history & physical or discharge summary is appropriate. Patient discharge paperwork is insufficient. Clinic notes or progress notes may be submitted in addition as supporting documentation. For endpoints, a discharge summary with investigator summary is requested. In the event of death, a death narrative is requested with autopsy report if available. The death narrative form can be found in the secure study portal. We do not routinely need separate labs or diagnostic reports.
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Are there any medication restrictions prior to receiving study injection?With regards to medications, enrolled participants should meet the following: a) not already vaccinated with the flu shot for the current season; b) no active infection being treated with antibiotics (low-dose, suppressive antibiotics for a stable chronic condition is ok); c) no current use of inotropes. Use of inotropes is considered consistent with acutely decompensated HF and these patients should not be enrolled until their condition improves. When in doubt, simply email your network coordinator liaison.
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Does GCP Training have to be from CITI Training or are other training websites acceptable?GCP training from any valid, recognized source, with appropriate documentation that the CCC will review and sign off on is fine. In Canada, because the study is regulated by Health Canada, Division 5 training (offered by CITI) is required, as is Handling of Hazardous Materials training. These are considered fairly standard tasks for regulated trial conduct.
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Can we recruit patients on IV inotropes?Patients on IV inotropes would still be considered acutely decompensated and should not be enrolled until their condition improves.
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Does a returning participant need to meet the inclusion criteria to be re-vaccinated?No, participants enrolled in a previous year may be re-enrolled as long as they do not meet any exclusion criteria.
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Is there a study specific definition of decompensation?There is no specific definition. Decompensation is deferred to the PI’s discretion. In general, once subjects are ready for discharge, they are considered no longer acutely decompensated.
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Can we recruit subjects that in the opinion of the physician will pass away from cardiac causes within 6-9 months?Yes, as long as they are not currently acutely decompensated.
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Can we recruit inpatients?Yes, as long as they are no longer acutely decompensated. We suggest waiting until near discharge.
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Is it okay to enroll patients on prophylactic antibiotics prior to a medical or dental procedure?Yes. Prophylactic antibiotics are fine. Antibiotics for an acute infection would be an exclusion.
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Can we recruit people who are on the transplant list?Yes. However, subjects who are undergoing a prolonged hospitalization prior to their transplant may be too acutely ill to be enrolled. We suggest waiting until the subject is at or near discharge or recruiting as an outpatient.
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