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Please list the regular inspection activities during a Clinical Trial.

During a clinical trial, there are several types of inspections that may occur to ensure compliance with
regulatory requirements and the protocol. Some of the regular inspection activities during a clinical
trial may include:

1. Site initiation visit (SIV): This is the first visit by the sponsor or CRO to the site to ensure that
all study-related activities can be conducted in accordance with the protocol, and to train site
personnel on the study procedures.
2. Routine monitoring visits: The sponsor or CRO will conduct regular visits to the site to
monitor the conduct of the study, including data collection, adverse event reporting, and
compliance with the protocol.
3. Study close-out visit: At the end of the study, the sponsor or CRO will conduct a close-out
visit to ensure that all data has been collected and recorded appropriately, and that all study-
related documents have been completed and filed.
4. Audit: An audit is a formal, independent review of the study conduct and documentation to
ensure compliance with regulations and the protocol. Audits may be conducted by the
sponsor, CRO, or regulatory authorities.
5. Inspection: An inspection is a regulatory authority-led review of the study conduct and
documentation to ensure compliance with regulations and the protocol. Inspections may be
scheduled or unannounced.
6. Investigator site inspection: Investigator site inspections may be conducted by the sponsor or
CRO to ensure that the site is conducting the study according to the protocol and applicable
regulations.
7. Data safety monitoring board (DSMB) review: DSMBs are independent groups that review
safety and efficacy data during the course of a study to ensure that participant safety is
protected and that the study is being conducted appropriately.

The specific inspection activities that occur during a clinical trial will depend on the study design,
sponsor requirements, and regulatory requirements in the country or countries where the study is
being conducted.

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