JkS3, you may have this info or know where it should be.
AVXL are doing/completeing trials in a number of different countries simultaneously. Do you know who are the CRO's being used in each? Do you know if AVXL have precertitied/validated these CRO's for required crednetials proior to doing the trials. My guess is multiple CRO's in several countries, using complex technology and S/W-H/W systems starts to get to be a complexity -management issue very quickly. Simple things like REv controls and records management protocols/requirements can get hard to do while running at full speed.
So, keeping all the CRO's on the same program-time page, having evidence of each validated SW-HW system (see records/change control) are all fundamental to passing FDA-(in country) certifcation requirements.
Doing what must be done WW while trials are running AND while keeping FDA (other) certification requirements WW is a big job. I won't even mention time compression and criticality of each module or rev. controls.
Mind boggles w/trying to know where to start and how to know adequate CRO-Regulatory bodies controls are in place. Never mind doing all this against a time compressed schedule.
Any ideas if all that was done by respective in country CRO's in a AVXL program coordinated manner or if AVXL staff did such from a central control point?
TIA.