INSTRUCTIONS & FORMS

  • INSTRUCTIONS
  • FORMS
  • RESOURCES
SUBMIT TO THE PHRC USING eIRB

When you are done completing your study-related documents, i.e. detailed protocol, protocol summary, consent form, etc, initiate a submission using Insight/eIRB, and attach all documents in the Attachments section of the submission. See Insight/eIRB reference guides for more information. If you do not have access to Insight, contact the Insight Help Desk at 617-424-4175

 

ONCOLOGY / CANCER RESEARCH
For studies involving oncology / cancer research and/or Dana Farber (DFCI) principal investigators, co-investigators or any other DFCI resource, see the oncology guidance before initiating any IRB submission.
SUBMISSION INSTRUCTIONS

Instructions and checklist for human research protocol submissions

New Protocol Submission Instructions and Checklist
4/09

Continuing Review Submission Instructions
3/09

FAQS and Troubleshooting Insight/eIRB
7/09

Insight/eIRB Submission Tips
5/09

PHS Insight/eIRB Important Reminders
03/09

INSIGHT / eIRB SUBMISSION REFERENCE GUIDES
INVESTIGATOR DISCLOSURE FORM

Principal investigators and co-investigators must complete this form and submit to the IRB in conjunction with the a new protocol submission or study staff amendment when the research involves ANY of the following: (1) for-profit sponsor or funding source; (2) a marketed drug, device, or other technology, or a drug, device, or other technology in development; or (3) a new technology, software or therapeutic approach. This form should be faxed (617-424-4199) separately to the PHRC, and for privacy, should NOT be attached in Insight/eIRB.

Investigator Disclosure Form
12/08

PROTOCOL SUMMARY

To be included with a PHRC submission unless noted otherwise in submission instructions. Summary document describes protocol and investigator's plan for recruitment and enrollment of subjects. Includes important regulatory information needed for IRB review. Refer to documents Prescreening and Recruitment Guidelines for acceptable methods of recruitment. Sample recruitment letters are available.

Protocol Summary
6/05

Tissue or Sample Repository Protocol Summary
12/05

DETAILED PROTOCOL INSTRUCTIONS

Instructions for investigators who are writing their own protocol for use when there is no sponsor initiated protocol or cooperative group protocol.

Detailed Protocol Instructions
3/02

SCHEMA INSTRUCTIONS

To be included with a PHRC submission when the research involves multiple groups, treatment arms, or randomization.

Schema Instructions
3/98

RESPONSE TO REVIEW

Form for responding point-by-point to IRB concerns or questions. Once complete, attach the document in the Attachments section of the pending application in Insight/eIRB and re-submit. Learn more...

eIRB Response to Review
3/09

CO-INVESTIGATOR / STUDY STAFF CERTIFICATION

To be included with a PHRC submission ONLY when Co-Investigator/study staff do not have a Partners user name to sign electronically in eIRB. If non-BWH/non-MGH employees will perform institutionally designated research activities or exercise institutionally delegated authority or responsibility for research, please see the policy "Non-BWH/MGH Employees As Co-Investigators/Study Staff."

Co-Investigator/ Study Staff Certification
8/07

ENROLLMENT REPORT

To be completed and attached in the Attachments section of an eIRB continuing review submission when subjects have been enrolled.

Enrollment Report

MINOR DEVIATION / VIOLATION TRACKING LOG
To be used for tracking and reporting minor deviations/violations and submitted at the time of continuing review for review by the IRB. Minor deviations/violations are to be reported ONLY at continuing review.

Minor Deviations/Violations Tracking Log
12/09
FORMS TO INCLUDE WITH eIRB AMENDMENTS

The forms below are only to be used when amending a protocol that was submitted prior to the implementation of eIRB. To amend the legacy protocol, initiate an amendment in eIRB and complete the appropriate form(s) from below and attach in the Attachments section of the eIRB submission and submit.

Children

Devices

Drug/Biologic/Dietary Supplement

Individuals with Impaired Decision-making

Neonates of Uncertain Viability and Nonviable Neonates

Nursing Implementation and Planning

Pregnant Woman or Human Fetuses

Principal Investigator Certification

Principal Investigator and Dept/Unit Chief/Chair Certification

Radiation Exposure - Ionizing

Radiation Exposure- Non Ionizing

Site Responsible Investigator Certification

Wards of the State

 

EXTERNAL ADVERSE EVENTS / SAFETY REPORTS

External adverse events are those adverse events experienced by subjects enrolled at sites that are not relying on the PHRC for IRB review. These are typically sponsor safety reports. Investigators must report to the PHRC any adverse event described in a sponsor safety report that is unexpected and related or possibly related to participation in the research. For more information, refer to the PHRC Adverse Event Reporting Policy.

External Adverse Event Report
10/08

EMERGENCY USE OF DRUGS / DEVICES / PROCEDURES

Form for reporting the emergency use of an investigational drug, device or procedure in a life-threatening situation. Refer to Emergency Use of Drugs or Biologics.

Emergency Use of
Drugs/Devices/Procedures

05/04

 

PREPARATION AND SUBMISSION USING eIRB
For eIRB training, refer to the PHRC Insight/eIRB web page. For questions about using Insight eIRB, email the Insight Help Desk or Daniel Connor.
PROTOCOL PREPARATION

For Assistance with Submission Preparation (for help using eIRB, email the Insight Help Desk or Daniel Connor directly) and:

NIH FUNDED STUDIES
Information on gender, race and ethnicity of patients seen at BWH and MGH (PHS internal link)