Undertake an initial review, either by the convened IRB or under an expedited review
procedure,
26
if appropriate. Review by the receiving IRB is strongly recommended
where the quality of the review by the original IRB may be questionable, for example,
where the transfer occurs because of noncompliance by the original IRB, as reflected in
an FDA Warning Letter to that IRB. In addition, the receiving IRB should also consider
conducting an initial review for higher risk studies, such as those involving an exception
19
See 21 CFR 56.103.
20
See 21 CFR 312.60, 21 CFR 312.66, 21 CFR 812.40, 21 CFR 812.42 and 21 CFR 812.64.
21
When IRB approval of a clinical investigation is suspended or terminated, IRBs should establish procedures to
ensure that the rights and welfare of currently enrolled subjects are protected, subjects are not put at risk, and
subjects receive appropriate care during any period in which the IRB and clinical investigator are attempting to
resolve any remaining issues. For more information regarding suspensions or terminations of IRB approval, you
may refer to FDA’s guidance, “IRB Continuing Review after Clinical Investigation Approval,” available at:
http://www.fda.gov/downloads/RegulatoryInformation/Guidances/UCM294558.pdf
.
22
See “IRB Continuing Review after Clinical Investigation Approval,” available at:
http://www.fda.gov/downloads/RegulatoryInformation/Guidances/UCM294558.pdf
.
23
21 CFR 812.150(b)(2).
24
21 CFR 312.31(a)(2).
25
In other contexts, FDA recognizes that one IRB may rely on the review of another qualified IRB to avoid
duplication of effort. See 21 CFR 56.114 (Cooperative research).
26
For categories of research that are eligible for review through an expedited review procedure, see:
http://www.fda.gov/ScienceResearch/SpecialTopics/RunningClinicalTrials/ucm119074.htm
.
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