CCRP study materials
CCRP study resources

CCRP key terms

CCRP · Get comfortable with the vocabulary.

Informed consent

The ongoing process by which a person voluntarily agrees to take part in research after receiving and understanding information about purpose, procedures, risks, benefits, and alternatives. It is documented but is more than a signature.

Related: Assent, Vulnerable population, Therapeutic misconception
Assent

A child's or cognitively impaired person's affirmative agreement to participate in research, obtained in language they can understand. Assent supplements but does not replace permission from a legally authorized representative.

Related: Informed consent, Legally authorized representative, Vulnerable population
Legally authorized representative

An individual or judicial body empowered under applicable law to give permission on behalf of a prospective participant, such as a parent or court-appointed guardian, when the person cannot consent for themselves.

Related: Assent, Informed consent
Vulnerable population

Groups whose ability to give voluntary informed consent may be compromised by circumstances such as imprisonment, cognitive impairment, pregnancy, economic disadvantage, or dependent relationships, requiring additional safeguards in study design and review.

Related: Informed consent, Assent, Coercion
Coercion

An overt or implied threat, or an excessive offer, that pressures a person to enroll or remain in a study against their true preference, undermining voluntary choice.

Related: Undue influence, Vulnerable population
Undue influence

An offer or relationship that improperly shapes a decision to participate, often through excessive compensation or authority, without an explicit threat. It differs from coercion in that pressure is subtle rather than overt.

Related: Coercion, Vulnerable population
Therapeutic misconception

A participant's mistaken belief that research procedures are designed to benefit them personally rather than to produce generalizable knowledge. Investigators must address it during consent discussions.

Related: Informed consent, Clinical equipoise
Institutional Review Board (IRB)

An independent committee that reviews, approves, and monitors research involving human participants to protect their rights and welfare, applying federal regulations and institutional policies.

Related: Continuing review, Exempt review, Minimal risk
Continuing review

Periodic re-evaluation of an ongoing study by the IRB, conducted at intervals appropriate to the degree of risk, to confirm that the risk-benefit balance and consent process remain acceptable.

Related: Institutional Review Board (IRB), Protocol deviation
Minimal risk

A level of risk in which the probability and magnitude of harm are no greater than those ordinarily encountered in daily life or during routine physical or psychological examinations.

Related: Institutional Review Board (IRB), Exempt review
Exempt review

A determination that certain low-risk research categories fall outside most regulatory requirements and need not undergo full or expedited IRB review, though institutional confirmation is still required.

Related: Minimal risk, Institutional Review Board (IRB)
Clinical equipoise

A state of genuine uncertainty within the expert community about which of two treatments is superior, which ethically justifies randomizing participants to either arm of a trial.

Related: Randomization, Therapeutic misconception
Randomization

Assignment of participants to treatment groups by chance, reducing selection bias and helping ensure that known and unknown confounders are distributed evenly across arms.

Related: Clinical equipoise, Blinding
Blinding

Withholding information about treatment assignment from participants, investigators, assessors, or analysts to reduce bias in measurement and reporting. Single, double, and triple blinding describe who is masked.

Related: Randomization, Bias
Bias

A systematic error that distorts study results away from the truth, arising from how participants are selected, measured, treated, or analyzed. It differs from random error, which affects precision rather than direction.

Related: Blinding, Confounding, Randomization
Confounding

Distortion of an exposure-outcome relationship by a third variable associated with both, creating a spurious or masked association unless controlled by design or analysis.

Related: Bias, Randomization
Protocol

The written plan describing a study's objectives, design, methods, statistical approach, and safety monitoring. It is the controlling document for conduct and requires IRB approval before implementation.

Related: Protocol amendment, Protocol deviation, Informed consent
Protocol amendment

A formal, documented change to an approved protocol that must be reviewed and approved by the IRB before implementation, except when needed to eliminate immediate hazards to participants.

Related: Protocol, Protocol deviation
Protocol deviation

Any departure from the approved protocol without prior IRB approval. Deviations that affect participant safety, rights, or data integrity must be reported promptly to the sponsor and IRB.

Related: Protocol, Protocol amendment
Adverse event

Any untoward medical occurrence in a participant, whether or not related to the study intervention. Investigators record, assess causality and severity for, and report these events per protocol.

Related: Serious adverse event, Unanticipated problem
Serious adverse event

An adverse event that results in death, is life-threatening, requires hospitalization or prolongs it, causes persistent disability, or is a congenital anomaly, requiring expedited reporting.

Related: Adverse event, Unanticipated problem
Unanticipated problem involving risks to participants

An incident that is unexpected, related to participation, and suggests a greater risk of harm than previously known, triggering prompt reporting to the IRB and sponsor.

Related: Serious adverse event, Adverse event
Good Clinical Practice (GCP)

An international ethical and scientific quality standard for designing, conducting, recording, and reporting trials involving human participants, ensuring credible data and protection of rights.

Related: Source document, Protocol
Source document

Original records such as medical charts, laboratory reports, and progress notes that support the data entered into the case report form and permit verification during monitoring.

Related: Good Clinical Practice (GCP), Case report form
Case report form (CRF)

A printed or electronic document designed to capture protocol-required data for each participant, which is later verified against source records during monitoring and auditing.

Related: Source document, Good Clinical Practice (GCP)
Data integrity

The completeness, accuracy, consistency, and traceability of study data from collection through analysis, supported by audit trails, access controls, and documented corrections.

Related: Source document, Case report form (CRF)
Sponsor

The individual, company, institution, or agency that initiates and takes responsibility for a clinical trial, including its financing, oversight, and regulatory submissions.

Related: Principal investigator, Protocol
Principal investigator

The qualified person who conducts the trial at a site, directs the research team, ensures protocol compliance, and bears responsibility for participant safety and data quality.

Related: Sponsor, Delegation of authority
Delegation of authority

The documented process by which the principal investigator assigns specific study tasks to qualified staff, recorded on a log so responsibilities and qualifications are traceable.

Related: Principal investigator, Good Clinical Practice (GCP)
Inclusion and exclusion criteria

Predefined characteristics that determine who may or may not enroll in a study, protecting participant safety and supporting the scientific validity of the sample.

Related: Protocol, Screening
Screening

The process of evaluating prospective participants against eligibility criteria, typically under a separate consent, before enrollment and randomization.

Related: Inclusion and exclusion criteria, Informed consent
Statistical power

The probability that a study will detect a true effect of a specified size, determined by sample size, effect magnitude, variability, and the chosen significance level.

Related: Sample size, Bias
Sample size

The number of participants planned for a study, calculated to provide adequate power for the primary endpoint while balancing ethical limits on unnecessary exposure.

Related: Statistical power, Clinical equipoise
Belmont Report

A foundational U.S. document articulating three ethical principles for human subjects research: respect for persons, beneficence, and justice. These principles underpin modern regulations and IRB review.

Related: Informed consent, Institutional Review Board (IRB), Vulnerable population
Respect for persons

The ethical principle requiring that individuals be treated as autonomous agents and that those with diminished autonomy receive protection, operationalized largely through informed consent.

Related: Belmont Report, Informed consent, Vulnerable population
Beneficence

The ethical obligation to maximize possible benefits and minimize possible harms, requiring a favorable risk-benefit assessment before research proceeds.

Related: Belmont Report, Minimal risk
Justice

The ethical principle requiring fair distribution of research burdens and benefits, so that no group bears disproportionate risk or is unfairly denied access to proven interventions.

Related: Belmont Report, Vulnerable population
Declaration of Helsinki

An international statement of ethical principles for medical research involving human participants, developed by the World Medical Association and widely referenced in national regulations and journal policies.

Related: Belmont Report, Good Clinical Practice (GCP)
Conflict of interest

A situation in which financial or personal interests could improperly influence professional judgment or the conduct and reporting of research, requiring disclosure and management.

Related: Institutional Review Board (IRB), Principal investigator
Research misconduct

Fabrication, falsification, or plagiarism in proposing, performing, or reporting research. It excludes honest error and differences of opinion, and is distinct from regulatory noncompliance.

Related: Data integrity, Conflict of interest