| Why
was my study chosen?
Studies are chosen for different reasons. All studies that use humans
as subjects and are approved through the University of Minnesota's
IRB can be chosen for a compliance review. See the Compliance
Review Selection and Process page for more information.
What
will happen during the compliance review?
The compliance officer will meet briefly with the PI to ask/answer
questions regarding the study and/or the compliance review. The
compliance officer will review all of the study materials and documentation.
A final report of the findings will be written after the compliance
review. More details are available on the Compliance
Review Selection and Process page.
What
materials will be reviewed?
The materials reviewed are those which the ICH
Good Clinical Practice guidelines state should be available
for research studies. A general list is available on the Compliance
Review Selection Process page.
How
long will the compliance review take?
The meeting with the PI should take 20-30 minutes depending on the
number of questions that need answers. The amount of time needed
to review the study materials varies greatly depending on the number
of subjects, the extent of IRB/sponsor correspondence and regulatory
documents.
What
happens after the compliance review?
The compliance officer will write a report of the findings from
the compliance review. The compliance review will be considered
closed if no follow up is needed. Either the ORA or IRB will determine
the need for follow-up and notify the PI of what needs to be done.
What
if my schedule does not allow me to meet for several weeks?haton
a big That is o.k. Please inform the compliance officer
of your situation and a date in the future can be arranged for the
compliance review. For many of the compliance reviews, there is
no deadline.
Is
a signed consent form sufficient documentation of the consent process?
-
Informed
Consent is a process that
includes the signed consent
form document
-
The
consent process begins when a potential subject is interested
in participating in a research study and it continues until
the end of the follow-up
What
is often recommended is keeping a separate log sheet for each subject
and documenting the processes such as:
The
reason for the consent process documentation is to:
-
have
a record of all their concerns and the answers given, if in
case there are any issues during the study. There is no
reason to document everything, but documenting
significant questions about stopping other medications, etc.
is very important.
-
help
prove that there was no coercion or pressure to join the study.
-
have
enough evidence (back-up) to prove that consent was properly
obtained, if you loose or misfile the consent form.
What
should be done when there is a "PI's Signature" line on
the consent form, but the PI is not present when consent is obtained
and the subject signs the consent form?
1. Regulatory Affairs
will not give a citation for
failure of a PI's signature and date since it is not required by
the code of federal regulations that the PI should sign the consent
form. However, depending on other circumstances and the type of
the study, we might mention that issue in the report and suggest
corrective actions, such as a note to file explaining the situation.
2. As a general
rule, the signature of the person obtaining the
consent from the subject is highly recommended.
So, if you are submitting the consent form to the IRB with changes,
it is recommended that instead of the "PI's Signature",
change the language to "Signature of the Person Obtaining the
Consent" or "Signature of the Research Staff Obtaining
the Consent".
3. Having a signature
line for the PI and not complying with it can be misconstrued as
poor research management practice, which can easily be avoided.
When
protocols require procedures at specific times but do not identify
acceptable windows around those precise times (for example, the
protocol says blood will be drawn 12 hours post drug intake but
does not clarify +/- 2 hours as acceptable), is it a protocol deviation
if the procedure does not happen at the exact time?
FDA's response*:
It is truly unrealistic
to expect samples to be drawn at exactly the same time or day prescribed
when working with a number of individuals, and protocols therefore
usually include acceptable windows. Noting the file might
be sufficient to allow for satisfactory inclusion of all subjects
when the study results are analyzed. However, it would be
best for the sponsor-investigator to first consult with a biostatistician
as to the widest reasonable window that would allow for the data
collected to be considered medically and statistically equivalent.
While the sponsor-investigator might want to retain all the data
collected to date, some may not be acceptable for analysis if the
window was to wide.
*This information does
not necessarily represent the formal position of the FDA but rather
is an informal communication which represents the best judgment
of the employee providing it. |