Conceptual PlanningDesign and PlanningReview cyclesSystems setupSite setup andimplementationProtocol and trialdocumentation developmentEstablishfoundationalknowledgePrepareessentialtrialdocumentsConductfeasibilityassessmentStart draftingthe CSRInternalassessmentSet up datacapture systemBuildrandomizationsystemSet upadjudicationsystemSitequalification –surveys andpre-study visitsSite-specificbudgetdevelopment Set up site-specificinfrastructureSiteinitiationvisitSample sizeSite selectionEndpointsParticipantpopulationCentral studyteamFundersConductconsultationswith keystakeholdersResearchrequirements,guidelines,and principlesACTdefinitionand scopeFamiliarizationwith SPIRITTrial designoptionsIND/IDEdefinitionand scopeRandomizationand blindingprocedureParticipantrecruitmentstrategyStatisticalanalysisapproachRiskassessment andmanagementplanMonitoringplanDatamanagementand sharingplanDatamonitoring andsafety planSAPParticipantinformationsheetCRFsInformedconsentformsSOPsIND / IDEsubmission andreviewObtain siteapproval andsign contractsEthics boardContractsConduct and operationsSite activation andparticipant recruitmentOngoing study conductand monitoringStudy completionData managementSafety evaluationProtocol compliance and deviationsRegulatory reporting and communicationsInternal study activitiesParticipant managementImplementparticipantrecruitmentstrategyFollow studyentry andallocationproceduresOngoing studyconduct andmonitoringInterim analysisDatabaselockSite close-outactivitiesResultdisseminationAnalysis and disseminationTrialcompleteDevelop andpublish themanuscriptDisseminateresults toparticipantsComplete anysecondarydisseminationactivitiesConduct theprespecifiedanalysis