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Unique challenges of obtaining regulatory approval for a multicenter protocol to study the genetics of RRP and suggested remedies
Journal article   Peer reviewed

Unique challenges of obtaining regulatory approval for a multicenter protocol to study the genetics of RRP and suggested remedies

Mylaina L Sherwood, Farrel J Buchinsky, Matthew R Quigley, Joseph Donfack, Sukgi S Choi, Stephen F Conley, Craig S Derkay, Charles M Myer, Garth D Ehrlich and J. Christopher Post
Otolaryngology--head and neck surgery, v 135(2), pp 189-196
2006
PMID: 16890066

Abstract

Investigations that seek to generalize findings or to understand uncommon diseases must be conducted at multiple centers. This study describes the process of obtaining regulatory approval for a minimal risk genetic study in a multi-center setting as undertaken by the Recurrent Respiratory Papillomatosis (RRP) Task Force. Sequential cohort of American children’s hospitals. A single protocol was submitted to each Institutional Review Board (IRB). Documentation was prepared for 14 IRBs over 2.5 years. The median time between enlistment and approval at the first 8 sites was 15 months. Institutions varied considerably in their requirements and in the issues that were raised. Protocols were submitted sequentially and accumulated experience was used in the preparation of applications to subsequent IRBs. Nevertheless, there was no correlation between the accumulated experience and the number of issues that were raised. Despite uniform federal standards, all local IRBs required unique and individualized submissions. For multicenter studies, investigators should seriously consider the establishment of cooperative authorization agreements. On a simpler level, a standardized format for applications needs to be adopted nationwide. EBM rating: B-3b

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18 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Otorhinolaryngology
Surgery
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