II.08

 

 

Continuing Review of Research

 

 

 

Objective

The University of Texas Health Science Center at Houston (UTHSC-H) requires that protocols approved by the Committee for Protection of Human Subjects (CPHS) undergo continuing review.  The CPHS conducts continuing reviews of research covered by 21CFR, 45CFR 46, 38CFR 16 and ICH E6 at intervals appropriate to the degree of risk, but not less than once per year.  This Policy/Procedure outlines the requirements for conducting continuing reviews. 

 

Policy/Procedure

I.          Protocols approved by the Committee for Protection of Human Subjects (CPHS) undergo continuing review at least every 12 months, but the CPHS may require more frequent reviews if it considers more oversight is necessary due to the risks of the study. The PI will be informed in the approval letter of the date of the next continuing review, and it will be in his/her study information in iRIS.  The PI will also be reminded no less than 120 days prior to expiration of the approval date.  However it is the responsibility of the PI to ensure that his/her project is submitted for review on time. 

 

II.        The PI shall be sent a Continuing Review Reminder via iRIS at 90, 60, and 30 days prior to the date the Continuing Review Submission is due.

 

III.      The PI shall submit a Continuing Review Submission via iRIS by the Due Date which is the 15th day of the month prior to which the study is due to expire in order to allow sufficient time for an adequate review by the CPHS.

 

IV.      Continuing Review is required in the following situations.

 

A.   At intervals appropriate to the degree of risk, but not less than once per year

 

B.    As long as the research remains active for long-term participant follow-up, even when permanently closed to enrollment and participants have completed research-related interventions

 

C.    As long as activities include analysis of identifiable data

 

D.   Other requirements as applicable

 

V.        Full CPHS Review

 

A.   Research protocols initially reviewed and approved by a full convened meeting of the CPHS will undergo continuing review at a fully convened meeting unless the study qualifies for expedited continuing review (See V. below).

 

B.    Studies that were reviewed and approved by an expedited process or were determined to be exempt may change such that a CPHS full review and approval may be required for the continuing review process.

 

C.    All information required to be submitted by the PI is listed in Policy and Procedure II.7. In addition to the information provided in the Continuing Review Submission, all other information required by regulation to be provided to CPHS to assure adequate review (current protocol, serious adverse events, etc), is recorded in iRIS and accessible to all members and consultants.

 

D.  The IRB Coordinator will assure that all Continuing Review Submissions

     are forwarded to the Chairman or his/her designee for assignment to a Primary                               Reviewer.

 

E. The Primary Reviewer will receive notification of research studies to be reviewed.  A Reviewer must declare any Conflict of Interest with the research assigned to him/her for review.  If there is a conflict, the research study shall be reassigned to another Reviewer.

 

F.  Continuing review must be substantive and meaningful. Full information regarding the continuing review (application and supplemental information) is provided to CPHS members within iRIS.  The approval criteria for continuing review are the same as that for initial review (see Policy and Procedure II.2). Therefore it is the responsibility of the CPHS to determine the following.

1.     A current risk-benefit assessment is made based on study results, including a review of all reported unanticipated problems and serious adverse events. It shall be determined whether the level of risk has changed from the last review.

2.     Selection of subjects continues to be reasonable and impartial.

3.     When reviewing the current informed consent document(s) the CPHS should ensure the following:

a)     Whether the currently approved informed consent document is still accurate and complete;

b)    Any significant new findings that may relate to the participantŐs willingness to continue participation are provided to the participant

4.     Adequate provisions to protect the privacy of subjects and to maintain the confidentiality of data are provided, when appropriate.

5.     There continues to be adequate provision for monitoring the data collected to ensure the continued safety of the participants, when appropriate.

6.     Appropriate safeguards for vulnerable populations are provided.

7.     When the study is part of a multi-center trial and is subject to oversight by a DSMB, the CPHS may rely on a current statement from the DSMB or sponsor indicating that it has reviewed study-wide adverse events, interim findings, and any recent literature that may be relevant to the research, in lieu of requiring that this information be submitted directly to the CPHS. The CPHS must still receive and review reports of local, on-site adverse events and unanticipated problems involving risks to participants or others and any other information needed to ensure that its continuing review is substantive and meaningful.

8.     Review the complete protocol including any protocol modifications previously approved

9.     Any CPHS member shall have access to the CPHS minutes from initial review and preceding continuing review of the protocol prior to the convened CPHS meeting.

10.  In addition, the CPHS may require additional information for continuing review at its discretion

 

G.  For each individual study the Primary Reviewer will present his/her review of the information to the members of the CPHS including a statement of no material changes to the protocol and will make a recommendation. The discussion is open to all CPHS members.

1.  One of the following determinations will be voted on

                                   

a.  Approval of the proposal

 

b.  Approval Pending Stipulations

 

c.  Defer pending receipt of additional information

 

d.  Disapproval

 

a)     Approved:  An approval is grant if the research activity meets the criteria for approval as defined in 45 CFR 46.111 and no changes are recommended to the proposal. The investigator will receive a written notice of approval via iRIS.

 

b)    Approval Pending Stipulations: An approved pending status if given if the research meets the 45 CFR 46.111 criteria for research approval and any modifications required by the IRB require simple concurrence by the investigator.  When the modifications requiring simple concurrence are received from the investigator, the Chair or his/her designee may then review and confirm the modifications through an expedited procedure.  The proposal may be referred back to the full committee if deemed necessary by the Chair or his/her designee.  The investigator will receive a written request for modifications via iRIS.

 

c)     Defer pending receipt of additional information:  When the convened board requests substantive modifications or clarifications directly relevant to the determinations required at 45 CFR 46.111, IRB approval of the proposed research is deferred, pending subsequent review by the convened board of responsive material.  The investigator will receive a written request for specific or additional information required.

 

d)    Disapproval:  Disapproval is given if the proposal does not meet the criteria for approval as defined in 45 CFR 46.111.  If the IRB decides to disapprove a research activity, it shall include in its written notification a statement of the reasons for its decision and give the investigator an opportunity to respond in person or in writing.

 

e.  Table: A protocol may be tabled until another meeting due to lack of review.  In the event of a loss of quorum, all incomplete agenda items shall be considered tabled until quorum can be reconstituted in a convened meeting.

 

2.  The CPHS shall determine if the research should undergo continuing review sooner than one year, based on determination of risk.

 

H.  The decisions and possible requirement for changes are promptly conveyed to the PI in iRIS.

 

I.  The minutes of the convened meeting should document separate deliberations, actions, and votes for each protocol undergoing continuing review by the convened CPHS.

 

VI. Expedited Review

 

A.   Research Protocols that were originally reviewed using expedited review procedures may undergo expedited continuing review unless previously met criteria have changed so the study no longer meets the criteria for expedited review and approval.                                                               

 

B.    Research Protocols that were originally approved at a CPHS full board convened  meeting may undergo expedited review by the CPHS:

1.     If the research is permanently closed to the enrollment of new participants, all participants have completed all research-related interventions, and the research remains active only for long-term follow-up of participants; or

2.     No participants have ever been enrolled at this site and no additional risks have been identified (neither the investigator nor the CPHS at this site has identified any additional risks from any site or other relevant source); or

3.     Where the remaining research activities are limited to data analysis.

 

C.    The decisions and possible requirements for changes are promptly conveyed to the PI in iRIS.

 

VII.        Expired Study

 

A.   When the PI has not submitted the Continuing Review Submission by the Due Date, he/she will be sent a notification that the study will expire on the indicated expiration date. 

 

B.    When continuing review of a research protocol does not occur prior to the end of the approval period specified by the CPHS, CPHS approval expires automatically.  Such suspension of CPHS approval does not need to be reported to OHRP as a suspension of CPHS approval.

 

C.    On the date of expiration a formal notice of termination of the study is sent to the PI, informing him/her that:

1.     Enrollment must stop; and

2.     All research activities must stop unless the PI requests that the CPHS finds that there is an over-riding safety concern or ethical issue such that it is in the best interests of individual subjects to continue participating in the research interventions or interactions.

 

 

Applicable Regulations and Guidelines

21CFR 50 ( http://www.access.gpo.gov/nara/cfr/waisidx_04/21cfr50_04.html )

21CFR 56 ( http://www.access.gpo.gov/nara/cfr/waisidx_04/21cfr56_04.html )

38CFR 16 ( http://www.access.gpo.gov/nara/cfr/waisidx_04/38cfr16_04.html )

45CFR 46 ( http://www.access.gpo.gov/nara/cfr/waisidx_04/45cfr46_04.html )

ICH E6 ( http://www.ich.org/MediaServer.jser?@_ID=482&@_MODE=GLB )

AAHRPP Evaluation Instrument For Site Visitors ( http://www.aahrpp.org/Documents/D000043.PDF )

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Updated 10/2007, Report broken links