Trial City

City slang

Last reviewed October 14, 2026

The words you will hear in clinical research, each in one plain sentence.

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1572
The FDA form where a US investigator commits to follow the rules for a study.
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A

Advisory board
A paid meeting where experts give the company advice.
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AE
Adverse event. Anything bad that happens to a patient during the study, related or not.
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ALCOA
Attributable, legible, contemporaneous, original and accurate: the test for good records.
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Aliquot
A sample split into smaller tubes.
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Amendment
A change to the protocol or consent that needs approval first.
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Audit trail
The record of who changed what in a system, and when.
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B

Backfill
Hiring someone to replace a person who left.
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Bill rate
What a client pays per hour for a contractor.
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C

CAPA
Corrective and preventive action: the fix for a problem plus the change that stops it happening again.
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Causality
The doctor's call on whether the study drug could have caused a problem.
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CDISC
Shared formats for study data so regulators can read it the same way every time.
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Central lab
One lab that tests samples from every site, so results compare.
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Central monitoring
Reviewing study data from the office to spot problems across sites.
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Chain of custody
The record of who held a sample and when, from arm to lab.
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Change order
A formal change to the scope and budget of a contract.
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Close-out
The last visit, when the study ends at that site.
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CRF
Case report form: the set of questions the study collects for each patient.
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CTA
Clinical trial application: the request to a regulator outside the US to run a study.
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CTIS
The EU portal where trial applications now go.
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CTMS
Clinical trial management system: where a study team tracks sites, visits and milestones.
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D

Data cleaning
Finding and fixing wrong or missing data before lock.
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Day 0
The day anyone at the company first learns of a safety case, which starts the reporting clock.
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DBL
Database lock. When the data is frozen so it can be analysed.
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DCT
Decentralized trial. A study where some or all visits happen away from the site.
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Delegation log
The list of who at the site may do which study task, signed by the PI.
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Deviation
Anything done differently from what the protocol says.
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Direct to patient
Study drug shipped from a pharmacy straight to the patient's home.
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DSMB
Data safety monitoring board: independent experts who look at unblinded results to protect patients.
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DSUR
Development safety update report: the yearly safety summary for a drug in development.
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E

eCOA
Questionnaires and diaries patients fill in on a phone or tablet.
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eConsent
Consent done on a screen, sometimes with a video call.
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eCRF
The electronic case report form inside the EDC.
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EDC
Electronic data capture: the system where sites enter study data.
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Edit check
An automatic rule in the EDC that flags data that looks wrong.
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Eligibility
The rules that say who can join the study and who cannot.
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Escalation
Raising a problem to someone more senior when it cannot be solved where it is.
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Essential documents
The papers that show the study was run properly, listed in GCP.
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eTMF
The electronic version of the trial master file.
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Excursion
Time outside the allowed temperature.
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Expectedness
Whether a side effect is already listed in the reference safety information.
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F

Feasibility
Checking if sites can find enough patients before you pick them.
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Follow-up letter
The letter a monitor sends a site after a visit, listing findings and actions.
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FPI
First patient in. The day the first patient joins the study.
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FSP
Functional service provider. A CRO supplying a team that works inside the sponsor's systems.
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G

GCP
Good clinical practice: the international standard for running trials ethically and well.
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GLP
Good laboratory practice: the standard for lab studies done before a drug reaches people.
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GMP
Good manufacturing practice: the standard for making medicines safely and consistently.
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H

Hybrid
A study with some visits at the site and some at home.
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I

IB
Investigator's brochure. What is known about the drug so far, for investigators.
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ICF
Informed consent form: the document a patient reads and signs before joining a study.
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IEC
Independent ethics committee: the name used outside the US for the committee that approves a study.
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IIS
Investigator initiated study. A study a doctor designs, that a company may support.
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IMP
Investigational medicinal product: the study drug, including any comparator or placebo.
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IND
Investigational new drug application: the US filing that lets a company test a new drug in people.
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Insight
Something useful a doctor said, written down for the team.
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Interim analysis
A planned look at the results before the study ends.
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IRB
Institutional review board: the US name for the committee that protects patients in research.
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IRB or EC
The ethics committee that must approve a study before patients join.
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ISF
The investigator site file. The binder, or folder, with every study document the site must keep.
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K

Kit
A packaged set of study supplies, such as drug or lab tubes, with its own number.
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KOL
Key opinion leader. A doctor other doctors listen to.
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L

Line manager
The person you report to day to day.
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Lock
Freezing the database so no more changes can be made before analysis.
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LPO
Last patient out. The day the last patient finishes.
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LTFU
Lost to follow-up: a patient the site can no longer reach.
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M

Manifest
The list of every sample in a shipment.
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MedDRA
The shared dictionary of words used to code side effects.
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Monitoring plan
The document that says what a monitor checks, how often and how much.
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O

Off label
Using a drug in a way that is not approved. MSLs only answer, never suggest.
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Oversight
The investigator staying in charge of what the team does, not just signing at the end.
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P

PI
Principal investigator: the doctor responsible for the study at a site.
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PV
Pharmacovigilance. The work of finding and reporting drug side effects.
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Q

Query
A question raised on a data point that the site has to answer or correct.
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R

RACI
A chart that says who does a task, who signs it off and who is told.
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RBM
Risk-based monitoring. Checking more where the risk is, less where it is not.
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Remote SDV
Checking source data without going to the site, through secure access to records.
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Req
An open job a company has approved to hire for.
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Requisition
The form that travels with the sample and says what it is.
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Risk-based monitoring
Focusing monitoring effort on the data and sites most likely to go wrong.
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S

SAE
Serious adverse event: a medical event during a study that is life threatening, needs a hospital stay or worse.
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SAP
Statistical analysis plan: how the results will be analysed, written before unblinding.
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Screen fail
A patient who tried to join the study but did not meet the rules to take part.
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Screen failure
A patient who was screened but did not qualify for the study.
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SDR
Source data review. Reading the records for quality, not ticking each number.
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SDV
Source data verification: checking that what is in the database matches the patient's records.
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Signal
A pattern in safety data that suggests a possible new risk.
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Site file
The binder or folder at the site that holds the study's essential documents.
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SOP
Standard operating procedure: a written how-to that everyone must follow.
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Source
The first place a piece of information was written down, such as the medical chart.
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Sub-I
Sub-investigator: a doctor the PI delegates study tasks to.
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SUSAR
Suspected unexpected serious adverse reaction: a serious side effect nobody expected, with fast reporting rules.
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T

TMF
Trial master file: the full set of documents that shows a study was run properly.
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U

Unblinding
Revealing which treatment a patient received.
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Unsolicited
A question the doctor asked on their own, without being prompted.
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Utilisation
How much of someone's time is billed to studies.
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V

Visit report
The write-up a monitor files after a visit.
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Visit window
The days around a planned visit when it still counts as on time.
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