Stepwise Process for Study Activation within HDFCCC
Frequently Asked Questions (FAQ)
Overview of Study Activation
Visit the Clinical Research Support Office page for the steps to prepare a cancer clinical trial to open at UCSF.
Process for Study Activation
As your study progresses, submit the following to IRB, as needed:
- Modifications to your study, which must be approved by IRB before they are implemented,
- Continuing Review, which is much like a progress report,
- Protocol Enrollment Exception, for enrolling a single individual who does not meet the study entry criteria,
- Adverse Events, Protocol Violations or Incidents and Other Types of Safety Information that meet reporting criteria, and
- Study Closeout Report when the study is finished.
Frequently Asked Questions (FAQ)
Click on the questions below to see the answers. If you have a question that is not listed here, please contact us at [email protected].
I. Protocol and Study Material Development
What documents do I need to submit?
Please see the UCSF IRB Initial Review Submission Checklist here.
Do you have templates for any study documents?
Yes, please see this link for protocol templates and this link for consent/assent form templates.
Do I need to translate my documents?
After the IRB reviews and approves the consent documents and other study materials (such as advertisements or questionnaires), the investigator is responsible for having these documents translated. Typically, all consent forms, data collection forms, and protocols will need to be translated into the local language. Please confirm local IRB requirements with in-country collaborators.
The investigator is responsible for the cost of translating study materials. These costs may be quite high. Include the costs of written translations, as well as medical interpreter services, on grants and contracts. Industry sponsors often are willing to pay these costs.
Although not required by the UCSF IRB, local IRBs may require translation validation. Some means of validating translations:
- A “certified translation” includes a notarized statement by the translator that he/she understands English and the target language and may list the translator’s credentials. A copy of the certification should be attached to the translation.
- A professional translator “back translates” the consent into English to verify equivalent meaning in the target language.
After translation, submit translated documents to the UCSF IRB for their record. All translated consent forms must be approved by the UCSF IRB. Keep records of all your original documents as well as translated documents.
II. Protocol Review Committee (PRC)
What kind of initial review is required?
Per Cancer Center Support Grant (CCSG) Guidelines, it is particularly important for Centers involved in clinical research to establish a mechanism for assuring adequate internal oversight of the conduct of all cancer clinical trials in the institution or institutions that formally comprise the Center. The focus of the Protocol Review and Monitoring System (PRMS) is on scientific merit, priorities and progress of the clinical research in the Center. The PRMS should have the authority to open protocols that meet the scientific merit and scientific priorities of the center and to close protocols that do not demonstrate adequate scientific progress. PRMS responsibilities at this institution are carried out on two separate levels to ensure optimal oversight of progress and performance. There is initial review by the applicable Site Committee(s), followed by independent review by the Protocol Review Committee (PRC). The purpose of this policy is to document the full review processes undertaken by the Protocol Review Committee.
What is the Protocol Review Committee (PRC)?
The NCI requires that each Cancer Center maintain a Protocol Review and Monitoring System (PRMS) to assess scientific merit and feasibility of all protocols studying subjects diagnosed with, or at risk for, cancer conducted at the Center, and to monitor for accrual and scientific relevance. NCI looks for centralized oversight across the entire Center; the Protocol Review Committee (PRC) serves as the centralized portion of this requirement (as opposed to the Site Committees).
When can I forgo PRC or Site Committee review?
Studies exempt from PRC review (see PRMS Protocol Review Committee Review Policy for definitions) can also be exempt from Site Committee review at the committee’s discretion, although individual site committees may choose to review such studies.
Likewise, studies allowed expedited review at PRC (see PRMS Protocol Review Committee Review Policy for definitions) may also receive an expedited review at the Site Committee, although the Chair or Co-Chair has the option to require full committee review whenever warranted. Expedited review consists of the Chair or Co-Chair assigning one reviewer to complete the Expedited Reviewer’s Comments form, and the Chair or Co-Chair completes the Chair or Co-Chair Summary of Review form; the review does not need to be presented/discussed at a full committee meeting (unless the Chair or Co-Chair feels that committee discussion is warranted) but is nonetheless prioritized (meaning the study undergoing review is reflected in both the Competing Trials list and the Protocols in Development list). All other protocols must undergo full committee review and prioritization as in New Protocol Review below; there is no Chair-only review format for new protocols.
What is Site Committee?
The NCI requires that each Cancer Center have a Protocol Review and Monitoring System (PRMS) to assess scientific merit and feasibility of all protocols studying subjects diagnosed with, or at risk for, cancer conducted at the Center and to monitor for accrual and scientific relevance; NCI looks for centralized oversight across the Center.
While the centralized oversight is provided by the Protocol Review Committee (PRC), the Helen Diller Family Comprehensive Cancer Center provides for additional disease-specific input via the various Site Committees. These Site Committees are charged with the contextual review, feasibility assessment and prioritization of each new concept and protocol as it relates to the patient populations and research focus of each Site Committee. They consider relevant clinical programs, programmatic goals, expertise, and research interests in assessing both concepts and protocols. A protocol cannot move forward for review by the Protocol Review Committee (PRC) unless it has full approval from at least one Site Committee.
All studies reviewed by a Site Committee will be subject to:
- prioritization in relation to all other studies reviewed by the committee
- identifying competing protocols
- setting and justifying the accrual goals for each protocol
- monthly safety review (weekly for phase I, early phase, or other high-risk clinical trials)
- required review of all protocol amendments
- annual review for accrual
- possible closure for poor accrual
Which Site Committee do I submit to?
To apply:
- Identify the patient population relevant to your protocol
- View the list of committees and select the committee that best matches your patient population (if your protocol attempts to alleviate a symptom of cancer as opposed to the cancer itself, use the Supportive Care site committee )
- Contact the administrator for that committee. They will provide information on what is needed for submission as well as potential review dates.
Who would we contact to request more information regarding regulatory requirements at a particular UCSF partner institution?
Please contact us at [email protected] if you are planning on conducting global cancer research and we can direct you to the appropriate resources.
What are the costs associated with regulatory approval at UCSF and partner institutions?
UCSF departments (not including “UCSF affiliated institutions”) pay the UCSF IRB fees through the recharge process for UCSF faculty, staff, and trainees’ studies.
Mexico
If you are affiliated in a government institution, the review of your protocol by your IRB is usually provided for free but will vary by institution. Reach out to the institution for more information.
Tanzania
There are associated costs with MUHAS IRB ethical clearance, NIMR clearance, COSTECH processing and clearance fees, renewal, and amendment. Please contact [email protected] for updated fee schedules.
*Of note, you may apply for NIMR and COSTECH concurrently.
When will the PI be charged for the UCSF IRB fees?
Individual investigators will be charged after IRB review has occurred, whether or not the study is finally funded.
- Internal UCSF investigators will be charged through a journal recharge.
- External investigators will be charged through an invoice sent directly to the institution.
Important Note: For both UCSF-affiliated institutions and non-affiliated institutions or organizations, Maria Velasco at 415-502-2180, HRPP Business Analyst, bills the institutions directly, not the individual PIs.
What are the average approval timelines for different levels of review at UCSF?
Read more details on the different levels of review here.
If we are collecting data to evaluate the impact of a capacity-building or education intervention, does it require IRB approval?
Yes. It is always better to be on the safe side and submit to the IRB, even if you plan to use the data for research purposes in the future.
Exempt research involves human subjects, and although it is exempt from the federal policy, you must submit the study to the IRB. The IRB will review the application and certify that the study qualifies for the exemption. You will receive an exempt certification letter, not a letter of approval.
Please note UCSF does not allow for reliances on our exempt certification.
a. Partner Institutions
Do I need local IRB approval?
Yes. You need approval from the local IRB. For example, Tanzanian studies need both NIMR, MUHAS IRB, and COSTECH (if your research deals directly with people or their data) approval in addition to UCSF IRB approval.
What are the timelines for IRB approval for a study at partner institutions?
Tanzania
- MUHAS IRB: 2-4 months based on reviewers’ comments and demand)
- NIMR: 2 months
- COSTECH: 4 – 6 months
Mexico
- INSP has 3 Committees (Ethics, Research & Biosafety) so it can sometimes take >1 month. And INCan has a similar timeline.
If a study will be conducted abroad, does it require submission to the UCSF IRB?
Research at collaborating institutions —domestic and foreign — requires review by the IRB at UCSF.
In addition, each institution that is conducting human subjects research and is considered "engaged in the research" (per federal definition) must have its own IRB or Independent Ethics Committee approval before research can begin there. Approval is required regardless of the study's funding source. The UCSF IRB generally does not serve as the IRB for non-UCSF researchers.
Reminder: The UCSF IRB serves as the IRB of record for several affiliated institutions, such as ZSFG (formerly SFGH), SFDPH, BSRI, SFVAMC, etc. Review the UCSF Affiliated Institutions page.
Generally speaking, it does not matter which IRB approves the study first. However, research cannot begin at a site until its IRB approves the study. Approval from the lead/funding site also is required before research can begin. Ask collaborating sites if they have different requirements.
Are there projects that would not require IRB review at UCSF (some QI/QA and non-human subjects research) that would still require regulatory approval at UCSF partner institutions?
Yes. One great example of this is in Tanzania, at MUHAS, education initiatives, (even those that are not performed for research purposes) would require IRB approval and participant consent. It’s always better to be on the safe side and plan to submit to local and UCSF IRB.
a. OnCore Data Entry
What is OnCore?
The Online Collaborative Research Environment (OnCore), is a clinical trial management system (CTMS) that enables the management of research, financial, safety, regulatory, biospecimen, and operational data in one location. It is the system in use at the University of California, San Francisco for Coverage Analysis.
How do I get an OnCore account?
To get an OnCore account, you will need to complete the following steps:
- View the OnCore Introductory course on the UC Learning Center, and then complete the Account Request survey.
- Complete the OnCore Subject Enrollment course online.
- After completing the Subject Enrollment training, you will receive an activation email for your OnCore account. Please note this will take 1 business day from the time you complete the training.
Why do we need to track study visits and study subjects in OnCore?
Maintaining accurate records of subjects enrolled in trials at UCSF and tracked visits not only supports compliant clinical research billing, but it supports accurate records at UCSF. UCSF’s Clinical Trials Management System of record is OnCore.
What information do we need to enter into OnCore?
The graphic below depicts the information that studies must report in OnCore. The left column represents the vertical tab in OnCore and the left column represents the fields within each vertical tab that is required for entry.
What about a study that only involves chart review?
Chart review studies do not have to be tracked in OnCore because there are no procedures that could result in a bill. [Please note: Some HDFCCC studies may still require enrollment in OnCore.]
Is there OnCore training available?
eLearning modules and regular weekly webinars are available via UC Learning. Please contact the OnCore team at [email protected] with any questions.
b. iRIS Reporting
What is iRIS?
iRIS (formerly known as iMedRIS) is the online application system you will use to submit your new study and all subsequent IRB submissions. iRIS enables online tracking, review, post-approval compliance activities and data management. The system also functions as a document repository, providing you with easy access to study records and documents. You can use iRIS anywhere you have internet access, connecting research partners around the world. Training is available.
How do I make an iRIS account?
See the iRIS Account page for detailed information on obtaining an account. iRIS is accessible via MyAccess. Click the "IRB - iRIS" link. The use of is VPN no longer required or recommended for off-campus access. Please find more information on iRIS here.
Do all submissions go through the iRIS system?
Yes. Only the following types of submissions should be submitted via paper, not in iRIS: Emergency Use Requests and Administrative Reviews for Human Research Studies Not Being Conducted by a UCSF PI But Accessing UCSF Facilities, Patients or Personnel.
How do I submit a modification, continuing review (renewal), adverse event report, protocol violation or other post-approval report?
- Go to My Studies and open your active study.
- In the Submission Forms section of the study submissions dashboard, click on the name of the form that you want to submit.
- Click on the Add New Form button to start the form.
For information on how to complete the individual forms, review the guidance in the appropriate section of the Submissions section of our website. For more information on iRIS including an FAQ, please click here.
Contact Information:
- For OnCore Support, please contact [email protected] or call 415-502-2962.
- For questions about study billing / research revenue, please contact Maria Mason.
- For more information on Trail Activation, please visit the Office of Clinical Trial Activation.
- For general questions about the Office of Clinical Trial Activation, please email [email protected] or call 415-514-4998.