IRB Application for Expedited Review

IRB EXPEDITED REVIEW

Research activities that (1) present no more than minimal risk* to human research participants, and (2) involve only procedures listed in one or more of the following categories may be reviewed by the Institutional Review Board through the expedited review procedure authorized by 45 CFR 46.110 and 21 CFR 56.110. Inclusion on this list merely means that the activity is eligible for review through the expedited review procedure when the specific circumstances of the proposed research involve no more than minimal risk to research participants.

*Minimal risk means that the probability and magnitude of harm or discomfort anticipated in the research are not greater in and of themselves from those ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests. [45 CFR 46.102(i)]

The categories in this list apply regardless of the age of participants, except as noted.

The expedited review procedure may not be used where identification of the participants is possible directly, or through identifiers linked to them and their responses would reasonably place them at risk of criminal or civil liability or be damaging to the participant's financial standing, employability, insurability, or reputation.

The expedited review procedure may not be used for classified research involving human research participants.

The standard requirements for informed consent (or its waiver, alteration, or exception) apply.

Categories one (a) through seven (b) pertain to both initial and continuing IRB review.

RESEARCH CATEGORIES REVIEWED THROUGH AN EXPEDITED PROCEDURE (Use categories 1 ? 7 to complete question number one (1) on the second page of the application form)

(1) Clinical studies of drugs and medical devices only when condition (a) or (b) is met: (a) Research on drugs for which an investigational new drug application (21 CFR Part 312) is not required. (b) Research on medical devices for which (1) an investigational device exemption application (21CFR Part 812) is not required; or (2) the medical device is cleared/approved for marketing and the medical device is being used in accordance with its cleared/approved labeling.

(2) Collection of blood samples by finger stick, heel stick, ear stick, or venipuncture as follows: (a) from healthy, non-pregnant adults who weigh at least 110 pounds (not to exceed 550 ml in an 8 week period and collected not more frequently than 2 times per week; or (b) from other adults, considering the age, weight, and health of the subjects, the collection procedure, the amount of blood to be collected, and the frequency with which it will be collected, the amount drawn may not exceed the lesser of 50 ml or 3 ml per kg in an 8 week period and collected not more frequently than 2 times per week.

(3) Prospective collection of biological specimens (hair and nail clippings, excreta and external secretions, deciduous teeth, uncannulated saliva) for research purposes by noninvasive means.

UCA IRB Expedited Application v.1014

(4) Collection of data through noninvasive procedures (not involving general anesthesia or sedation) routinely employed in clinical practice, excluding procedures involving x-rays or microwaves. Where medical devices are employed, they must be cleared/approved for marketing. (Studies intended to evaluate the safety and effectiveness of the medical device are not generally eligible for expedited review, including studies of cleared medical devices for new indications.)

Examples: (a) physical sensors that are applied either to the surface of the body or at a distance and do not involve input of significant amounts of energy into the subject or an invasion of the participant's privacy, (b) weighing or testing sensory acuity, (c) magnetic resonance imaging, (d) electrocardiography, electroencephalography, thermography, detection of naturally occurring radioactivity, electroretinography, ultrasound, diagnostic infrared imaging, doppler blood flow, and echocardiography, (e) moderate exercise, muscular strength testing, body composition assessment, and flexibility testing where appropriate given the age, weight, and health of the individual.

(5) Research involving materials (data, documents, records, or specimens) that have been collected, or will be collected solely for non-research purposes (such as medical treatment or diagnosis). (NOTE: Some research in this category may be exempt from the HHS regulations for the protection of human research participants. [45CFR46.101 (b)(4)]. This listing refers only to research that is not exempt.)

(6) Collection of data from voice, video, digital, or image recordings made for research purposes.

(7) Research on individual or group characteristics or behavior (including, but not limited to, research on perception, cognition, motivation, identity, language, communication, cultural beliefs or practices, and social behavior) or research employing survey, interview, oral history, focus group, program evaluation, human factors evaluation, or quality assurance methodologies. (NOTE: Some research in this category may be exempt from the HHS regulations for the protection of human research participants [45CFR46.101(b)(2) and (b)(3)]. This listing refers only to research that is not exempt.)

(8) Continuing review of research previously approved by the convened IRB as follows: (a) where (i) the research is permanently closed to the enrollment of new subjects; (ii) all participants have completed all research-related interventions; and (iii) the research remains active only for long-term follow-up of participants; or (b) where no participants have been enrolled and no additional risks have been identified; (c) where the remaining research activities are limited to data analysis.

(9) Continuing review of research, not conducted under an investigational new drug application or investigational device exemption where categories two (2) through eight (8) do not apply but the IRB has determined and documented at a convened meeting that the research involves no greater than minimal risk and no additional risks have been identified.

UCA IRB Expedited Application v.1014

Date Received in Office: ______________________

IRB #: _______________

UCA IRB APPLICATION FOR EXPEDITED

For any questions regarding this form, please contact the Research Compliance Officer at 501-852-7460.

Submit one (1) *.pdf file of a complete application (including signature pages and attachments) to researchcompliance @uca.edu. DO NOT submit hard copies of applications or attachments.

Date: Principal Investigator Name(s):

Email: If Student(s), Research Advisor's Name:

Email: UCA Address (of Research Advisor, if a student): Building:

Department: Project Title:

Phone: Phone: College:

Room #:

Anticipated dates of project:

Beginning:

Ending:

FUNDING: Anticipated source of funds, if any, including UCA Research Funds. (If this project will be funded under a grant to another investigator, please give the title of the grant, name of agency or institution, and the investigator's name.)

Proposal has been (will be) submitted for funding (date):

Will proposed research be conducted with investigator(s) from other agency/institution(s)?

Yes

No

If YES, complete and attach the Study Personnel Form

Is proposed research being conducted to meet course or degree requirements at another university?

Yes

No

If YES, has the research been reviewed by that university's IRB?

Yes

No

If YES, what were the results? (attach approval letter)

Required Training/Education in protections for human research subjects: (Complete for each investigator.)

Name:

Name:

CITI Certificates are:

attached on file

CITI Certificates are:

attached on file

Name:

Name:

CITI Certificates are:

attached on file

CITI Certificates are:

attached on file

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RESEARCH PARTICIPANT INFORMATION:

1. State the Category (1-7) of Expedited Research from pages 1 and 2: #

2. Total number of Participants and Controls:

# of Males:

# of Females:

3. Categories of Participants and Controls Adults (18 years and over) Adolescents (13-17 years of age) Mid-Childhood (6-12 years of age) Preschool (3-5 years of age) Infants (0-2 years of age) Pregnant Women Other (specify): Using existing data, no subjects recruited

Institutional Affiliation of Participants None Schools/College/University Prisons Hospitals/Clinics Other (specify):

4. Mentally Competent Adult (able to give consent)

Mentally Incompetent Adult (unable to give consent)

5. Demographic Information (check all applicable items): Names Social Security #s Addresses Phone #s Age/Date of Birth Sex Race/Ethnicity

Marital Status Income Job Title Names of Employers Types of Employers Other (specify): ____________________________

6. Briefly explain how the demographic information will be used.

7. How will the participants be chosen? (If using existing records, attach a copy of the permission.)

8. How will the participants be recruited and contacted?

9. Will the participants receive any inducement or remuneration (e.g., $$, gift certificates, class credit) or token gifts (e.g.,

candy, stickers) to participate in the research?

Yes

No

(if YES, describe)

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10. What is the time requirement for the participants?

11. Will participants be charged for any research related procedures?

Yes

No

(if YES, explain)

12. Describe any potential short and long term benefits from this research to the participants and/or society. (If there are none, state none.)

Research Participants:

Society (Science / Scholarship):

13. Study site: Where will the research be conducted? If not at UCA, has permission been granted? (Attach a copy of permission or collaboration letter.)

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