NCI Central IRB Process

Download Report

Transcript NCI Central IRB Process

1

National Cancer Institute (NCI) Central Institutional Review Board (CIRB) Research Studies

UCSF HRPP Submission Process Overview

Tuesday, December 18, 2007 10 am – 11:15 am Regents Room, Laurel Heights Campus NCI Central IRB Process training 12-18-07.ppt

Background

2

 What is NCI CIRB?

– Central Institutional Review Board – For use by NCI-sponsored cooperative research groups – – CIRB review replaces review by local IRB (CHR is UCSF’s IRB) Local “Facilitated Review” still required – Both IRBs review adverse events NCI Central IRB Process training 12-18-07.ppt

Submitting to NCI CIRB versus UCSF IRB (CHR)

3

 NCI CIRB: – Documents from CIRB form core of application – UCSF local forms: Notice of Intent to Rely on the NCI CIRB and – Consent form with UCSF-required additions  UCSF IRB – UCSF application, supplements, consent forms – Group protocol, sample consent form NCI Central IRB Process training 12-18-07.ppt

How to open a CIRB study at UCSF

4

 First:   UCSF Investigator and study contact register with CIRB

through

UCSF HRPP (http://www.research.ucsf.edu/chr/Inst/Contac tformNCICIRB.doc) UCSF investigator notifies UCSF Cancer Center Protocol Review Committee in advance of any intentions to rely on the NCI CIRB NCI Central IRB Process training 12-18-07.ppt

How to open a CIRB study at UCSF (cont’d)

5

 Second:  If UCSF Radiation Safety and/or Biosafety Approvals are needed, these approvals must be in place before local subjects can be enrolled  Key Personnel must complete the UCSF online Human Subjects Protection Training at https://www.researchonline.ucsf.edu/.

Download Facilitated Review packet from NCI CIRB website

NCI Central IRB Process training 12-18-07.ppt

6

NCI Central IRB Process training 12-18-07.ppt

7

NCI Central IRB Process training 12-18-07.ppt

8

How To Open a CIRB study at UCSF

(cont’d)

 Then: – CIRB submission packet – 5 sets:  “Notice of Intent to Rely” form  “Local context” consent form  “Facilitated Review” packet

downloaded from NCI website

NCI Central IRB Process training 12-18-07.ppt

9

Summary of HRPP ‘facilitated review’ process

– – New and Transfer studies  PI and contact registration with CIRB  Notice of Intent etc. submission to CHR  UCSF facilitated review – – Protocol/PI registration with CIRB UCSF facilitated review approval letter Ongoing studies (renewals and modifications)  Renewed/modified Notice of Intent etc. submission to CHR  UCSF facilitated review – UCSF facilitated review approval letter NCI Central IRB Process training 12-18-07.ppt

10

How to keep a CIRB study open at UCSF

 – – For Modification and Renewal submissions Submit “Notice of Intent to Rely” form with either ‘modification’ or ‘renewal’ checked Submit NCI CIRB Approved consent and recruitment documents

with UCSF-specific changes incorporated

.

NCI Central IRB Process training 12-18-07.ppt

How To Keep a CIRB study open at UCSF (cont’d)

11

Modifications,

in addition to Intent to Rely and UCSF-versions of consent and recruitment docs:  – For CIRB modifications/amendments, download the current amendment documents (including the CIRB approval letter for the amendment). For UCSF-only local context change to consent forms and/or study contacts, prepare a cover letter describing the changes, and submit along with the “Notice of Intent to Rely” form, and revised consent form, with ‘modification’ checked.

submit the report for reference.

If a consent form change is related to an Adverse Event report, also

NCI Central IRB Process training 12-18-07.ppt

12

How To Keep a CIRB study open at UCSF (cont’d)

 –

Renewals,

in addition to Intent to Rely and UCSF versions of consent and recruitment docs

:

For CIRB renewals, download the current continuing review documents (Correspondence / CIRB Continuing Review Approval letter, Protocol , Informed Consent, Support Documents – e.g. DMC report or study summary).

NCI Central IRB Process training 12-18-07.ppt

13

How to keep a CIRB study open at UCSF

(cont’d)

 Notes 1: – For renewal and modifications including protocol amendments, submit only the track changes version of the protocol and consent form (i.e. not both track change and final copy) – Check the CIRB facilitated review packet to be sure the most recent

CIRB approval letter

is included.

NCI Central IRB Process training 12-18-07.ppt

14

How to keep a CIRB study open at UCSF

(cont’d)

 Notes 2: – If a renewal or modification is ‘pending’ with CIRB at the time the UCSF investigator wishes to join the study, wait for CIRB approval of the pending item before submitting the application to the CHR – Work with the CHR staff to register/change investigators and study contacts on CIRB studies NCI Central IRB Process training 12-18-07.ppt

15

How to keep a CIRB study open at UCSF

(cont’d)

 Post-approval event reporting – http://www.research.ucsf.edu/chr/Apply/Post Approval_Reporting.pdf

 PI is responsible for keeping up with amendments, expirations, and renewals through CIRB NCI Central IRB Process training 12-18-07.ppt

16

What’s New with CIRB at UCSF

 Transfer Studies   Updates to local context information for consent forms (

cost

information) Updates to UCSF CIRB “Notice of Intent” form NCI Central IRB Process training 12-18-07.ppt

17

What’s New - transfer studies

   Existing studies eligible for transfer must have current CHR approval with no reviews pending (e.g. no continuing reviews, modifications, local adverse events or protocol violations under CHR review) at the time of transfer request submission.

Investigators will be asked to complete a “CHR Study Close out Report” for the existing, CHR-approved study in addition to a new CIRB application packet to CHR

The CHR office will process the closeout report, conduct a facilitated review of the CIRB application packet, and if acceptable, register the study with CIRB.

NCI Central IRB Process training 12-18-07.ppt

What’s New - Update to Local Context Informed Consent Form 18

 Cost information – template language: –

You and/or your health plan/insurance company will need to pay for some or all of the costs of treating your cancer in this study. Some health plans will not pay these costs for taking part in studies. Check with your health plan/insurance company to find out what they will pay for. Taking part in this study may or may not cost you or your insurance company more than the cost of getting regular cancer treatment

tests, procedures or drugs for which there is no charge. Also clearly state if there are charges resulting from administration of the test or drug that will be billed to the patient and/or health plan. For example, “

at no cost to you. However, you or your health plan may need to pay for costs of the supplies and personnel who give you the [drug

]."

] [

The NCI [or other study sponsor] is supplying [drug]

Include the following sentence if appropriate:

the study, [study drug] becomes approved for use in your cancer, you and/or your health plan may have to pay for the drug needed to complete this study

.

]

.

[

If applicable, inform the patient of any

If, during

NCI Central IRB Process training 12-18-07.ppt

19

What’s New - Updates to UCSF CIRB Notice of Intent form

 New section about local recruitment process  New section about local informed consent process NCI Central IRB Process training 12-18-07.ppt

Resource Contact Information

20

 UCSF CIRB submission general questions: – – – Joanne Mickalian, Assessment Team, HRPP 415-476-1744 [email protected]

 UCSF CIRB submission post-approval monitoring questions: – – – Maria Bahn, Quality Improvement Unit, HRPP 415-514-3823 [email protected]

NCI Central IRB Process training 12-18-07.ppt

21

NCI Central IRB Process training 12-18-07.ppt

Resource Web Links:

22

  UCSF HRPP Information about Participating in CIRB studies: – Guidance about CIRB studies http://www.research.ucsf.edu/chr/Inst/chrInst_NCICIRB.asp

– – – Investigator and Study Coordinator registration form http://www.research.ucsf.edu/chr/Inst/ContactformNCICIRB.doc

Checklist for making consent form ‘local context changes’ http://www.research.ucsf.edu/chr/Inst/CFChecklistNCI.pdf

UCSF application form for CIRB studies http://www.research.ucsf.edu/chr/Inst/NoticeRelyCIRB.doc

Other Information about CIRB: – – NCI CIRB website http://www.ncicirb.org/CIRB_Login.asp

Federal Guidance on ‘local context’ issues http://www.hhs.gov/ohrp/humansubjects/guidance/local.htm

NCI Central IRB Process training 12-18-07.ppt