Homewood Institutional Review Board Continuing Review of Research Protocol No. Principal Investigator: Title of Project: Reviewer(s): The above-referenced project was IRB-approved initially after an expedited review process. IRBapproval will soon expire and the research is now due for continuing review. When you have read the application material, please complete this review form and return it to the HIRB office . Considerations for Continuing Review Study History 1. Have additional subjects been enrolled since the last review? Yes No 2. Have any subjects withdrawn or been removed from the research since the last IRB review? Yes No 3. Have there been any adverse events, or unanticipated problems involving risks to participants, or others? Yes No If YES, explain what risks, and how to minimize 4. Have there been any complaints about the research since the last IRB approval? Yes No 5. Are there any significant new findings that may relate to the subject’s willingness to continue? Yes No 6. Has any new information become available relevant to this research that could alter the IRB’s assessment of risk:benefit ratio? Yes No If YES, explain further Comments: Changes or Amendments 1. Have there been any changes to the research protocol (e.g., procedures, consent process, investigators, recruitment) since the last IRB review? Yes No 2. If YES, have the changes affected the Risk/Benefit ratio since the last review? Yes (explain) No Comments: Informed Consent 1. Is the current or proposed consent process still adequate and complete? 2. If children are the subjects of the research, a) will Parental consent be obtained? Yes If NO, is it justified? Yes Yes No No b) will the investigators obtain child’s assent? Yes No N/A If YES, is the Assent appropriate to the age or comprehension of the participants? If NO, is it justified? Page 1 of 2 Yes No …if NO, explain Yes No No ContReview10/21/09 Comments: Reviewer Recommendation I recommend the following: I approve I recommend approval pending the following… (see additional comments) I disapprove (see additional comments) The review period is: One year Less than one year, the recommended interval is (specify): Following the enrollment of a specified # of participants (specify #): Other Additional Comments: ________________________________________ Reviewer’s Signature Page 2 of 2 . Date ContReview10/21/09