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Developed by:
U-MIC
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IRB REGULATORY
DETERMINATIONS
Developed by:
U-MIC
University of Michigan IRB Collaborative
IRB determinations
regulatory determinations
convened board meeting
 recorded in minutes

CFR citations
expedited review
compliance with federal regulations for human subject protections
vulnerable populations
risk/benefit assessment
other determinations, as applicable
o
o
o
o
waivers
study-specific AE reporting plan
significant and nonsignificant risk devices
unanticipated problem involving risk to subjects or others (UPIRSO or UaP)
Developed by:
U-MIC
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IRB determinations
most applications
 new studies
 amendments
 scheduled continuations
 adverse events (AE)/other reportable information or occurrence (ORIO)
compliance with human subject protections regulations
 HHS: 45 CFR 46.111
 FDA: 21 CFR 56.111
 other federal regulations
 Department of Defense: 32 CFR 219.111
 Department of Justice: 28 CFR 46.111
 OCR — HIPAA Privacy Rule: 45 CFR 160 and 164
Developed by:
U-MIC
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IRB determinations
vulnerable subject populations
federally defined
 women of childbearing potential
 pregnant women, fetuses, and neonates
 prisoners
 children
 parent signatures
per U-M
 patients of the study team
 educationally disadvantaged individuals
 economically disadvantaged individuals
 cognitively impaired adults
 other special populations
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U-MIC
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IRB determinations
risk/benefit assessment
IRB may
 confirm study team’s assessment
 determine that
 risk level should be higher or lower
 no more than minimal risk
 minor increase over minimal risk
 moderate risk
 high risk
 benefit type should be changed
 potential direct benefit
 indirect benefit
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IRB determinations
waivers
 informed consent
 documentation of informed consent
 assent
 HIPAA Authorization
may be
full
 all subjects and study activity
partial
 only a portion of the study
 only certain subjects
study must meet criteria for waiver
 HHS
 FDA
 OCR
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U-MIC
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IRB determinations
study-specific adverse event reporting
plans
IRB must determine that study team’s plan is acceptable.
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U-MIC
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IRB determinations
investigational medical devices
significant risk
nonsignificant risk
IRB may
agree with sponsor’s determination
disagree
o modifies determination
o instructs sponsor to notify FDA of IRB determination
Developed by:
U-MIC
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IRB determinations
unanticipated problems involving risk
to subjects or others
 UPIRSO / UaP
unexpected
related or possibly related to research
suggests study presents greater risk than
previously recognized
Developed by:
U-MIC
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IRB determinations
IRB regulatory
determinations
Developed by:
U-MIC
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THANK YOU.
Brian Seabolt
Cheryl Jamnick
IRBMED
Developed by:
U-MIC
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