AQ Pharmacy · Clinical trial pharmacy

Pharmacy software for clinical trials, from delivery to destruction certificate.

AQ Pharmacy records every investigational medicinal product a site holds: receipt into quarantine, release, storage, dispensing, returns, reconciliation and destruction. Each step is attributed to a named person, and the pharmacy’s documents for the study are filed in the same module.

NHS DSPT Standards Met 2026Cyber Essentials21 CFR Part 11ICH E6(R3)UK-hosted
Study 001 Site A Inventory overview 1 batch approaching expiry
KitDetailWhereStatus
K-0116Batch B-2291 · exp 30 Nov 2026Fridge 1 · rack 3Available
K-0121Batch B-2291 · exp 30 Nov 2026Fridge 1 · rack 3Available
K-0130Batch B-2304 · exp 14 Mar 2027Fridge 1 · rack 2Available
What is AQ Pharmacy?

One controlled pharmacy record, across every study you run.

AQ Pharmacy is clinical trial pharmacy software for research sites. It records each investigational medicinal product (IMP) kit from receipt into quarantine through release, storage, dispensing, return, reconciliation and destruction. Required forms must be completed and approved before stock moves to the next step, and the clinical trial pharmacy site file is kept in the same module.

01Receiptinto quarantine
02Quarantineuntil released
03Releaseby a named person
04Storageunit and rack
05Dispensingagainst a prescription
06Returnheld for review
07Reconciliationexpected vs counted
08Destructionwith certificate
Every step attributed to a named person and time
Required forms approved before stock moves on
Pharmacy site file (ePSF) kept in the same module
Daily overview

What does the pharmacy see each morning?

Before the first dispense of the day, the inventory view shows the position of stock for the selected study and site.

Tuesday 14 October · 08:00 Study 001 · Site A · before the first dispense Inventory view
Available
7+3 today
9 kits · 2 units
On hold or under review
2+1 today
Awaiting decision
Expiring within 30 days
154 days
Batch B-2291
Expired
0None
Blocked from dispensing
Forms due
31 overdue
Logs and forms
Activity since 07:00Updates as each step is recorded
07:05Recorded
Temperature log
Fridge 1 · 4.1 °C · J. Reid
07:40Quarantine
Receipt SH-4471
3 kits · in quarantine
07:52Pending
Prescription form
P-042 · Visit 1 · awaiting approval
08:00Overdue
Temperature log
Freezer F1 · not completed
Stock by storage unitAvailableOn holdExpiring
Pharmacy Fridge 12 to 8 °C 4.1 °C 5 available1 on hold1 expiring 7kits
Ambient cabinet A15 to 25 °C 21.0 °C 2 available0 on hold0 expiring 2kits
Freezer F1−25 to −15 °C No reading 0 available1 on hold0 expiring 1kit
Forms due today1 overdue
Temperature log Pharmacy Fridge 1 · daily JRJ. Reid completes · M. Carter approves Due 08:00
Accountability log Receipt SH-4471 JRJ. Reid completes · M. Carter approves Due today
Temperature log Freezer F1 · daily TST. Shah · not completed yesterday Overdue
Where control is lost

Where does control of trial medicine break down?

A trials pharmacy runs many studies at once, each with its own sponsor, allocation system and forms. The difficulty is rarely the work itself. It is keeping several records of the same stock in agreement.

7Shelf6Paper log7Hospital system8Sponsor IRT
Four records of one kit · counts disagree
01

The same stock is recorded in several places

A kit may appear on the shelf, on a paper accountability log, in the hospital pharmacy system and in the sponsor's IRT. Each record has to be checked against the others by hand.

ASponsor AIRTRx form ALog ABSponsor BRTSMRx form BDrug logCSponsor CEmailPaper RxPaper log
Three studies · three ways of working
02

Each sponsor works differently

Every study brings its own allocation system, prescription form and accountability log. Staff must know which applies to which study.

4.2°9.2°4.4°4°4.3°
MonTueWedThuFri
Excursion Tue 14:00Found at review Fri
03

Problems surface after the event

A temperature excursion may be noticed when the log is reviewed, and a missing kit when the monitor counts the stock. By then the product may already have moved.

Binder3 volsShared drive412 filesEmail2 threadsPaper log14 pages2 DAYSKit historyassembled by hand
04

Visits need preparation

Before a monitoring visit or inspection, records are gathered from binders, shared drives and email so that the history of each kit can be shown.

Three stages

How does AQ Pharmacy manage a trial medicine?

Set-up defines what the site will receive. The ledger records every movement of stock. The evidence is produced as each step is completed.

Ledger · step 01 of 07

Receive.

The delivery, its condition, the temperature on arrival, the shipment reference and supporting documents such as the delivery note. The stock enters quarantine.

Recorded at this step
KitsK-0116, K-0118, K-0121
Arrival temperatureLogger 4.4 °C
Seals and documentsIntact · delivery note
Stock statusAwaiting checklist
Receipt · shipment SH-4471Illustrative
ShipmentSH-4471 · 3 kitsQuarantine
Seals intact
Delivery note
Kits match manifest
Logger 4.4 °C
Quarantine
3 kits held
Checklist
Available
0 kits
Controls at the point of action

How does AQ Pharmacy prevent errors before they happen?

Most pharmacy records show what happened after the event. In AQ Pharmacy, the controls sit at the point of action. A kit cannot move to the next step until the step before it is complete and approved.

Kit K-0118Stock positionClick a gate to approve its form
QuarantineReceived 09:12 · 3 kitsK-0118 here
Locked
AvailableWaiting for approvalNo stock
Locked
DispensedWaiting for approvalNo stock
Locked
ReconciledWaiting for approvalNo stock

Quarantine until released.

Stock stays in quarantine until the receipt checklist is approved and a named person releases it.

QuarantineAvailable
Completed byTechnician
Approved byChief Pharmacist
DeadlineBefore release
Once approvedLocked
Receipt checklistSH-4471 · 3 kitsAwaiting approval
SealsIntact
Transit logger4.4 °C · in range
Delivery noteAttached
KitsK-0116, K-0118, K-0121
MCM. Carter · Chief PharmacistApprover for this study

For each study, the pharmacy decides which forms are required, who completes them, who approves them and how quickly.

In AQ Pharmacy, received stock stays in quarantine until a named person approves the receipt checklist and releases it.

Worked example

How does one kit move through the pharmacy?

This example follows a single kit of a refrigerated, blinded study medication. Names and numbers are illustrative.

Kit K-0118 Study 001 · Site ARefrigerated · 2 to 8 °CBlinded · label: Study drug ABatch B-2291
4.4 °C
4.1 °C
3.9 °C
23.8 °C
No reading
No reading
No reading
Range 2 to 8 °CIn rangeExcursion
0109:12
Received

A resupply shipment of three kits arrives. The transit logger reads 4.4 °C, within the 2 to 8 °C range, and the seals are intact. The technician records the delivery and places the kits in Pharmacy Fridge 1, rack 3. The batch is short-dated, so it is noted for first use.

JRJ. ReidIn quarantine
0211:40
Released
MCM. CarterAvailable
03Visit 1
Dispensed
ROR. OkaforDispensed to P-042
04+2 h 40 min
Returned
JRJ. ReidHeld for review
05Day 3
Sent back
JRJ. ReidReturned to sponsor
06Monthly
Reconciled
MCM. CarterReconciled
07Day 21
Filed
JRJ. ReidCertificate filed
Each step is attributed to a named person and time, and the kit’s full history can be exported for the monitor.
Evidence produced by the work

How is the evidence produced?

In AQ Pharmacy, the record of each step is created by the step itself. Staff do not complete the work and then write it up separately.

The life of one formAccountability log · receipt SH-4471Click a stage
Completed

Completed by the person who did the work

The record of each step is created by the step itself. Staff do not complete the work and then write it up separately.

Audit history
OpenedJ. Reid · 09:40
SubmittedJ. Reid · 10:05

When a monitor or inspector asks for the history of a kit, the record already exists.

The binder · electronic pharmacy site file (ePSF)

What does the clinical trial pharmacy site file hold?

AQ Pharmacy includes the electronic pharmacy site file (ePSF): the controlled file of pharmacy documents for each study. It is kept separately from the investigator site file and is organised in nine fixed sections.

Pharmacy binderStudy 001 · Site A
Nine fixed sections. Subfolders where a study needs them.
Section 05IMP Accountability3 of 3 filed
Documents in this section
Accountability log · B-2291J. Reid · V-1 · 3 Oct 2026Filed
Prescription · P-042 · Visit 1M. Carter · V-1 · 4 Oct 2026Filed
Prescription · P-043 · Visit 1T. Shah · V-1 · 5 Oct 2026Filed
Upload a documentFiled to this section
Assign an upload requestTo a named colleague
Section activity
Filed · Accountability log · B-2291J. Reid · 3 Oct · 09:14
Approved by M. CarterVersion V-1 locked · 3 Oct · 11:02
Viewed by monitor (remote)Read-only · 6 Oct · 15:40
Audit history exported to ExcelM. Carter · 7 Oct · 08:30
3
Filed
0
Outstanding
Kept separately from the investigator site file. Pharmacy access only.
Blinding

The site sees the label. Never the treatment.

Each blinded product carries a site-facing label. Staff see that label on every kit; the treatment behind it stays hidden through receipt, storage and dispensing. If a participant’s care requires it, that one participant can be unblinded.

Who is looking
K-0118Study drug ABlinded
K-0121Study drug ABlinded
K-0130Study drug BBlinded
This is all the pharmacy sees at dispensing
One label per productSet at study set-up. Printed on every kit.
Blind applied at dispensingHolds through receipt, storage and issue.
Emergency unblinding, one participantOnly where care requires it. Recorded who, when, why.
One record across sponsors

How does AQ Pharmacy work across sponsors and studies?

The sponsor’s allocation system belongs to the sponsor and covers one study. The hospital pharmacy system records routine stock. AQ Pharmacy is the site’s own record of every trial medicine, across every study and every sponsor.

ASponsor A · Study 001
SystemIRT · kit allocation
FormsRx form A · accountability log A
BSponsor B · Study 014
SystemRTSM · resupply
FormsRx form B · drug log
CSponsor C · Study 022
SystemEmail from sponsor
FormsPaper accountability log
Site pharmacy record
Study 001K-0116 to K-01247 kits
Study 014B-0300 to B-031112 kits
Study 022C-0051 to C-00544 kits
Sponsor forms, no paperTheir prescription form and log become the study’s required forms.
Always the right studyEvery screen shows the selected study and site.
Linked to the participantEach dispense sits on the participant’s record and visit.
Remote monitor reviewAccountability reviewed remotely, less time on site.

Every sponsor brings its own system. AQ Pharmacy keeps one record that belongs to the site.

Alongside what you already run

Which system holds which part of the pharmacy record?

AQ Pharmacy works alongside the systems a trials pharmacy already uses. Each has a different responsibility.

System
Responsible for
How AQ Pharmacy relates
Sponsor IRT or RTSMSponsor
Randomisation, kit allocation and resupply for one study
The IRT allocates kits. AQ Pharmacy records what the site received, held, dispensed and returned.
Hospital pharmacy systemHospital
Routine stock, labelling and dispensing for the hospital
Routine stock and labels stay in the hospital system. AQ Pharmacy holds the trial record for each kit.
Temperature monitoring systemEstates
Continuous readings and alarms for fridges and rooms
Readings are recorded against each storage unit, and every excursion is flagged automatically.
Research management system, such as EDGER&D office
Study set-up, approvals and pharmacy authorisation workflows
EDGE opens the study. AQ Pharmacy manages the medicine itself, and the two are integrated.
Paper logs and bindersSite
The study record where no electronic system is used
Replaced by the ledger, the required forms and the pharmacy site file, all in one module.
Connected, not bundled

How does AQ Pharmacy connect with the rest of AQ Platform?

AQ Pharmacy can be bought on its own or with other AQ modules. Each module is priced and deployed independently.

AQ Pharmacy The pharmacy’s record of every kit
Dispense recordedParticipant returnVisit linked
Dispense K-0118 to P-042
Visit 1 · 14 Oct
Participant return K-0118
Participant Manager Participant records and visits
P-042 · Visit 1Enrolment statusVisit schedule
Dispensing and participant returns are recorded against the participant's record.
One record, four roles

What changes for each member of the team?

Pharmacy technician

Records each receipt, dispense and return once, in one place. The due forms list shows what needs completing today.

Chief Pharmacist

Approves releases, prescriptions and reconciliations before stock moves. Each approval is attributed and locked.

R&D or QA manager

Sees the stock position and form status for each study, with the history of every kit available for audit.

Monitor or sponsor

Reviews accountability remotely, with forms and supporting documents already filed by section.

How is AQ Pharmacy assured? AQ Platform meets the NHS Data Security and Protection Toolkit standard (Standards Met 2026) and holds Cyber Essentials certification. Data is hosted in the UK. Electronic records and signatures are designed to meet 21 CFR Part 11, and the module supports site responsibilities under ICH E6(R3) and the UK clinical trials regulations in force from 28 April 2026.
Questions

Questions clinical trial pharmacy teams ask.

An inspector checks that the pharmacy can show the history of every investigational medicinal product it has handled: receipt and release, storage and temperature records, dispensing against prescriptions, returns, reconciliation and destruction, with delegation, training and procedures in place. A clinical trial pharmacy site file is the site's record for a study, not a wholesaler's Site Master File. In AQ Pharmacy, these records sit in nine fixed sections, with the ledger history behind them.

Record each kit rather than a running quantity, with every movement attributed to a person and time. Record temperatures against each storage unit and act on readings outside range straight away, holding affected stock until a decision is made. In AQ Pharmacy, readings outside a unit's range are flagged automatically, and returned kits are held for review before any further use.

On arrival, the pharmacy checks the shipment, the transit temperature and the paperwork, then holds the stock in quarantine. It is released for use only when the receipt checks are complete and any confirmation the sponsor requires has been given. In AQ Pharmacy, received stock stays in quarantine until a named person approves the receipt checklist and releases it.

Record each participant return against the kit dispensed and hold it until it is reviewed. Reconcile the physical stock against the record regularly and investigate any difference. Destroy stock only with the sponsor's written authorisation, and keep the certificate. In AQ Pharmacy, returns are held for review, any reconciliation difference is recorded as a discrepancy, and destruction records the reason, method and certificate.

The investigator decides whether a participant's care requires unblinding, and that decision should not wait for sponsor approval. The pharmacy follows the study's procedure, reveals the treatment for that participant only and records who requested it, when and why. In AQ Pharmacy, blinding is applied at the point of dispensing, and an emergency unblinding can be carried out for the participant concerned.

Yes. The sponsor's IRT allocates kits to participants and manages resupply for its study. AQ Pharmacy is the pharmacy's own record of what it received, held, dispensed, returned and destroyed, across every study at the site. The two work side by side.

Yes. EDGE and similar systems manage study set-up and approvals, and the hospital pharmacy system manages routine stock and labels. AQ Pharmacy manages the trial medicine itself once the study is open. AQ integrates with EDGE.

The electronic pharmacy site file is part of AQ Pharmacy. It holds the pharmacy's documents for each study. AQ Pharmacy adds the ledger that records every kit, the forms that control each step, and blinding at the point of dispensing.

Yes. Sponsor monitors can be given remote access to review accountability and the supporting records, so less of a monitoring visit is spent reconciling logs on site.

Each AQ module is priced and deployed independently, so AQ Pharmacy can be bought on its own or with other modules. Pricing is quoted for each organisation, and every quote starts with a free first consultation. Onboarding, training and support are included.

Not covered here? Write to us at enquiries@aq-trials.com.

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