University of Colorado Denver Colorado Multiple Institutional Review Board Standard Operating Procedures SOP – Expiration Letters Version #: 001 Effective Date: June 1, 2011 This Policy Pertains to: Expired Protocols Responsibility for executing this policy: IRB Manager, IRB Specialists, Coordinators Last Reviewed on: 04/26/11 Result: Approved Approval Authority: Director Approved by: Alison Lakin Date: 04/26/11 1. PURPOSE: To ensure the timely expiration of protocols when the continuing review has not been approved by the expiration date set at the previous continuing review. 2. POLICY: Any protocol that does not obtain approval by the continuing review date stipulated at the previous continuing review will be expired in the database and the PI will be sent an expiration letter. Specifically, when a protocol has expired on a Sunday, Monday, Tuesday, Wednesday or Thursday, an expiration letter will be sent to the Principal Investigator on the day after expiration. When a protocol expires on a Friday or Saturday, an expiration letter will be sent to the Principal Investigator on Friday. 3. SPECIFIC POLICIES: 3.1. Step-by-Step Instructions: 3.1.1. Create Report: Program Tools Reminders and Notifications Enter Date Range Continue Determine Full Board and Expedited Protocols Determine Expiration Date for each Full Board and Expedited Protocol Determine Whether Protocol has Expired (Contact Panel or Expedited Coordinator) 3.1.2. Create Batch Communication: Program Tools Reminders and Notifications Enter Date Range Continue Check Top 3 Boxes: 3.1.2.1. Change the Protocol Status to: Expired 3.1.2.2. Create a Submission Record: Submission Type: Administrative Review Method: Administrative Review Review/Meeting Date: Today’s Date (Date of Sending Expiration Letters) Description: Expiration Letter 3.1.2.3. Create a Batch Communication: Expiration Letter Check Mark All Applicable Protocols Commit Delete Duplicate Recipients: Set/Edit; Delete; Save; Back to List Commit Expiration Letters CP-022, Effective 06/01/2011 1 of 2 University of Colorado Denver Colorado Multiple Institutional Review Board Standard Operating Procedures Check: All Send Print Expiration Letters (2 Copies): File one Copy in Expiration Letters Binder; Give 1 Copy to Panel/Expedited Administrative Assistant for Filing Commit Note: screen should say: Reminders and Notifications Results 0 Protocols if Expiration Letters were sent successfully Note: Do Not Send Expiration Letters for WIRB, CIRB, Non-Affiliated and Exempt Protocols 3.2. Weekday-Specific Instructions: 3.2.1. 3.2.2. 3.2.3. 3.2.4. 3.2.5. Monday: Create Report with Date Range Sunday and Monday Send Expiration Letters for Protocols that Expired on Sunday Tuesday: Send Expiration Letters for Protocols that Expired on Monday Wednesday: Create Report with Date Range Tuesday and Wednesday Send Expiration Letters for Protocols that Expired on Tuesday Thursday: Send Expiration Letters for Protocols that Expired on Wednesday Friday: Create Report with Date Range Thursday to Saturday Send Expiration Letters for Protocols that Expire on Thursday, Friday and Saturday 4. RESPONSIBILITY: It is the responsibility of the Regulatory Analyst, IRB Specialists and IRB Manager to implement this SOP. It is the responsibility of the Director and Assistant Director to implement and monitor this SOP. 5. APPLICABLE REGULATIONS AND GUIDELINES: 45 CFR 46.103(b)(4) 21 CFR 56.108 6. ATTACHMENTS: None Expiration Letters CP-022, Effective 06/01/2011 2 of 2