We provide TMF set-up, maintenance and quality oversight services for clinical trials, working with both electronic and paper-based systems. Our team is familiar with the ICH E6 GCP requirements for essential documents and with the TMF Reference Model that has become the de facto industry standard for TMF organisation.
TMF management is an ongoing activity that requires attention throughout the life of a study, not just at initiation and close-out. Documents need to be filed promptly, completeness needs to be monitored regularly, and any gaps or quality issues need to be identified and addressed before the inspection, not during it.

We begin each TMF engagement with a clear assessment of the system being used and the current state of the file. For new studies, we set up the TMF structure in accordance with the sponsor's requirements and the applicable guidelines. For ongoing studies, we conduct a completeness and quality review before developing a remediation plan where needed.
Ongoing TMF management is structured around regular completeness checks, document filing quality reviews and proactive communication with site teams to ensure that outstanding documents are obtained in a timely way. We report regularly to the sponsor on TMF status and flag any concerns that require action.
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