21  Start-Up Risks & Mitigation

21.1 Common Start-Up Risks

  • Delayed regulatory approvals
  • Incomplete training
  • System access issues
  • Staff turnover
  • Poor recruitment projections

21.2 CRA Risk Mitigation Strategies

  • Early regulatory tracking
  • Clear SIV follow-up
  • Proactive communication with sites
  • Escalation of delays

21.3 High-Risk Indicators

  • Repeated activation delays
  • Missing documentation
  • Inexperienced staff
  • Overcommitted investigators