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Table 4 The D2d hybrid budget management model: lessons learned

From: Financial management of large, multi-center trials in a challenging funding milieu

 • Encourage multi-disciplinary teamwork that engages the Principal Investigator, Coordinating Center, Research Administration at the prime, subaward institutions, and the funding agency.
 • Allocate resources based on results, not just effort.
 • Maintain open-mindedness and flexibility when addressing sites’ concerns.
 • Provide Core support and sufficient resources for study start-up.
 • Accept that sites will be discontinued and sites will be added.
 • Project that recruitment will take longer and the outcome event rate may be lower than predicted.
 • Reinforce the model’s principles to site staff.