Stanford University Office of the Dean of Research

Human Research Protection Program (HRPP)

DOMAIN II: RESEARCH COMPLIANCE OFFICE, INCLUDING the IRB

 

Chapter 6:  Structure and Composition of the IRB

 

The structure and composition of the STANFORD* Institutional Review Board (IRB) is appropriate to the amount and nature of the research reviewed. 

(AAHRPP Standard II-1.)  

 

 

6.1 Scope of IRB Authority

 

The IRB derives its authority from both federal regulatory and institutional sources.  Institutional authority is conveyed by the Vice Provost and Dean of Research (Dean of Research) through approval of this chapter and other chapters of the HRPP Manual. Additionally, the Dean of Research issues a direct, written delegation of authority under an institutional Charge to IRB members upon their appointment to the IRB (see Charge to IRB members (medical and nonmedical).  The Dean of Research in turn has the authority delegated to him or her from the President of Stanford University (President).  On a day-to-day basis, the IRB reports to the Dean of Research, through the RCO Director.  However, the IRB Chair, an IRB member, or the convened IRB may refer a matter directly to the President on those extraordinary occasions when it may be deemed warranted.

 

The IRB has the statutory and institutional authority to take any action necessary to protect the rights and welfare of human research participants involved in research.  For example, the IRB assesses suspected or alleged protocol deviations, participant complaints, or violations of external regulations or STANFORD policies.  The IRB has the authority to suspend or terminate the enrolment or ongoing involvement of research participants in research as it determines necessary for the protection of those participants.  The IRB also has the authority to observe or monitor any human research to whatever extent it considers necessary to protect research participants.  (45 CFR 46.109, 46.112, and 46.113). See http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm.

 

Upon request, the IRB shall review and comment on proposed external regulations dealing with human research.  When appropriate, the IRB will formulate draft policies and procedures for approval by the appropriate STANFORD bodies and promulgation by the Dean of Research.

 

Decisions of the IRB 

IRB approval is always necessary before a research project involving research participants may begin. An IRB decision to not approve a human research project, or require modifications as a condition for approval, cannot be overturned by any STANFORD official or STANFORD committee.

 

The IRB must provide the investigator with a written statement of the reasons for not approving proposed research and must give the investigator an opportunity to respond in person or in writing.  The IRB must carefully and fairly evaluate the investigator’s response in reaching a final determination. 

 

If an investigator has concerns with respect to procedures or decisions of the IRB, the investigator may discuss his/her concerns with the Dean of Research with the understanding that neither the Dean of Research, the Provost, nor any other STANFORD official or committee may approve a protocol that has not been approved by the decision of one of the Panels, nor apply undue pressure on the Panel to reverse a decision.  Investigators must first put their concern(s) in writing to the Dean of Research, who may use his or her sole discretion to determine the process for responding to an investigator’s concern, including:

  • Notifying the IRB of the concern and requesting a response and relevant information from its records
  • Submitting the concern to mediation if the investigator agrees to participate
  • Appointing a fact-finder to review the matter and report back
  • Seeking assistance from consultants or internal administrative units such as the Office of Internal Audit or Office of the General Counsel.

 

 

Reporting Obligations within STANFORD

The IRB is administered by the RCO and reports to the President through the Office of the Dean of Research.  The Dean of Research is the institutional official responsible for assuring compliance with STANFORD policies and external regulations on the use of human research participants, and is the head of the STANFORD HRPP. IRB Chairs prepare annual reports to the President, summarizing the nature and volume of the IRB activities. 

 

Responsibilities to Regulatory Agencies 

The IRB must comply with the requirements of all relevant federal regulatory and compliance enforcement agencies or offices, including OHRP and FDA, as well as relevant agencies of the State of California. 

 

 

6.2 Relationships between the IRB and Others

 

The IRB is required at times to participate with other programs or research compliance committees at STANFORD that also have responsibility for the ethical oversight of research within the HRPP.  In some cases, the approval of another STANFORD body may be required prior to or in addition to IRB review.  Such cases include:

 

Radiological Safety:  If a study involves any radioisotopes or radiation-producing machines, the protocol is forwarded to the Radiation Safety Officer (or delegate). If review by the Administrative Panel on Radiological Safety is required, the IRB will not issue approval until that panel issues its approval.

 

Biosafety:  Gene transfer studies and human subject protocols using biological agents must be approved by the Administrative Panel on Biosafety (APB) in addition to obtaining IRB approval. 

 

Conflict of Interest:  Each protocol event – initial review, modification, or continuing review – requires disclosure of financial holdings for all personnel involved in the proposed research. Investigator conflict of interest identified during protocol submission, must be reviewed by the Conflict of Interest Committee, and as appropriate, adequately dealt with so as to safeguard the rights, welfare, and safety of the research participants prior to IRB approval of the research.

See Chapter 3.7 for policy on Investigator Conflict of Interest.

 

The Stanford General Clinical Research Center (GCRC):  Depending upon the nature of the research, for any human research supported by the GCRC, in addition to IRB approval, GCRC approval must be obtained prior to enrolling participants in the study.  

 

The Stanford Cancer Center:  Protocol review by the Stanford Cancer Center’s Scientific Review Committee (SRC) is conducted in parallel with IRB review.  Both IRB and SRC approvals are required to conduct research supported by the Stanford Cancer Center.

 

The Veterans Affairs Research and Development (R&D) Committee:  Human research involving facilities or personnel of the Department of Veterans Affairs Palo Alto Health Care System (VAPAHCS) must be approved by the IRB prior to being placed on the agenda of the VAPAHCS R&D Committee (http://www.palo-alto.med.va.gov/research.asp) for review and approval.

 

Stem Cell Research Oversight:  Any human research involving human stem cells must be reviewed by the Stem Cell Research Oversight Panel (SCRO) as well as the IRB. See RPH 10.7.

 

Relationships with Industry Sponsors and Other IND or IDE Holders 

Unless specifically required by the FDA or requested by the sponsor, the IRB will not routinely provide written notification of IRB decisions to industry sponsors and other holders of INDs or IDEs (STANFORD sponsor-investigators excepted).  For FDA-regulated research, clinical investigators generally serve as the link between the IRB and the sponsor, and are required to do so by the FDA in compliance with their obligations as clinical investigators.  This relationship is agreed to by investigators when they sign FDA Form 1572 (for drug and biologic studies) or an investigator agreement for device studies.

 

There are occasions when direct communication between the IRB and the sponsor may facilitate resolution of concerns about study procedures or specific wording in an informed consent document.  The IRB staff may engage in such direct communication on behalf of the IRB when the IRB Chair or the RCO Director considers it desirable.  The clinical investigator will be kept apprised of such communication.

 

The FDA indicates that direct communication between the sponsor and the IRB may be appropriate when the IRB does not accept a sponsor’s Nonsignificant Risk (NSR) designation of a medical device (21 CFR 812.66).  Direct communication between the sponsor and the IRB is required for the waiver of informed consent in planned emergency research relative to (a) the public disclosures required under 21 CFR 56.109(a)(7)(ii),(iii); or (b) disapproval of such a waiver under 21 CFR 50.24(e).

See Chapter 5.11.

 

 

 

6.3 IRB Composition and Membership

 

The IRB has a qualified Chair, members and staff whose membership and composition are periodically reviewed. The IRB staff, Chair, and members have the knowledge, skills and abilities appropriate to their respective roles.  (AAHRPP Element II.1.D)

 

Each IRB has a qualified Chair, members and staff whose membership and composition is reviewed and adjusted annually by the RCO Director and the Dean of Research.  This review ensures that individual IRB Chairs and members have the knowledge, skills and abilities appropriate to their respective roles and perform their responsibilities in an acceptable manner.

 

Stanford policy requires that the IRB be constructed according to DHSS regulations and FDA regulations (45 CFR 46.107 and 21 CFR 56.107). Additionally,

 

  • The IRB shall include a non-scientific IRB member, educated and with experience in unambiguously non-scientific areas, (see Checklist for Determining if IRB Members are Nonscientists.)  These individuals may not have meaningful scientific or medical training or experience.  Health professionals, regardless of discipline, may not be considered non-scientists.  At least one non-scientist IRB member must always be present to have a quorum. (See discussion of quorum in Chapter 6.8.)
  • The IRB shall include one student, when nominated by the ASSU Committee on Nominations, who is either an upperclassman or preferably a graduate student with previous human research experience.

 

Furthermore, in compliance with national VA research standards, the IRB must satisfy the following requirements:

 

  • Each IRB shall include two or more VA employees as voting members.
  • At least one of the VA representatives shall have scientific expertise.
  • The VA representatives shall serve as full members of the IRB and review non-VA research matters coming before the IRB.
  • At least one of the VA representatives on the IRB shall be present during the review of VA research.
  • VA representatives to the IRB shall be appointed by the VA Medical Center Director.
  • A licensed physician shall be included in the quorum in the review of research involving an FDA-regulated article.
  • VA Research and Development administration officials including, but not limited to, the Associate Chief of Staff for Research and Development and the Administrative Officer for Research and Development shall be prohibited from serving as voting members of the IRB.
  • The IRB membership shall include at least one member who is an expert in the area of the research for VA research that involves mentally disabled persons or persons with impaired decision-making capacity.

 

Appointment of Members and Alternates, Length of Service, and Duties

IRB members are nominated from a variety of sources, including previous IRB members, division chiefs, department chairs, compliance administrators, faculty, hospital pharmacy and nursing staff, research laboratories, Associated Students of Stanford University (ASSU), and various public groups.  Consideration is given to balancing race, gender, expertise, and cultural backgrounds.  People with active licensure from various clinical disciplines are sought.  A background knowledge of and current familiarity with affiliated institutional concerns (e.g., the VA, LPCH, SHC) helps ensure that the local research context is brought to IRB deliberations.  Sensitivity to issues such as community attitudes and international dimensions is valued.  During the three months prior to October 1st (the start date for the IRB year) newly identified nominees are contacted by the HRPP Associate Director (or delegate) about their willingness to voluntarily serve on the IRB and their availability for the coming year.  When a nominee agrees to serve on the IRB, his or her CV and any relevant correspondence are reviewed by the RCO Director and Dean of Research. 

 

STANFORD recognizes that officials who administer research programs may be in a position to influence programmatic and budgetary decisions and exert undue influence on IRBs or individual IRB members.  To avoid such influence on IRB determinations, the Dean of Research, School Deans, and other Stanford University officers will not serve as voting members of the IRBs, unless there are compelling reasons to do so.  Such reasons must be justified in writing, approved by the President of Stanford University, and include specific measures to manage any conflict of interest or the possibility of undue influence.

 

After an extensive review of a potential member’s education, experience and other characteristics that might add diversity to the IRB, a new IRB member is formally appointed by the Dean of Research.  Members serve one-year renewable terms (from October 1 to September 30).  At the conclusion of the IRB year (and interim, if needed), members’ contributions are evaluated by the IRB Chair with the IRB manager (See Chapter 4). If their service is satisfactory, and continued membership is mutually desired, they are eligible for reappointment. 

 

Members are responsible for ensuring that the rights and welfare of research subjects are protected.  Members vote to approve, require modifications in, disapprove, or defer research submitted to the IRB.  Members are expected to attend IRB meetings on a regular basis, serve as primary reviewers for research within their areas of expertise, and serve as general reviewers on all research.  Members may also be asked to participate in subcommittees, audits, and education, as long as there is no conflict of interest with their IRB responsibilities or their other personal or professional roles.

 

Qualification to Perform Expedited Review

An IRB member may perform protocol review according to the expedited procedure when the IRB Chair, in consultation with the IRB manager and IRB Training Specialist, determines that the member is "experienced" with regard to this purpose. There are several ways a member may achieve sufficient experience, including attendance at IRB meetings, targeted education, working with a mentor, independent study, and previous IRB service.  See Chapter 7 for more information.

 

Appointment of IRB Chair, Length of Service, and Duties

IRB Chairs are nominated from a variety of sources, including previous and current IRB members, division chiefs, senior deans, department chairs, and compliance administrators.  In addition to the characteristics sought in an IRB member, these individuals possess demonstrated skills in leadership and group process.  Typically, they have served on an IRB previously.

 

IRB Chairs are formally appointed by the Dean of Research. Chairs serve one-year renewable terms (from October 1 to September 30).  At the conclusion of the IRB year (and interim, if needed) the IRB Chairs’ contributions are evaluated by the Dean of Research with the RCO Director (See Chapter 4).  If their service is satisfactory, and their continued service is mutually desired, they are eligible for reappointment. 

 

In addition to the responsibilities of IRB membership, the Chair has primary responsibility for conducting IRB meetings and working with staff to ensure effective and efficient operation of the IRB within all applicable regulatory requirements.  The IRB Chair works with IRB members, institutional officials, and investigators to ensure that the rights and welfare of research participants are adequately protected.

 

Compensation of IRB Members

IRB Chairs' departments receive a percentage of their salaries to offset the time dedicated to IRB duties. IRB members generally do not receive monetary compensation for their service on the IRB.  However, it is recognized that service on the IRB requires a significant investment of time for all members. 

 

IRB members who are not otherwise affiliated with STANFORD or its collaborating institutions are compensated for their service by the issuance of an honorarium.  As stated in OHRP guidance at http://www.hhs.gov/ohrp/IRBfaq.html#q11, compensating unaffiliated members in this way does not create an affiliation or cause a conflict of interest.

 

Alternate IRB Members

Alternates replace regular IRB members who are unable to attend convened meetings of the IRB.  They are required to have the same qualifications and characteristics of expertise and diversity as the regular IRB members for whom they substitute.  When an alternate substitutes for a regular member, the IRB staff provides the alternate member the same material that the regular member received or would have received.

 

IRB membership rosters specify which regular member each alternate member is qualified to replace.  The expertise or qualifications of alternate members are similar to those of the regular member they replace, and in some case, alternate members are able to represent similar interests or a specific vulnerable population.  Terms of appointment, length of service, and duties are exactly as for regular IRB members.  Alternate members must adhere to the same conflict of interest standards and documentation requirements as regular IRB members.

 

If an alternate member attends a convened meeting at which his or her regular member is voting, the alternate member does not vote. Ad hoc substitutions for regular or alternate IRB members are not permitted.

 

Ex Officio IRB Members 

An ex officio member is designated as an IRB member by virtue of that individual’s office. For example, if the chair of the Administrative Panel on Radiological Safety changes hands, that ex officio IRB membership changes hands accordingly and does not remain with the individual who has left that office. Some ex officio members serve on other STANFORD compliance panels and may provide expertise to IRB members. Ex officio members may participate in the IRB deliberations to provide information and expertise as requested by the IRB.  Ex officio members are expected to adhere to the same conflict of interest standards and documentation requirements as are regular IRB members and alternates.  Ex officio members may not vote on any IRB action or determination, and for this reason are sometimes referred to as “non-voting” members.

 

Medical IRBs accept permanent ex officio representatives from the following areas:

  • Office of the Dean of Research
  • Office of the General Counsel
  • Biosafety Panel
  • Radiological Safety Panel
  • Research Management Group
  • VAPAHCS Research and Development Office
  • Palo Alto Institute for Research and Education, Inc. (PAIRE)

 

Nonmedical IRBs accepts permanent ex officio representatives from the following areas:

  • Office of the Dean of Research
  • Office of the General Counsel
  • VAPAHCS Research and Development Office
  • Palo Alto Institute for Research and Education, Inc. (PAIRE)

 

The IRB may accept additional permanent ex officio members with the agreement of a majority of IRB members, the IRB Chair, and the RCO Director.

 

Liability Coverage for IRB members

Stanford University provides liability coverage under its insurance programs for IRB members acting in good faith in the performance of their IRB duties.  The Stanford University Office of Risk Management provides liability coverage of volunteer individuals, including community IRB members.  All Stanford University-related faculty, staff, and students are likewise covered in their capacity as employees and students.

 

Support of IRB Membership

The IRB has a qualified staff, dedicated to supporting the IRB in its mission to protect human participants in research. The IRB staff teams are reviewed at least annually by the RCO Director and the Dean of Research to ensure they continue to provide sufficient resources to the IRB.  The IRB staff has knowledge, skills and abilities appropriate to their respective roles.  The RCO Director oversees the RCO Deputy Director, the HRPP Associate Director, and the CQI Associate Director, and is responsible for the overall management of the RCO. See the RCO Organization Chart

 

For policies on qualifications, education and periodic evaluation of RCO staff, see Chapter 4.

 

6.4  Scientific and Scholarly Expertise of IRB Members

 

The STANFORD IRB has the following written policies and procedures requiring protocols to be reviewed by individuals with appropriate scientific or scholarly expertise.  (AAHRPP Element II.1.A)  Wide-ranging scientific or scholarly expertise among IRB members allows the IRB to review the broad variety of research in which STANFORD investigators are engaged.  These policies and procedures require IRB members to be knowledgeable about all relevant regulatory requirements, and to strive to remain impartial and objective during protocol review, deliberation and voting.  The IRB includes several members who are particularly knowledgeable about research ethics and the vulnerable research participants included in STANFORD research.    

 

The IRB uses a “primary reviewer” system.  The IRB manager, in consultation with the IRB Chair where appropriate, assigns protocols to primary reviewers, based on each individual’s scientific, scholarly, professional, or clinical expertise.  Primary reviewers must have the relevant expertise to conduct an in-depth review of the protocols to which they are assigned.  If the IRB manager cannot identify a primary reviewer with the appropriate scientific or scholarly expertise, the IRB manager arranges for expert consultation and will not place the protocol on an agenda until appropriate expertise is made available.  Primary reviewers are expected to conduct an in-depth review, and it is the responsibility of primary reviewers to notify the IRB Chair or IRB staff should they feel unqualified or unable to do so.  In such cases, the IRB Chair will assign primary review responsibilities to another member who is appropriately qualified or obtain consultation from one or more experts outside the IRB (see below).

 

When the IRB reviews research that involves categories of participants vulnerable to coercion or undue influence, the review process includes one or more individuals who are knowledgeable about or experienced in working with these participants (children, pregnant women, adults unable to consent, students, etc.).  The IRB staff reviews each application to determine whether it involves participants vulnerable to coercion or undue influence, and considers the participant population when assigning reviewers.

 

The IRB is constituted to possess and make use of collective knowledge of applicable regulatory and legal requirements; knowledge of professional standards and practices; knowledge of the local research context and research sites, and their capabilities and limitations; knowledge of community standards and attitudes; scientific, scholarly, clinical, and professional expertise; racial, ethnic, and cultural diversity; and representation of participants’ perspectives. 

 

6.5  Obtaining Additional Expertise

 

The STANFORD IRB has a process for obtaining additional specific expertise when needed to review protocols.  (AAHRPP Element II.1.B)  

The IRB Chair or IRB staff reviews the proposed convened meeting agenda and determines whether the IRB has the required expertise to review upcoming research.  If not, the IRB Chair will invite individuals with competence in the specific areas needed to assist in evaluating issues that require expertise beyond or in addition to that available on the IRB.  On an as-needed basis, an IRB primary reviewer may invite individuals with competence in special areas to assist in evaluating specific issues

 

Reasons for seeking additional or special competence from outside experts may include (but are not limited to) the need for additional scientific, clinical, or scholarly expertise; the need for particular knowledge and understanding about potentially vulnerable populations of subjects; the desire to ensure appropriate consideration of race, gender, language, cultural background, and sensitivity to such issues as community attitudes.

 

Additional expertise may be obtained through a member of another IRB, or individuals from various Schools and Departments within Stanford University, such as:

  • Medicine, Education, Business, and Law
  • Office of Research Administration
  • Stanford Center for Biomedical Ethics
  • Stanford/Packard Center for Translational Research in Medicine (SPCTRM)
  • Various specialty Clinical Departments at the affiliated institutions
  • Stanford Comprehensive Cancer Center

or from:

  • VA Palo Alto Health Care System (VAPAHCS), including the VAPAHCS Research and Development Office
  • Experts from other institutions
  • Representatives of the community
  • Representatives of specific subject populations

 

IRB staff or the IRB Chair makes initial contact with a proposed consultant and notifies the consultant of the IRB member conflict of interest policy (See Chapter 6.6). When a consultant is used, that fact and the pertinent information gained from the consultant’s assessment is documented at the time of the protocol discussion and recorded in the IRB minutes.  In some cases, a consultant may provide the IRB with a written report of his or her assessment which is kept with the protocol file.  The IRB staff can assist in making the consultation arrangements and in obtaining the required conflict of interest documentation.

 

All consultants, internal or external to Stanford University, must comply with the IRB conflict of interest policy. They are not considered ad hoc IRB members, and cannot vote with the IRB.

 

The Guidance for Obtaining Additional Expertise or an Expert Consultant addresses the use of consultants in further detail.

 

6.6 IRB Member and Consultant Conflicting Interest

 

The IRB has written guidelines so that IRB members and consultants do not participate in the review of protocols in which they have a potential conflict of interest, except to provide information requested by the IRB.  (AAHRPP Element II.1.C) (45 CFR 46.107(e); 21 CFR 56.107(e))

Guidelines for IRB Members on Conflicting Interest includes definitions of conflicting interest and outlines procedures for recusal. This policy applies:

  • When protocols and reports are first received by members assigned to review
  • During discussion and voting in convened meetings
  • When consultants are asked to advise the IRB

This policy applies to all projects reviewed by the IRB, regardless of whether the project is exempt or considered during full, expedited, or continuing review. This policy also applies to reviews of non-compliance reports and unanticipated problems involving risks to participants or others.

IRB Member’s Disclosure of a Conflicting Interest

IRB members who realize they have a conflicting interest when they are first assigned a protocol or report for review must notify the IRB staff or IRB Chair immediately so that the protocol can be reassigned.

IRB members review the draft Agenda List before a convened meeting with the issue of conflicts in mind. Any conflicting interest for protocols to be voted on must be reported to the IRB Chair or RCO Director before the meeting whenever possible. 

The IRB Chair begins each meeting with a reminder that proceedings are confidential. This is followed by a reminder of the requirement that each member must disclose any conflicting interest and recuse him or herself from the discussion of and vote on the project by leaving the room, except if the member is providing information at the IRB’s request.  If an IRB member realizes at a meeting that he or she may have a conflicting interest in a given project, then that should be disclosed to the IRB Chair immediately, orally and in writing on the IRB Member Conflict of Interest Declaration.

Consultant’s Disclosure of a Conflicting Interest

The definition of conflicting interest as defined in the Guidelines for IRB Members on Conflicting Interest extends to any consultant who may be asked to review a protocol.  The IRB Manager who contacts a consultant to enquire about review of a project is responsible for asking if the consultant has a conflicting interest in the project.  If such an interest exists, then the protocol will not be assigned to the consultant.  If no COI is declared, the consultant is asked to complete a Consultant Conflict of Interest Declaration for inclusion with the minutes of the meeting.

If a consultant with a conflicting interest is the only appropriate resource for the IRB, (e.g., is the only scientist with sufficient technical understanding of the project) and if that consultant has been asked to provide information to the IRB, then the conflict of interest must be disclosed to the IRB members reviewing the protocol or present in the convened meeting where the information is presented.  Such a consultant is excluded from discussion except to provide information requested by the IRB, and must leave the meeting room during discussion and voting.

 

 

6.7 Assessment and Evaluation of the IRB

 

The composition and membership of each IRB is evaluated annually by the RCO Director and the Vice Provost and Dean of Research and is adjusted as needed to ensure appropriate knowledge of applicable regulatory and legal requirements; knowledge of professional standards and practices; knowledge of the local research context and research sites and their capabilities; knowledge of community standards and attitudes; scientific, scholarly, clinical, and professional expertise; racial, ethnic, and cultural diversity; and representation of participants’ perspectives.  Due to the increased complexity of human research protocols submitted, this often results in adding members.  The composition of each IRB may change annually as needed.

 

Education, training and periodic evaluation of IRB members, IRB Chairs, and IRB staff is discussed in Chapter 4.

 

 

 

 

6.8  IRB Roster and Quorum Requirements

 

The IRB membership rosters include sufficient information about members to permit appropriate representation at the meeting for each protocol under review. One or more unaffiliated members are represented on the IRB and one or more members can represent the general perspective of participants. (AAHRPP Element II.1.E)

 

An IRB Member database is maintained by the RCO and used as the data source for all IRB membership roster needs.  The IRB Member database includes all information required under FDA and DHHS regulations and OHRP guidance (45 CFR 46.107 and 108; 21 CFR 56.107 and 108) including:

  • Names of members
  • Names of alternate members (and regular members for whom they substitute )
  • Gender
  • Earned degrees
  • Scientific status
  • Representative capacity
  • Affiliation

 

Representative capacity is presented in enough detail to indicate which appropriate participants can be represented by each member (e.g., children, pregnant women, prisoners, economically disadvantaged, educationally disadvantaged, cognitively impaired adults, students, recent immigrants, Native Americans, non-English speakers, international communities). When research protocols include participants vulnerable to coercion or undue influence, a member who is knowledgeable about that population, or who has experience working with similar participants, should be assigned to the project.

 

Scientific status, (including the designation of “non-scientist” – see Chapter 6.3), is determined during recruitment and annually upon evaluation of IRB members.  Scientific status and area of scientific expertise (e.g., pediatrician, radiologist, psychologist, anthropologist, pharmacist) are presented in sufficient detail to allow appropriate protocol assignment and in-depth protocol review.

 

Affiliation is determined during recruitment and annually upon evaluation of IRB members. The role of unaffiliated members is to represent the general perspective of participants, (see Checklist for Determining if IRB Members are Unaffiliated.)   An IRB member is considered affiliated if he or she, or any member of his or her immediate family, has any employment or other relationship (e.g., current or former employee, consultant, Board of Directors, volunteer, trainee or student) with any of the STANFORD affiliated entities:

  • Stanford University
  • Stanford Hospital and Clinics (SHC
  • Lucile Packard Children’s Hospital (LPCH)
  • Veterans Affairs Palo Alto Health Care System (VAPAHCS)
  • Palo Alto Institute for Research and Education (PAIRE)

 

Changes in IRB membership require reporting to OHRP.  The HRPP Associate Director (or delegate) submits a revised IRB membership list to OHRP whenever membership changes occur, but at a minimum once a year and whenever a new IRB is formed.

 

The IRB has positions available for student members, filled when nominated by the ASSU. Student members represent the perspective of participants in much nonmedical research.

 

Quorum Requirements and Voting at IRB Meetings

Maintenance of quorum and voting at convened meetings is based on the following standards:

 

1.      A majority of the (voting) members of the IRB (or their designated alternates), including at least one member whose primary concerns are in non-scientific areas, must be present to conduct a convened meeting.  In order for research to be approved, it must receive the approval of a majority of such members present at the meeting.

2.      Members may be present in person or through audio (telephone) or audio-visual teleconference.  Members present via teleconference shall be noted as such in the meeting minutes, which shall also indicate that the members received all pertinent information prior to the meeting and were able to participate actively and equally in all discussions.

3.      IRB minutes shall include documentation of quorum and votes for each IRB action and determination by recording votes as follows:

·        Total number voting

·        Number for

·        Number opposed

·        Number abstaining

·        Names of those abstaining.

4.      Members leaving the meeting room due to a conflicting interest, or for any other reason, will not be recorded as part of the quorum for a particular protocol.

5.      An individual who is not listed on the official IRB membership roster may not vote with the IRB.

6.      A non-voting ex-officio member of, or representative to, a STANFORD IRB may not vote with the IRB.

7.      Ad hoc consultants may not vote with the IRB.

8.      A non-scientist must always be present for any vote to be taken.

9.      When a member and his/her alternate both attend a meeting, only one person (generally the individual who performed the pre-review of protocols for that review cycle), may vote.

10. Voting by proxy is not permitted.

11. If the quorum fails during a meeting, such as due to lack of a majority of IRB members being present or an absence of a non-scientist member, the IRB cannot take any further actions or vote until the quorum is restored.

12. The IRB Manager is responsible for monitoring the members present at a convened IRB meeting to ensure that at the beginning of the meeting and for each subsequent vote the meeting is appropriately convened.

13. When the IRB reviews research that involves participants vulnerable to coercion or undue influence, at least one member must be present who is knowledgeable about or experienced in working with these participants.

14. When the IRB reviews research that involves prisoners, a majority must have no association with the prison involved, apart from their membership on the IRB.

15. When the IRB reviews research that involves prisoners, at least one voting member at the IRB meeting must be a prisoner or a prisoner representative with appropriate background and experience to serve in that capacity.

16. When the IRB reviews VA research at least one of the VA members of the IRB must be present during the review of VA research.

17. When the IRB reviews VA research that involves an FDA-regulated article a licensed physician must be present.

18. When the IRB reviews VA research that involves mentally disabled persons or persons with impaired decision-making capacity, an IRB member who is an expert in the area of the research must be present.

See Chapter 8.3 for information about convened meeting minutes.

 

 

6.9  Meeting Times and Materials

 

The IRB meets regularly and members have sufficient time to review materials prior to meeting. (AAHRPP Element II.1.F)  The IRB meets each month according to a regular schedule. Some IRB members, who review protocols according to the expedited review procedure and confirm exemptions meet on an ad hoc basis as needed.

Individual meetings may be rescheduled, or additional meetings may be held, as needed by agreement of the IRB Chair and the RCO Director.  Permanent changes to the meeting schedule may be made by agreement of a majority of IRB members, the IRB Chair, and the RCO Director.

The deadline for receipt of research proposals to the IRBs is the first working day of the month preceding an IRB meeting. For example, the deadline for the March

meeting is February first. However, if there is room on the agenda of an upcoming IRB meeting, and sufficient time (generally, a minimum of 72 hours) for review of all relevant materials by the IRB members, research protocols can be placed on an earlier agenda, as deemed necessary by the IRB Chair or IRB staff.

 

Review Preparation Time

The RCO staff assigns protocols and delivers necessary protocol materials to primary reviewers in sufficient time for them to be reviewed before the meeting, generally two to four weeks, but not later than 72 hours before an upcoming meeting. All non-primary reviewers and attending IRB members receive the necessary protocol materials 5 days prior to the convened meeting.  All IRB members receive the agenda and minutes from the previous meeting approximately five days prior to the meeting. Materials necessary for review may be presented to IRB members less than 72 hours prior to a meeting only where determined necessary by the IRB Chair or HRPP Associate Director.

For materials provided to members, see Chapter 7.5 and 7.7.

 

The standard for members participating by audio or video conferencing is the same for those attending in person, giving all members the opportunity to participate fully in IRB deliberations.