us-fda-guidance-47bdedff833cb5a79f52437afc5f53a9•Information Sheet Guidance for Sponsors, Clinical Investigators, and IRBs Frequently Asked Questions Statement of Investigator (Form FDA 1572) (Revision 1): Draft Information Sheet Guidance for Sponsors, Clinical Investigators, and IRBs Frequently Asked Questions Statement of Investigator (Form FDA 1572) (Revision 1)
Information Sheet Guidance for Sponsors, Clinical Investigators, and IRBs Frequently Asked Questions Statement of Investigator (Form FDA 1572) (Revision 1): Draft Information Sheet Guidance for Sponsors, Clinical Investigators, and IRBs Frequently Asked Questions Statement of Investigator (Form FDA 1572) (Revision 1)
us-fda-guidance-47bdedff833cb5a79f52437afc5f53a9Information Sheet Guidance for Sponsors, Clinical Investigators, and IRBs Frequently Asked Questions Statement of Investigator (Form FDA 1572) (Revision 1): Draft Information Sheet Guidance for Sponsors, Clinical Investigators, and IRBs Frequently Asked Questions Statement of Investigator (Form FDA 1572) (Revision 1)Draft Guidance
Administrative draft guidance, not enacted legislation. This captured publisher edition preserves the listed document and attachments; later developments are not independently consolidated.
- Docket Number:
- FDA-2008-D-0406
- Issued by:
- Guidance Issuing OfficeCenter for Biologics Evaluation and ResearchCenter for Drug Evaluation and Research
This guidance is intended to assist sponsors, clinical investigators, and institutional review boards (IRBs) involved in clinical investigations of investigational drugs and biological products. This guidance applies to clinical investigations conducted under 21 CFR part 312 (investigational new drug application (IND) regulations) and describes how to complete the Statement of Investigator (Form FDA 1572).
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All written comments should be identified with this document's docket number: FDA-2008-D-0406.
30689434dftrev1.docx Information Sheet Guidance for Sponsors, Clinical Investigators, and IRBs Frequently Asked Questions Statement of Investigator (Form FDA 1572) (Revision 1) DRAFT GUIDANCE This guidance document is being distributed for comment purposes only. Comments and suggestions regarding this draft document should be submitted within 60 days of publication in the Federal Register of the notice announcing the availability of the draft guidance. Submit electronic comments to https://www.regulations.gov. Submit written comments to the Dockets Management Staff (HFA-305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. All comments should be identified with the docket number listed in the notice of availability that publishes in the Federal Register. For questions regarding this draft document, contact (CDER) Paul Gouge, 301-796-3093, or (CBER) Office of Communication, Outreach and Development, 800-835-4709 or 240-402-8010. U.S. Department of Health and Human Services Food and Drug Administration Office of Good Clinical Practice (OGCP) Center for Drug Evaluation and Research (CDER) Center for Biologics Evaluation and Research (CBER) May 2021 Procedural Revision 1
Information Sheet Guidance for Sponsors, Clinical Investigators, and IRBs Frequently Asked Questions Statement of Investigator (Form FDA 1572) (Revision 1) Additional copies are available from: Office of Communications, Division of Drug Information Center for Drug Evaluation and Research Food and Drug Administration 10001 New Hampshire Ave., Hillandale Bldg., 4 th Floor Silver Spring, MD 20993-0002 Phone: 855-543-3784 or 301-796-3400; Fax: 301-431-6353 Email: druginfo@fda.hhs.gov https://www.fda.gov/drugs/guidance-compliance-regulatory-information/guidances-drugs and/or Office of Communication, Outreach and Development Center for Biologics Evaluation and Research Food and Drug Administration 10903 New Hampshire Ave., Bldg. 71, Room 3128 Silver Spring, MD 20993-0002 Phone: 800-835-4709 or 240-402-8010 Email: ocod@fda.hhs.gov https://www.fda.gov/vaccines-blood-biologics/guidance-compliance-regulatory-information-biologics/biologics-guidances U.S. Department of Health and Human Services Food and Drug Administration Office of Good Clinical Practice (OGCP) Center for Drug Evaluation and Research (CDER) Center for Biologics Evaluation and Research (CBER) May 2021 Procedural Revision 1
Contains Nonbinding Recommendations Draft — Not for Implementation TABLE OF CONTENTS I. INTRODUCTION............................................................................................................. 1 II. BACKGROUND ............................................................................................................... 1 III. GENERAL QUESTIONS (10, 11, AND 13) ................................................................... 2 10. Must investigators who conduct studies outside of the United States sign a 1572? ..................... 2 11. If a foreign clinical study is being conducted under an IND, what are the investigator’s responsibilities with respect to regional, national, or local laws and regulations?............................... 2 13. If a sponsor chooses to conduct a foreign clinical study (or operate non-U.S. sites in a multinational study) under an IND and the investigators at these non-U.S. sites follow the recommendations in the ICH E6 Good Clinical Practice Consolidated Guidance, would the non- U.S. investigators also be in compliance with FDA’s IND requirements under 21 CFR part 312? .... 3 IV. SECTION #9–11: COCOMMITMENTS, DATE, AND SIGNATURE OF INVESTIGATOR — WAIVER OF SIGNATURE ON FORM FDA 1572 ........................ 4 39. A sponsor may encounter situations in which investigators in foreign countries cannot or will not sign Form FDA 1572, yet the sponsor wishes to conduct the study at these sites under an IND. What can a sponsor do? .......................................................................................................................... 4 40. What should a sponsor submit to the IND when requesting a waiver of the 1572 signature requirement? ............................................................................................................................................ 4 41. What documentation should a sponsor submit to show that they have an acceptable alternative course of action to satisfy the purpose of a signed Form FDA 1572? Can you provide an example? 4 42. How and when should a sponsor submit the request to waive the signature requirement? .......... 5 43. Does the sponsor need to wait for the waiver request to be granted before initiating the study at that site? ................................................................................................................................................... 6 44. What does it mean to get a “1572 signature waiver”? .................................................................... 6 45. Is the waiver of the 1572 signature requirement a distinctly different waiver than an IRB requirement waiver? ................................................................................................................................ 6 46. Are there any special considerations regarding Form FDA 1572 signature waivers and pediatric studies? ..................................................................................................................................................... 7 APPENDIX: EXAMPLES OF SPONSOR AND INVESTIGATOR COMMITMENTS ..... 8
Contains Nonbinding Recommendations Draft — Not for Implementation 1 Information Sheet Guidance 1 for Sponsors, Clinical Investigators, and IRBs1 2 Frequently Asked Questions 3 Statement of Investigator (Form FDA 1572) (Revision 1) 4 5 6 7 This draft guidance, when finalized, will represent the current thinking of the Food and Drug 8 Administration (FDA or Agency) on this topic. It does not establish any rights for any person and is not 9 binding on FDA or the public. You can use an alternative approach if it satisfies the requirements of the 10 applicable statutes and regulations. To discuss an alternative approach, contact the FDA staff responsible 11 for this guidance as listed on the title page. 12 13 14 15 16 I. INTRODUCTION 17 18 This guidance is intended to assist sponsors, clinical investigators, and institutional review boards 19 (IRBs) involved in clinical investigations of investigational drugs and biological products. This 20 guidance applies to clinical investigations conducted under 21 CFR part 312 (investigational new 21 drug application (IND) regulations) and describes how to complete the Statement of Investigator 22 (Form FDA 1572). 23 24 25 II. BACKGROUND 26 27 FDA has received questions about Form FDA 1572. The most frequently asked questions 28 (FAQs) are answered in the information sheet guidance for sponsors, clinical investigators, and 29 IRBs Frequently Asked Questions—Statement of Investigator (Form FDA 1572) (May 2010)2 (the 30 Form FDA 1572 FAQ Guidance). 31 32 This guidance, when finalized, partially revises the Form FDA 1572 FAQ Guidance and answers 33 additional questions received by FDA. Questions not answered either in this guidance or in the 34 Form FDA 1572 FAQ Guidance may be submitted to druginfo@fda.hhs.gov. 35 36 This guidance has been developed in response to multiple inquiries regarding waivers of the 37 signature requirement on Form FDA 1572 and, when finalized, will explain FDA’s current 38 1 This guidance has been prepared by the Office of Medical Policy in the Center for Drug Evaluation and Research in cooperation with the Center for Biologics Evaluation and Research and the Office of Good Clinical Practice at the Food and Drug Administration. 2 We update guidances periodically. For the most recent version of a guidance, check the FDA guidance web page at https://www.fda.gov/RegulatoryInformation/Guidances/default.htm.
Contains Nonbinding Recommendations Draft — Not for Implementation 2 thinking regarding signature waivers. Specifically, this draft guidance revises general questions 39 10, 11, and 13 from the Form FDA 1572 FAQ Guidance and includes a new section (see 40 questions 39 through 46) about waivers of the Form FDA 1572 signature requirement. 41 42 The contents of this document do not have the force and effect of law and are not meant to bind 43 the public in any way, unless specifically incorporated into a contract. This document is 44 intended only to provide clarity to the public regarding existing requirements under the law. 45 FDA guidance documents, including this guidance, should be viewed only as recommendations, 46 unless specific regulatory or statutory requirements are cited. The use of the word should in 47 Agency guidances means that something is suggested or recommended, but not required. 48 49 50 III. GENERAL QUESTIONS (10, 11, AND 13) 51 52 10. Must investigators who conduct studies outside of the United States sign a 1572? 53 [Revised 2021] 54 55 If a clinical study is conducted at a foreign site under an IND, all FDA IND regulations, 56 including the requirement to obtain a signed 1572 (21 CFR 312.53(c)(1)), must be met unless 57 the sponsor requests and is granted a waiver that provides for specific exceptions. In the case 58 where a foreign investigator cannot or will not sign Form FDA 1572 (e.g., because regional, 59 national, or local laws or regulations prohibit its signing), the sponsor may submit a request for 60 a waiver of the 1572 signature requirement under 21 CFR 312.10 (see section [IV] of this 61 guidance); alternatively, the site may operate as a non-IND site, in which case the study would 62 be conducted as a non-IND study. 63 64 If a clinical study is conducted outside of the United States and the study is not under an IND, 65 then the investigator need not sign a 1572. If the study data from a non-IND site is to be 66 submitted to support a marketing application (e.g., a new drug application (NDA)), the study at 67 the non-IND site must be conducted in compliance with 21 CFR 312.120. (Also, see question 68 14 in the Form FDA 1572 FAQ Guidance.) 69 70 11. If a foreign clinical study is being conducted under an IND, what are the investigator’s 71 responsibilities with respect to regional, national, or local laws and regulations? 72 [Revised 2021] 73 74 Investigators are responsible for complying with the applicable laws and regulations of the 75 country in which the study is being conducted, regardless of whether the study is being 76 conducted under an IND. We recommend that sponsors obtain signed, written statements from 77 investigators acknowledging their commitment to comply with regional, national, or local laws 78 and requirements. In addition, if a foreign clinical study is being conducted under an IND, the 79 investigator must sign Form FDA 1572 (investigator statement) (21 CFR 312.53(c)(1)) and 80 ensure that the study is conducted in accordance with the investigator statement and all other 81 applicable regulations under 21 CFR part 312 unless the sponsor has requested, and FDA has 82 granted, a waiver of the signature requirement. If a waiver is granted, the sponsor and 83
Contains Nonbinding Recommendations Draft — Not for Implementation 3 investigator must ensure that the study is conducted in accordance with the terms of the waiver. 84 (See section [IV] of this guidance.) 85 86 13. If a sponsor chooses to conduct a foreign clinical study (or operate non-U.S. sites in a 87 multinational study) under an IND and the investigators at these non-U.S. sites follow the 88 recommendations in the ICH E6 Good Clinical Practice Consolidated Guidance,3 would the 89 non-U.S. investigators also be in compliance with FDA’s IND requirements under 21 CFR 90 part 312? 91 [Revised 2021] 92 93 Yes, with three exceptions. 94 95 The first exception is that the FDA requirements for IRBs under 21 CFR part 56 are slightly 96 different than ICH E6 with respect to membership and function. To address this issue, as 97 described in question 12,4 the sponsor can request that FDA provide a specific waiver from the 98 part 56 IRB requirements, allowing an IEC that complies with good clinical practice to substitute 99 for the IRB.5 100 101 The second exception is that the requirements for informed consent under 21 CFR part 50 for 102 particular clinical trials (e.g., emergency research under 21 CFR 50.24, clinical investigations 103 involving pediatric subjects under subpart D) are more extensive than ICH E6 with respect to 104 IRB responsibilities. Our experience has not revealed that this difference has caused a conflict, 105 but in the event of one, we would be willing to discuss a resolution with the sponsor on a case- 106 by-case basis. 107 108 The third exception is that ICH E6 does not require investigators to sign a Form FDA 1572. To 109 address this issue, the sponsor can request a specific waiver of the signature requirement on 110 Form FDA 1572 pursuant to 21 CFR 312.10. (See section [IV] of this guidance.) 111 112 If the investigator or sponsor concludes that there are other conflicting requirements, the sponsor 113 may request a waiver from FDA from the specific requirement under 21 CFR 312.10. 114 115 116 3 Throughout this guidance, ICH E6 refers to ICH guidance for industry E6(R2) Good Clinical Practice: Integrated Addendum to ICH E6(R1) (February 2018). 4 See question 12 in the information sheet guidance for sponsors, clinical investigators, and IRBs; Frequently Asked Questions—Statement of Investigator (Form FDA 1572). 5 See the information sheet guidance for sponsors, clinical investigators, and IRBs Waiver of IRB Requirements for Drug and Biological Product Studies (January 2006).
Contains Nonbinding Recommendations Draft — Not for Implementation 4 IV. SECTION #9–11: COCOMMITMENTS, DATE, AND SIGNATURE OF 117 INVESTIGATOR — WAIVER OF SIGNATURE ON FORM FDA 1572 118 119 39. A sponsor may encounter situations in which investigators in foreign countries cannot or 120 will not sign Form FDA 1572, yet the sponsor wishes to conduct the study at these sites under 121 an IND. What can a sponsor do? 122 [New 2021] 123 124 Under FDA regulations, sponsors may submit requests to FDA for a waiver of an IND 125 requirement (21 CFR 312.10). Such submissions may include request for a waiver of the 126 requirement that sponsors obtain an investigator signature on Form FDA 1572 (21 CFR 312.53 127 (c)(1)). Waiver of the signature on Form FDA 1572, when granted, enables the study at foreign 128 sites to be and/or remain under an IND even though the investigator at those foreign sites cannot 129 or will not sign Form FDA 1572, provided that the sponsor complies with the terms of the 130 waiver. (See below for further information regarding the waiver process and commitments.) 131 132 40. What should a sponsor submit to the IND when requesting a waiver of the 1572 signature 133 requirement? 134 [New 2021] 135 136 1. A clear statement that the sponsor is requesting a waiver of the signature requirement on 137 the 1572 138 139 2. The study title, protocol number, study sites, and investigator name(s) that would be 140 subject to the waiver (Note: If multiple sites are identified, the submission should 141 identify which investigator(s) is associated with each site.) 142 143 A waiver request is required to contain at least one of the following (21 CFR 312.10(a)): 144 145 3. The reason(s) each investigator cannot or will not sign Form FDA 1572 146 147 4. The sponsor’s proposed alternative course of action to adequately satisfy the purpose of a 148 signed Form FDA 1572 149 150 5. Other information justifying a waiver 151 152 For FDA to consider granting the waiver request, it is important that the request addresses all of 153 the items above. 154 155 41. What documentation should a sponsor submit to show that they have an acceptable 156 alternative course of action to satisfy the purpose of a signed Form FDA 1572? Can you 157 provide an example? 158 [New 2021] 159 160
Contains Nonbinding Recommendations Draft — Not for Implementation 5 There may be multiple ways for a sponsor to assure FDA that its alternative course of action 161 adequately satisfies the purpose of a signed Form FDA 1572. Although there may be other 162 approaches, FDA recommends using the example and suggested templates found in the 163 Appendix of this guidance, which will likely result in the most efficient review of the waiver 164 request. 165 166 An alternative course of action could take the form of the submission of the following three 167 items: 168 169 1. Declaration by the sponsor that the regional (in the case of the European Union) or 170 national regulatory authority is a member of the International Council for Harmonisation 171 of Technical Requirements for Pharmaceuticals for Human Use (ICH) and has 172 implemented the ICH E6 Guideline for Good Clinical Practice. In addition, a 173 determination by the sponsor that an investigator’s compliance with the ICH E6 174 Guideline for Good Clinical Practice will ensure that the investigator and sponsor comply 175 with their respective obligations under 21 CFR part 312, other than the signature 176 requirement on Form FDA 1572. (See the sponsor commitment example in the 177 appendix.) 178 179 2. Commitment by the sponsor to collect from each investigator for whom the signature 180 requirement was waived, a completed but unsigned Form FDA 1572 that includes all 181 information in sections 1 through 8 of Form FDA 1572 and a signed statement containing 182 commitments equivalent to the commitments specified in Section 9 of Form FDA 1572. 183 (Note: In place of Form FDA 1572, the sponsor may choose to use an appropriate 184 alternative template of its choice.) (See the sponsor commitment example in the 185 appendix.) 186 187 3. Any templates or forms the sponsor intends to use to collect information and/or secure 188 signed commitments from the applicable investigators. (See the investigator commitment 189 example in the appendix.) 190 191 We encourage sponsors considering other approaches to discuss these with the appropriate 192 review division. 193 194 42. How and when should a sponsor submit the request to waive the signature requirement? 195 [New 2021] 196 197 The sponsor should submit the waiver request along with the necessary documentation 198 supporting the waiver request in an amendment to the IND under which the study will be 199 conducted. 200 201 The sponsor should submit the request to waive the signature on Form FDA 1572 when it 202 determines that an investigator(s) cannot or will not sign Form FDA 1572. 203 204
Contains Nonbinding Recommendations Draft — Not for Implementation 6 If after a waiver request is granted, new investigators are added to this IND protocol who refuse 205 or cannot sign the Form FDA 1572 and the sponsor wants to request a waiver of the Form FDA 206 1572 signature requirement, they will need to submit a new waiver request applicable to these 207 new investigators (21 CFR 312.53(c)(1); 21 CFR 312.10)). When doing so, the sponsor should 208 reference the protocol number, the date of the original request, and the date of any previous 209 correspondence with FDA regarding the original waiver in a cover letter. 210 211 43. Does the sponsor need to wait for the waiver request to be granted before initiating the 212 study at that site? 213 [New 2021] 214 215 Yes. The Agency will inform the sponsor in writing whether the Agency is granting each 216 request to waive the 1572 signature requirement under 21 CFR 312.10(b), whether the request 217 requires more information, or whether the request is denied. Only after either receiving a 218 granted 1572 signature waiver or obtaining an appropriately signed Form FDA 1572 may a 219 sponsor initiate the study at that site. 220 221 The sponsor should not assume that no response or a delayed response from the Agency means 222 that the request for waiver has been granted. 223 224 If a waiver is granted, the sponsor should ensure that a copy of the waiver is maintained by the 225 sponsor and the investigator so that it is available for review upon request. 226 227 44. What does it mean to get a “1572 signature waiver”? 228 [New 2021] 229 230 The waiver does not waive the sponsor’s obligation to ensure that the investigator complies with 231 the equivalent commitments expressed in the waiver request. Likewise, the waiver does not 232 waive the sponsor’s obligation to comply with all other applicable regulations. 233 234 Instead, after the Agency grants the waiver, the sponsor can conduct the study, under the IND, at 235 sites at which investigators cannot or will not sign Form FDA 1572. 236 237 As explained in detail within this section, it is important that the sponsor establish an alternative 238 course of action, acceptable to FDA, that will ensure that the investigator complies with 239 commitments equivalent to those listed on Form FDA 1572. 240 241 45. Is the waiver of the 1572 signature requirement a distinctly different waiver than an IRB 242 requirement waiver? 243 [New 2021] 244 245 Yes, they are distinct waivers. Waiving the 1572 signature requirement does not waive the IRB 246 requirement, and a waiver of the IRB requirement under 21 CFR 56.105 does not waive the 1572 247
Contains Nonbinding Recommendations Draft — Not for Implementation 7 signature requirement. If a sponsor wishes to request a waiver of the IRB requirement, refer to 248 question 12.6 249 250 If a request for waiver of the 1572 signature includes the use of an independent ethics committee 251 (IEC) instead of an IRB, then the sponsor should obtain IRB waiver approval first or submit both 252 waiver requests in one submission. FDA recommends that if a sponsor intends to request both a 253 waiver of the 1572 signature requirement and a waiver of the IRB requirement, the sponsor does 254 so in one submission. In this submission, the sponsor should: 255 256 1. Explicitly state, in the cover letter subject line, that it is requesting both waivers 257 (waiver of the Form FDA 1572 signature and waiver of the IRB requirement); and 258 259 2. Ensure that both the request for waiver of the 1572 signature requirement and the 260 request for waiver of the IRB requirement contain all information required to support 261 each waiver request. The information supporting these requests should be separated 262 and clearly marked. 263 264 46. Are there any special considerations regarding Form FDA 1572 signature waivers and 265 pediatric studies? 266 [New 2021] 267 268 Sponsors requesting waivers of the Form FDA 1572 signature requirement for IND studies that 269 include pediatric subjects at foreign sites should take into consideration that any study that 270 includes pediatric patients must demonstrate that the proposed study satisfies the requirements of 271 21 CFR part 50, subpart D. We recommend sponsors consult with FDA regarding any such 272 request for a waiver under 21 CFR 312.10, as needed. 273 6 See question 12 in the information sheet guidance for sponsors, clinical investigators, and IRBs Frequently Asked Questions—Statement of Investigator (Form FDA 1572).
Contains Nonbinding Recommendations Draft — Not for Implementation 8 274 APPENDIX: EXAMPLES OF SPONSOR AND INVESTIGATOR COMMITMENTS 275 [New 2021] 276 277 278 SPONSOR COMMITMENT (EXAMPLE) 279 280 Sponsor XYZ declares that all the study sites under IND XXXX for which a waiver of the 1572 281 signature requirement is requested will be conducted in a country where the national regulatory 282 authority is a member of the International Council for Harmonisation of Technical Requirements 283 for Pharmaceuticals for Human Use (ICH). The country has implemented the ICH E6 Guideline 284 for Good Clinical Practice (ICH E6) in regional and/or national legislation, norms, regulations, 285 or competent authority administrative processes. 286 287 Sponsor XYZ will obtain a signed commitment to follow the recommendations in ICH E6 from 288 each investigator at the study sites listed, using the form or template accepted by the FDA when 289 granting the waiver request. Additionally, Sponsor XYZ will comply with the terms of the 290 waiver. Further, Sponsor XYZ will ensure that each investigator at the study sites listed 291 complies with the commitments contained in this waiver request. 292 293 294 Signature and date: ___________________________ 295 296 297 INVESTIGATOR COMMITMENTS (EXAMPLE) 298 [New 2021] 299 300 This study will be conducted consistent with the recommendations in ICH E6 Guideline for 301 Good Clinical Practice1 and all regional, national, or local regulations: 302 303 1. I agree to conduct the study or studies in accordance with the relevant, current protocol(s) 304 and will only make changes in a protocol after receiving approval from the sponsor, 305 except when necessary to protect the safety, rights, or welfare of subjects. 306 307 2. I agree to personally conduct or supervise the described investigation(s). 308 309 3. I agree to inform any participants or any persons who serve in the clinical trial that the 310 drugs are being used for investigational purposes, and I will ensure that the requirements 311 relating to obtaining informed consent and institutional review board (IRB) or 312 independent ethics committee (IEC) review and approval are met in accordance with 313 national and regional legislation and the Declaration of Helsinki, and consistent with the 314 recommendations in ICH E6. 315 316 4. I agree to report to the sponsor adverse events that occur in the course of the 317 investigation(s) in accordance with national and regional legislation and the Declaration 318 1 Refer to the most updated revisions of this guideline at https://www.ich.org/page/efficacy-guidelines.
Contains Nonbinding Recommendations Draft — Not for Implementation 9 of Helsinki, and consistent with the recommendations in ICH E6. I have read and 319 understand the information in the investigator’s brochure, including the potential risks 320 and side effects of the drug. 321 322 5. I agree to ensure that all associates, colleagues, and employees assisting in the conduct of 323 the study or studies are informed about their obligations in meeting the investigator 324 commitments in items 1 through 4 above. 325 326 6. I agree to maintain adequate and accurate records and to make those records available for 327 inspection in accordance with national and regional legislation and the Declaration of 328 Helsinki, and consistent with the recommendations in ICH E6. 329 330 7. I will ensure that an IRB or an IEC that complies with the requirements of national and 331 regional legislation and the Declaration of Helsinki, and that follows the 332 recommendations in ICH E6, will be responsible for the initial and continuing review and 333 approval of the clinical investigation. I also agree to promptly report to the IEC all 334 changes in research activity and all unanticipated problems involving risks to human 335 subjects or others. Additionally, I will not make any changes in the research without IEC 336 approval, except where necessary to eliminate apparent immediate hazards to human 337 subjects. 338 339 8. I agree to comply with all other requirements regarding obligations of clinical 340 investigators and with all other pertinent requirements in accordance with national and 341 regional legislation and the Declaration of Helsinki. I also agree to follow the 342 recommendations in ICH E6. 343 344 345 346 Signature and date: ______________________________ 347 348 349
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