Protocol |
Template Protocol Version Tracking Log |
ICH E6 8.2.2 & 8.3.2
|
CICERO Application (You may use your IRB application as your protocol at UMB if you do not have a stand alone protocol.) |
Template Social/Behavioral Research Protocol (NIH) |
Template Observational Protocol (UNC) |
Template Clinical Trial Protocol (NIH) |
Template Chart-Review Protocol |
IRB Information |
UMB IRB Roster (Scroll to bottom of link) |
45CFR §46.107-108 45CFR §46.115 ICH E6 8.2.8
|
UMB IRB FWA (Scroll to bottom of link) |
IRB Reliance |
IRB Initial Review |
IRB Initial Approval Letter |
45CFR §46.109-110 ICH E6 8.2.7, 8.2.9, 8.3.4 UMB IV-2.10(A) |
IRB Initial Application (If you did not use CICERO as your protocol.) |
IRB Modifications |
Modification Tracking Log |
45CFR §46.109 45CFR §46.111-112 ICH E6 8.3.4 UMB IV-2.10(A) |
Modification IRB Approval (The IRB approval document.) |
Modification Application (The modification application page "front end" - where the changes are described.) |
Modified IRB Application (The CICERO application "back end" - full application now updated due to the modification.) |
IRB Annual Review (non-exempt) |
IRB Annual Review Approval letter |
45CFR §46.108-109 45CFR §46.115 ICH E6 8.4.7, 8.3.19 UMB IV-2.10(A) |
IRB Annual Review Application |
IRB Reportable New Information |
RNI Tracking Log |
21CFR §312 45CFR §46.108 ICH E6 8.3.11, 8.3.16-17 |
UMB RNI Criteria |
RNI Submissions and Acknowledgements (The copy of the RNI submission and the HRPO/IRB determination letter.) |
IRB Communications |
Emails, hard-copy communications, etc. Appropriate to create NTF (example) if all communications are electronic through a portal |
45CFR §46.108 45CFR §46.115 ICH E6 8.3.11 |
Consent |
Template Informed Consent Tracking Log |
45CFR §46.109 45CFR §46.116-117 ICH E6 8.2.3, 8.3.2-3, 8.3.13 |
UMB Template Consent/HIPAA. Only required for non-exempt research. |
Exempt research consent information sheet sample |
DocuSign eConsent Work Instruction |
Source Docs/CRFs |
Inclusion/Exclusion Checklist |
21CFR §312.62 ICH E6 8.2.3, 8.3.2-3, 8.3.13-14 |
Blank Data Collection Sheets/Source Documents (Study specific. Both subject-facing (IRB approved) and non-subject facing.) |
Advertisements/Recruitment Tools |
Flier (Best practices from UF.) |
45CFR §46.109 ICH E6 8.2.3, 8.2.7, 8.3.2-3 |
Template Phone Interview Invitation |
Template Survey Invitation |
Delegation of Responsibilities Log |
Template DOR Log (must match team members listed on IRB application) |
ICH E6 4.1.5 ICH E6 8.3.24 |
Study Team (qualifications and certifications) |
Template Staff Human Subjects Research Training Tracking Log [no HIPAA] |
ICH E6 4.2.4 ICH E6 8.2.10, 8.3.5 |
Template Staff Human Subjects Research Training Tracking Log [+HIPAA] |
Template Staff Protocol Training Log |
Signed CVs (wet-ink or validated e-signature) |
Staff Licenses (as applicable) |
GCP Certifications |
CITI Protection of Human Subjects (PHS) Certification (Group 1 or Group 2) |
HIPPA 201 Certification |
HIPAA 125 Certification |
Template Change in PI Letter- Minimal Risk Study |
Template Change in PI Letter- Greater than Minimal Risk Study |
Conflict of Interest Disclosures (if applicable) |
Lab Documentation |
College of American Pathologists (CAP) Certificate (request from lab) |
ICH E6 8.2.11-12, 8.3.6-7 |
Clinical Laboratory Improvement Amendment (CLIA)- Certification (request from lab) |
Lab Normals/Reference Ranges (request from lab) |
Lab Director CV (signed and dated) (request from lab) |
Lab Director Medical License (request from lab) |
Study Sample Documentation |
Template Sample Collection Log |
ICH E6 8.3.25 |
Template Sample Collection/Shipping Log |
Screening and Enrollment Logs |
Template Screening and Enrollment Log |
ICH E6 8.3.20 & 8.3.22 |
Template Screening (only) Log |
Template Enrollment (only) Log |
Subject ID log |
Template Subject ID log |
ICH E6 5.5.5 ICH E6 8.3.21 & 8.4.3 |
Protocol Deviations |
Template Protocol Deviation Tracking Log |
ICH E6 8.3.11 |
AEs/UAPs |
Template Subject AE Log |
21CFR §312.32 ICH E6 8.3.16-17 |
Template Protocol AE Log |
Template Unanticipated Problem Form |
Monitoring/QA/Audits |
Template Monitoring/QA log |
45CFR §46.111(a)(6) ICH 8.2.19-20, 8.3.10, 8.4.4-5 |
Monitoring/Audit Reports |
Data Safety Monitoring |
Template DSM Plan |
45CFR §46.111(a)(6) ICH E6 5.5.2; ICH E6 8.3.18, 8.4.5 NIH DSM Policy
|
Template DSM Review Form |
Template DSM Report (PI) |
ClinicalTrials.gov |
UMB HRPO Clinicaltrials.gov tools and instructions |
42CFR §11 |
FDA Documents (Greater than Minimal Risk Research) |
FDA Form 1572 |
21CFR §312 ICH E6 8.2.9, 8.3.4 |
FDA Form 1571 |
FDA Form 3455 |
FDA Form 3674 |
42CFR §11 |
FDA Form 3500A (Medwatch Form) |
21CFR §312.32 |
Template IND Tracking and Assessment Log |
Template IND Serial Submission Log |
Investigator Brochure/Package Insert |
IB/PI (Drug Studies only. Study Specific. Provided by the Sponsor. Provided in the IRB application.) |
ICH E6 8.2.1-8.3.1 |
Device Manual |
Device Manual (Studies with devices only. Provided by Manufacturer/Sponsor. Provided in the IRB application.) |
ICH E6 8.3.1 |
Investigational Product (IP) Records (Drug Studies only. Study Specific. Templates typically provided by the Sponsor and handled by pharmacy.) |
Master Randomization List (if applicable) |
ICH E6 8.2.18 |
IP Manual/Instructions |
ICH E6 8.2.14 |
IP Shipping Records |
ICH E6 8.5.15 & 8.3.8 |
IP Certification of Purity |
ICH E6 8.2.16 & 8.3.9 |
IP Label |
21CFR §312.6 ICH E6 8.2.13 |
IP Allocation and Decoding Procedures |
ICH E6 8.2.17 & 8.4.6 |
IP Accountability Log, Temperature Log |
ICH E6 5.13.2 ICH E6 8.3.23, 8.4.1 |
IP Destruction Records |
Sponsor/Funder Communications |
Emails, letters, grants, budget/contracts, etc. If kept electronically or in another location, a NTF may suffice. |
ICH E6 8.3.11, 8.2.4-6 |
Certificate of Confidentiality |
Final Copy, if using |
NIH Notice Number: NOT-OD-17-109 |
Participant Payment Documentation |
UMB Participant Payment Log (Bottom of link) |
ICH E6 8.2.7 UMB VIII-99.00(B) |
UMB Participant Cash/Card Count Form (Bottom of link) |
UMB Financial Reconciliation Documentation (Bottom of link) |
Participating Site Documentation |
IRB Documentation |
45CFR §46.107-108 ICH E6 8.2.8 |
Correspondence |
ICH E6 8.3.11 |
Data Use Agreements |
UMB IV-99.01(A) |
Final Report |
Final Report and Raw Data (Raw data only if no separate subject binders.) |
21CFR §312.62 ICH E6 8.2.3, 8.3.12-14 |
Notes-to-File (NTF) |
Template NTF |
ICH E6 8.3.15 |