An amendment is a request by the investigator to make a change to a previously approved protocol. The user identifies which sections will be modified with the amendment. After selecting the sections to amend, the user can create the amendment protocol. The system generates a protocol with suffix A00X (where X is 1 for the 1st amendment, 2 for the 2nd amendment and so on). The amendment protocol generated by the system is a copy of the approved protocol with the added provision of investigator being able to update the sections they want to amend.
Table 519 Protocol Document, Protocol Actions Page, Request an Action Section, Available Actions – Create Amendment - Action Attributes
| Action attributes | Description | 
| Who can perform action | Investigators can initiate this action. | 
| Protocol state prior to action | Prior to the action being performed, the protocol must be in the following state: 
 The protocol status must be in one of the following statuses "Active", "Active – On Hold”, "Suspended", "Deactivated","and Expired", “Administratively deactivated" "Administratively Approved “The submission status can be in any state. 
 | 
| Protocol state after action | After the action is performed 
 The protocol status changes to Amendment in Progress The submission status is empty. | 

Figure 1361 Protocol Document, Protocol Actions Page, Request an Action Section, Available Actions Subsection - Create Amendment Layout
Table 520 Protocol Document, Protocol Actions Page, Request an Action Section, Available Actions Subsection - Create Amendment Field Descriptions
| Field | Description | 
| Summary | Enter text that summarizes the reason for the creation 
      of an amendment to the Protocol document.  Click within the text 
      box (or press the tab  | 
| Amend | Select one or more portions of the Protocol document that you intend to amend | 
| 
 | Click the create button to cause 
      a new Protocol document to be created.  You are then able to make 
      changes to the selected portions only.  Upon create action for the 
      amendment, the system creates an amendment protocol with a protocol number 
      derived from (protocol number of the protocol being amended followed by a 
      suffix of A001 for the first amendment, A002 for the second amendment and 
      so on). Once the amendment protocol is approved, the changes are merged 
      with the original protocol and the amendment protocol with the suffix of 
      A00* ceases to exist. |