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Can you add a study site at a later stage, i.e. while the CT is running as subcontractor although centers with the same tasks are listed as "partners" in the initial proposal?

Question details: 
Can you add a study site at a later stage, i.e. while the CT is running as subcontractor although centers with the same tasks i.e. conducting the trial, are listed as "partners" in the initial proposal? I guess the question is what are the options to add study site to a running CT, due to recruitment difficulties in the existing sites.
Answer: 

In this case you will have to make an amendment to your grant agreement. I understand that it is getting more difficult to add amendments. I would recommend to plan as conservative as possible and try to include "enough" study sites. We are not sure how high drop-out rates will be handled.