[Durgical](https://durgical.com/en/) › [DurgiPedia](https://durgical.com/en/durgipedia/) › [Epidemiology](https://durgical.com/en/epidemiology/) › [Research methods](https://durgical.com/en/epidemiology/areas/research/) › The research protocol

# The research protocol

- Concept

The written plan of a study: what is asked, how, with whom, when and with what resources. It is approved and registered before the start.

Updated Nov 13, 2026

## Key points

- Core sections: title, background and rationale, question and objectives, hypothesis, design, population and sample, variables, data collection, analysis, ethics, timeline, budget and dissemination.
- Clinical trials are registered before the first participant is enrolled (the WHO ICTRP platform and its primary registries).
- SPIRIT is the guideline for the items a clinical trial protocol should contain.
- The team: principal investigator, co-investigators, field coordinator, statistician and data manager, each with written duties.
- Protocol amendments are dated, justified and approved again by the ethics committee.

On this page

- The basics Key points
- What it is
- Key facts
- Worked example
- Protocol sections and the question each one answers
- Markers
- In practice
- Common pitfalls
- Memory aid
- Elsewhere in DurgiPedia

- Study Test yourself

- Connections Connections

## What it is

The protocol is the document that describes, before the first datum is collected, everything the study will do: the question, the design, the population, the variables, the analysis, the ethical aspects, the timeline and the budget. It applies the scientific method (observation, question, hypothesis, test and conclusion) to a concrete plan. The ethics committee reviews it; clinical trials are publicly registered before the first participant is enrolled, and later changes are documented.

## Key facts

- Research process: idea → literature search → question → protocol → ethics approval and registration → pilot → data collection → analysis → publication.
- Recruitment time = participants needed / (sites × enrolments per site per month).

## Worked example

- Data: a 2-site trial needs 300 participants; each site enrols 10 a month and each person is followed for 3 months.
- Combined rate: 2 × 10 = 20 a month. Months of recruitment: 300 / 20 = 15.
- Before recruitment: 3 months for the ethics committee, trial registration and staff training.
- Recruitment ends in month 3 + 15 = 18; the last person enrolled finishes follow-up 3 months later, in month 21.
- Cleaning, analysis and report: 3 months. Total length: 3 + 15 + 3 + 3 = 24 months.
- If each site enrols only 7 a month: 300 / 14 = 21.4, rounded up to 22 months; total 3 + 22 + 3 + 3 = 31 months.
- Reading: a recruitment rate 30 % lower lengthens the study by 7 months; the protocol timeline must rest on real figures from each site.

## Protocol sections and the question each one answers

| Section | What it answers |
| --- | --- |
| Background and rationale | What is known, and why is this study needed? |
| Question, objectives and hypothesis | What exactly do we want to know? |
| Design | Which type of study answers it best? |
| Population, criteria and sample | With whom, and how many? |
| Variables and measurements | What is measured, and how? |
| Analysis plan | How will the data answer the question? |
| Ethical aspects | How are participants protected? |
| Timeline and budget | When, and with what resources? |

## Markers

- SPIRIT
- ICTRP
- REC

## In practice

- In Colombia the protocol goes to the institution's research ethics committee, under Resolución 8430 de 1993 (see Ethics).
- Journals require clinical trials to have been registered before they started in order to consider them for publication.
- Publishing or registering the protocol lets readers compare what was planned with what was reported.

## Common pitfalls

- Writing the protocol after the data have been collected.
- Timelines based on optimistic recruitment rates that nobody checked.
- Changing the primary outcome without an amendment or a reason.

## Memory aid

‘If it is not in the protocol, it was not planned’: the protocol is the study's contract with itself.

## Test yourself

Think of the answer, then tap the question to see it.

## When must a clinical trial be registered?

Before the first participant is enrolled, in a registry recognised by the WHO ICTRP platform.

## Which guideline describes the items of a clinical trial protocol?

SPIRIT.

## 240 participants are needed and 3 sites enrol 5 a month each. How many months of recruitment?

3 × 5 = 15 a month; 240 / 15 = 16 months.

## What is done if the protocol must change during the study?

A dated, justified amendment, approved by the ethics committee and recorded in the registry.

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## Elsewhere in DurgiPedia

- [Research ethics committees](https://durgical.com/en/medical-ethics/research-ethics-committees/)
- [Resolution 8430 of 1993: health research in Colombia and its risk categories](https://durgical.com/en/medical-ethics/resolution-8430-of-1993-health-research-in-colombia-and-its-risk-categories/)

## Connections

## Related 6

- [The research question and objective](https://durgical.com/en/epidemiology/the-research-question-and-objective/)
- [Statistical analysis plan](https://durgical.com/en/epidemiology/statistical-analysis-plan/)
- [Study management and data quality](https://durgical.com/en/epidemiology/study-management-and-data-quality/)
- [Reporting guidelines: CONSORT, STROBE, PRISMA, STARD](https://durgical.com/en/epidemiology/reporting-guidelines-consort-strobe-prisma-stard/)
- [Applying for research funding](https://durgical.com/en/epidemiology/applying-for-research-funding/)
- [Sample size](https://durgical.com/en/epidemiology/sample-size/)

[← All of epidemiology](https://durgical.com/en/epidemiology/)

Educational content on epidemiological and statistical methods; the examples use made-up numbers to teach the calculation. Not a clinical or legal guide: current Colombian rules are in the official sources.

Sources: [SPIRIT 2025 Statement: Defining standard protocol items for clinical trials](https://www.equator-network.org/reporting-guidelines/spirit/) (EQUATOR Network, 2025); [International Clinical Trials Registry Platform (ICTRP)](https://www.who.int/tools/clinical-trials-registry-platform) (World Health Organization, 2026); [E6(R3) Good Clinical Practice (GCP)](https://www.fda.gov/regulatory-information/search-fda-guidance-documents/e6r3-good-clinical-practice-gcp) (U.S. Food and Drug Administration, 2025).

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Representative model, for educational purposes only.

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License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/epidemiology/the-research-protocol/
