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Overview of regulatory supports for project coordination, submission to HRDC, maintaining records, and capacity building. |
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Peo Project Launch MeetingMarch 09, 2017 Regulatory/IRB Aspects Ms. T Sekoto
Overview • Regulatory supports for Peo project are within the Coordination core (BHP) • Support submission to HRDC for research projects related to the 3 priority NCD areas • Maintain records and documentation • Support regulatory training and certification of project related researchers (if not available through home institutions)
Overview II • Partner institutions (through study PIs) responsible for: • Submitting protocols through internal review processes and to IRB committees based outside Botswana • Where relevant, initiating cede procedures • Keeping coordinating core (BHP) updated on any changes or new documentation • For the longer term, there is need to identify needs and gaps to be addressed to build regulatory capacity in GOB organ (UB or other)
Why regulatory aspects matter • To protect human subjects taking part in proposed research • To safeguard public confidence and trust • To commit and comply with sponsor requirements on human subjects protection Investigator has a primary responsibility to protect the study participant
Investigator responsibility • Factor in IRB review process in your timelines • Quality and clarity of research projects -scientific designs to realize the scientific objectives of the study -Scientific designs of the research realize social value -Research study is feasible within all the applicable contexts and timelines it is conducted upon Quality+ Clear Proposal=Positive IRB outcomes
IRB/EC`s Role • 1 National Ethics Committee[HRDC] -Committed/mandated to protection of human subjects according to the common rule/45CFR part 46 and applicable local and other international regulations -Facilitate implementation of human subjects research projects in Botswana -timely and objective reviews of research projects crucial
IRB/EC`s Role • Research projects meeting the category of “Exempt” according to CFR should be deemed as such to facilitate implementation Common understanding on projects which meet non-exempt i.e. human subjects research and those which do not meet the definition as in CFR is imperative among investigators and EC members
Important issues to be addressed Informed consent -conditions for waiver of consent -consent for long-term storage and future use/testing of samples -genetic testing -shipping of samples outside the country for specialised testing -long-term storage, local vs international repository
P20 trainee`s Human subjects training All recipients will be expected to undergo human subjects training -face to face if institutions are able to provide -online trainings- commonly used[Collaborative Institutional Training Initiative-CITI] Additionally, Responsible Conduct of Research[RCR] or Research Integrity-available online
RCR Topics/Pillars -Data Acquisition, management, sharing & ownership -Mentor/trainee responsibilities -Peer review -Collaborative science -Human Subjects -Animal Research -Research Misconduct -Conflict of Interest & Commitment
As a by the way….. Revised CFR to be in use effective January 2018 -broad consent obtained for future research -new exempt categories based on risk to participants to allow IRBs focus more on high risk studies -removal of CR for ongoing studies if the review does little to protect participants -requirements or elements of consent now give participant a better understanding to make a fully informed decision
Singapore statement on Research integrity: 2010 Its principles are: • Honesty in all aspects of research • Accountability in the conduct of research • Professional courtesy and fairness in working with others • Good stewardship of research on behalf of others http://www.singaporestatement.org/
Progress • Breast cancer • HRDC approved, to be submitted to Harvard IRB (with Penn cede) • Hypertension • Amendment to BCPP in process • Trauma • No IRB protocol to be submitted in initial phase, rather data sharing agreement to be developed
Conclusion • Regulatory supports are available through the coordination core at BHP, including: liase and support to HRDC for the 3 NCD areas, training/certification • For the longer term, there is need to identify needs and gaps to be addressed to build regulatory capacity in GOB organ (UB) • Inputs from today’s discussion would be helpful in better understanding current capacity and gaps to be addressed
? Thank you Ke a leboga