See guidance on reporting changes:
Guidance on Reporting Modifications in Approved Trials of Medical Devices
For modifications to trials that have already been assessed by the MREC, the following application form for Article 62 and 74(2) must be used:
Application Form for Substantial Modifications to Trials of Medical Equipment (Article 62)
And the following application form for Articles 74(1) and 82:
Application Form for Modifications to Trial Protocol in Connection with Trials of Medical Equipment (Article 82)
See the list of the most common changes in a trial protocol
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