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IRB MOU for Multi-Site Trials

&

IRB Reliance Registry
Jeff Hall ∙ Director Research Policy Development ∙ RPAC ∙ UCOP




        UC BRAID Conference ∙ September 14, 2012 ∙ UC Berkeley
UC DEVELOPMENT OF THE IRB MOU & RELIANCE REGISTRY
                                                                                 irbreliance.ucop.edu

2004       “NorCal” MOU executed

2006       Systemwide MOU executed

2008       Systemwide searchable database for MOU conceived

2010      IRB Directors conceive an on-line to administer MOU and maximize use
           Initial UCBRAID meeting calls for creation of an MOU and on-line management tool

2010-11    IRB Directors and UCOP design on-line “Reliance Registry” tool, UCOP/ORGS funds and
           oversees development

2012       Selected campus PIs and by IRB staff review Reliance Registry
           Reliance Registry beta version launched
           MOU revised to explicitly include full study reviews, clarify use for stem cell research
           IRB Directors mandate use of Reliance Registry for all studies under the MOU
IRB MOU for Multi-Site Studies
   MOU Between and Among Human Research Protection Programs at UC Campuses and LBNL
                 for IRB Review of Multi-Campus Human Subject Research


       USE OF THE IRB MOU HAS INCREASED
                                                                                      363
       NEW APPROVED STUDIES and ASSOCIATED USERS Each Year


                                                       154           140
                                         130
             17            55
  5                                       88           93             69              77
 3           9             31
2006        2007          2008          2009          2010           2011          2012*
                                                                                 (through
                                                                                  Aug.31)
  There is an aggregate total of 370 studies under the MOU for 2006 to 2012
  There is an aggregate total of 758 PIs using the MOU for 2006 to 2012
Campus Use of the IRB Reliance Registry
Percentage of UC Systemwide Registered PI and Research Coordinator users
                              by campus
                                LBNL
                UCSC            1.89
                1.26

                                             UCB
                                            21.77


                 UCSF
                 37.85
                                                       UCD
                                                       8.52


                                                UCI
                                               10.09

                              UCSD      UCLA
                              11.99     5.99
                                                    UCM        UCSB
                              UCR
                                                    0.32        0
                              0.32
INFORMATION FOR PIs ON CAMPUSES
BENEFITS FOR INVESTIGATORS
EASE OF USE: CLEAR, ONLINE FORM
              (Before and Now)
BENEFITS FOR INVESTIGATORS
COMMUNICATION/                 & RESEARCH ADMINISTRATORS
CLARITY ABOUT NEXT STEPS:
emails vs. on-line dashboard
BENEFITS FOR RESEARCH ADMINISTRATORS
DATABASE/TRACKING (1)
  (manually sorted folders Vs. a
        Searchable Database*)
Is UC MOU and the IRB Reliance Registry the only one out there?
• Harvard Mass. General used the UC MOU as a model.
• Vanderbilt University piloting a system (IRBShare) for CTSAs (see below)
• UCLA has developed an MOU for use with its non-UC CTSI partners



VU                                                                           UC
Remaining Challenges                                                  Potential Next Steps
Expanding industry-sponsored research                                 • Admini. relief for the reviewing PI in industry-sponsored studies
• Reluctance of PI to assume lead PI responsibilities                 • Revise price structure for reviewing IRBs and developing a
• Getting investigators and sponsors to start up front with           mechanism to defray costs incurred at relying campuses
collaborations                                                        • collaborative relationships w/faculty
                                                                      •Use private IRB/ single systemwide IRB for industry sponsored studies
Increasing use of the MOU:                                            Increase Awareness
• By research fields                                                  •survey to PIs re registry
• By individual Pis                                                   •Faculty-to-faculty outreach
                                                                      •UC outreach to other institutions: use of UC MOU with non-UC
                                                                      institutions
                                                                      •Outreach to sponsors to let them know of MOU
                                                                      •Closer Collaborate w CTA negotiators
                                                                      •Cost incentive for use?
Measuring impact/outcomes                                             Enhance reporting functions
                                                                      Identify baseline- how many studies conducted at 2 or more campuses
                                                                      enhance recruitment speed
                                                                      Show decreased cycling times
IRB determinations re/ use for MOU for exempt research                Suggestions?

Opt outs by relying campus IRBS                                       “Segmenting” reviews so local IRB reviews only the portion of the
                                                                      study that occurs locally
Non-starters/withdrawals due to ancillary committee refusals, local   Parallel MOUs for ancillary committees
context issues, local COI, etc.

Complying with HIPAA (protecting subject privacy)                     Systemwide training of campus data stewards re MOU w/ regard to
                                                                      other UC campus waiver approval

Ongoing quality assurance and process improvement                     Analysis of metric and process improvements & comparison with
                                                                      baseline data: next in 6 months
For more information about the presented data, and the UC
IRB Reliance Registry please contact:
Jeff.Hall@ucop.edu
Dragana.Nikolajevic@ucop.edu

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IRB MOU and Reliance Registry for Multi-Site Clinical Trials

  • 1. IRB MOU for Multi-Site Trials & IRB Reliance Registry Jeff Hall ∙ Director Research Policy Development ∙ RPAC ∙ UCOP UC BRAID Conference ∙ September 14, 2012 ∙ UC Berkeley
  • 2. UC DEVELOPMENT OF THE IRB MOU & RELIANCE REGISTRY irbreliance.ucop.edu 2004  “NorCal” MOU executed 2006  Systemwide MOU executed 2008  Systemwide searchable database for MOU conceived 2010 IRB Directors conceive an on-line to administer MOU and maximize use  Initial UCBRAID meeting calls for creation of an MOU and on-line management tool 2010-11  IRB Directors and UCOP design on-line “Reliance Registry” tool, UCOP/ORGS funds and oversees development 2012  Selected campus PIs and by IRB staff review Reliance Registry  Reliance Registry beta version launched  MOU revised to explicitly include full study reviews, clarify use for stem cell research  IRB Directors mandate use of Reliance Registry for all studies under the MOU
  • 3. IRB MOU for Multi-Site Studies MOU Between and Among Human Research Protection Programs at UC Campuses and LBNL for IRB Review of Multi-Campus Human Subject Research USE OF THE IRB MOU HAS INCREASED 363 NEW APPROVED STUDIES and ASSOCIATED USERS Each Year 154 140 130 17 55 5 88 93 69 77 3 9 31 2006 2007 2008 2009 2010 2011 2012* (through Aug.31) There is an aggregate total of 370 studies under the MOU for 2006 to 2012 There is an aggregate total of 758 PIs using the MOU for 2006 to 2012
  • 4. Campus Use of the IRB Reliance Registry Percentage of UC Systemwide Registered PI and Research Coordinator users by campus LBNL UCSC 1.89 1.26 UCB 21.77 UCSF 37.85 UCD 8.52 UCI 10.09 UCSD UCLA 11.99 5.99 UCM UCSB UCR 0.32 0 0.32
  • 5. INFORMATION FOR PIs ON CAMPUSES
  • 6. BENEFITS FOR INVESTIGATORS EASE OF USE: CLEAR, ONLINE FORM (Before and Now)
  • 7. BENEFITS FOR INVESTIGATORS COMMUNICATION/ & RESEARCH ADMINISTRATORS CLARITY ABOUT NEXT STEPS: emails vs. on-line dashboard
  • 8. BENEFITS FOR RESEARCH ADMINISTRATORS DATABASE/TRACKING (1) (manually sorted folders Vs. a Searchable Database*)
  • 9. Is UC MOU and the IRB Reliance Registry the only one out there? • Harvard Mass. General used the UC MOU as a model. • Vanderbilt University piloting a system (IRBShare) for CTSAs (see below) • UCLA has developed an MOU for use with its non-UC CTSI partners VU UC
  • 10. Remaining Challenges Potential Next Steps Expanding industry-sponsored research • Admini. relief for the reviewing PI in industry-sponsored studies • Reluctance of PI to assume lead PI responsibilities • Revise price structure for reviewing IRBs and developing a • Getting investigators and sponsors to start up front with mechanism to defray costs incurred at relying campuses collaborations • collaborative relationships w/faculty •Use private IRB/ single systemwide IRB for industry sponsored studies Increasing use of the MOU: Increase Awareness • By research fields •survey to PIs re registry • By individual Pis •Faculty-to-faculty outreach •UC outreach to other institutions: use of UC MOU with non-UC institutions •Outreach to sponsors to let them know of MOU •Closer Collaborate w CTA negotiators •Cost incentive for use? Measuring impact/outcomes Enhance reporting functions Identify baseline- how many studies conducted at 2 or more campuses enhance recruitment speed Show decreased cycling times IRB determinations re/ use for MOU for exempt research Suggestions? Opt outs by relying campus IRBS “Segmenting” reviews so local IRB reviews only the portion of the study that occurs locally Non-starters/withdrawals due to ancillary committee refusals, local Parallel MOUs for ancillary committees context issues, local COI, etc. Complying with HIPAA (protecting subject privacy) Systemwide training of campus data stewards re MOU w/ regard to other UC campus waiver approval Ongoing quality assurance and process improvement Analysis of metric and process improvements & comparison with baseline data: next in 6 months
  • 11. For more information about the presented data, and the UC IRB Reliance Registry please contact: Jeff.Hall@ucop.edu Dragana.Nikolajevic@ucop.edu