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Impact of Certain Provisions of the Revised Common Rule on FDA-Regulated Clinical Investigations: Guidance for Sponsors, Investigators, and Institutional Review Boards

FinalOffice of the Commissioner,Office of Clinical Policy and Programs,Office of Clinical Policy,Office of Good Clinical Practice10/11/2018

Description

FDA’s regulations on human subject protection (21 CFR part 50) and Institutional Review Boards (IRBs; 21 CFR part 56) help to ensure that the rights, safety, and welfare of human subjects participating in FDA-regulated clinical investigations are protected. These regulations generally conform to the Department of Health and Human Services’ (HHS’) Federal Policy for Protection of Human Research Subjects (45 CFR 46, Subpart A; “the Common Rule”), which sets forth requirements for the protection of human subjects involved in research that is conducted or supported by HHS.

Scope & Applicability

Stakeholders

5
Legally authorized representative

may sign informed consent on behalf of the participant; provides written consent if the patient is unable to do so

Institutional Review Board

Governs top dose in clinical studies

Institutional Review Boards

Bodies responsible for evaluating trial risks and benefits for pregnant participants.; IRBs experienced in this population may advise on compensation.

Investigators

Guidance for Sponsors, Investigators, and Institutional Review Boards

Sponsors

Assist sponsors in the nonclinical evaluation

Regulatory Context

Attributes

2
Degree of risk

Criteria used to determine the interval of continuing review

Minimal Risk

Risk level for exception from informed consent

Related CFR Sections (2)

Related Warning Letters (10)

  • Clinical Investigator

    Shirish M. Gadgeel, M.D.

    2025-09-09
  • Clinical Investigator

    Mark J. Savant, M.D

    2025-07-15
  • Bioresearch Monitoring Program/Institutional Review Board (IRB)

    United Health Products, Inc.

    2025-05-20
  • Clinical Investigator

    Americo F. Padilla, M.D.

    2025-03-25
  • Institutional Review Board (IRB)

    Armstrong County Memorial Hospital

    2024-11-05
  • Clinical Investigator

    Namita A. Goyal, M.D.

    2024-10-22
  • Institutional Review Board (IRB)

    Louisiana State University Health Science Center IRB

    2024-10-08
  • Bioresearch Monitoring Program/IRB

    Massachusetts Institute of Technology MIT

    2024-07-16
  • Clinical Investigator (Sponsor)

    Angela D. Ritter, M.D.

    2024-06-18
  • Institutional Review Board (IRB)

    New York State Psychiatric Institute IRB

    2024-03-26

See Also (8)