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Form Approved: OMB No. 09100014 Expiration Date: February 28, 2019, See OMB Statement on Reverse. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOOD AND DRUG ADMINISTRATIONSTATEMENT OF INVESTIGATOR (TITLE
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To fill out the name of a clinical investigator, follow these steps:
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Start by writing the investigator's first name followed by a space.
03
Then write the investigator's middle name or initial followed by a space.
04
Finally, write the investigator's last name.
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Make sure to use proper capitalization and spelling for each part of the name.

Who needs name of clinical investigator?

01
The name of a clinical investigator is needed by various parties involved in clinical research or trials:
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- Pharmaceutical companies conducting clinical trials
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- Regulatory agencies overseeing the trials
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- Institutional review boards (IRBs)
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- Research organizations
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- Healthcare professionals involved in the study
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- Patients participating in the clinical trial
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Accurate and complete information about the clinical investigator allows for proper identification, documentation, and accountability throughout the trial process.
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Name of the clinical investigator refers to the individual responsible for conducting the clinical trial.
The sponsor of the clinical trial is required to file the name of the clinical investigator.
The name of the clinical investigator should be provided in the required documentation of the clinical trial.
The purpose of providing the name of the clinical investigator is to identify the individual leading the clinical trial.
The full name and contact information of the clinical investigator must be reported.
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