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Y and Infectious Diseases (NIAID) Date: Protocol Number: Investigator of Record Name: Clinical Research Site Name: Clinical Research Site Number: Investigational Product Name: Strength and Dosage Form: Package Size: Manufacturer: Lot Number(s): Required Storage Temperature: Box number(s) affected: Hereby we would like to inform you about a temperature excursion that occurred at site indicated above, that was reported on date: and occurred on date: . Te.

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How to fill out the Investigational Product Temperature Excursion Form - National ... online

Completing the Investigational Product Temperature Excursion Form is essential for reporting temperature excursions in clinical research. This guide will help you navigate the form accurately and ensure all necessary information is provided.

Follow the steps to fill out the form effectively.

  1. Select the ‘Get Form’ button to access the Investigational Product Temperature Excursion Form and open it in the editor.
  2. Begin by entering the date of the excursion in the designated field. Ensure the format is correct and reflects the occurrence date accurately.
  3. Fill in the protocol number, investigator of record name, clinical research site name, and clinical research site number. This information identifies the study and site handling the investigational product.
  4. Record the investigational product name, strength, dosage form, package size, manufacturer, and lot number(s). This section is crucial for identifying the specific product affected by the excursion.
  5. Indicate the required storage temperature and box number(s) affected. This helps in assessing the impact of the temperature excursion.
  6. In the description field, clearly outline the details of the temperature excursion, including the temperatures exposed and the duration. Provide any relevant comments that may assist in the evaluation.
  7. Both the pharmacist of record and the DAIT authorized monitor need to sign in their respective sections. This is to attest that the information provided is accurate and that the temperature excursion was noted during the monitoring visit.
  8. Attach the site manual or an electronic temperature log to the form as required. This documentation supports your report.
  9. Once all fields are completed and the necessary documents are attached, you can save changes, download, print, or share the form as needed.

Complete the Investigational Product Temperature Excursion Form online today to ensure compliance and accurate reporting.

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Refrigerator Storage: 2°C to 8°C 3. Freezer Storage: -25°C to – 10°C 4.

Acceptable Temperature Ranges for Devices Used for Storage of Investigational Product:Storage DeviceCelsiusFahrenheitControlled room temperature15°to 25°59°to 77°Refrigerator2°to 8°35.6°to 46.4°-20°C Freezer-25°to -10°-13°to 14°-80°C Freezer-84.

A temperature excursion occurs when any temperature reading is outside the recommended range for vaccine as defined in the manufacturer's package insert. Vaccines must always be stored properly, even if viability is questionable.

The maximum temperature excursion should be NMT 40°, as 40° is the standard ICH accelerated condition for room temperature drug products. If satisfactory stability data is available, temperature excursions beyond 40° could be accepted. Temperatures higher than 40° increase the likelihood for product degradation.

The primary USP controlled room standard for facilities to understand is USP 797, which specifies that clean rooms should be kept at a temperature of 68 °F (20 °C) or below, however, full compliance depends on the type of facility.

Objectives: The United States Pharmacopoeia (USP) recommends that medication storage temperatures should be maintained between 15 degrees C and 30 degrees C (59 degrees F to 86 degrees F). Concerns have been raised that storage temperatures in EMS may deviate from this optimal range, predisposing drugs to degradation.

Temperature Excursion: A temperature reading outside of the acceptable temperature ranges and outside of the acceptable storage temperatures as defined per individual protocol AFTER rounding rules are applied. Investigational product (IP): A new drug or biological drug that is used in a clinical trial.

2.2 Study product storage Study product should be stored in a limited-access location and ing to instructions received from the supplier, distributor, or manufacturer. Proper storage conditions should address the temperature, light, moisture, ventilation, and sanitation needs of the study product.

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Fill Investigational Product Temperature Excursion Form - National ...

(FORM L). Division of Allergy, Immunology, and Transplantation. Purpose: This template may be used to record and document the temperature management of investigational product. This procedure describes the specific procedures relating to medication temperature management processes for investigational product (IP) Incomplete or missing paperwork, products that experienced unacceptable temperature excursions during transport, or products suspected to be counterfeit. Storage Temperature Requirements. Allowable Temperature Range.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232