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SOP for Chain of Identity & Chain of Custody (Cell/Gene)

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“headline”: “SOP for Chain of Identity & Chain of Custody (Cell/Gene)”,
“description”: “This SOP establishes procedures for maintaining chain of identity and chain of custody in cell and gene therapy clinical trials. It ensures compliance with FDA, EMA, CDSCO, WHO, and ICH GCP/GMP requirements, covering traceability, custody, product handling, and regulatory oversight.”,
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Standard Operating Procedure for Chain of Identity & Chain of Custody (Cell/Gene)

SOP No. CR/OPS/111/2025
Supersedes NA
Page No. 1 of 52
Issue Date 26/08/2025
Effective Date 01/09/2025
Review Date 01/09/2026

Purpose

The purpose of this SOP is to define the processes required to maintain Chain of Identity (CoI) and Chain of Custody (CoC) for cell and gene therapy products used in clinical trials. These processes ensure traceability, product integrity, subject safety, and regulatory compliance from collection through administration and follow-up.

Scope

This SOP applies to sponsors, investigators, CROs, laboratories, GMP manufacturing facilities, couriers, and site staff involved in ATMP (Advanced Therapy Medicinal Product) clinical trials. It covers sample collection, labeling, custody transfers, product tracking, custody documentation, and archival of records.

Responsibilities

  • Sponsor: Oversees CoI/CoC processes and ensures regulatory compliance.
  • Investigator: Ensures subject-specific identity verification at site level.
  • GMP Facility: Maintains manufacturing custody records and certificates of analysis.
  • CRO: Monitors CoI/CoC compliance across sites and vendors.
  • Courier: Maintains custody during product transportation.
  • QA: Audits CoI/CoC logs for accuracy and completeness.

Accountability

The Sponsor’s ATMP Quality Lead is accountable for overall compliance with Chain of Identity and Chain of Custody procedures. The Investigator is accountable for subject-level verification prior to administration.

Procedure

1. Chain of Identity (CoI)
1.1 Assign unique subject-specific identifiers at time of collection.
1.2 Verify identifiers at each step: collection, processing, manufacturing, and administration.
1.3 Document in Chain of Identity Log (Annexure-1).

2. Chain of Custody (CoC)
2.1 Record all custody transfers from collection through manufacturing, shipment, storage, and administration.
2.2 Use controlled custody forms signed by transferring and receiving personnel.
2.3 Maintain records in Chain of Custody Log (Annexure-2).

3. Custody Transfer
3.1 At each transfer, verify subject identifier, product batch/lot number, and condition.
3.2 Document signatures, date, and time for both transferring and receiving parties.

4. Manufacturing and Quality Control
4.1 GMP facility verifies CoI before initiating processing.
4.2 Issue Certificate of Analysis linked to subject-specific identifiers.

5. Shipment and Storage
5.1 Use validated containers and cold-chain requirements.
5.2 Record shipment details in Custody Transfer Log (Annexure-3).

6. Administration at Site
6.1 Prior to administration, Investigator verifies subject identifier against CoI records.
6.2 Document in Site Administration Log (Annexure-4).

7. Archiving
7.1 Archive all CoI/CoC records in TMF and ISF.
7.2 Retain per global ATMP regulations (minimum 25 years in some regions).

Abbreviations

  • SOP: Standard Operating Procedure
  • CoI: Chain of Identity
  • CoC: Chain of Custody
  • ATMP: Advanced Therapy Medicinal Products
  • QA: Quality Assurance
  • CRO: Contract Research Organization
  • GMP: Good Manufacturing Practice
  • TMF: Trial Master File
  • ISF: Investigator Site File
  • FDA: Food and Drug Administration
  • EMA: European Medicines Agency
  • CDSCO: Central Drugs Standard Control Organization
  • WHO: World Health Organization

Documents

  1. Chain of Identity Log (Annexure-1)
  2. Chain of Custody Log (Annexure-2)
  3. Custody Transfer Log (Annexure-3)
  4. Site Administration Log (Annexure-4)

References

Version: 1.0

Approval Section

Prepared By Ravi Kumar, ATMP Specialist
Checked By Sunita Reddy, QA Officer
Approved By Dr. Anil Sharma, Head Clinical Operations

Annexures

Annexure-1: Chain of Identity Log

Date Subject ID Sample ID Verified By Status
01/09/2025 S101 S101-C1 Site Coordinator Verified

Annexure-2: Chain of Custody Log

Date Product ID Transferred From Transferred To Signature
02/09/2025 S101-C1 Collection Site Courier Signed

Annexure-3: Custody Transfer Log

Date Product ID Location Responsible Condition
03/09/2025 S101-C1 Manufacturing Facility Technician Acceptable

Annexure-4: Site Administration Log

Date Subject ID Product ID Verified By Administered By
05/09/2025 S101 S101-C1 Investigator Study Nurse

Revision History

Revision Date Revision No. Revision Details Reason for Revision Approved By
26/08/2025 00 Initial version New SOP creation Head Clinical Operations

For more SOPs visit: Pharma SOP

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