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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- Amendment
- A change to the protocol or consent that needs approval first.
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B
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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- 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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- CTMS
- Clinical trial management system: where a study team tracks sites, visits and milestones.
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D
- 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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- 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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- 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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- 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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- 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
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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- 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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L
M
- 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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- 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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- 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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- Source
- The first place a piece of information was written down, such as the medical chart.
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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
- Unsolicited
- A question the doctor asked on their own, without being prompted.
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V
- Visit window
- The days around a planned visit when it still counts as on time.
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