Institutional Review Board Instructions, Forms, and Samples
There are currently three IRB panels constituted at the
Health Center that meet on a monthly basis. Panel 01 meets for
the first convened meeting of the month, Panel 02 meets for the
second convened meeting of the month and Panel 3 meets for the
third convened meeting of the month. With one exception studies
requiring full board review are initially assigned to Panel 01,
02 or 03 based on submission date of the application. The one
exception is that any study proposing to involve prisoners as
subjects (including via chart reviews) must be reviewed by Panel
02 which has a prisoner advocate as a member. Once a study has
been assigned to a panel it remains under that same panel's
oversight for the life of the study. IRB Panel 4 meets on an as
needed basis and only reviews studies involving research with
embryonic stem cells.
All documents submitted to the IRB must be typed. Cells on
the forms will expand to accommodate text. If you cannot access
the documents, experience a problem with the formatting, or have
general questions about preparing a submission to the IRB
contact any of the following individuals for assistance:
Name
|
Phone
|
Area of Focus
|
|
Patricia
Gneiting |
860-679-4849 |
Expedited and Exempt Submissions |
|
Donna Horne |
860-679-4851 |
Full
Board Panel 2 or 3 Submissions |
|
Pamela Colwell
|
860-679-1019 |
Full
Board Panel 1 or 3 Submissions |
|
Marcy Chasse |
860-679-8729 |
Outgoing Correspondence to PIs |
For each submission, save the relevant documents to
your hard drive and complete accordingly. Always refer back to
the web site or the shared Institutional Review Board e-mail
folder when submitting forms to the IRB to ensure you are using
the most recent version of the document. The IRB reserves the
right to return outdated forms. A log describing changes that
have been made is available at the bottom of the page.
Human Subjects Training
All key personnel associated with a study, including those
authorized to obtain consent, must complete human subjects
training. Completion of this training will be verified by the
IRB Office. New investigators and research personnel who have
not yet completed training or whose
training is more than 3 years old are also required to
complete the
CITI Basic Course Requirement and submit the completion
certificate to the Human Subjects Protection Office. Biomedical
investigators whose initial CITI training is expiring must
complete the CITI GCP course. Social and behavioral
investigators whose initial CITI training is expiring must
complete the CITI social and behavioral refresher course.
Starting the IRB Process
Your research protocol should be well formulated before you
being the process of preparing an IRB application. The first
step is to determine whether you study will require review by
the full board or whether it will qualify for expedited review
or exempt status. To make this determination first review the
categories of research that may qualify for an
exempt status. If the research does not appear to qualify
for exempt status, review the categories of research that may be
permitted under
expedited review. If the research does not appear to qualify
for exempt status or expedited review, full board review will be
required and the submission deadlines
will apply. Once you determined the type of review that is
required you should review the
Checklist for Initial and Continuing review and
prepare/provide those documents that are relevant to your study.
The checklist also tells you how many copies of each document
must be provided. Use this checklist to communicate with the IRB
if you need to convey information about your submission. If
items on the checklist do not pertain to your study indicate NA.
Once all of your material is complete it is submitted in hard
copy format to the IRB office. It can be addressed to the IRB,
2nd floor Munson Building at MC-3926 and sent via interoffice
mail or through the courier service, or it can be hand
delivered. The IRB staff will the screen the submission and
communicate with you via e-mail regarding any needs for
additional information or clarifications.
All documents are in Word format unless otherwise noted.
Instructions for IRB Applications, Closures,
Continuations, Modifications
|
|
Instructions for Application for Initial and Continuing
(revised July 11, 2008) |
|
Instructions for Addendum to Application to Request
Continuing Review (April 8, 2008) |
|
Instructions for Application for Registry/Repository
(March 6, 2006) |
|
Instructions for Appendix B, Application for DSMP/B
(August 15, 2005) |
|
Instructions for Request for Closure/Completion
(August 15, 2005) |
|
Instructions for Request for Modification (March 2, 2009) |
|
Instructions for Application for Expedited Continuation
Under Category 8A or 8C Only (September
17, 2009) |
Routine IRB Forms (Application, Closure, Continuing
Review, Modification Review etc.)
|
|
Checklist for Initial and Continuing Review (September
10, 2009) |
|
Application for Initial and Continuing Review
(March 2006) |
|
Application Addendum to Request Continuing Review
(March 7, 2007) |
|
Application for Expedited Continuation Under Category 8A
or 8C Only (September 17, 2009) |
|
Application Appendix A (GCRC Resource Request)
(June 29, 2009 by GCRC) |
|
Application Appendix B (DSMP/B Template) (August 15, 2005) |
|
Application Appendix C (UConn Health Center as Coordinating, Lead or
Statistical Center) (August 15, 2005) |
|
Application Appendix D (Enrollment Targets)
(January 15, 2009 by GCRC) |
|
Conflict Disclosure Form |
|
IDE Statement of Investigator Obligations |
|
IND Statement of Investigator Obligations |
|
Principal Investigator's Appointment of Personnel for
Coverage |
|
Request for Exemption (July 8, 2008) |
|
Request for Expedited Review (August 15,
2005) |
|
Request for Modification (March 2, 2008) |
|
Request for Study Closure/Completion (August
15, 2005) |
|
Individual Investigators Agreement
|
|
Problem Report Form (August 5,
2009) |
|
Participant Feedback Form (new stand alone form
March 2, 2009) |
Document Change Reference Log
|
|
Change Log
(Excel, September 17, 2009) |
*Also review sections for routine IRB forms, HIPAA forms and
vulnerable populations for additional forms that may be required
(e.g., checklist, HIPAA authorization, appendices, etc.)
|