Checklist · Investigator-initiated trialsUpdated October 14, 2026

Investigator-initiated trial start-up checklist

When the investigator is also the sponsor, nobody else is holding the regulatory, safety and data tasks. This checklist orders them by dependency so a small academic team can see what blocks what, and what can run in parallel.

  • Ordered by dependency
  • Regulatory, ethics, data, site
  • Not legal advice: verify locally

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IIT start-up readiness (demo)

Done

9 of 22

Blocking

3

  • Protocol final and version-controlledv1.0
  • Regulatory pathway decided (IND, exemption or other)Written rationale
  • Ethics / IRB submissionPending
  • Public registration draftedBefore first enrolment
  • Safety reporting plan and contactsNot assigned
  • Data capture built and testedUAT in sandbox
  • Delegation log and training recordsMissing PI sign-off
Demo data. Flagged items are the ones that stop the first participant being enrolled.

Read this first

  • In the US, a sponsor-investigator is, broadly, an individual who both initiates and conducts an investigation (21 CFR 312.3 in the drug regulations). That person carries both the investigator duties and the sponsor duties. Check the current definition for your jurisdiction.
  • The checklist is ordered so the long-lead items start first: regulatory pathway, ethics, funding and contracts, registration and safety plan.
  • Data capture is a start-up task, not a database lock task. Forms, checks, roles and a tested export should exist before the first participant, not be bolted on later.
  • Not legal or regulatory advice. Where this page names a regulation, confirm the current text and your institution’s policy.

Why IITs are different

When there is no sponsor, the investigator has the sponsor’s job

A company-sponsored trial arrives with a clinical operations team, a regulatory affairs function, a pharmacovigilance group and a data management vendor. An investigator-initiated trial has the principal investigator, a coordinator or two, perhaps a research nurse and a statistician who is also helping three other projects. The tasks do not disappear. They fall to the same few people, which is why the order matters.

In practice, the sponsor-investigator’s duties include the decisions a sponsor would make: the regulatory route, the monitoring approach, safety reporting to regulators and ethics bodies, drug or device accountability, and records retention, as well as the investigator duties at the site. See software for investigator-initiated trials for the tooling view; this page is the task list.

The checklist

Start-up tasks by phase, with what each depends on

Treat the right-hand column as the dependency. Anything with no dependency can start on day one.

PhaseTaskDepends on / note
1. FoundationProtocol with objectives, endpoints, eligibility, visit schedule and analysis outlineEverything else. See protocol template
1. FoundationFunding, budget and who pays for whatNeeded for contracts. See budget template
1. FoundationStatistical plan and sample sizeProtocol endpoints
2. RegulatoryDecide the pathway: IND, exemption or equivalent, and write the rationaleProduct and indication. Check the exemption criteria with your regulatory office. See FDA IND guide for academics
2. RegulatoryPrepare and submit regulatory application where requiredChemistry, nonclinical and clinical sections; wait for the response period
2. RegulatoryInvestigator statement and financial disclosure forms where applicableRegulatory pathway
3. EthicsIRB or ethics committee submission with consent form and recruitment materialsProtocol, consent. See IRB submission checklist
3. EthicsData protection assessment where requiredData flow from the data management plan. See DPIA template
4. RegistrationPublic trial registration drafted and submitted before first enrolment, where requiredProtocol. See ClinicalTrials.gov guide
5. SafetySafety reporting plan: who classifies, who reports, to whom, in what timeProtocol, regulatory pathway. See SAE deadline calculator
5. SafetyData monitoring approach, including whether an independent monitor or committee is neededRisk assessment. See risk management plan template
6. DataData management plan, eCRF design, edit checks and rolesProtocol final. See data management plan template
6. DataUser acceptance testing with realistic dummy dataForms built. See UAT sandbox
6. DataConsent and ePRO workflow tested end to end, including exportEthics-approved wording
7. SiteDelegation log, training records, CVs and licencesTeam agreed. See delegation log template
7. SiteInvestigator site file set upSee site file index template
7. SiteProduct supply, accountability and storage procedures where relevantRegulatory pathway
8. ActivationFinal go-live review: approvals, registration, training, safety contacts, tested data captureAll of the above

Phases overlap. Ethics, registration drafting and data build can all run while the regulatory pathway is being decided.

Where IITs lose time

Six places start-up slips, and how to avoid them

Most delays are not exotic. They are the same few tasks done late.

The regulatory question is left until the protocol is "finished"

Ask your regulatory office early whether the study needs an IND or an exemption, because the answer changes the protocol’s safety language, the monitoring plan and the timeline. Write down the reasoning and keep it in the study file.

Registration is remembered after enrolment starts

For trials that fall under the registration rules, the deadline is tied to the first enrolment, and journals expect prospective registration. Put it on the checklist as a pre-enrolment gate. Check the current rules for your trial type.

No named person owns safety reporting

Reporting deadlines for serious unexpected events are short. Decide who receives the report from the site, who assesses it, who files and where the contact numbers are kept. Write it down before the first dose.

Forms are built the week before the first visit

Data capture built under time pressure produces vague fields and no edit checks. Build forms from the final protocol, test them with dummy participants in a sandbox, and fix the schedule of assessments first. See schedule of assessments builder.

Delegation and training records are patched later

A delegation log completed after procedures were performed is an inspection finding waiting to happen. Fill it in before anyone consents a participant, and update it when staff change.

The data export is untested until analysis

Export a few dummy participants during UAT and open the file in your analysis software. A mismatch found at database lock costs far more than one found in week two of start-up.

Data capture, built in the sandbox first

Build and test the study before it costs anything

Capture’s free sandbox contains every feature. A small team can draft visits and forms (including from an uploaded protocol, with human review before anything is saved), add edit checks, test skip logic, e-signatures and the audit trail with sample data, and go live only when the checklist is green.

  • EDC, eCRF builder, ePRO and eConsent in one system with one audit trail.
  • Part 11-aligned controls: field-level audit trail, e-signatures, role-based access.
  • Blank eCRF PDF export for the ethics submission.
  • Hosted in the EU (Frankfurt) or the USA (N. Virginia).
Study start-up software
Site 01 · Activation
  • IRB/EC approved12-Aug-2026
  • Contract executedConfirmed
  • Site initiated / SIV completed02-Sep-2026
  • Delegation log completeConfirmed
All 4 items completeActivate site

Pre-launch readiness

1 site activated

1 form not yet approved

Turn the data tasks into a tested build

Upload your protocol to the free sandbox, review the draft visits and forms, and run a dummy participant through the whole study.

Build your study in the free sandbox

Gate

Go-live gate: ten yes/no checks

Final approvals in hand

Regulatory (where required) and ethics, with the approved consent version on file.

Registration complete

Where required, with the identifier in the study file.

Safety plan live

Named people, contact numbers, forms and timelines.

Delegation log signed

Every person who will touch participants or data is on it.

Training recorded

Protocol, GCP, data capture and safety reporting.

Data capture approved and locked for live use

Forms tested with dummy data; edit checks verified.

Roles assigned

Least-privilege access, with coordinators and the PI set up.

Export tested

A dummy dataset opened in the analysis tool.

Supply and storage ready

If a product is involved, accountability forms and storage are in place.

Monitoring plan agreed

Who reviews what, and how often.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

What is a sponsor-investigator?

In US drug regulations, 21 CFR 312.3 describes it, broadly, as an individual who both initiates and conducts an investigation and under whose immediate direction the product is administered. That person has both sponsor and investigator duties. Check the current text and the rules where you work.

Does every investigator-initiated trial need an IND?

No. Some studies of marketed products can qualify for an exemption, depending on criteria set in the regulations. The decision is specific to the product, population and design, so ask your institution’s regulatory office and document the rationale. See the FDA IND guide for academics.

What should be done first?

The long-lead items: the protocol, the regulatory pathway decision, the ethics submission, the funding and contracts and the safety reporting plan. Data capture build can run in parallel once the protocol is stable.

Who is responsible for safety reporting in an IIT?

Usually the sponsor-investigator, which is why a safety plan with named people and timelines belongs on the start-up checklist. Reporting duties to regulators and ethics bodies depend on the jurisdiction and pathway.

Can a small academic team use a clinical trial platform without a data manager?

Yes, if the build is simple and tested. Capture is self-serve, with AI drafting of visits and forms from a protocol (always reviewed by a human), edit checks that raise queries automatically and a free sandbox to test everything first.

Does Capture handle regulatory submissions?

No. Capture is the data capture platform: EDC, eCRF, ePRO and eConsent with an audit trail. Regulatory applications, ethics submissions and registration are done by the study team. Capture can export a blank eCRF PDF to support an ethics submission.

Is this page legal advice?

No. It is a planning aid. Regulatory requirements vary by country, product and trial design, so confirm each item with your regulatory office, ethics committee and, where needed, counsel.

Get the data side of start-up done

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