You may request that MUSC IRB provide review for non-affiliated individuals or external sites. When you ask the MUSC IRB to provide IRB review for non-MUSC-affiliated individuals or external sites, the MUSC IRB has to ensure the investigators fulfill MUSC’s requirements and are appropriately qualified and trained to participate in the research.
Words to Know
MUSC-Affiliated Investigator: MUSC University faculty, staff, and students engaged in human subjects research, and employees and staff of MUSC affiliate institutions which have contracted with the MUSC IRB for review and oversight of human subjects research.
Non-Affiliated Investigator: Investigators who are not faculty, staff, or students of MUSC, or employees or staff of MUSC affiliate institutions.
Reliance: An instance of IRB review when one or more relying institutions choose to accept IRB review and oversight for a research project from another institution’s reviewing IRB. In these situations, the reviewing IRB provides IRB review and oversight for conduct of the research at the relying institution(s).
How it Works
If you ask MUSC IRB to review non-MUSC-affiliated individuals or external sites, you also agree to take on additional responsibilities. The MUSC study team making the request is responsible for:
- Collecting the required IRB information from external sites and investigators;
- Compiling the required information for the MUSC IRB;
- Making IRB submissions on behalf of sites and investigators, and;
- Communicating IRB decisions and approved documents back to the sites and investigators.
Step 1: Contact the MUSC IRB Reliance Manager
Many study teams are not fully prepared to handle the level of coordination and communication required when the MUSC IRB is being used for multiple sites, so the MUSC IRB requires that you contact the Reliance Manager before making an offer to utilize the MUSC IRB for this purpose.
Send an email to email@example.com and provide the following information:
- Identify who will act in the role of the Lead Study Team (e.g., your own study team, a coordinating center, or both). The Lead Study Team assumes additional responsibilities when single IRB review will be used.
- Provide details about the study, including the study-wide protocol and template consent document(s), which will help facilitate the discussion.
- Identify all sites that will be engaged in human subjects research and thus need IRB coverage.
Once MUSC IRB agrees to act as the sIRB, you will be provided a letter of support as well as template language to include in your grant application. The template language will describe how MUSC IRB is prepared to serve as a sIRB.
It is best to contact the IRB Reliance Manager as soon as you determine the list of sites that will be involved in the study so that discussions can begin amongst the sites to determine if others are willing to cede review.
Step 2: Organize Your Submission & Team
- Collecting all the required information about multiple sites can be time- and resource-intensive. The study team needs to begin early in the process putting together a competent team of individuals who can handle the task. The study team should be prepared to:
- Contact with all of the sites Principal Investigators should occur to ensure they are willing to participate but also that their institution is able to participate as well.
- Prepare a communication plan to include with the grant application (if NIH funded) or protocol. This communication plan will describe the use of an sIRB that will be selected to serve as the IRB of record for all study sites. The plan should include a statement confirming that participating sites will adhere to the sIRB Policy and describe how communications between sites and sIRB will be handled.
- Review Budget Requirements as there are additional IRB fees for MUSC serving the as the IRB of Record for a multi-site trial.
- $2,506 Initial Non-MUSC Site Review per site
- $1,093 Annual Management per site
Many study teams are not fully prepared to handle the level of coordination and communication required when the MUSC IRB is being used for multiple sites, so MUSC requires that you contact the MUSC reliance team before making an offer to utilize the MUSC IRBs for this purpose.
Step 3: Submit a Request
After consulting with the MUSC IRB and it has been determined that MUSC will serve as the IRB of Record, you can begin the submission process. MUSC IRB strongly recommends that you add non-affiliated investigators or external sites via a stand-alone amendment (i.e. the only change is the addition of the non-affiliated investigators or sites) after initial review, not with the new study submission. Completion of the required agreements can take several weeks and may delay initial approvals or approvals of amendments that include additional changes.
A normal eIRB application should be submitted for review and approval with the lead study team making the following selections within eIRB:
- On the Study Identification – IRB Review Request page, the request began by responding ‘Yes’ to the Central Review question.
- Within the Remote Site Required Documents section, establish which attached study documents are required, optional, or not applicable for the remote site locations to later upload for IRB approval.
Step 4: Complete the Reliance Agreement
When reliance is accepted, federal regulations require the relationship to be documented by a written agreement called a reliance agreement. When necessary, the MUSC IRB Reliance Manager will facilitate completion of the reliance agreement.
Please be aware that reliance agreements can take several weeks to complete due to the complexity and institutional officials involved. As such, it is best to contact the IRB Reliance Manager as soon as you determine the list of sites that will be involved in the study so that discussions can begin amongst the sites to determine if others are willing to cede review.
Please also note if you are submitting an NIH grant that requires use of a Single Site IRB, the IRB Reliance Manager should be notified at the time you are drafting the grant. The MUSC IRB is capable of providing letters of support indicating we are willing to use a Single Site IRB mechanism. This letter of support can then be submitted with your grant application.
Step 5: Obtain External NetIDs for the External PI & Study Contact at Each Site
MUSC has developed a secure process in which MUSC investigators can sponsor “External Affiliate NetIDs” for external collaborators and community partners. This type of NetID is appropriate for any Non-MUSC research personnel working under the direction of a MUSC Principal Investigator who, for study purposes, needs access to commonly used MUSC research systems.
The request for an External Affiliate NetID can be made through the SPARCRequest© system at SPARCRequest. The specific request can be found under SCTR Services in the services catalog and is titled “External Affiliate NetID Request”. In addition, a REDCap form linked to the request in SPARC must also be completed and submitted.
There is no cost or background check required for the External Affiliate NetID to be processed. NetIDs will be issued by the SCTR SUCCESS Center and emailed directly to the affiliate within 2 business days.
Step 6: Add the External Sites via a Remote Site Document Amendment in eIRB
Once the main study is reviewed and approved, a Central IRB tab will appear in the eIRB workspace in eIRB. The Lead Site (researcher or study staff with edit rights) can add external (remote) sites by choosing the site from a pre-populated list of sites.
Be prepared to provide the following information:
- Name of non-affiliated investigators and their associated institutions
- Local Context Form
- External Site Consent Form
- External Site HIPAA form
- Documentation of HIPAA approval (if MUSC is not the Privacy Office)
If the MUSC IRB determines that reliance is not appropriate, the non-affiliated investigators or external sites must obtain IRB review from another IRB.