ISPCTN Research Portal Request and Research Team Modification Report

ISPCTN Research Portal Request and

Research Team Modification Report

All ISPCTN portal requests for access and modifications to study teams (including study changes) must be reported to the DCOC using the form below. Email notifications to the DCOC will no longer be accepted to grant access or make modifications.

This form may also be used to request general access, specific study access, as well as Professional Development access only (for non-ISPCTN members).

Request research portal access and report all study team modifications by completing the form below.

Note: A separate request must be completed and submitted for each study team modification.

Onboarding:

Additions and modifications to clinical site awardee research teams include the following:

New research team member(s) joining a study team (person will need access to study dashboard)
Existing portal user(s) joining a new study team(s) (person will need access to new study dashboard)

If your site is making an addition or modification to a study team(s), each requested user must complete study training before being granted study dashboard access.

Documentation needed (to be provided to the study team for verification):

Training certificates and a revised Delegation of Authority Log with the authorized Principal Investigator's signature are required to add new study team members. This is required for each study.

Offboarding:

Research team member(s) leaving a site
Research team member(s) leaving a study

Documentation needed (to be provided to the study team for verification):

If your research team member is leaving a specific study that requires study dashboard access, a Delegation of Authority Log will be required to show the offboarding change at your clinical site.

Submitter Name*

Name of person completing form.

Submitter Email*

Email for person completing form.

Date Modification will take place*

Type of Request or Modification*

New Research Team Member (new portal user)

Non-ISPCTN Member operating under a Network Participation Agreement (NPA)

Existing portal user joining a study and remaining at site

Existing portal user leaving a study and remaining at site

Portal user exiting ISPCTN

Type of Portal Access:*

Select

First Name*

First name of team member for change request.

Last Name*

Last name of team member for change request

Credentials

Team member credentials

Institution*

Institution of team member for change request

State*

State in which institution is located

Institutional Email*

(Institutional email for team member for change request) The email you enter here will be used for network application system log-ins and all network communications. Please be sure to use this preferred email or existing email if already an ISPCTN portal user.

Re-enter Institutional Email*

Verify correct email address for ISPCTN change request.

If Other, please state ISPCTN Network Role.*

ECHO ISPCTN Study Involvement*

What study dashboard(s) access will the team member need?

*Please use a separate request for access to each study dashboard

If the requested study is not listed, the study is not onboarding team members yet. Contact your Clinical Site Manager for more information.

Select

Which study is research team member joining?*

Select

Which study is research team member leaving?*

Select

Which Coordinating Center works with your site?*

Select

Authorization for ISPCTN Study Dashboard Access

“By selecting this option, I confirm that I am duly authorized to access the specified ISPCTN Study Dashboard selected below. I acknowledge that this access grants me the ability to view proprietary documents strictly for authorized purposes. I am legally binding myself to the following terms and affirm that all information provided in my access request is accurate and true:

- Authorized Access: I assert that I am authorized to view these documents. I understand that unauthorized access is strictly prohibited and subject to legal penalties.

- Non-Disclosure: I will not disclose, share, or disseminate any part of these documents or their contents with any individual or entity not also authorized to view them.

- Use of Information: I will use the information contained within these documents solely for its intended purpose and in compliance with applicable laws and regulations.

- Legal Compliance: I acknowledge that failure to adhere to these terms can result in disciplinary action, legal consequences, and termination of my access to the ISPCTN Study Dashboard.”

I agree with the acknowledgment above.*

Study-specific role:*

Select

Please state other study-specific role:*

Will you perform any of the following study tasks?*

Select

Working Group Involvement

Select

Future Content Expert for Reviewing Protocols

Select

Name, credentials, and expert areas*

Requirements for Study and Electronic Data Capture Systems Access:

Requirements for Access to Study Dashboard:

- Human Subjects Protection/Good Clinical Practice Certifications

- Licensure (For Licensed Staff Members ONLY; i.e., MDs and RNs)

- Curriculum Vitae (CV) (For Site/Co-Investigators ONLY)

Requirements for Access to the Electronic Data Captures System(s):

- Investigator Training Session Certificate

- Applicable Study-Specific Training Certificate(s)

- Required EDC Training Certificate(s)

- Delegation of Authority Log with delegated responsibilities that require EDC access, a Start Date on or prior to this form’s submission date, and a confirmation of this entry with the Site Investigator’s Initials and Date.

Procedures for training and study access under a Network Participation Agreement (NPA)

The required NPA must be received before access will be granted.

Upon completion of this form, the user will receive notification via email within 3 to 5 business days to complete next steps to gain access.

Send me a copy of my responses

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