Instructions Regarding Signatures on Legacy Applications to the IRBMED

Note that in eResearch the written signature is replaced by the principal investigator's assurance indicated when submitting an application.

Application Type Principal Investigator Co-Investigator Other

Initial Applications
 

New Project

YES

YES

N/A

Emergency Use Report

YES

YES

Impartial Physician
Only when the test article is administered prior to patient's informed consent

Previously Approved Project Applications
 

Scheduled Continuation Review (Renewal)

YES

NO

N/A

Amend Principal Investigator

YES
Both new and previous PI

NO

N/A

Amend Co-Investigator

YES

YES
Only new Co-I

N/A

Adverse Event/Other Reportable Information or Occurrence

YES

NO

N/A

Other Amendments (including HIPAA-only)

YES

NO

N/A

Termination

YES

NO

See below

Signatures

Signatures must be original (made by hand, blue ink encouraged). Electronic, faxed, copied, or stamped signatures are not accepted.

Termination

IRBMED studies should be terminated when the study ends. Allowing a study's IRBMED approval to expire does not terminate the study.

Emergency Use

In emergency circumstances, it may not be feasible to obtain informed consent prior to using the test article. The regulations therefore provide an exemption from the informed consent requirement for such situations. Emergencies qualifying for this exemption are defined as:

  1. life-threatening situations necessitating use of the test article;
  2. where the subject is unable to provide effective consent;
  3. there is insufficient time in which to obtain consent from the subject's legal representative; and
  4. there is no available alternative method of approved or generally recognized therapy of equal or greater likelihood of saving the subject's life [21 CFR 50.23(a)(1)-(4)].

Special procedures for documenting the unfeasibility of obtaining consent apply as follows:

  1. The Investigator and another physician, who is not participating in the clinical investigation , must certify in writing the existence of all four conditions listed above before use of the test article [21 CFR 50.23(a)].
  2. If in the investigator's opinion,
    1. Immediate use of the test article is necessary to save the life of the subject; and
    2. There is insufficient time to obtain the independent determination required by §50.23(a) before using the test article;
    3. The Investigator is to make his or her own written determinations, then obtain the written review and independent evaluation of a physician who is not participating in the clinical investigation within five working days after the use of the test article [21 CFR 50.23(b)].

The documentation required by either 21 CFR 50.23(a) or 50.23(b) must be submitted to the IRB within five working days after the use of the test article [21 CFR 50.23(c)]

Updated 6/13/05