WCGME-IRB The Wright Center for Graduate Medical Education Institutional Review Board Mark V. White, M.D., Chairman To: Robert H. Angeloni, MPA, Co-Chairman Members of the WCGME-IRB From: Mark V. White, M.D., Chairman WCGME-IRB Re: Agenda for the WCGME-IRB meeting on Thursday, January 22, 2015 at 8:00 a.m. in the 2nd floor small Meeting Room, Regional Hospital of Scranton, Scranton, PA 18510. Date: February 6, 2015 Amended February 11, 2015 Section 6.2: Protocols Terminated/Final Combination Reports Protocols, reports, and items submitted for agenda sections 3, 5, 6 and 7 are available on the WCGME-IRB web page. Click on the “Institutional Review Board” link on The Wright Center web page (www.thewrightcenter.org). Click on the Member Resources link and enter the password. You will need a current version of Adobe Acrobat Reader to view the file. 1. Review of minutes and reports of actions taken: Review of the January 22, 2015 minutes. Minutes are included on the web page and in the meeting documentation packet. 2. Addenda/Memoranda/Editorial/Administrative Changes: 2.1. Scranton Hematology – Oncology Protocol # E5202 Editorial: Update #6 editorial changes Study is closed, all patients are in foll ow up Expedited review S1207 Revision #3 Expedited review IBCSG 24-02 Investigator Letter Patient Letter S1007 Revision 9- editorial changes Expedited review E 1305 Addendum #13 Editorial changes WCGME-IRB Meeting Agenda Page 1 of 9 Administrative Changes: Protocol # Editorial: Administrative Changes: Updated ICF Expedited review permitted Study Closure effective 2/11/15 E 5103 Addendum # 13 Editorial changes ICF changes Expedited Review permitted E7208 Addendum # 8 Full board review E 2607 Addendum # 13 Editorial changes ICF changes Expedited review permitted Millennium C16014 End of trial. Study closing at site effective 03Feb2015 NSABP B 47 Impending study closure – estimated closure during the second week in February Study closure February 10, 2015 3. Amendments requiring full board review and approval: Martin Hyzinski, M. D. 3.1. E7208, A Randomized Phase II Study of Irinotecan and Cetuximab with or without the Anti-Angiogenic Antibody, Ramucirumab (IMC-1121B), in Advanced, K-ras Wild-type Colorectal Cancer Following Progression on Bevacizumab- Containing Chemotherapy. Addendum #8 dated 1216/2014 with changed to the protocol and informed consent with activation date of February 11, 2015 as specified by ECOG-ACIRN Operations Office. Full IRB review is required and all subjects must be re-consented. Full documentation has been provided for member review on the IRB web page. WCGME-IRB Meeting Agenda Page 2 of 9 4. Adverse Drug Reactions – IND Safety Reports: 4.1. Scranton Hematology Oncology Organization and Protocol Number: Millennium 16010 16014 Patient Identifier: Date: Initial: 12/08/2014 FU: Adverse Event / Safety Report: MLN9708 Safety Updates 2014MPI001547 fu 2- sepsis, febrile neutropenia, rash macula- popular 2014MPI003021 fu 1 – cardiac failure 2014MPI003189 initial -pulmonary edema 12/10/2014 2013MPI001452 fu 4 gout 2014 fu 4 MI 2014MPI001825 fu 2 urosepsis, DVT, hyperthermia 2014MPI003062 fu 1 psoriasis 2014MPI003075 fu 1 pancytopenia 2014MPI003180 initial- peripheral edema 2014MPI003213 initial- back pain, acute renal failure 2014TJP016426 initial- back pain, acute renal failure 12/12/2014 2013-03193-fu 5 – pseudomonas pneumonia 2013-05519 fu 3 – febrile neutropenia, skin infection, convulsion, ARDS 2014MPI001861 initial- skin infection, febrile neutropenia, septic shock, convulsion, ARDS 2014MPI002945 fu 2 pneumonia 2014MPI003090 initial hypokalemia, facial edema, peripheral edema 2014MPI003200 initial- malaise, fatigue,pyrexia 2014MPI003237 initial- abdominal adhesions 2014MPI003238 initial – cardiac failure 2014MPI003241 initial- weakness 2014MPI002201 fu 3 – influenza, staph infection 12/15/2014 12/17/2014 WCGME-IRB Meeting Agenda Page 3 of 9 2014MPI002285 fu 1- dehydration, anemia 2014MPI002355 fu 4 arrhythmia 2014MPI002621 fu 4 atrial flutter 2014MPI002980 fu3 pulmonary edema 2014MPI003021 fu 2- cardiac failure 2014MPI003151 fu 1- peripheral artery thrombosis, cardiac arrest 2014MPI003189 fu 1 – pulmonary edema 2014MPI003243 initial- bile duct cancer 2014MPI003262 initial- phlebitis, pulmonary embolism 2014MPI003286 initial- incision site Organization and Protocol Number: Patient Identifier: Date: Initial: FU: Adverse Event / Safety Report: erythema 12/19/2014 12/22/14 2014MPI001316 initial- second primary malignancy 2014MPI001328 fu 7 convulsion 2014MPI003090 fu 1 – hypokalemia, facial edema, peripheral edema 2014MPI003138 fu 1 – pneumonia 2014MPI003306 initial- fall, radius fracture 2014MPI003316 initial- pulmonary infection 2014MPI003318 initial – infectious colitis, gastroenteritis 2014MPI003323 initial- MI, Cardiac arrest 2014MPI003347 initial – sepsis 2014TJP016426 fu 1 – back pain, acute renal failure 2014MPI000527 fu 1- acute polyneuropathy 2014MPI001861 fu 1- skin infection, febrile neutropenia, septic shock, convulsion, ARDS 2014MPI002315 initial- pneumonia 2014MPI002596 fu 3- septic shock 2014MPI003100 fu2 COPD 2014MPI003317 initial- hypertensive crisis 2014MPI003325 initial- sepsis 2014MPI003341 initial- general weakness 12/26/2014 2014MPI001373 fu7 –syncope, fall 2014MPI002402 fu3 – myelodysplastic syndrome, pneumonia 2014MPI002945 fu 3 pneumonia 2014MPI003241 fu1 asthenia, bronchopneumonia, myeloma progression 2014MPI003331 initial- chest pain 2014MPI003344 initial- diabetic ketoacidosis, systemic inflammatory response syndrome, atrial fibrillation, cellulitis staphylococcal, acute renal failure 2014MPI003361 initial – pulmonary embolism 2014MPI003363 initial- bronchitis 2014MPI003381 initial pleural effusion 2014TJP016426 fu2 back pain, acute renal failure 12/29/2014 2014MPI001316 fu 1 – second primary malignancy 2014MPI002621 fu5- atrial flutter 2014MPI003021 fu3- cardiac failure 2014MPI003286 fu 1- wound infection, WCGME-IRB Meeting Agenda Page 4 of 9 Organization and Protocol Number: Patient Identifier: Date: Initial: FU: Adverse Event / Safety Report: squamous cell carcinoma of skin 2014MPI003316 fu1 – bronchitis 2014MPI003318 fu 1- gastroenteritis, infectious colitis 2014MPI003347 fu 1 – sepsis 2014MPI003394 initial- lung infection 2014MPI003409 initial- MI 2014MPI003436 initial- cerebral bleeding, thrombocytopenia 12/31/2014 1/2/2015 2014MPI002402 fu4- MDS, pneumonia 2014MPI003180 fu1- peripheral edema 2014MPI003262 fu 1- phlebitis, pulmonary embolism 2014MPI003317 fu1 – hypertensive crisis 2014MPI003387 initial – pneumonitis, neutrophilia 2014MPI00340 7 initial- acute renal failure 2014MPI003412 initial – rash 2014MPI003415 initial- lymphocyte count decreased 2014MPI003419 initial- rectal hemorrhage secondary to thrombocytopenia, thrombocytopenia 2014TJP017620 initial – pneumonia 2014MPI003306 fu 1- radius fracture, fall 2014MPI003325 fu1 – sepsis, lower respiratory tract infection 2014MPI003361 fu1 – pulmonary embolism 2014MPI003409 fu 1- angina 2014MPI002584 fu4 – general physical health deterioration, diarrhea 2014MPI002621 fu6 – atrial flutter 2014MPI003241 fu2 – weakness, bronchopneumonia, myeloma progression 2014MPI003286 fu 2- medically significant Rt 2014MPI003446 initial – acute renal failure, mental status change 2014MPI003451 initial- fever 2014MPI003455 initial- pneumonia, influenza 1/5/2015 2014MPI003316fu2- bronchitis 2014MPI003363 fu1 –bronchitis 2014MPI003381 fu1 – pleural effusion 2014MPI003469 initial – chest pain 2014TJP017620 fu1 – pneumonia 1/7/2015 2013MPI001049 fu 5 –gastroenteritis, pneumonia 2014MPI002980 fu4 – supraventricular tachycardia 1/9/2015 WCGME-IRB Meeting Agenda Page 5 of 9 Organization and Protocol Number: Patient Identifier: Date: Initial: FU: Adverse Event / Safety Report: 2014MPI002990 fu1- basal cell carcinoma 2014MPI003151 fu 2- cardiac arrest, peripheral artery thrombosis 2015MPI000021 – initial- pneumonia 2015MPI000059 initial- Bronchitis, lung infection 2015MPI000077 initial- febrile neutropenia 2015MPI000090 initial – multi-organ failure 1/12/2015 1/14/2015 2014MPI001932 fu4 – tumor lysis syndrome 2014MPI002621 fu7 – supraventricular tachycardia 2014MPI002907 fu 1- edema 2014MPI003262 fu 2- phelebitis, pulmonary embolism 2014MPI003286 fu 3 – medically significant rt 2014MPI003451 fu1 fever 2014MPI003469 fu 1 – pulmonary embolism 2014TJP016426 fu3- back pain, acute renal failure 2014TJP017620 fu 2 – pneumonia 2015MPI000021 fu 1- pneumonia 1/16/2015 2014MPI000200 fu 4dehydration,pulmonary embolism, metastatic malignant melanoma 2014MPI001316 fu 3- second primary malignancy 2014MPI001316 fu3 – second primary Malignancy 2014MPI003341 fu 1- asthenia 2015MPI000096 initial- pyrexia 2015MPI000101 initial- asthenia 1/19/2015 2014MPI003446 fu1 acute renal failure, mental status changes 2014TJP017620fu3- pneumonia 2014MPI002196 fu2- bronchopulmonary aspergillosis 2014MPI002285 fu 2- anemia 2014MPI003361 fu2- pulmonary embolism 2015MPI000101 fu 1- asthenia, orthostatic hypotension 2015MPI000123 initial- back pain 2015MPI000161 initial- lymphocyte count decreased 2015MPI000168 initial- cardiac failure 1/21/2015 2014MPI002845 fu 3 –UTI 2014MPI003316 fu3 bronchitis 1/23/2015 WCGME-IRB Meeting Agenda Page 6 of 9 Organization and Protocol Number: Patient Identifier: Date: Initial: Adverse Event / Safety Report: 2014MPI000131 initial – febrile neutropenia, pyrexia 2015MPI000185 initial- general health deterioration 2015MPI000206 initial- hypotension, anemia 2015MPI000258 initial- WBC decreased, neutrophils decreased 1508949 initial- sudden death, neutropenia, weakness, dehydration, colitis 2012-02891 fu 7 – dehydration, diarrhea, anorectal infection 2014MPI002402 fu5 – panycytopenia, pneumonia 2014MPI002841 fu 1- upper respiratory tract infection 2014MPI003446 fu 2- acute renal failure, mental status changes, blood creatinine increased 2015MPI000216 initial- osteonecrosis of jaw 2015MPI000281 initial- encephalopathy 1/26/2015 1/28/2015 2014MPI002458 fu 2- pneumonia 2014MPI002621 fu 6 supraventricular tachycardia 2014MPI002980 fu5 supraventricular tachycardia 2014MPI003119 fu 1 Herpes zoster 2014MPI003451 fu 2- fever 2014MPI003455 fu 1 pneumonia, influenza 2015MPI000059 fu1 bronchitis, lung infection 2015MPI000251 initial –RSV 2015MPI000264 initial dyspnea 2015MPI000267 initial- basal cell carcinoma 1/30/2015 2014MPI003331 fu –asthma 2015MPI000077 fu1-febrile neutropenia 2015MPI000284 initial – dyspnea 2015MPI000288 initial- abdominal pain 2/2/2015 Dendreon – sipuleucel- T 2013SIPUSA00016 fu 3- metastatic prostate cancer - death Dendreon Proceed S 1207 FU: Everolimus – 2086422 initial- gastrointestinal disorders: Dieulafay lesion, gastric hemorrhage Cover Memo PHHO2014FR016631 iridocyclitis PHHO2014AR004429 brain edema, cardio- resp arrest, diarrhea, dehydration, gastric hemorrhage, 1/8/2015 1/22/2015 WCGME-IRB Meeting Agenda Page 7 of 9 Organization and Protocol Number: Patient Identifier: Date: Initial: FU: Adverse Event / Safety Report: decreased weight, tonic- clonic seizure, visual acuity decreased, gastroenteritis, vomiting, TIA E5508 1/27/2015 Patient # 55966 expired second to pneumonia. E1305, E1609, E 3612, E5103, E5202,E5204, E5508 1/28/2015 Bevacizumab #2630178-ISR- encephalopathy E1609, E3612 1/28/2015 MDX-010 2953661- hearing impaired 5. Full Continuing Review: 1o reviewer is: Mark B. White, MD, MPH Chairman, WCGME-IRB 2o reviewer is: Robert Angeloni 5.1.1 Chirstopher Dressel, M. D. Protocol JoStent : Jomed Coronary Stent Humanitarian Device Approcal: Jostent Graftmaster Rx. Was submitted for full continuing review. The study is not permanently closed to enrollment and extension with review in one year is requested. 5.1.2 Michael Moore, M. D. Protocol 001-2014 “Eradication of Nasal Colonization of MRSA Using a Non-Antimicrobial Clip” was submitted for full continuing review. The study is not permanently closed to enrollment and extension with review in one year is requested. 6. Expedited Continuing Review: 1o reviewer is: Mark B. White, MD, MPH Chairman, WCGME-IRB 2o reviewer is: Robert Angeloni 6.1.1 William Heim, M. D. Protocol C9710 “ Phase III Randomized Study of Concurrent Tretinoin and Chemotherapy with or without Arsenic Trioxide (As2O3) (NSC # 706363) as Initial Consolidation Therapy Followed by Maintenance Therapy with Intermittent Tretinoin Therapy Versus Intermittent Tretinoin Plus Mercaptopurine and Methotrexate for Patients woith untreated Acute Promyelocytic Leukemia” was submitted for expedited continuing review. The study is permanently closed to enrollment but following patients. Extension with review in one year is requested. 6.1.2 William Heim, M.D. Protocol No. ECOG/CTSU N0147 “ A Randomized Phase III Trial of Irinotecan and/or Oxaliplatin Plus 5 FU/Leucovorin with or without Cetuximab after Curative Resection for Patients with Stage III Colon Cancer: was submitted for expedited continuing review. The study is permanently closed to enrollment but following patients. Extension with review in one year was requested. 6.2 Protocols Terminated/Final Combination Reports 6.2.1 Michael Moore, M. D. Protocol 2009-1 (Sponsor Army Protocol W81XWH-07-0636) “ Silver Foam Hemostatic Bandage as an Effective Hemostatic and Antibacterial Agent in the Treatment of Wound Requiring Secondary/Delayed Closure” was submitted as a final report. No further review is necessary. 6.3 Expedited New Reviews WCGME-IRB Meeting Agenda Page 8 of 9 The following expedited reviews were conducted by the Chairman and/or the Co-Chairman. They are presented for the Board’s information. Complete documentation for these studies is available for inspection by IRB Members in the WCGME-IRB Administrative office. 6.3.1 Bradley Stoker, D. O. “Identifying Measures of Wellness at a Community Health Center” was reviewed and approved by Mark V. White, MD, MPH, and Chairman on January 12, 2015. The study is approved for one year and must receive continuing review by January 11, 1026 to be continued. The study has been assigned the number Protocol WCGME12012014BS. 6.3.2 Jennifer Malinowski, Pharm D, RPh. “Implementation of Rapid Cycle Processes Developed through Interprofessional Collaboration to Promote Awareness of Hydrocodone-Containing Combination Product Prescribing Challenges” was reviewed and approved by Mark V. White, MD, MPH, and Chairman on January 12, 2015. The study is approved for one year and must receive continuing review by January 11, 2016 to be continued. The study has been assigned the number WU11112014JM. 7. New / Full Review: None submitted for this month 8. Other Business: 9. Dates to Remember: A twelve month running list of WCGME-IRB meetings IRB Meeting Date: 22 January 2015 26 February 2015 26 March 2015 23 April 2015 28 May 2015 25 June 2015 Materials Due By: 29 December, 2014 02 February 2015 02 March 2015 30 March 2015 30 April 2015 1 June 2015 IRB Meeting Date: July – Recess 27 August 2015 24 September 2015 22 October 2015 19 November 2015 December – Recess WCGME-IRB Meeting Agenda Page 9 of 9 Materials Due By: 10 August 2015 03 September 2015 28 September 2015 26 October 2015