SAINT LOUIS UNIVERSITY MODEL CLINICAL RESEARCH AGREEMENT FOR SPONSOR-INITIATED PROTOCOLS This Clinical Research Agreement (the "Agreement") entered into as of this day of _______, 200_, (the "Effective Date") is by and between Saint Louis University a Missouri benevolent corporation having its principal place of business located at 221 North Grand Boulevard, St. Louis, Missouri 63103 ("The Institution"), and ________________ a corporation organized under the laws of the State of _____________, having its principal offices located at _________________ ("Sponsor"). WHEREAS, the Sponsor would like to enlist the assistance of the Institution to conduct a clinical study, and such study is of mutual interest and benefit to the Institution and the Sponsor and will further the instructional and research objectives of the Institution in a manner consistent with its status as a tax-exempt, research and educational institution; NOW, THEREFORE, in consideration of the premises and of the following mutual promises, covenants, and conditions and any sums to be paid by the Sponsor to the Institution, hereunder, the parties hereto agree as follows: 1. STATEMENT OF WORK a) The Institution and the Institution's Principal Investigator agree to conduct a clinical study on behalf of the Sponsor, entitled ____________ (the "Study"). The Sponsor's protocol for this Study is attached as part of this agreement as EXHIBIT A. As required by applicable Institution policies and with all federal law, this Study will be conducted by the Institution in accordance with the conditions specified in the Statement of Investigator, FDA Form 1572, signed by the Institution's Principal Investigator, including but not limited to compliance with the Sponsor's procedures for Study documentation and adverse event reporting. In addition, the Institution and the Sponsor agree to comply with all federal, state, and local laws and regulations applicable to the proper conduct of the Study. b) Institution shall conduct the Study in a timely manner and in strict accordance with Agreement and Sponsor's Protocol, which must be approved by the Saint Louis University Institutional Review Board (IRB) as a SLU IRB protocol, subject to deviations required to protect Subject (a patient participating in the Study) safety. Sponsor may modify the Protocol, effective upon notice to Institution and IRB approval. Institution may not modify the Protocol. It may, however, propose Protocol changes to Sponsor. It may also request exceptions to the Protocol, which must be approved by the Sponsor and IRB. c) If Sponsor changes the Protocol, Institution may terminate Agreement if (a) in the Principal Investigator's judgment, the changes have a negative impact on Subject safety or welfare, or (b) the cumulative Protocol changes increase Institution's cost of conducting the Study, and the parties are unable to agree on a revised Budget within 30 days. Both the Sponsor's Protocol and SLU IRB Protocol are incorporated in this Agreement by reference. d) Institution makes NO WARRANTIES, EXPRESS, OR IMPLIED, CONCERNING THE RESULTS OF THIS STUDY OR MERCHANTABILITY, OR FITNESS FOR A PARTICULAR PURPOSE OF SUCH RESULTS. The Institution shall not be liable for Page 1 of 14 Updated Insurance Section 6/24/09 any direct, consequential, or other and punitive damages suffered by Sponsor as a result of this Study. 2. PRINCIPAL INVESTIGATOR This Study will be conducted under the direction of the Institution's 's Principal Investigator ________________ ("Principal Investigator") who shall be responsible for performing this Study and for direct supervision of any individual performing portions of this Study at the Institution . In the event the Principal Investigator becomes unwilling or unable to perform the duties required to conduct the Study under this Agreement, the Institution and the Sponsor shall attempt to identify a qualified and mutually agreeable replacement for the Institution's Principal Investigator. In the event a mutually acceptable replacement cannot be identified and agreed upon, then the Study may be terminated by either party hereto in accordance with Article 10 of this Agreement. 3. PERFORMANCE PERIOD a) The effective period of this Agreement shall commence upon execution of this Agreement and receipt of approval of the Study by the Saint Louis University IRB and will continue until completion of the Study as required by the Protocol (including any amendments thereto), unless this Agreement is terminated earlier pursuant to Article 10 hereof. 4. PAYMENT AND OTHER SUPPORT a) In consideration of conducting the Study hereunder, the Sponsor shall pay the Institution up to total sum of ($_________ ) for the entire Study. Payment shall be made to the Institution in accordance with the budget attached as EXHIBIT B of this Agreement. b) All payments to be made by the Sponsor to the Institution hereunder shall be made payable to Saint Louis University (Tax I.D. Number: 43-0654872) in United States dollars. c) The Sponsor will be assessed an Institutional Review Board (IRB) Processing Fee for new clinical Study agreements. Fees will also be assessed for annual review and substantive amendments reviewed by the IRB. The sponsor is to provide the billing address for parties responsible for paying fees related to IRB review. Within thirty (30) days after Sponsor's/CRO’s receipt of an itemized invoice, IRB Fee payments are to be made payable to Saint Louis University Institutional Review Board and directed as follows: Saint Louis University Institutional Review Board 3556 Caroline Street, C110 St. Louis, MO 63104 Address Where IRB Invoices Should Be Sent: _________________ Page 2 of 14 Updated Insurance Section 6/24/09 _________________ _________________ _________________ Payments associated with study related costs should be sent to: Saint Louis University __________________ __________________ __________________ d) For purposes of identification, each payment shall include Sponsor's name, the protocol number of the Study and the name of the Institution's Investigator. Sponsor shall return a copy of the Institution's invoice with each payment. e) The Institution agrees to provide all mutually agreed upon personnel, facilities, patients and other study-related resources to perform the Institution's responsibilities under protocol for the Study. The Sponsor agrees to provide the Institution with the required quantities of properly labeled study medications for the Study, (including any needed replacement study medications and proper handling and storage instructions for study medications), case report forms and Study support services (e.g., laboratory services) as specified in the Study Protocol. f) The Institution shall retain title to any equipment purchased with Study funds provided by the Sponsor under this Agreement. 5. RECORDKEEPING, REPORTING, ACCESS, INSPECTIONS a) Completed Case Report Form shall mean a case report that has been completed in accordance with all United States Food and Drug Administration ("FDA) regulations for a patient who properly qualified for, participated in, and completed the Study in accordance with all applicable protocol requirements for the Study. b) Principal Investigator agrees to timely complete all case report forms required under the Study and to deliver these forms and any other necessary data related to the Study to representatives of the Sponsor at periodic monitoring visits in St. Louis. All such information and material will become the property of the Sponsor and may be freely utilized by the Sponsor at the Sponsor's sole discretion. Principal Investigator further agrees to reasonably assist the Sponsor's representatives in resolving any discrepancies or errors in case report forms and in performing random audits of original case records, laboratory reports and/or other raw data sources underlying Study data recorded on the case report forms. The Sponsor will send copies of the final corrected case report forms to the Principal Investigator when the corrected case forms are available. c) Institution may submit Study data using the electronic system provided by the Sponsor. Sponsor warrants to Institution that this system complies with U.S. 21 CFR Part 11and HIPAA. Institution will comply with Sponsor's Instructions, U.S. 21 CFR Part 11, and HIPAA. Institution will prevent unauthorized access to the data. Page 3 of 14 Updated Insurance Section 6/24/09 d) Authorized representatives of the Sponsor or its designee and government regulatory authorities to the extent required by law shall have the right, upon providing a reasonable advance notice to Institution and during regular business hours, examine and inspect the facilities being used to conduct the Study, and review all records, procedures, and other materials (including Case Report Forms and subject medical records) related to the Study, and have access to the participating investigators to discuss the Study. If Institution is found to be deficient in any manner by Sponsor, Sponsor will give notice to Institution, and will give Institution thirty (30) days to correct or implement effort to correct deficiency. After thirty (30) days, Sponsor shall terminate Institution's continued participation in the Study if reasonable best efforts to correct the deficiency are ineffectual. It is further agreed that if either Party is notified that the Sponsor or the Study is to be the subject of an audit, such Party shall promptly inform the other Party. If a formal response to any audit is required, Institution agrees to permit representatives of Sponsor to review and comment on such response. e) Institution shall retain in a safe and secure location one copy of all printed and electronic data and reports resulting from the Study for the longer of (a) two years after the last marketing authorization for the Study Drug or Study Device has been approved or Sponsor has discontinued research on the Study Drug or Study Device or b) such longer period as required by regulatory requirements. Sponsor will notify Institution within 30 days after this retention requirement has expired. Sponsor will reimburse site for any subsequent storage costs and other related costs plus administrative fees. When Institution destroys records, it will do so in a matter that ensures that their confidentiality is protected. 6. PROPRIETARY INFORMATlON AND CONFlDENTIALlTY a) The Institution shall not disclose to any third party or use for any purposes other than the performance of this Study, any of the Sponsor's trade secrets, or other proprietary information, which has been reduced to writing and marked as "Confidential," and disclosed to the Institution by the Sponsor pursuant to this Agreement (collectively, "Proprietary Information"), without the Sponsor's prior written consent, except as otherwise specified in this Agreement. The Institution shall protect the Sponsor's Proprietary Information with the same level of care the Institution uses to protect its own confidential information, and in no event shall it use less than a reasonable degree of care. The Institution’s obligation of non-disclosure and non-use of the Sponsor's proprietary information shall not apply to the following: i) information that it is or becomes publicly available through no fault of the Institution; or ii) Information that the Institution can demonstrate was in its possession at the time of disclosure by the Sponsor and that was not acquired, directly or indirectly, from the Sponsor; or iii) Information that is independently developed by the Institution without use of any Sponsor's Proprietary Information; or iv) Information that becomes available to the Institution from a third party that is not legally prohibited from disclosing such information, provided Page 4 of 14 Updated Insurance Section 6/24/09 such information was not acquired directly or indirectly from the Sponsor; or v) Information that is approved for release by written authorization of the Sponsor; or vi) Sponsor's Proprietary Information that exists five (5) years following the date of termination of all activities required under the Study Protocol; or vii) Proprietary Information that is required to be released by any governmental agency or court having competent jurisdiction, provided that the Institution notify the Sponsor in writing prior to releasing such Proprietary Information. b) In the event that the Institution finds that it is necessary to disclose Proprietary Information to a proper authority in confidence in order to permit the Institution to defend its research against an allegation of fraud or misconduct, the Institution shall promptly notify the Sponsor in writing. The Institution shall timely apprise the Sponsor of the Institution's activities in defense against any such allegations relating to the Study. c) Institution and the Principal Investigator shall return Proprietary Information to the Sponsor to the extent possible within a reasonable period of time following the termination of the Study or following receipt of a written request for Proprietary Information from the Sponsor at Sponsor's expense. d) In the event Sponsor shall come into contact with Research Subject's medical records, Sponsor shall hold in confidence the identity of the patient and shall comply with all applicable law(s) regarding the confidentiality of such records. 7. HIPAA Institution and Principal Investigator will comply with applicable laws and regulations governing the privacy and security of Subject information, including the Health Insurance Portability and Accountability Act (HIPAA). Institution will obtain written authorization from Subjects or Institution IRB waivers to use and disclose their information to the extent necessary to conduct the Study and provide Study data to Sponsor. These authorizations or waivers will allow disclosures to Sponsor to the extent necessary for Sponsor to comply with this Agreement, applicable laws, regulations and legal requirements. Even if not a HIPAA Covered Entity, Sponsor: a. Will not use Subject information except for purposes of the Study and as authorized by Subject. b. Will not disclose Subject identifying information or disclose Subject private information to any third-party unless required to do so by law, regulation, government order, or pursuant to a written request by the Subject. c. Will not remove Subject information from Institution. d. Will not attempt to contact any Subjects. Page 5 of 14 Updated Insurance Section 6/24/09 8. STUDY DATA AND RESULTS The Institution and Sponsor respectively shall jointly own study data that Institution generates by performing this Study, including all Study results. Data shall include all Study results, which includes information entered onto patient case report forms. The Sponsor shall have the sole right to use such Data for all commercial purposes, and the Institution's use shall be limited to those instances dealing with patient care and treatment, teaching, academic research and publication. The Sponsor shall have sole ownership of the original copies of all patient case report forms; however, the Institution shall have the right to retain one copy of each form for documentation and other authorized purposes. 9. PUBLICATION/PRESENTATIONS a) The Institution and the Principal Investigator are free to publish, present, or use any results arising out of this Study for their own instructional, research, or publication objectives, provided that such publication does not disclose any of the Sponsor's Proprietary Information, as defined in this Agreement. The Institution and the Principal Investigator agree to submit a confidential draft of any proposed publication or a summary of any intended public disclosure to the Sponsor at least thirty (30) days prior to submission for publication, presentation, or use and agrees, at the request of the Sponsor, to withhold any such submission for an additional period, not to exceed ninety (90) days to allow the Sponsor to file patent applications or to take any other action designed to protect its patent rights. If the Sponsor informs the Institution that the manuscript or disclosure contains Proprietary Information, the Principal Investigator shall modify or delete such Proprietary Information and the Principal Investigator and the Sponsor shall use their best efforts to provide scientifically meaningful equivalent information for use in such disclosure. b) Notwithstanding anything herein to the contrary, if this Study is part of a multi-center Study, the Institution and the Principal investigator agree that the first publication of the results of the Study shall be made in conjunction with the presentation of a joint, multicenter publication of the Study results, with the investigators from all appropriate sites contributing data, analyses, and comments. If such a multi-center publication is not submitted within twelve (12) months after the conclusion of the Study at all sites, the Institution and/or Principal Investigator may publish the results from the Institution's site individually, subject to the Sponsor's rights under Article 8 (a) of this Agreement. c) Registration. In connection with any data or other information generated from the services conducted hereunder by the INSTITUTION or INVESTIGATOR, SPONSOR shall have the right to publish, post or register such data and information (without approval from the INSTITUTION or INVESTIGATOR) on ClinicalTrials.gov or other public web based data entry system in accordance with the International Committee of Medical Journal Editors (ICMJE) and/or The Food and Drug Administration Amendments Act of 2007 (“FDAAA”) or other applicable laws. SPONSOR shall be exclusively responsible for registering the Study and posting the Study results in accordance with FDAAA and for updating and/or amending such clinical trial registration and posting as appropriate. DO NOT USE WITH INVESTIGATORINITIATED OR NIH-FUNDED STUDY CONTRACTS Page 6 of 14 Updated Insurance Section 6/24/09 10. INTELLECTUAL PROPERTY a) It is expressly agreed that neither the Sponsor nor the Institution transfer by operation of this Agreement to the other party hereto any patent right, copyright, or other proprietary right that either party owns as of the commencement of this Study, except as specifically set forth herein. b) The Institution agrees that any inventions, discoveries, or improvements (hereinafter "Sponsor's (“Inventions") arising out of work performed hereunder that are dependent on the Sponsor's patent claims, proprietary information, or are expressly anticipated by the Study protocol shall be owned by the Sponsor and shall be promptly disclosed by the Institution's Principal Investigator to the Sponsor, unless the study has been initiated by the Institution. c) The Institution shall own all other inventions developed or partially developed under this Agreement solely by the Institution. Sponsor and Institution shall jointly own any Inventions developed jointly by one or more employees of the Sponsor and the Institution under this Agreement. The Institution shall grant the Sponsor an exclusive option to negotiate with the Institution to obtain an exclusive, royalty bearing, worldwide license, including the right to sublicense, to make, have made, use, and sell commercial products incorporating such sole Institution Inventions or Institution's rights in joint inventions providing that the Sponsor agrees to pay for all costs relating to the filing, prosecution and maintenance of the Institution patents on inventions made by the Institution during the Study. The Sponsor may exercise its exclusive license option in writing at any time during the Study period (including any mutually agreed extensions thereof) and for a period of one hundred and eighty (180) days following the date that the confidential written invention disclosure is submitted to the Sponsor by the Institution. Beginning on the date of the Sponsor's written notice of exercise of its exclusive license option with regard to any particular Institution owned Invention, the Institution and Sponsor will have a period of six (6) months in which to negotiate in good faith the terms and conditions of a commercially reasonable exclusive license agreement satisfactory to both parties. Upon the expiration of the exclusive option period or the six-month exclusive license negotiation period, the Institution shall have no further obligation to the Sponsor under this Agreement with regard to any Institution owned Inventions made during the Study. d) If the Sponsor elects not to exercise its option as described above or decides to discontinue the financial support for the filing, prosecution and maintenance of the Institution's patent rights, the Institution shall be free to file or continue prosecution or maintain any such application(s), and to maintain any protection issuing thereon in the U. S. and in any foreign country at the Institution's sole expense. In the event that the Sponsor acquires an exclusive license or right under this Agreement, the Sponsor hereby grants to the Institution a nonexclusive worldwide perpetual license to have and to use the exclusively licensed Institution intellectual and tangible property for noncommercial academic research and teaching purposes. 11. TERMINATION a) This Agreement may be terminated for cause by the Sponsor, or by the Institution, upon Page 7 of 14 Updated Insurance Section 6/24/09 provision to the other party of at least thirty (30) days prior written notice that references a material breach of any of the terms and conditions of this Agreement. If said material breach is not satisfactorily remedied within the thirty (30)-day notice period, or substantial steps to cure the breach within 60 days, this agreement shall then terminate upon the expiration of said notice period. b) In addition, either party may terminate the Agreement by giving written notice to the other party if any of the following reasons occur: i) If the authorization to perform the Study in the United States is not granted or is withdrawn by the FDA; ii) If the emergence of any adverse reaction or side effect with the Study drug administered is of such magnitude to support termination of the Study; iii) If the Principal Investigator conducting the Study is unwilling or unable to continue performing the Study and a mutually acceptable successor is not available. iv) If upon notice of other party that it has been declared insolvent, ceases or threatens to cease to carry on its business, or an administrator or receiver has been appointed over all or part of its assets. c) If this Agreement is terminated prior to the expiration of the Study period and the Sponsor has not yet remitted payment for the full estimated project cost to the Institution, the Sponsor shall still be held responsible for all non-cancelable Institution costs and expenses and for any non-refundable fixed costs payments included in Exhibit B, incurred prior to the date of such early termination and the Sponsor shall remit full payment for such costs and expenses within thirty (30) days of the date of termination of the study. In no event shall the Sponsor be obligated to pay the Institution more than the total amount set forth in Exhibit B of this agreement. Any unobligated funds paid to the Institution by the Sponsor shall be returned to the Sponsor by the Institution within sixty (60) days following the Institution's receipt of the Sponsor's written request for such unobligated funds. d) Immediately upon receipt of a written notice of termination by the Institution, the Principal Investigator shall promptly stop entering Research Subjects into the Study Protocol and shall cease conducting procedures on Research Subjects already entered in the Study Protocol as directed by Sponsor, and to the extent medically permissible. The Institution shall furnish to the Sponsor all case report forms, either completed or uncompleted, up to the date of the Study termination, as well as all other Study materials, including but not limited to the Study product. 12. INDEMNIFICATION a) The Sponsor hereby agrees to indemnify, defend and hold harmless the Institution as well as its trustees, officers, employees, affiliates and agents. If research occurs at Saint Louis University Hospital or other Tenet owned facilities, indemnification will include affiliated entities, specifically including but not limited to Saint Louis University Hospital, its parent, and related entities and employees thereof participating in the study, from any loss, expense (including reasonable attorney Page 8 of 14 Updated Insurance Section 6/24/09 fees), cost, liability, damage or claim including any liability, loss, personal injuries, death, or property damage arising out of: 1)the negligence or wrongful acts or omissions of the Sponsor, its employees, and agents, 2) any defect, deficiency, malfunction, hazard or adverse reactions in or resulting from the Protocol or any equipment and supplies provided or manufactured by the Sponsor in connection with this study, and, 3) any material breach of the Sponsor obligations pursuant to this Agreement, provided that the Study is performed by the Institution in complete compliance with this Agreement and Study Protocol attached hereto. Nothing contained herein shall impose any obligations or liability on the Sponsor to the extent any loss is caused in whole or in part by the intentional misconduct or gross negligence or wrongful acts or omissions of the Institution, its employees, trustees or agents and affiliated entities of Saint Louis University. The Institution will notify the Sponsor within (forty-eight) 48 hours of any complaint, claim or injury to any subject arising out of or in the course of the Institution's activities in connection with the Study hereunder, and the Sponsor shall have sole control of the defense or settlement of such complaint or claim. The Institution shall fully cooperate with the Sponsor in defending the claims and will make no compromise or settlement without the prior written approval of the Sponsor. b) When the Study is to involve blood or other clinical specimens that are to be shipped to the Sponsor or Sponsor's agent in connection with a research project, the Institution will provide any blood/clinical specimens as required pursuant to the above-referenced research project to the Sponsor "as is" and makes no representation or warranty (express or implied) that the specimens are free from harmful biological or infectious agents or organisms and are otherwise merchantable or fit for a particular purpose or use. The Sponsor agrees to assume the risk of all liability in connection with its use of said specimens and, further agrees to indemnify, defend and hold the Institution, its employees and agents harmless from any claims, liabilities, damages, and expenses (including reasonable attorney's fees) arising as a result of any injury or damages relating to the shipment, handling, use, or subsequent transfer of the specimens by the Sponsor and its employees or agents. c) The Sponsor acknowledges that this Agreement does not confer upon the Sponsor any right of claim of indemnification by the Institution, either expressed or implied. Deviations from the terms of the Protocol that may arise out of necessity do not constitute negligence or willful malfeasance provided that the Institution shall notify the Sponsor within forty-eight (48) of any such deviations. d) In the event a claim or action is or may be asserted against the Institution or its affiliated entities, the Institution shall have the right to select and to obtain representation by separate legal counsel. If the Institution exercises such right, all costs and expenses incurred by Institution for such separate counsel shall be borne by Institution, and/or its affiliated entities. 13. INSURANCE a) The Institution warrants and represents that the Institution has the following insurance or self- insurance in amounts no less than that specified for each type: Page 9 of 14 Updated Insurance Section 6/24/09 (a) Professional liability insurance with combined limits of not less than $1,000,000 per occurrence and $3,000,000 in aggregate. b) Such insurance protection is applicable to officers, employees, and agents while acting within the scope of their employment by the Institution. The Institution has no liability insurance policy as such that can extend protection to any other person. Upon request, the Institution will provide evidence of its self-insurance. c) Sponsor represents and agrees that it will carry general liability and product liability insurance coverage with limits of at least one million dollars ($1,000,000) per occurrence combined single limit and ten million dollars ($10,000,000) annual aggregate, and upon request agrees to furnish a certificate of insurance acceptable to Institution indicating the required coverage. Sponsor warrants that the insurance covers the Study and is not materially encumbered by existing claims. Sponsor agrees to maintain such coverage for the duration of this Agreement and if the policy is claims-made, for two-years thereafter. Sponsor will notify Institution within twenty (20) days of any notice of cancellation or non-renewal, or material change in, or claim against, its insurance coverage. Insurance carriers will have an AM Best rating of A-VII or better. 14. SUBJECT INJURY a) The Sponsor shall reimburse for all reasonable and necessary medical expenses incurred by Research Subjects for any medical care, including hospitalization, in the treatment of adverse reactions arising directly or indirectly from study drugs or devices following their administration or use In accordance with the Protocol, which expenses are not covered by the Research Subject's medical or hospital insurance coverage or other third party payor and are in no way attributable to the gross negligence or willful misconduct of any person in the employment of the Institution. Natural progression of an underlying pre-existing condition does not constitute an adverse reaction. In addition, adverse reactions do not include those resulting solely from the Institution's negligence. Sponsor shall have no other duty to provide any other type of compensation to the Research Subjects. b) As soon as any Study Personnel concludes that a death, other Serious Adverse Event (SAE), Unexpected Adverse Event (UAE), or other event specified in the Protocol probably occurred during the Study, regardless of cause. Institution will report the event within 24 hours to Sponsor by telephone, and follow-up with a written report of the even to Sponsor within 48 hours of concluding that such event probably occurred. Institution shall comply with other Sponsor and IRB reporting instructions. It will not delay the report because of incomplete information, which can be supplied later. 15. NOTICES a) With the exception of Study funds paid by the Sponsor pursuant to Article 4 hereof, all notices required or permitted to be given under this Agreement shall be in writing and shall be sufficient if delivered personally, sent by prepaid air courier, sent by mail or sent by telefax transmission, as addressed as follows: If to the Sponsor: Page 10 of 14 Updated Insurance Section 6/24/09 Phone: Fax: If to the Institution: Office of Research Services Administration Saint Louis University 3556 Caroline Street, Suite 120 St. Louis, MO 63104 Attn: Todd Wakeland, J.D. Phone: 314-977-7436 Fax: Fax: 314-977-7730 b) Notices relating exclusively to medical or scientific issues shall be sent to the Principal Investigator (with a copy to the Institution if such notices cover a change in the Study Protocol): If to the Principal Investigator: c) Any such communication shall be deemed to have been given when delivered if personally delivered, on the business day after dispatch if sent by air courier, on the third business day following the date of mailing if sent by mail and on the date of telefax if sent by telefax transmission. 16. INDEPENDENT CONTRACTORS The relationship of the Sponsor to the Institution and its Principal Investigator shall be that of an Independent Contractor and neither party shall have authority to make any statements, representations or commitments of any kind, or to take any action which shall be binding on the other party, except as may be explicitly provided for herein or authorized in advance in writing by the other party. 17. USE OF OTHER PARTIES' NAMES a) Neither party shall use the other party's name, nor issue any public statement about this Agreement, including its existence, without the prior written permission of the other party, except as required by law (and, in such case, only with prior written notice given to the other party). Under no circumstances may Sponsor use the name, symbols or marks of Institution in connection with any product advertisement. Such prior permission shall not be unreasonably withheld. b) The parties agree that in order for the Institution and Principal Investigator to satisfy its reporting obligations, it may identify or disclose their participation in the Study (including the name of the sponsor, name of the Study, and protocol number) as required by law, Court order, or state regulation, and in documents such as the investigator curriculum vitae's, internal Institutional reports, external grant applications, and governmental reports and filings. 18. PHARMACY Page 11 of 14 Updated Insurance Section 6/24/09 The Sponsor acknowledges and agrees that the Institution requires that all investigational drugs shall be delivered to the Saint Louis University Hospital Pharmacy or Cardinal Glennon Children's Hospital Pharmacy (hereinafter "Pharmacy") and that the Institution shall have the authority to require that any investigational drugs be stored and dispensed by Pharmacy. Such drugs shall be sent or delivered to: Attention: 19. RETURN OF UNUSED MATERIALS Within thirty (30) days following termination or completion of the research, all unused compounds, drugs, devices, case reports, whether or not completed, and other related materials that were furnished to the Institution by or on behalf of the Sponsor shall be destroyed or returned to the Sponsor at the Sponsor's request and expense. 30) days after Sponsor's receipt of an itemized invoice. 20. CHANGES TO THE PROTOCOL The Sponsor may at any time modify the Protocol by written notice to the Institution, after approval by the Principal Investigator and by the Institutional Review Board (IRB). The Sponsor will be assessed an additional processing fee if full IRB review is necessary. Administrative changes will not be assessed a fee. No other financial adjustments shall be made because of such modification unless the parties hereto amend this Agreement in writing accordingly. 21. CONFLICT OF INTEREST The Institution policy requires that persons engaged in Sponsored research must disclose potential financial conflicts of interest with such research, including certain consulting, stock ownership, or other relationships with a company which sponsors such research, and that the Institution must take measures to eliminate or minimize any effects of such potential conflicts on the objectivity of such research. The Principal Investigator agrees to comply with Institution policy and requirements governing conflict of interest, and any federal and government guidelines. 22. CONFORMANCE WITH LAW AND ACCEPTED PRACTICE a) The Institution shall perform the research in conformance with generally accepted standards of Good Clinical Practice as set forth in Title 21 of the U.S. Code of Federal Regulations, with the Protocol, and with all applicable local, state, federal and foreign laws and regulations governing the performance of clinical investigations including but not limited to the Federal Food, Drug and Cosmetic Act and regulations of the FDA and comparable foreign agencies. 23. DEBARMENT CERTIFICATlON a) Neither the Institution nor any Person employed thereby directly in the performance of Page 12 of 14 Updated Insurance Section 6/24/09 the Research has been debarred under section 306(a) or (b) of the Federal Food, Drug and Cosmetic Act and no debarred person will in the future be employed by the Institution in connection with any work to be performed for or on behalf of Sponsor which may later become part of any application for approval of a drug or biologic by the FDA, if at any time after execution of this contract, the Institution becomes aware that the Institution or any person employed thereby is, or is in the process of being debarred, the Institution hereby certifies that the Institution will so notify the Sponsor within 15 days. b) Either party of this Agreement shall not assign hereunder any rights and obligations hereunder without the prior written consent of the parties hereto. Any party may assign this Agreement to an affiliated organization or in connection with the merger, consolidation or sale of all or substantially all of its assets, upon 30 days' prior written notice to the other party. An "affiliated organization" is an organization controlled by, in control of, or under common control with the assigning party, and that agrees to assume all responsibilities and obligations under this Agreement. Any other assignment of this Agreement, and the associated rights and obligations, requires the prior written consent of the other party. 24. COMPLETE AGREEMENT AND MODIFICATION This Agreement constitutes the entire agreement among the parties pertaining to the Protocol and supersedes all prior agreements and understandings, whether oral or written. No modification, amendment or waiver of this Agreement shall be binding unless executed in writing by the parties. If a provision of the Study Conduct Article of the Agreement conflicts with a provision of the Protocol, the Protocol takes precedence on matters of medicine, science and conduct of the study. If a court of competent jurisdiction finds any provision of this Agreement legally invalid or unenforceable then 1) such finding will not affect the validity or enforceability of this Agreement, and 2) the parties will negotiate to revise the provision to make it valid and enforceable. If the parties cannot agree on such revisions, the Agreement will be performed in the absence of such provision. If such performance is impossible, this Agreement will terminate upon 30 days written notice by one party to the other party. 25. WAIVER No waiver of any term or provision of this Agreement whether by conduct or otherwise in any one or more instances shall be deemed to be, or construed as, a further or continuing waiver of any such term or provision, or of any other term or provision, of this Agreement. 26. CONTINUING OBLIGATION Termination of this Agreement by either party shall not affect the rights and obligations of the parties accrued prior to the effective date of the termination. The rights and duties under Articles 5, 6, 7, 8, 9, I1, 13, 16, 21, 22 and 27 survive the termination or expiration of this Agreement. 27. GOVERNING LAW & JURISDICTION This Agreement shall be governed by and construed in accordance with the laws of the Page 13 of 14 Updated Insurance Section 6/24/09 State of Missouri (notwithstanding any conflict of laws provisions which would serve to defeat application of Missouri substantive law). Each of the parties hereto agrees to venue in and submits to the exclusive jurisdiction of the state and/or federal courts located within the State of Missouri for any suit, hearing or other legal proceeding of every nature, kind and description whatsoever in the event of any dispute or controversy arising hereunder or relating hereto, or in the event any ruling, finding or other legal determination is required or desired hereunder. 28. FORCE MAJEURE Neither party will be liable for failure or delay in performing its obligations under this Agreement if the failure or delay is required to (a) comply with a governmental law, regulation or order (not the result of its own conduct) or (b) is caused by other circumstances beyond the control of such party, that could not have been avoided by that party's due care, and are not specified elsewhere in this Agreement. A party claiming force majeure will notify the other party in writing, with an explanation, within three days. It will use its efforts to resume and complete the performance of its obligations under this Agreement. If efforts will not enable resumption or completion, the party may terminate this Agreement. In Witness Whereof, the parties have caused this Agreement to be executed by their duly authorized representatives as of the Effective Date hereof. For SAINT LOUIS UNIVERSITY By: For SPONSOR _____________________ By: Johnny Kidd Grants Administrator Office of Research Services Administration Date: _____________________ ______________________ Name: Title: Date: ______________________ Read and Understood by Principal Investigator: _______________________ Name: Date: _______________________ Page 14 of 14 Updated Insurance Section 6/24/09