This is important information
to facilitate the use of the General Clinical Research Center. It highlights
the:
GCRC Application for Use
Application and Submission Dates
Data Safety and Monitoring Plan
Criteria for Principal Investigators
GCRC Application Approval Process
Responsibilities of the Principal Investigators
Funding
Protocol Start Up Meeting
Change of Research Protocol
Termination of the Protocol
Signature
The GCRC Application for Use
The GCRC Application for Use requests information specific to the implementation
of your project in the GCRC. The IRB application contains the scientific
and clinical information on the project. Both of these documents are
the core of the request that is considered by the Advisory Committee
when you request to use our services.
The GCRC application packet is available herein or by calling
Courtney Alpert at
638-4544. Please read investigator essentials for information on: application,
submission, Data Safety and Monitoring Plan, responsibilities, and publications
before proceeding.
The INSPIR IRB application is available online.
IRB approval IS
NOT required
prior to submission to the GCRC. All studies must,
however, have IRB approval
prior to initiation in the GCRC. To be accepted for review by the GCRC, the IRB
application status must be stamped "SUBMITTED"
at the top
left-hand corner of the application front page. IRB applications
with any other designation (draft, awaiting signature, etc.) will
not be accepted for review.
It is recommended that investigators complete the IRB and GCRC
applications simultaneously.
Please note that the IRB requires “sign-off” by the GCRC Research
Subject Advocate prior to IRB acceptance of the study for their review.
This sign off is not acceptance to use the GCRC. The
Advisory Committee will meet and review applications for use.
Suggested Sequence:
1) GCRC signature by the Research Subject Advocate as part of the
IRB application
2) Complete IRB application and submit to IRB Office. The IRB
application MUST have a Status: SUBMITTED before it comes to the
GCRC.
3) Complete GCRC application and deliver all components on the
checklist
to the GCRC Office. Electronic copies are not accepted.
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Application and Submission Dates
The Application and Instructions
The application on this website is meant to be completed on your own
computer. Please note: Two collated copies of the application is to be
delivered to Courtney Alpert, Fuller Building 9th Floor, Suite 900.
Emailed applications are not accepted. Submission items are listed below.
The Submission Consists of:
- GCRC Application (Signed Original & 2 Copies)
- DSMP Plan (contact
Mary-Tara Roth, RN, MSN, MPH) (2 copies)
- IRB Materials
Application (marked "submitted" with detailed protocol
- 2 Copies
Consent/Assent Forms - 2 CopiesHIPAA Authorization Form (if
not included in Consent Form) - 2 Copies
IRB Letter of Approval - 2 copies
- Industry Protocol (if applicable) – 5 Copies
Sponsor Protocol
Investigator Drug Brochure
- NIH Educational Program Certificates for all listed personnel - 2
Copies
- Conflict of Interest Disclosure Form for P.I. only - 2 Copies
- Signed Checklist
Submission Dates
Applications are accepted at any time. The 2008-2009 submission dates
are as follows:
- June 25, 2008
- August 27, 2008
- October 29, 2008
- December 18, 2008
- February 25, 2009
- April 29, 2009
- June 24, 2009
- August 26, 2009
- October 21, 2009
Two collated copies of the application materials are to be delivered to
Courtney Alpert, Fuller 9th floor, Room 900.
The Advisory Committee meets six times a year to review applications.
The Committee’s reviews will be sent to the project Principal
Investigator. The PI must respond in writing to each of the questions
and comments of the Committee. Reviewers may require changes to protocols.
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Data Safety and Monitoring Plan (DSMP)
Per guidelines approved November 18, 2002, the NIH requires all
GCRC protocols to have a Data and Safety Monitoring Plan (DSMP) approved
by the GCRC Advisory Committee (GAC) prior to initiation of the
protocol.
In order to assist all investigators submitting an application to use
the GCRC, we have developed an automated tool to build your
project-specific DSMP.
Each plan will be unique based on the nature, size, complexity, and
the degree of risk for the individual research protocol. Depending
on the level of risk of your study, the GAC may require an independent
monitor or the formation of a Data and Safety Monitoring Board (DSMB).
Please contact the Research Subject Advocate
(RSA) of the GCRC with
any questions you may have.
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Criteria for Principal Investigator
In order to submit an application the Principal Investigator (PI) of
the project must meet these qualifications:
Eligible:
· Investigator appropriate for the study and member of the
host institution (physician, nurse, pharmacist, social scientist,
PhD, etc)
· If physician, the individual must be a member of the BUMC/BMC
medical staff
Ineligible:
· Physicians in training e.g. interns, residents, fellows
(except those with staff privileges)
General Medical/ Dental Coverage
· Advisory Committee may require physician with appropriate
expertise substantively involved
· Physician of record must have admitting privileges
· If study or procedures are more than minimal risk investigators
must have demonstrated expertise consistent with delineation of privileges
Principal Investigator of Record
· Principal Investigator on IRB, GCRC application and informed
consent must be the same
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GCRC Application Approval
Process
Prior to submission to the IRB, the Research Subject
Advocate will review the application for the GCRC. This review will answer safety,
data monitoring, and HIPAA requirements. Review at this stage does not
indicate the study can use the GCRC. The protocol must then be submitted
to the GCRC Administrative Office for review by the GCRC Advisory Committee.
The Advisory Committee acts as a Board of Directors and has the responsibility
for review, approval, and oversight of all GCRC activities. The
chairman of the committee is Aram Chobanian, MD, President Emeritus. The committee
meets bimonthly to evaluate proposals based upon scientific merit and
need for center resources. The committee is responsible for the designation
of the category of inpatient days and outpatient visits for each research
project proposed and set a priority score.
The GCRC Administrative Director assigns a primary, secondary,
statistical, and subject advocate reviewer. The reviewer critiques the study verbally and in
a written report at the Advisory Committee meeting.
If the Committee approves the protocol as submitted, the investigator
is eligible to use GCRC resources assuming the IRB approval has been
granted. If the study is not approved as submitted, suggestions for
revision are sent in a letter from the Program Director, Michael Holick,
PhD, MD within 3 business days of the GCRC Advisory Committee Meeting.
Investigator responses should be addressed to Dr. Holick, Program Director,
and sent to Courtney Alpert. The Program Director is responsible for the
final approval to start the study. A deferred protocol returns to the
full Advisory Committee. The protocol will be returned to the investigator
with specific suggestions for revision.
A protocol can be reviewed simultaneously by the IRB and the Advisory
Committee. The study cannot accrue patients on the GCRC until it has
been approved by the IRB.
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Responsibilities of the Principal Investigator
A) Provisions of Medical/ Dental Care of GCRC Participants
Each investigator is responsible for the care of patients under his
or her project either personally or through designated co-investigators,
fellows, or residents.
Arrangements for emergency and night care must be formalized.
B) Informed Consent
No patient is seen unless there is a valid informed consent and HIPAA
authorization available to the nursing staff prior to initiation of
the study. It is the responsibility of the investigator to present
this to each subject to the appropriate GCRC nurse/ dental hygienist.
C) Industry Initiated Project
These projects utilize the services of the GCRC and any charges incurred.
All charges are paid directly by the sponsor through the responsible
investigator. The investigator is billed directly and the bill is
reviewed by the investigator. The payment is made after 15 business
days by a transfer of funds from the investigators industry account
to the GCRC grant.
D) Certifications in Protection of Human Subjects Research
At the time of application, all persons listed in the GCRC and IRB
application must be NIH Certified. As Principal Investigator, you assure
that all current and future individuals involved in the design and
conduct of this project are and will remain certified per NIH regulation.
BUSM holds regular certification courses. Course dates are available
from Office of Clinical Research at 414-1330. In addition, certification
can be done online at (website)
E) Conflict of Interest Disclosure:
Financial conflict of interest may introduce biases that compromises
the results of research. It is the responsibility of the Principal
Investigator of each project to submit the BUMC conflict of interest
form as part of the application on the project to be done in the GCRC.
Only the Principal Investigator’s Conflict of Interest form
is required by the GCRC. The investigator is responsible for submission
of his forms and that of his staff to the Office of Research Administration
at BUSM.
F) Research Progress Reports:
An annual report must be prepared by the GCRC in accordance with
instructions from NIH. You are part of this report. Continued use
of the GCRC is contingent upon meeting this annual report requirement,
as NIH funding to the Center maybe reduced or eliminated if the GCRC-based
investigators do not comply with this requirement for annual progress
information.
Accumulation of the material necessary for this report is the responsibility
of the Administrative Director. The report is based on progress reports,
census, publications of Investigators utilizing the Center, and research
support to BUMC investigators. Annually, all investigators will be
asked to contribute information about the status of their study, please
respond in a timely manner. Each year some investigators will be chosen
to provide a brief abstract of data gathered in the GCRC and already
published in journals for inclusion in the progress report.
G) Research Support:
Data from all investigators on the amount of sponsored research support,
from all funding sources, they or a co-investigator of the project
receive is a required part of the annual progress report. Your funding
information will be obtained directly from cognizant institutional
officials at BUMC and BUSM.
H) Publications
Continued funding of the GCRC is dependent on our publication record.
Publications arising from research projects involving the use of
GCRC resources must acknowledge this support by stating, “Supported
by grant M01- RR00533 from the General Clinical Research Centers Program
of the National Center for Research Resources, National Institutes
of Health”.
Continued use of the GCRC is contingent upon meeting this requirement,
as NIH funding to the Center maybe reduced or eliminated if the GCRC-based
investigators do not comply with this agreement.
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Funding
The grant supports inpatient and outpatient services and the cost of
diagnostic laboratory tests such as CBC’s, x-rays etc. The level
of funding to each principal investigator per protocol depends on the
Advisory Committee’s review of the application and availability
of grant funds. NIH guidelines require that industry sponsored studies
incur a charge to the investigator to use the Center. To ensure research
diversity, no single group of investigators may utilize more than 33
percent of resources.
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Protocol Start-Up Meeting
Prior to initiation of a study, the Principal Investigator and his/her
staff must meet with the Nurse Manager, Bionutrition Manager, Core Lab
Director, Administrative Director, and Research Subject Advocate to review the study.
The meeting lasts about 45 minutes, and assures that all documentation
has been received and appropriate resources identified. The start-up
meeting should occur at least
two weeks prior to entry of the first patient. Subsequent meetings between
the investigators, his/her staff, and GCRC clinical staff may be needed
to properly initiate the study.
This meeting is scheduled by contacting
Courtney Alpert. She will coordinate
the date and time with a member of your staff.
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Change of a Research Protocol
If a protocol is substantially modified, an amendment must be submitted
and approved by the IRB before patients can be enrolled in the revised
protocol. The Principal Investigator is responsible for notifying the
GCRC nursing staff of all amendments and should provide an updated informal consent.
In addition, some revisions may require an additional review by the Advisory Committee
upon request. In this case, the investigator should submit copies of the amendment
to the Advisory Committee.
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Termination of the Protocol:
The protocol will terminate if one or more of the following conditions
are met.
1. Principal Investigator notifies Advisory Committee
2. The protocol has not been annually reviewed and approved by the
Committee on Human Subjects each year.
3. No patients are enrolled for a period of 12 consecutive months.
4. The GCRC is instructed by Advisory Committee, the Food and Drug
Administration, or the Committee on Human Studies to terminate the
protocol, or
5. Agreed-upon industry funding from the investigators to the GCRC
is not forthcoming.
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Signature
Your signature on the GCRC application face page assures responsibility
for and compliance with the items in For Investigators.
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