Cooperative Amendment

This agreement is made and entered into on October 27, 1999, by and between The Dana-Farber Cancer Institute, Inc. ("DFCI") and The General Hospital Corporation ("MGH").

Whereas, DFCI and MGH desire to avoid duplication of effort with regard to institutional review board ("IRB") reviews of Adult and Pediatric Oncology and Non-Malignant Hematology research protocols (including individual emergency requests) to be conducted with patients registered at DFCI and MGH;

Whereas, MGH desires to rely upon DFCI's IRB for the review of said protocols; and

Whereas, DFCI desires to review said protocols on behalf of both DFCI and MGH.

Now therefore, in consideration of the mutual promises and conditions set forth herein DFCI and MGH agree as follows:

  1. Scope of the Agreement

DFCI and MGH agree that, subject to the terms and conditions of the agreement, DFCI's IRB shall review all categories of Adult and Pediatric Oncology and Non-Malignant Hematology Research protocols including Quality of Life, on behalf of both DFCI and MGH.

  1. DFCI's Responsibilities

  1. DFCI agrees to cause its IRB to conduct initial and continuing review of the protocols on behalf of MGH and DFCI in accordance with applicable requirements of the United States Department of Health and Human Services ("DHHS") Regulations for the Protection of Human Subjects as set forth in 45 CFR Part 46, as amended, all other applicable requirements of federal, state and local laws and regulations governing the protection of human subjects; and DFCI's Multiple Project Assurance of Compliance with DHHS Regulations for Protection of Human Subjects.  DFCI agrees to promptly report to MGH its IRB's actions and findings regarding any such protocols.

  2. DFCI acknowledges and accepts that MGH shall rely upon DFCI's IRB review of the protocols.

  3. DFCI agrees to cause its IRB to require that any information given to subjects as part of an informed consent to participate in research under a protocol shall be in accordance with applicable requirements of federal, state and local law and regulations, including, but not limited to, the general requirements for the informed consent set forth in 45 CFR Part 46, as amended, and the requirements of CFR 46.408 in the case of research involving children.  DFCI shall cause its IRB to require documentation of informed consent or to waive said documentation accordance with 45 CFR 46.117.

  4. DFCI shall cause its IRB to notify MGH and any affected investigator(s) in writing of its decision to approve or disapprove any protocol, or of modifications required to secure IRB approval of the protocol.  In the event of IRB disapproval of a protocol, it shall include in its written notification a statement of the reasons for its decision and shall give the investigator an opportunity to respond either in person or in writing.

  5. DFCI shall require its IRB to conduct continuing review of a protocol at intervals appropriate to the degree of risk involved in the protocol, but not less than once per year.

  6. DFCI shall cause its IRB to prepare and maintain adequate documentation of its activities in accordance with 45 CFR 46, as amended.  DFCI shall provide to MGH copies of the minutes of DFCI's IRB meetings at which any action regarding a protocol was taken.

  7. DFCI shall report promptly to MGH, and make available copies of records adequate to document:
  1. Any serious or continuing noncompliance by investigators with the requirements of DFCI IRB discovered by DFCI; and
  2. Any suspension of termination of DFCI IRB approval of a protocol, including a statement of the IRB's reasons for such an action.
  1. DFCI hereby attests that the composition of the DFCI IRB as described in Exhibit A attached hereto is such as to adequately protect the rights and welfare of human research subjects included in the Protocols at MGH.  MGH may change their membership in the DFCI IRB from time to time in accordance with DFCI procedures concerning IRB membership.
  1. MGH Responsibilities
  1. MGH acknowledges that the DFCI IRB shall have the authority to approve, require modification in (to secure approval) or disapprove activities under a protocol.

  2. MGH agrees to abide by all conditions and determinations of the DFCI IRB with regard to activities under the protocols and agrees to accept the final authority of the DFCI IRB with regard to said protocols.  MGH acknowledges and agrees that the DFCI IRB's disapproval of a protocol may not be administratively overruled by either MGH or DFCI.

  3. MGH shall report promptly to DFCI, and make available copies of records adequate to document any serious or continuing noncompliance by investigators with the requirements of the DFCI IRB discovered by MGH.

  4. If DFCI determines that there has been a protocol violation by a person who is not an employee of DFCI, or is not credentialed at DFCI, and if DFCI recommends corrective or disciplinary action against that person, MGH agrees to implement such proceedings and to take such action against such person as MGH determines are appropriate under its normal policies and procedures.
  1. Term/Termination
  1. The provisions of this Agreement shall remain in full force and effect for a period of one (1) year, commencing on the date first written above, unless sooner terminated as hereinafter stated.  Provided each of the parties' Multiple Project Assurance remains in good standing, this Agreement will be automatically renewed and extended for successive (1) year periods on the same terms and conditions, unless either party shall notify the other of its intention not to renew this Agreement at least ninety (90) days prior to the expiration of the then current term of the Agreement.

  2. This Agreement may be terminated by either party (i) without cause upon ninety (90) days prior written notice; or (ii) upon thirty days prior written notice in the event of a breach by the other party of any material term or condition of this Agreement within said thirty (30) day notice period.  Any termination of this agreement must be communicated to DHHS in writing.
  1. Miscellaneous
  1. Notwithstanding anything herein to the contrary, MGH may elect to require the MGH IRB to review one or more of the protocols.

  2. This Agreement has been executed and delivered in and shall be construed and forced in accordance with the laws of the Commonwealth of Massachusetts.

  3. This Agreement may be amended only by written agreement signed by both parties.

  4. If any provision of this agreement shall be held to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions of this Agreement shall not be affected thereby.

  5. Each of MGH and DFCI represent that it endorses the National Institutes of Health's policy concerning the inclusion of minorities and women in study populations.

  6. This Agreement is not assignable in whole or part, and any attempt to do so shall be void.

  7. All communications, reports and notices shall be delivered by hand, by facsimile or by first class mail, postage prepaid, and addresses as follows:

If to MGH:                    Massachusetts General Hospital
                                       Human Research Affairs
                                       50 Staniford Street, 10th Floor
                                       Boston, MA  02114
                                       Attention:  Greg Koski, MD
                                       Director of Human Research Affairs

If to DFCI:                     The Dana-Farber Cancer Institute
                                       Human Protection Committee
                                       44 Binney Street
                                       Boston, MA  02115
                                       Attention:  Katarzyna Karelus
                                       (Acting) Director of Protocol Administration Office 

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all proposals, negotiations, and other communications between the parties, whether written or oral, with respect to the subject matter hereof.

A fully executed copy of this Agreement shall be retained by each of MGH and DFCI and shall be made accessible to the DHHS Office of Protection from Research Risks upon request.

 

IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above.

Name of Institution: The General Hospital Corporation ("MGH")

Authorized Institutional Official

Name and Title:           Ronald S. Newbower, Ph.D.
                                        Sr. Vice President for Research & Technology
Institution:                    Massachusetts General Hospital
Address:                        55 Fruit Street, Boston, MA 02114
Telephone:                    617-726-1635
Facsimile:                      617-726-3246
E-mail:                           rnewbower@partners.org

Name of Institution: The Dana-Farber Cancer Institute ("DFCI")

Authorized Institutional Official

Name and Title:             Faye C. Austin, Ph.D.
                                          Director for Research
Institution:                      Dana-Farber Cancer Institute
Address:                         44 Binney Street, Boston, MA 02115
Telephone:                     617-632-3488
Facsimile:                       617-632-4452
E-mail:                            faye_austin@dfci.harvard.edu

DHHS Approving Official

Name and Title:             Froda E. Yoder
                                          Assurance Coordinator, Assurance Branch
Institution:                      OPRR, OER, OD, NIH  (MSC 7507)
Address:                         6100 Executive Boulevard, Suite 3801
                                         Rockeville, MD  20892-7507
Telephone:                     301-402-5793
Facsimile:                       301-402-0527
E-mail:                            fy9r@nih.gov