MTN-034 Study-Specific Manual Overview and Control

MTN-034 Study-Specific Manual Overview and Control Document – Version History and Notice of Changes

MTN-034 Overview and Control Document, Version 1.1, Protocol Version 2.0, Updated 01July2019 Page i-1 of i-10

Section Number

Section Title Version

Number(s)* Version Date(s)*

Notice of Changes*

01 Introduction 1.1 01 July 2019 Added reference to protocol V 2.0 to figure 1.1: IRB/EC Submissions Required Prior to

Initiation of MTN-034

02 Documentation

1.1 01 July 2019 Clarified Part 11 compliance requirements for electronic document maintenance

Clarified study product non-use category is not applicable to MTN-034/REACH Updated long-term storage guidance per MTN MOP

03 Accrual and Retention 1.1 01 July 2019 Added use of effective contraceptive method as part of screening counseling

04 Informed Assent and Consent

1.1 01 July 2019 Clarified that parent/guardian permission is not required prior to conducting IC process with minors

05 Study Procedures

1.1 01 July 2019 Update to reference MOP (Section 13) guidance on use of a Screening and Enrollment log that does not include participant name/initials

Clarified eligibility criteria categorization for HIV-related screen-outs

Added guidance on use of screen-out per IoR discretion

Clarified that HBV/HPV vaccines are provided if applicable and available per local standard of care

Added suggestion regarding order of procedures on visit checklists.

Deleted recommendation that staff should de-brief with participant about first product use prior to adherence counseling

Added reference to DBS and residual drug level email lists if results are not available 3 days before a scheduled visit

Added guidance that ring load levels can be found on the Drug Level Feedback Process Document available on the REACH website.

Specified that information on infant outcomes one year after delivery should be documented in chart notes

Added note that the ring does not protect against HIV transmission during anal intercourse Clarified product assignment schedule for participants who permanently discontinue one study product.

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Section Number



Notice of Changes*

06 Study Product

1.1 01 July 2019 Clarified that site pharmacist should dispense study product based on study prescription, and verification of study product sequence should follow guidance in the Pharmacy Dispensation CRF CCG

Updated section 6.10 to clarify that storage of returned used VRs is documented on the Ring Insertion and Removal CRF

Clarified in section 6.11 PD reporting requirements for study product retrievals Clarified in section 6.11 documentation for study product retrievals

07 Clinical Considerations

1.1 01 July 2019 Clarified PD reporting for vaginal prohibited vaginal practices in section 7.1

Added suggestion in section 7.2 for sites to develop a tracking system for vaccine series dosing

Added guidance in section 7.5 not to document expected bleeding on Pelvic exam diagram and Pelvic Exam CRF

08 Safety monitoring 1.1 01 July 2019 Updated section 8.3 to clarify use of metrorrhagia as the AE term for any bleeding that

wasn’t identified via pelvic finding. Also clarified that expected bleeding due to contraceptive method should not be documented on the Pelvic Exam CRF.

09 Lab Considerations

1.1 01 July 2019 Clarified that backup and export of data are not required if sites are running Web LDMS

Removed reference to paging system for FSTRF

Add information about commercial versus in-house HIV controls

Removed reference for Ema site to ship blood for DBS processing at UCT lab as well as additional details for DBS processing and shipment

10 Counseling Considerations

1.1 01 July 2019 Added instructions on completing eCRF immediately after session

Added reference to drug level feedback process document for ring load levels

Added guidance on actions in case of delayed DBS/drug feedback

Added guidance on waiting to take Truvada dose on day of clinic visit

Updated language to clarify that adherence counseling worksheet is optional and clarified that the adherence counseling CRF can be completed immediately after the counseling session

Clarified which staff person should conduct counseling or behavioral procedures on a given visit




Section Number



Notice of Changes*

Added guidance to contact the REACH counseling lead for further guidance on tailoring adherence counseling sessions.

Clarified peer feedback process in quality assurance section

Added note to discuss safe product storage with participants Included guidance on what to do when multiple drug feedback results are available at a study visit

11 Behavior Procedures

1.1 01 July 2019 Changes # of other who have social benefit from 3 to 4 to match CRF in section 11.2

Section 11.3 o QPL completion instructions updated in with examples of template. Also

updated NIDI timing and Late FGD accrual process. o Clarified audio file name format, updated interview note completion, DR report

completion timeframe, added transcript certification instruction, updated data file naming conventions.

o Clarified QC process for IDIs/FGDs in o Revised PD reporting instruction for missing source documentation

Appendix 11-1 transcript examples added; instructions edited

12 Data Collection 1.1 01 July 2019 Updated assigned Protocol Statistician and Clinical Programmer

Clarified procedures for accessing the Pharmacy Dispensation Log CRF in section 12.5

13 Data Communiques 1.0 04 January 2019 N/A – initial version

14 Study Reporting Plan

1.1 01 July 2019 Updated list of SDMC statisticians for REACH

Updated list of reports available in Medidata

Updated list of reports available in Atlas

*Highest version number/date listed is current and supersedes all previous listed version(s). Notice of Changes summarizes any significant changes that have been made during the current review period.




SSP Approval Sheet Review Period: 05JAN2019-01JUL2019

Entity Sections Approved* Print Name, Role Signature Date

Protocol Chair All Sections Gonasagrie Nair, Protocol Chair

*Applicable section version numbers and dates as listed in MTN-034 Overview and Control Document, Version 1.1, Protocol Version 2.0, dated 01 July 2019.


26-Jun-2019 | 21:05 PDT





FHI 360 CRM All Sections Morgan Garcia, FHI 360



25-Jun-2019 | 13:52 EDT





MTN Pharmacy Director Section 6 Cindy Jacobson, MTN LOC

*Applicable section version numbers and dates as listed in MTN-034 Overview and Control Document, Version 1.1, Protocol Version 2.0, dated 01July 2019.


26-Jun-2019 | 03:52 PDT





Protocol Safety Physician Sections 7,8 Katie Bunge, UPMC



28-Jun-2019 | 06:11 PDT





MTN LC Research Manager

Section 9 Edward Livant, MTN LC



25-Jun-2019 | 12:25 PDT





BRWG Project Coordinator Section 11 Sarah Roberts, RTI



26-Jun-2019 | 08:56 PDT




Entity Sections Approved*

Print Name, Role Signature Date

SCHARP CDM Sections 12, 13, 14 Jennifer Berthiaume, SCHARP



25-Jun-2019 | 10:52 PDT

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Documents

MTN-034 Study-Specific Manual Overview and Control