Senior Site Navigators play a critical role in the comprehensive coordination of site-level activities throughout the start-up phase of a clinical study and potentially through closeout activities as required. Serving as the single point of contact for investigative sites, this role ensures smooth progression from feasibility and initial outreach through to site activation, extending through the maintenance phase of the study as required. A crucial component in meeting the requirements of the Senior Site Navigator role is ensuring regulatory compliance, robust site management, optimal site support and training, and effective collaboration between the sponsor, CRO, and clinical site staff.
The Senior Site Navigator serves as local country expert in study start-up activities for a particular country or region. As senior team members, they perform work with limited oversight and their responsibilities include acting as a “knowledge resource,” mentoring /training junior colleagues if suitable. The Senior Site Navigator proactively anticipates and mitigates issues that could delay the study.
Oversight of site level tasks associated with efficient site activation in accordance with ICH/GCP guidelines, local regulations, SOPs and project requirements, including collaboration with project leadership and local monitors to collaboratively achieve project milestones while also ensuring patient rights, wellbeing and safety are protected
Identifying potential research sites that align with the study's criteria and assessing their capabilities and resources.
Conduct initial site outreach, i.e., site engagement, collection of Confidentiality Agreement, and feasibility survey
Remote Pre-Study Visits and follow up documentation, including visit preparation, trip report completion, and other documentation as required to support site selection in line with sponsor, protocol, local and country regulations and requirements
Support customization and translation of informed consent forms and patient-facing materials.
Collect, track and perform a quality review of all essential documents required for effective and compliant study site activation from Site outreach, submissions, greenlight and until site activation. Maintenance and ongoing awareness of site regulatory compliance, supporting annual IRB/Independent Ethics Committee (IEC) renewals, PI change-over, and document expirations will be performed as applicable in compliance with local requirements.
Actively participate in study team meetings to support study progress, develop and implement action plans for site level risks, underperforming sites, or issues impacting project milestones and escalate issues in a timely manner
Support the CRA team in preparing for site initiation visits (SIVs) by coordinating with vendors, supplies teams, and study leads to ensure timely distribution of clinical study supplies, accesses and documents per study team guidance.
Responsible for submissions to and liaise with applicable IRB/IEC, Third Bodies (if applicable), and Regulatory Authorities by collaborating with Global Regulatory Submissions Lead (GRSL).
Perform initial contract and budget negotiations with the sites, as well as amended where applicable
Ensure high quality documents are filed in applicable systems in accordance with SOPs and project requirements and that the Trial Master File (TMF) is updated and audit ready at all times.
Track the progress of the start-up process and ensure that the research site meets all requirements and deadlines
Ensure Fortrea is audit ready by completing accurate, timely, and consistent system compliance on an ongoing basis
Serve as primary contact for investigative sites and ensure timely delivery in alignment with scope of work/study budget
Perform Case Review Form (CRF) review and data validation against source documentation according to protocol and guidelines as applicable in combination with monitoring for site protocol deviations, Serious Adverse Event (SAE) reporting, and all other duties as needed or assigned throughout the course of the study.
Perform country and site ICF review/customization, per local requirements
All other duties as needed or assigned
