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About
The Phase II & III – Efficacy & Pivotal Trials Learning Path is designed to equip clinical research professionals with the comprehensive operational, regulatory, and data management knowledge required to deliver complex multi-site efficacy and pivotal clinical trials. Covering protocol development, study start-up, site selection and management, risk-based monitoring, trial master file excellence, clinical data management, and data privacy compliance, this programme provides an end-to-end operational framework for Phase II and III trial execution.
Participants will develop the skills to manage the full operational lifecycle of efficacy and pivotal studies — from protocol design and site activation through to monitoring, data management, and regulatory compliance — with a strong focus on the multi-stakeholder, multi-site environments that characterise Phase II and III programmes.
How this differs from the Phase I Learning Path
The Phase II & III Learning Path addresses the scale and complexity of multi-site, multi-country efficacy and pivotal trials. It focuses on operational delivery — protocol management, site networks, remote monitoring, TMF governance, and data management — and is designed for professionals managing or supporting large-scale clinical programmes.
In comparison, the Phase I – First-in-Human Learning Path focuses on the early-phase environment, the unique safety considerations of dose escalation studies, and the site-level operations of Phase I units. This pivotal trials learning path is the natural progression for professionals who have established foundational GCP and early-phase knowledge and are moving into the operational leadership of confirmatory clinical programmes.
Courses Included

Designing robust clinical trial protocols — objectives, endpoints, eligibility criteria, statistical considerations, and ICH E6 alignment

Translating protocol design into operational execution — amendments, deviation management, and cross-functional protocol governance

Site activation processes — feasibility, contract and budget negotiation, IRB/IEC submissions, and site initiation visit preparation

Regulatory obligations for trial registration in ClinicalTrials.gov, EudraCT, and ISRCTN — timelines, data fields, and results reporting requirements

Site feasibility assessment, selection criteria, site performance monitoring, and remediation strategies for multi-site Phase II and III programmes

Risk-based monitoring frameworks, remote SDV strategies, centralised statistical monitoring, and regulatory expectations under ICH GCP (R3)

CRA competencies in oncology trials — tumour response criteria, oncology-specific safety monitoring, and therapeutic area operational considerations

TMF structure, content requirements, quality metrics, and compliance with the TMF Reference Model and EU CTR expectations

Data collection, validation, query management, database lock, and CDISC standards in Phase II and III clinical data management
Our Certified Customers
Learner Rating & Reviews
Frequently Asked Questions
- Clinical Research Associates (CRAs) and senior CRAs managing Phase II and III sites
- Clinical Operations Managers and Trial Managers in sponsor and CRO organisations
- Study Start-up and Feasibility Specialists
- Trial Master File and Clinical Data Management professionals
- Regulatory Affairs professionals involved in trial oversight and submissions
- Clinical Study Coordinators at Level II and III seeking operational advancement
- Sponsor and CRO professionals responsible for multi-site trial delivery
- Professionals seeking to transition from Phase I into large-scale efficacy and pivotal trials
Upon completion of this learning path, participants will be able to develop and manage clinical trial protocols, lead study start-up and site management activities, apply risk-based monitoring frameworks, maintain TMF compliance, manage clinical data in line with CDISC standards, and ensure data privacy compliance under GDPR and HIPAA — equipping them to oversee the operational delivery of Phase II and III clinical trials in line with ICH GCP (R3) and current regulatory expectations.







