Reports of noncompliance with Federal human subject protection regulations
may originate from IRB members, investigators, research subjects,
agency personnel, or the news media. Alleged noncompliance may result
in an OHRP inquiry and investigation known as a compliance oversight
evaluation. Except in extreme cases of ethical misconduct,
the institution under scrutiny has the opportunity to provide information
to the evaluation committee that may contradict or mitigate allegations
of noncompliance. A compliance oversight evaluation may
result in one or more of the following conclusions:
- The protections
under the institution’s Assurance of Compliance are in compliance
with Department of Health and Human Services (DHHS) Regulations.
- The protections
under the institution’s Assurance of Compliance are in compliance
with DHSS Regulations, but the Committee has recommendations for
improvement.
- Restrictions
may be applied to the institution’s Assurance of Compliance.
DHHS support of the research projects in question is withdrawn
until the terms of the restrictions have been fulfilled.
- OHRP may
withdraw the institution’s Assurance of Compliance. DHHS
support of the research projects in question is withdrawn until
an appropriate Assurance is approved by OHRP.
- OHRP may
recommend to DHHS that the institution or the investigator be
temporarily suspended or permanently removed from a specific project
or that IRBs be notified of the institution’s or investigator’s
noncompliance history prior to the review of new projects.
- OHRP may
recommend to DHHS that the institution or the investigator be
declared ineligible to participate in or disbarred from
DHSS-supported research.
Acts of noncompliance with Federal human subject protection regulations
may originate from the research investigator, the IRB, and the institution.
- Investigator
noncompliance issues commonly include unreported changes in research
protocols, inappropriate use or lack of informed consent, and
failure to submit IRB protocols in a timely manner. These matters
are usually rectified without risk to the research subjects. Occasionally,
however, an investigator will mislead the IRB or disregard IRB
determinations. All unapproved research must be terminated by
the IRB and the institution and reported to OHRP.
- IRB compliance
violations typically include poor monitoring of the proposed informed
consent process, failure to ensure that the research design addresses
data security, neglecting continuing review obligations, and disregarding
IRB protocols such as recordkeeping and quorum requirements. IRBs
that demonstrate an inability to meet regulatory requirements
can have institutional assurance suspended or withdrawn.
- Institutions
that commit compliance violations most often have failed to implement
practices and procedures guaranteed in the institution’s
Assurance. These violations commonly include failure to provide
the IRB with institutional support and staffing, failure to ensure
that investigators meet their obligations to the IRB and that
the IRB meets its obligations under the Assurance. Institutional
non-compliance with Federal Assurance will result in withdrawal
of approval of the Assurance.
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