Pharmaceutical Clinical Protocol Peer Review Evaluation Form

Protocol Information

Protocol Title Protocol Number Principal Investigator Review Date

Reviewer Information

Reviewer Name Reviewer Affiliation

Evaluation Criteria

Criteria	Rating (1-5)	Comments
Scientific Rationale
Study Design & Methodology
Statistical Analysis Plan
Safety Considerations
Ethical/Regulatory Compliance
Feasibility

General Comments

Final Recommendation

Approve minor revisions required major revisions required Reject

Reviewer Signature