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1. Clinical studies of drugs and medical devices only when
condition (a) or (b) is met. (a) research on drugs for which
an investigational new drug application (21 CFR Part 312)
is required. (*Note: research on marketed drugs that significantly
increases the risks or decreases the acceptability of the
risks associated with the use of the product is not eligible
for expedited review.); or (b) research on medical devices
for which (i) an investigational device exemption application
(21 CFR 812) is not required; or (ii) the medical device is
cleared/approved for marketing and the medical device is being
used in accordance with clearer/approved labeling.
2. 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 children (as defined
by the HHS regulations as "persons who have not attained
the legal age for consent to treatments or procedures involved
in this research, under the applicable law of the jurisdiction
in which the research will be conducted), 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
that 2 times per week.
3. Prospective collection of biological specimens for research
purposes by noninvasive means. Examples: (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 a 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 skill cells collected by buccal
scaping or swab, skin swab, or mouth washings; (j) sputum
collected after saline mist nebulization.
4. Collection of data through noninvasive procedures (not
involving general anesthesia or sedation) routinely employed
in clinical practice, excluding procedures involving x-rays
or microwaves. Where medical devices are employed, they must
be cleared/approved for marketing.
5. 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).
6. Collection of data from voice, video, digital, or image
recordings made for research purposes.
7. Research on individual or group characteristics or behavior
(including, but not limited to, research on perception, cognition,
motivation, identity, language, communication, cultural beliefs
or practices, and social behavior) or research employing survey,
interview, oral history, focus group, program evaluation,
human factors evaluation, or quality assurance methodologies.
8. Continuing review of research previously approved by the
convened IRB as follows: (a) where (i) the research is permanently
closed to the enrollment of new subjects; (ii) all subjects
have completed all research-related interventions; and (iii)
the research remains active only for long-term follow-up of
subjects; or (b) where no subjects have been enrolled and
no additional risks have been identified; or (c) where the
remaining research activities are limited to data analysis.
9. Continuing review of research, not conducted under an
investigational new drug application or investigational device
exemption where categories two (2) through eight (8) do not
apply but the IRB has determined and documented at a convened
meeting that the research involves no greater than minimal
risk and additional risks have been identified.
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