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Clinical Trials Registration | |||||||||||||||||||||||||||||||||||||||
| Several
initiatives are underway to establish clinical trial registries. The registries
would make information about clinical trial results accessible to the scientific
community, health care practitioners, and members of the public. Such registries
would include corporate sponsored research as well as investigator-initiated
research.
The establishment of publicly accessible clinical trial registries promotes full disclosure of research results, positive or negative, and transparency of clinical trial activities. Making information accessible through registries acknowledges the contributions of those individuals who have participated as subjects in clinical trials. Participants expect the results of trials to be made available to others and to contribute to the advancement of medical science. Principal investigators are now being asked to register their clinical trials in a publicly accessible registry. In some cases this is a condition of consideration for publication in a journal that has adopted the registration requirements of the International Committee of Medical Journal Editors (ICMJE). [See: N Engl J Med 351:12, September 16, 2004] Currently, there is no single set of instructions, guidelines, or requirements and more than one registry has been established. This leaves investigators wondering which trials, what information, and which registry. The registry developed and maintained by the National Library of Medicine at NIH is the most commonly used such registry and can be accessed at http://www.clinicaltrials.gov. The Partners Human Research Office has published guidance and instructions for investigators seeking to register their clinical trials. For more information, please see the PHRC web page, "Registration of Clinical Trials with ClinicalTrials.gov," or for assistance with the registration process, contact the PHRC registration administrator. |
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| HIPAA Security Rule Is Here | ||||||||||||||||||||||||||||||||||||||||
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The HIPAA Security Rule, which addresses the privacy protection of electronic protected health information (PHI), went into effect in April 2005. Similar to the Privacy Rule, the Security Rule also deals with identifiable health information as defined by the HIPAA-designated 18 identifiers. The Security Rule defines standards for protecting electronic PHI with detailed attention to how PHI is stored, accessed, transmitted, and audited. Who
is affected by the Security Rule?
Please review the new HIPAA Security Rule documents on the following PHRC web pages for more information: HIPAA Security Rule and Mac Security. |
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| PHRC Review Metrics | ||||||||||||||||||||||||||||||||||||||||
| The PHRC office monitors its review activities to assure an efficient and effective operation and to identify areas for improvement. The table below contains FY05 data on review of new protocols at convened meetings of the PHRC, commonly referred to as “full board review.” The data includes the average length of time it took to complete each step in the review process - from date received in the PHRC office to the date the PI was notified of PHRC approval. We plan to provide this and other similar reports on PHRC review activity on a quarterly basis. | ||||||||||||||||||||||||||||||||||||||||
Note: The data include delays due to incomplete submissions and/or incomplete responses. |
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| What's
New at the IRB? |
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| New Drug/Biologic Form Released | ||||||||||||||||||||||||||||||||||||||||
| The
PHRC recently released several updated submission forms, and has just released
an updated Drug/Biologic form. The new form can be downloaded on the “New
Submissions” page of the PHRC web site. As always, feedback on
the revised form is welcome. Please e-mail Daniel
Connor with any comments on our new forms, and please remember to always
check the PHRC website
for updated forms prior to making any submissions to the PHRC. New Guidance on Research Involving Prisoners The PHRC has just issued new guidance on research that involves prisoners. Please go to the PHRC Policies and Guidance web page titled, "Research Involving Prisoners" for more information. |
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| Upcoming Events and Workshops | ||||||||||||||||||||||||||||||||||||||||
Title: Research Consent Writing Workshops Speaker: Ann Ogletree, MBA - Partners Human Research Committee Available Dates/Times: September 15, 2005 from 8:30am-11:30am in the MGH Yawkey Center, Room 10640 October 5, 2005 from 9:00am-noon in the MGH Yawkey Center, Schiff Room 4820 October 20, 2005 from 9:00am-noon in the BWH OBC 4-002G Summary:
Register for a half-day “Plain Language” research consent
form writing workshop, presented by Ann Ogletree, Senior Human Research
Specialist at the PHRC. Recent participant feedback included, “…consent
form on the new template (approved by the IRB with no revisions!!!),”
and “It was so helpful.” An additional workshop has been added
in September to accommodate demand.
To register, please email Ann
Ogletree and specify which dates work for you. Feel free to sign up
at either campus. Seating is limited to 12 at each session, so please
list all acceptable dates. Title: ICH GCP - What Is It and How Does It Affect You? Speaker: Sarah A. White - Senior QA/QI Specialist, Human Research QI Program Available Dates/Times: September 16, 2005 from 12pm-1pm at (MGH) 50 Staniford Street, 10th Floor, Room 1064 September 23, 2005 from 12pm-1pm at (BWH) 1 Brigham Circle, CCI Conference Room BC-3-014B Summary:
The International Conference on Harmonisation (ICH) published Good Clinical
Practice (GCP) Guidelines in 1996. This session will review the ICH GCP
guidelines and discuss how they affect you. This session was offered in
the summer. It is being offered again due to high demand from the Partners
research community.
To register, visit the QI
registration web page, or call 617-424-4137. Title: Issues for the Bench and Desk Scientist Speaker: Elizabeth L. Hohmann, MD - Chair and Director of the Partners Human Research Committee Date/Time: November 9, 2005 from 4-5 p.m. Location: MGH O’Keeffe Auditorium Summary:
The purpose of this seminar is to discuss ethical, regulatory,
and institutional issues relevant to analysis limited to human biological
samples and medical records. It answers questions, like: What needs IRB
review (all of these things, at least initially!)? Which research is appropriate
for expedited review? What is a "secondary use" of data or samples?
What information does the IRB need to review a project efficiently? It
also teaches how to share your data and specimens properly, how to fill
out forms for the IRB, and which pitfalls and problems to avoid. This
lecture is strongly recommended for new research fellows, though all investigators
and study staff will benefit. Registration
will be through the MGH
Clinical Research Program. Watch for a registration announcement in
the coming weeks. Title: Record Keeping - Studies In Transition Speaker: Sarah A. White - Senior QA/QI Specialist, Human Research QI Program Available Dates/Times: October 14, 2005 from 12pm-1pm at (MGH) 50 Staniford Street, 10th Floor, Room 1064 October 21, 2005 from 12pm-1pm at (BWH) 1 Brigham Circle, CCI Conference Room BC-3-014B Summary:
Inheriting a study? Handing off a study? Ensuring good record keeping
is essential during periods of staff transition. This session will focus
on actions you can take to ensure your study records are complete and
accurate when you take on a study or before you hand it off. To register,
visit the QI
registration web page, or call 617-424-4137. Title: Monitoring: What Is It and How To Do It Speaker: Sarah A. White - Senior QA/QI Specialist, Human Research QI Program Available Dates/Times: November 4, 2005 from 12pm-1pm at (MGH) 50 Staniford Street, 10th Floor, Room 1064 November 11, 2005 from 12pm-1pm at (BWH) 1 Brigham Circle, CCI Conference Room BC-3-014B Summary:
Monitoring is an essential activity that ensures regulatory compliance.
This session will review applicable regulations and guidelines governing
study monitoring and describe various types of monitoring activities for
different types of studies. The QI Monitoring Checklist will be provided
to each participant. Following the discussion session, QI staff will demonstrate
the Program’s new on-line monitoring system for those who may be
interested in using such a system. To register, visit the QI
registration web page, or call 617-424-4137. Title: What the IRB Really Wants Speaker: Elizabeth L. Hohmann, MD - Chair and Director of the Partners Human Research Committee Date/Time: November 10, 2005 from 4-5 p.m. Location: MGH O’Keeffe Auditorium Summary:
This lecture will provide important practical advice for investigators
submitting protocols to the Partners Human Research Committee (PHRC/IRB).
It addresses studies being reviewed by the full committee. Find out exactly
what the IRB needs to review your study, and how to present your scientific,
ethical, and medical information to the IRB. Understand common design
flaws, pitfalls, and omissions. Learn how to avoid time-consuming deferrals
and the "back and forth" communication by providing all of the
relevant information at the time of initial review of your study! Registration
will be through the MGH
Clinical Research Program. Watch for a registration announcement in
the coming weeks. Title: Audits: How to Prepare for an External Audit Speaker: Sarah A. White - Senior QA/QI Specialist, Human Research QI Program Available Dates/Times: December 2, 2005 from 12pm-1pm at (MGH) 50 Staniford Street, 10th Floor, Room 1064 December 9, 2005 from 12pm-1pm at (BWH) 1 Brigham Circle, CCI Conference Room BC-3-014B Summary: The FDA conducts more than 1000 audits annually, and investigator non-compliance has been responsible for about 70 percent of the deficiencies found. This session will provide an overview of common deficiencies cited by the FDA, as well as corrective/preventive actions you can take no matter whether you are conducting an FDA regulated study or an internally funded study. QI staff will also share their experiences regarding how to prepare for an external audit. To register, visit the QI registration web page, or call 617-424-4137. Question:
Your study has been going well and accrual is right on target. Today
you learn that one of your study subjects has been incarcerated for
drunken driving and will be in jail for the next 90 days. You check
his study schedule and realize he is not due for his next study visit
until day 120 and so you do not have to worry about this subject’s
study schedule. You hope that he does well and wait for him to return
after incarceration. Are your obligations to this study met? In
Closing... |
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