CliniGA CRO

CliniGA CRO Blog

CTIS temporary halt and restart: a safety-based route check

A restart plan must explain why activity stopped, what changed and which authorisation or notification route now applies.

Cover image for: CTIS temporary halt and restart: a safety-based route check
Photo: Sgt. Aaron Ellerman · License: Public domain · Cropped and resized.
Published
Updated
Sources checked

A restart plan must explain why activity stopped, what changed and which authorisation or notification route now applies.

CTIS temporary halt and restart — Define the regulatory scope

CTR Articles 37 and 38 distinguish temporary halts by their relationship to the benefit-risk balance. A safety-related restart is treated as a substantial modification.

CTIS temporary halt and restart — Build the working record

Create a halt record describing scope, effective date, participant follow-up, safety assessment and restart conditions. Include sites, product accountability and data collection so that paused recruitment does not obscure ongoing duties.

CTIS temporary halt and restart — Check before release

  • Identify the reason and geographical scope.
  • Confirm participant care during the pause.
  • Document evidence that restart conditions are met.

CTIS temporary halt and restart — Record the decision and handover

Have medical and regulatory owners approve the restart rationale. Verify the applicable authorisation or notification requirements before communicating a site restart; operational readiness alone is insufficient.

Frequently asked questions

Does a halt stop all participant follow-up?
Not necessarily. Define continued care and safety activities in the halt plan.
Are all restarts handled identically?
No. The reason for the halt determines the applicable CTR route.

Sources

  1. Primary requirement: CTR Articles 37–38
  2. Operational guidance: EMA CTIS handbook: halt and restart