Review of Research Using Human
Specimens
|
Level of Review |
Eligibility |
Examples |
|
“Not human subjects research” [Review by an IRB Chair] |
Both of the following
conditions are satisfied: a) the material, in its
entirety, was collected for standard practice or for submission to a repository
that follows the OHRP guidance ( and b) the material is not
identifiable or is released from a repository that follows the OHRP guidance
( |
a) the material was
collected solely for clinical purposes, or for legitimate but unrelated
research purposes, with no "extra" material collected for
submission to the Repository; b) no codes or linkers of
any sort may be maintained, either by the Submitter or by the Repository,
that would permit access to identifiable private data or information about
the living individual from whom the material was obtained. |
|
Exemption, category 4 [Review by an IRB Chair] |
45CFR46.101(b)(4) Research involving the
collection or study of existing data, documents, records, pathological
specimens, or diagnostic specimens, if these sources are publicly available
or if the information is recorded by the investigator in such a manner that
subjects cannot be identified, directly or through identifiers linked to the
subjects. |
Specimen is obtained that
is labeled with a code number. The
researcher who receives the specimen does not have ready access to the
identifiable information, but identifiers are maintained at the site from
which the specimen was obtained. |
|
Expedited review, category 2 [Review by an IRB Chair or
experienced member of the Board] |
Collection of blood samples by finger
stick, heel stick, ear stick, or venipuncture as follows: (a) from healthy, nonpregnant adults who
weigh at least 110 pounds. For these subjects, the amounts drawn may not
exceed 550 ml in an 8 week period and collection may not occur more
frequently than 2 times per week; or (b) from other adults and children2,
considering the age, weight, and health of the subjects, the collection
procedure, the amount of blood to be collected, and the frequency with which
it will be collected. For these subjects, the amount drawn may not exceed the
lesser of 50 ml or 3 ml per kg in an 8 week period and collection may not
occur more frequently than 2 times per week. The research activity may
present no more than minimal risk to subjects. |
|
|
Expedited review, category 3 [Review by an IRB Chair or
experienced member of the Board] |
Prospective collection of biological
specimens for research purposes by noninvasive means. The research activity may present no more
than minimal risk to subjects. |
(a) hair and nail clippings in a
nondisfiguring manner; (b) deciduous teeth at time of exfoliation or if
routine patient care indicates a need for extraction; (c) permanent
teeth if routine patient care indicates a need for extraction; (d) excreta
and external secretions (including sweat); (e) uncannulated saliva collected
either in an unstimulated fashion or stimulated by chewing gumbase or wax or
by applying a dilute citric solution to the tongue; (f) placenta
removed at delivery; (g) amniotic fluid obtained at the time of rupture of
the membrane prior to or during labor; (h) supra- and subgingival dental
plaque and calculus, provided the collection procedure is not more invasive
than routine prophylactic scaling of the teeth and the process is
accomplished in accordance with accepted prophylactic techniques; (i) mucosal
and skin cells collected by buccal scraping or swab, skin swab, or mouth
washings; (j) sputum collected after saline mist nebulization. |
|
Expedited review, category 5 [Review by an IRB Chair or
experienced member of the Board |
Research involving
materials (data, documents, records, or specimens) that have been collected,
or will be collected solely for nonresearch purposes (such as medical
treatment or diagnosis). The research activity may
present no more than minimal risk to subjects. (NOTE: Some research in
this category may be exempt from the HHS regulations for the protection of
human subjects. 45
CFR 46.101(b)(4). This listing refers only to research that is not
exempt.) |
Research utilizing
retrospectively or prospectively collected, leftover specimens collected at
the time of clinical care, if the information is not considered sensitive and
any potential breach of confidentiality would not be damaging to the
subject. |
|
Full Board review [Review by the convened
IRB] |
Research that does not
qualify for exemption or expedited review.
|
Research using
identifiable specimens that is greater than minimal risk, e.g., certain HIV-related
or genetic research. |
March 9, 2004