Shared Flashcard Set

Details

SoCRA, ACRP
Study aid for certification exams
43
Other
Professional
10/23/2012

Additional Other Flashcards

 


 

Cards

Term
What are the requirements for sites participating in clinical trials?
Definition
THIS ANSWER NEEDS TO BE COMPLETED
Term
What are the five major regulatory bodies governing human subjects research?
Definition
  1. ICH (International Conference on Harmonization)
  2. FDA (Food and Drug Administration)
  3. THIS ANSWER NEEDS TO BE COMPLETED
  4. THIS ANSWER NEEDS TO BE COMPLETED
  5. THIS ANSWER NEEDS TO BE COMPLETED
Term
What are the IRB criteria for expedited approvals?
Definition
Term
What are the IRB review criteria for minimal risk approvals?
Definition
Term
What are the IRB review criteria for exempt criteria approvals?
Definition
Term
What documents are required for a clinical research site regulatory binder?
Definition
  • Study Logs
  • Protocol
  • Investigator Drug Brochure
  • Informed Consent
  • Commpetent Authority Regulatory Approval Documentation
  • IRB/IEC Approvals
  • IRB/IRC Communication
  • FDA 1572/Regulatory Forms
  • CV
  • Drug Accountability
  • Lab

SAE

Training

Trial Agreements

Regulatory Inspections/Audits

Correspondence

Term
What are the required research protocol components?
Definition

Title, Investigator Information

Purpose of Study

Background and Significance

Methods (Design and Procedures)

Selection ofSubjects

Subject Recruitment and Compensation

Consent Process

Subject's Capacity of Give Legally Effective Consent

Study Interventions

Risk/Benefit Assessment

Cost to Subject

Data Management and Statistical Analysis

Data and Safety Monitoring

Privacy, Data Storage and Confidentiality

Term

Define

Significant Risk

Definition
Term

Define

Insignificant Risk

Definition
Term
What is the role of the IRB in determining whether risk is significant or nonsignificant?
Definition
Term
What is the role of the FDA in determining significant vs nonsignificant risk?
Definition
Term
What is the role of the sponsor in determining significant vs non significant risk?
Definition
Term
What code defines IRB?
Definition
21 CFR §56.102(g)
Term
What is the CFR definition of an IRB?
Definition

Any board, committee or group

formally designated by an institution

to review, approve the initiation of and to conduct periodic review of biomedical research

involving human subjects.

The primary purpose of such review

is to assure the protection of the

rights and welfare of the human subjects

Term
What are the two types of IRBs and what is the difference?
Definition

LOCAL: Affiliated with an institution

 

INDEPENDENT, CENTRAL OR NATIONAL: Not affiliated with an institution.  Sometimes used for multicenter studies in which subjects aren't hospitalized.

Term
List the membership requirements for IRBs
Definition
  • Members must posess appropriate professional competence to review diverse types of protocols
  • At least one member is not affiliated with institution and has no immediate family member affiliated with the institution other than IRB membership
  • One member whose interests and background are non-scientific (layperson)
  • If FDA regulated products are reviewed, one member must be a physician
  • Members should be selected to assure diversity of profession, ethnicity, gender and education
Term
What is the PRIMARY role of the IRB?
Definition
To protect the rights and welfare of human subjects participating in clinical research
Term
What two basic questions does the IRB answer?
Definition

1. Should the study be done at all?

2. If so, what constitutes informed consent?

Term
What regulation requires that informed consent be documented?
Definition
21 CFR 50.27
Term
What categories of subjects are considered vulnerable populations?
Definition
  • Children
  • Pregnant women
  • Prisoners
  • Handicapped or mentally disabled people
  • People with acute or severe mental illness
  • People who are economically or educationally disadvantaged
  • People who are institutionalized
  • Employees
Term
What NIH regulations regard research in various vulnerable popuplations?
Definition

45 CFR 46

21 CFR 50 subpart D for children

Term
What does 21 CFR Subpart D contain?
Definition
Regulations for additional safeguards for children in clinical investigations
Term
What materials must an investigator submit to an IRB?
Definition
  • Current CV
  • Protocol
  • Investigator brochure or package insert if applicable
  • Proposed Informed Consent document
  • All advertisements and recruitment procedures
  • Form FDA 1572 if applicable
  • Grant application for federally funded research if applicable
  • Any other specific forms or materials required by the IRB (application, etc.)
Term
Once the IRB Chair has notified the Principal Investigator of approval, can enrollment start?
Definition
NO. The investigator MUST wait for WRITTEN approval.
Term
Can a subject be asked to consent to a study before the IRB written approval has been received?
Definition
NO.
Term
If an IRB disapproves a study, can it be submitted to another IRB?
Definition
No.
Term
What is the purpose of the IRB continuing review?
Definition
Ensure risk-to-benefit ratio remains acceptable, documents are still appropriate, and selection of subjects has been equitable.
Term
Can an investigator sit on an IRB?
Definition
Yes, but s/he can participate neither in the discussion leading to the vote nor in voting for his/her research.
Term
How do ICH CGP define Informed Consent?
Definition

A process by which a subject

voluntarily confirms his or her willingness

to participate in a particular trial

after having been informed

of all aspects of the trial

that are relevant to the subject's decision to participate.

Informed consent is documented by means of

a written, signed and dated informed consent form.

Term
What are the three basic requirements that Informed Consent must meet?
Definition

It must completely and accurately describe all of the activities required by the protocol and what the subject's participation will involve.

 

It must be understandable by the study subjects.

 

It must contain all elements required by 21 CFR Part 50.

Term
If a consent is revised, who must sign it?
Definition
All participants enrolled after effective date and all subjects still enrolled in trial.
Term
If the sponsor and IRB disagree on language for the consent, who has the ultimate responsibility?
Definition
The IRB. If the sponsor and IRB cannot reach agreement, the study can't be done.
Term
Describe short form consent documentation.
Definition
  • All elements of consent have been presented orally to subject or subject's LAR
  • Must be a witness to oral presentation
  • IRB must approve written summary of what is said to subject or LAR
  • Only short form itself is to be signed
  • Witness to sign both short form and copy of written summary
  • Person obtaining consent to sign written copy of summary
  • Copy of short form and summary will be given to subject or LAR
Term
When can a short form consent be used?
Definition
When, in the judgment of the investigator and with the concurrence of the IRB, it will be the most appropriate way for the subject to comprehend and consent in an informed fashion.
Term
What document holds that "The voluntary consent of the human subject is absolutely essential"?
Definition
Nuremberg Code
Term
When and by what method was the Nuremberg Code accepted?
Definition
1947, Charter of the United Nations
Term
Whose duty is it to ascertain the quality of consent?
Definition

Each individual who initiates, directs or engages in the experiment.

 

It is a personal duty and responsibility which may not be delegated to another with impunity.

Term
Belmont Report -- what are the three major concepts?
Definition

RESPECT FOR PERSONS: autonomy, special protections (fetus, children, prisoners, mentally disabled, severe illness)

 

BENEFICENCE: Do not harm, maximize benefit and minimize harm

 

JUSTICE: Burdens and benefits of research should be justly distributed.

 

Term
What document outlines basic principles for all medical research?
Definition
Declaration of Helsinki
Term
What document requires that experimental procedures involving human subjects should be clearly formulated in an experimental protocol?
Definition
Declaration of Helsinki
Term
What document describes (but does not name) the Institutional Review Board?
Definition
Declaration of Helsinki
Term
What are the four basic purposes for 45 CFR Part 46?
Definition
Outline basic HHS policy for protection of Human Research Subjects

Outline additional protections for pregnant women, human fetuses and neonates involved in research

Outline additional protections pertaining to biomedical and behavioral research involving prisoners as subjects

Outline additional protections for children involved as subjects in research
Term
What is the historical basis for human research regulations in 45 CFR Part 46?
Definition
Nuremberg Code, Declaration of Helsinki, Belmont Report.
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