Protocols / Protocol / Protocol Visit
John Doe
DOB14/04/1894
MRNAD10025AL-1001-1
Trainings
29/May/2026
experiment
Study
Alpha ATP3 ID_Y
labs
Laboratory
AMGEN
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Principal investigator
Medical Trainer
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Status
Start Up
timeline
Phase
Phase 3
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Visit Completed

ICF Signature

First saved: 01/Jun/2026 12:42
Last modified: 13/Aug/2026 12:14
Before anything else, ask the patient whether they are fasting (8 h), and whether they brought any document: ID card, identity document, passport, or a witness (emphasise this in the telephone invitation) *
YesNo
Was the informed consent form signature process carried out? *
YesNo
ICF signature process start time *
09:00
Was the Vulnerability Checklist carried out? *
YesNo
The patient is considered *
Vulnerable
Not vulnerable
Witness first name and surname
not applicable

clinical_notesParticipant Evolution

Follow-up  AD10025AL-1001-1 Doe John
edit_square01/06/2026 12:58 [ICHTYS Medical Sub - ]:

On the day of the visit, the patient attends the centre, fasting for 8 hours, to carry out protocol visit No. 1 of the study: "study title". The patient is evaluated by me together with Dr "name". As the first procedure of this visit, the full content of the ICF ("ICF version") is reviewed again. 1) Objective of the study. 2) Why the patient is invited to take part. 3) What the study involves: time, visits, and the procedures carried out at each visit. 4) Medication: adverse effects, their frequency and scope. 5) Concept of placebo. 6) Use of the electronic diary throughout the study. 7) Confidentiality of their data. 8) The study is free of charge.

Vulnerability is assessed; the patient is not vulnerable. The patient has no doubts; it is confirmed that they have understood all the information. They are given sufficient time to think it over, and decide to take part in the study. Two originals of the ICF are then signed: one is handed to the patient and the other remains at the medical centre.

The IWRS patient No. 1001 is obtained.

Eligibility criteria are assessed.

edit_square03/07/2026 09:14 [Medical Trainer - physician]:

Laboratory results received.