All studies, regardless of review category, must be submitted through our electronic system, eRA. Any investigator intending to initiate a research study involving human subjects which is under IRB jurisdiction must submit an initial application for review and approval. No aspect of the study, including testing performed solely to determine eligibility for the study (e.g. "pre-screening"), may begin until the IRB has approved the initial application in writing. The IRB process is initiated by the submission of an initial application via eRA.
If your study requires IRB review and you and the key personnel on the study have completed CITI training, your next step should be to create a new study package for IRB review. This is referred to as the Initial Application submission package in eRA. For step-by-step instructions for creating and submitting this submission refer to the Initial Application tutorial.
The initial application submission should include, but is not limited to the following:
There are three types of Responses:
A Response to Incomplete is generally submitted when a submission cannot be reviewed because it lacks a key requirement. Examples of when a submission has been marked incomplete includes, but are not limited, to:
A Response to Modifications is created when the review has determined that modifications to the study must be completed in order to obtain approval. These modifications may be determined by an individual reviewer via expedited review or by convened panel members at a full board meeting.
A Response to Deferral is created when the review determines that the submission should be deferred when substantial modification or clarification is required, or insufficient information is provided so the IRB is unable to judge the submission adequately, e.g., the risks and benefits cannot be assessed with the information provided. The Response to Deferral submission must be reviewed by the convened panel.
The required documentation will vary depending upon the provisions of the Response document. Although not a mandatory submission, it is useful when investigators create and include a response Word document with the Response submission. This document should address each of the itemized provisions that were outlined in the communication letter.
For step-by-step instructions for creating and submitting a Response submission refer to the Response Submission tutorial.
An Amendment submission in eRA must be submitted by Investigators when any document or procedure within an IRB approved research protocol is revised. The review must be prospective. The change must not be implemented until after IRB approval has been given.
Amendments involving minor changes that pose no more than minimal risk to subjects can be reviewed on an expedited basis. When a proposed change in a research study is not minor or might adversely affect the willingness of current participants to remain in the study, then the IRB must review and approve changes at a convened meeting before changes can be implemented.
Investigators must submit the following documentation to inform the IRB about the proposed change:
Examples of amendments that may be reviewed using the expedited procedure include:
Examples of amendments not eligible for review using the expedited procedure include:
All expedited and full board studies are approved for one year or less, depending on the level of risk. The approval period ends on the expiration date. Investigators must submit a Continuing Review submission in eRA to request continuation of research activities beyond the expiration date. Continuing review is also called "renewal" and "re-approval".
The study expiration date is included in approval letters from the IRB. The IRB Office sends out reminders 60 and 30 days before the expiration date. It is the investigator's responsibility to submit a Continuing Review submission, allowing sufficient time for the review and re-approval process to be completed before the current approval expires.
If all study activities are complete, then a Final Review should be submitted. This should only be done once all uses of identifiable private information for research purposes have ceased, including data analysis, data transmission, preparation of a study publication, internal or external audit, and any other activity involving the use of identifiable private information for research purposes.
Investigators must submit the following documentation to request continuing review:
A study will usually undergo the same level of review for initial and continuing review. For example, a study that was originally reviewed using the expedited review procedure will usually undergo its continuing review on an expedited basis. The most common exception to this rule is a study that was originally reviewed by the full board but that had no accrual during the previous period, or that remains open only to data analysis. This class of study may be reviewed using an expedited review. Studies certified as exempt are not required to undergo Continuing Review.
Continuing review provides an opportunity to reassess the totality of the study and assure that, among other things, risks to subjects are being minimized and are still reasonable in relation to anticipated benefits. Reviewers will evaluate whether the research meets the criteria for IRB approval.
Research activities can continue while the IRB reviews the Continuing Review submission, as long as the expiration date has not passed. However, the Continuing Review submission must be approved by the IRB by the end of the expiration date. For example, if the expiration date is 01-Jan-2011, the Continuing Review must be approved by 11:59 pm 01-Jan-2011. If it is not approved, the study would be expired at 12:00 am 02-Jan-2011.
There is no grace period extending the conduct of the research past the expiration date. Extensions will not be granted. The continuation of research after the expiration date is a violation of the regulations. Therefore, if approval of the Continuing Review submission is not obtained before expiration, all research activities pertinent to the study must stop. Approval must be given by the IRB before the research activities can resume.
If a study is expired for more than 90 days, the study will be closed permanently. A new application may be submitted for the continuation of the project, which will go through IRB review.
In rare cases, the IRB may find that failure to continue research activities after the expiration would seriously jeopardize the safety or well-being of an individual. The IRB will consider these situations on a case-by-case basis. Please contact the IRB Office with any questions about this process.
If all study activities are complete, then a Final Review should be submitted in eRA. This should only be done once all uses of identifiable private information for research purposes have ceased to include data analysis, data transmission, preparation of a study publication, internal or external audit, and any other activity involving the use of identifiable private information for research purposes.
Closure of a study means that no further research, follow-up, or data analysis will be performed. If any subjects are continuing in a study, the study may not be closed. A study is not closed simply because no additional subjects will be enrolled.
If your study is ready to be closed, complete a Final Review submission, including the Continuing Review E-Form, in eRA. Note that the information requested is the same for a Continuing Review as for a Final Review. Your responses in the Study Details - Current Protocol Status section will determine whether the study meets the criteria for closure.
Use HRP-214: FORM - New Information to report information that fall into one or more of the categories below. Information that does not fall under any of the categories does not require reporting to the IRB. Reportable information items must be reported to the IRB within 5 business days of the date the Principal Investigator became aware of the information.
If changes to the protocol or consent are required based on the information being reported, an Amendment must be submitted as a separate submission in eRA.