Trial content and protocol consistency

  • Confirm the trial title, sponsor protocol number, EU CT number, sponsor, study centre, treatment names, groups, dose schedule, randomisation ratio, placebo use, blinding, and participation period against the current protocol.
  • Reconcile the visit schedule, procedures, sample volumes, imaging, questionnaires, optional procedures, follow-up, and burden with the schedule of activities.
  • Match risks to the current protocol, Investigator's Brochure, product information, and risk assessment. Do not omit reproductive, genetic, radiation, procedural, privacy, or withdrawal risks that apply.
  • State expected benefit accurately. Do not imply personal benefit where none is expected.
  • Confirm alternatives to participation and usual-care options with the protocol and Latvian site pathway.
  • Confirm that trial medicines, administration devices, protocol-required medicines, devices, and examinations are described as free to the participant where applicable under Latvian rules.

Consent logic

  • Confirm that no trial-specific procedure occurs before valid consent, except within an authorised emergency pathway.
  • Separate required participation statements from optional choices.
  • Ensure every optional box can be answered independently and that refusal does not create an unintended exclusion.
  • Match signatures and dates to the actual consent pathway. Include the participant or authorised decision-maker, the person conducting the interview, and an impartial witness only when applicable.
  • State that adequate time is given, questions can be asked, and a copy of the signed consent record is provided.
  • Explain withdrawal from participation separately from withdrawal of optional future-use permission.
  • Explain what happens to data and samples already collected when consent is withdrawn. Avoid promising deletion where lawfully retained trial records must remain.

Population and document coverage

  • Map every protocol population to a Latvian information and consent document.
  • For healthy volunteers, check screening, washout, confinement, restrictions, payments, incidental findings, and medical-care wording against the Latvia healthy volunteer guide.
  • For ages 0 to 13, include legal-representative consent and age-appropriate child information where the child can understand it.
  • For ages 14 to 17, include both the legal representative's written consent and the minor's own written consent. Check the Latvia minor consent and assent guide.
  • For adults unable to consent, verify the lawful decision-maker and participant-information pathway against the Latvia legal representative guide.
  • For emergency enrollment, verify every Article 35 condition and the subsequent-consent process against the Latvia emergency enrollment guide.
  • For participants unable to write, verify the alternative method and witness signatures against the Latvia impartial witness guide.
  • For pregnancy follow-up, keep the participant and partner pathways separate. Check the Latvia pregnancy follow-up guide.

Privacy and medical-record access

  • Identify the controller and relevant processors without confusing sponsor, site, and investigator roles.
  • Describe data categories, purposes, recipients, retention, international transfers, safeguards, and applicable rights consistently with the data-protection statement.
  • Include the Data State Inspectorate contact details requested by the Latvia national overview.
  • Explain direct access to medical records for authorised sponsor representatives, investigators, monitors, auditors, inspectors, and authorities only to the extent applicable.
  • Confirm that privacy wording does not present consent to participate as the sole legal basis for every research-processing activity.
  • Keep contact details for privacy questions separate from medical-emergency contacts.

Biological samples and secondary use

  • Match each sample type, volume, timing, storage location, responsible entity, transfer, retention period, analysis, and disposal plan to the protocol and laboratory manual.
  • Separate protocol-required sample use from optional future or secondary research.
  • Explain coding or pseudonymisation accurately. Do not call coded samples anonymous.
  • State whether genetic analysis is included and whether individual or incidental findings may be returned.
  • Align withdrawal wording across the consent form, biological-samples statement, protocol, and sample-management plan.
  • Review optional future use against the Latvia secondary-use consent guide.

Latvia-specific administrative checks

  • Confirm that participant-facing documents are in Latvian and understandable to the intended age and population.
  • Confirm that participant and doctor-facing recruitment materials are in Latvian.
  • Include the study-centre name and address, data-controller identity, ZVA contact, assigned ethics-committee contact, and Data State Inspectorate contact.
  • Include document title, version, date, sponsor protocol number, and EU CT number.
  • Reconcile reimbursement and payment wording with the mandatory participant-compensation template and draft site budget.
  • Reconcile injury and insurance wording with the submitted Latvia-compliant insurance evidence.
  • Confirm that the blank CTIS forms contain no participant signatures, completed personal data, tracked changes, comments, or drafting notes.

Readability and final production

  • Use short sentences, familiar Latvian terms, clear headings, and sufficient space around consent choices and signatures.
  • Check that risk wording is understandable without reducing medical accuracy.
  • Define abbreviations at first use and remove technical detail that does not help the decision.
  • Review names, telephone numbers, email addresses, after-hours contacts, and site fields.
  • Confirm consistent page numbers, headers, footers, version control, and filenames.
  • Perform a final native-language proofread after all content changes. Do not rely only on back-translation or automated checks.

Return to the Latvia CTIS Part II guide hub if the protocol includes a consent pathway not covered by the standard adult set.

Generate the package before final QC

TrialAgents can produce the complete Latvia-specific CTIS Part II document set in minutes, saving weeks of manual drafting and giving reviewers a consistent package to quality-check.

Official sources and resources

  1. Overview Part II Requirements in a Clinical Trial Application, Latvian Local Requirements, version 2.0, 4 February 2025.
  2. Regulation (EU) No 536/2014 on Clinical Trials, Articles 28 to 35 and Annex I, consolidated text of 5 December 2022.
  3. Law on the Rights of Patients, Sections 11 and 13, official English translation.
  4. Cabinet Regulation No. 192, Clinical Trials of Medicinal Products for Human Use, adopted 26 March 2024.
  5. Clinical Trials Regulation Questions and Answers, version 7.2, 27 March 2026.
  6. Regulation (EU) 2016/679, General Data Protection Regulation, official text.

Last reviewed: 31 August 2026