Services · CRA & Site Monitoring

Site Monitoring Built on
Source Data Integrity

Our Clinical Research Associates bring an SDR-first approach to every site visit — ensuring data quality, regulatory compliance and inspection readiness throughout your trial.

Source Data Review

SDR methodology built into every monitoring visit from site set-up.

Risk-Based Monitoring

Centralised risk indicators driving targeted on-site activities.

Inspection Ready

ICH E6(R2) documentation standards maintained throughout.

South Africa Based

CRAs based in Johannesburg with national and international reach.

Visits We Conduct

Every visit is conducted to ICH E6(R2) standards, documented in real time, and followed up with a written monitoring visit report within agreed timelines.

SQV

Site Qualification Visit

Assessment of site facilities, staff, patient access and regulatory infrastructure to determine suitability for the study. Includes review of site CVs, SOPs and essential document readiness.

SIV

Site Initiation Visit

Comprehensive training of site staff on the protocol, CRF completion, ICF process, IMP handling, SAE reporting and source documentation requirements before first patient enrolment.

RMV

Routine Monitoring Visit

Ongoing source data verification, protocol compliance review, query management, IMP accountability, essential document review and subject safety monitoring throughout the active study.

Co-Mon

Co-Monitoring

Accompaniment of sponsor or CRO monitors on site visits to provide local regulatory context, manage language and cultural requirements, and ensure quality of monitoring outputs.

RBM

Remote / Central Monitoring

Risk-based monitoring activities conducted remotely, including centralised data review, risk indicator analysis and targeted follow-up to complement on-site monitoring visits.

COV

Site Close-Out Visit

Final site visit to confirm all study activities are complete, outstanding queries resolved, IMP returned or destroyed, and essential documents archived to regulatory standards.

SDR-First Methodology

Source data integrity is the foundation of every reliable clinical trial. Our SDR-first approach embeds data quality checks from the earliest stages of site setup.

Source Data Development

We work with sites to establish compliant source documents before the first patient is screened — reducing downstream query volume and protecting data integrity from day one. Source document templates are reviewed against the protocol, CRF and applicable regulations before SIV.

Structured Source Data Review

Our CRAs conduct systematic source data review at every monitoring visit using protocol-specific checklists. SDR findings are documented in the monitoring visit report and fed into the central risk management system, enabling early detection of data quality trends.

Risk-Based Monitoring Integration

SDR outputs drive centralised risk indicators, allowing the monitoring plan to adapt dynamically to site performance. High-risk data points trigger targeted on-site visits; low-risk sites benefit from reduced monitoring burden — all aligned with ICH E6(R2).

Inspection Readiness

All monitoring activities are documented to SAHPRA and ICH standards. Sites managed by Alpha CR Solutions are prepared for sponsor audits and SAHPRA GCP inspections at any point in the study — not just at close-out.

Essential Documents &
TMF Management

A complete and contemporaneous Trial Master File is not just a regulatory requirement — it is the evidence of how your trial was conducted. We manage TMF compliance throughout.

Site Regulatory Binder

Setup and maintenance of all essential documents at site level, including approvals, agreements, staff CVs, training logs, and all correspondence with regulatory and ethics authorities.

TMF Reviews

Periodic review of the Trial Master File against the essential documents list from ICH E6(R2) and the study-specific TMF plan, with gap analysis and remediation tracking.

Archiving Preparation

At close-out, preparation of all site documents for archiving to regulatory standards, including the required retention periods under SAHPRA regulations and sponsor requirements.

Need a CRA for your South African sites?

Alpha CR Solutions provides experienced, ICH E6(R2) trained CRAs based in Johannesburg — available for single visits or full trial monitoring contracts.

Request a CRA →