HS#: Title: LR Name: Appendix J USE OF FDA-APPROVED DRUGS AND INVESTIGATIONAL DRUGS OR BIOLOGICAL PRODUCTS IN CLINICAL INVESTIGATIONS Please read the applicable HRP webpage for information about the use of drugs or biological products in clinical investigations. This appendix is for studies that involve the use of FDA-approved (marketed) drugs or unapproved drugs or biological products in clinical investigations. Documentation of FDA approval for the use of investigational drugs or biological products must be provided for IRB review and before IRB approval may be granted. 1. Identify the drug(s) or biological product(s) to be used in this study: a. Trade Name/Biological Product (e.g., Tylenol): b. Generic Name (e.g., acetaminophen): c. Manufacturer (e.g., McNeil): 2. Provide a summary in each section (a-g) below for the drug(s) or biological product(s) listed above. a. Product Description: b. Clinical Pharmacology: c. Indications and Usage: d. Dosage and Guidelines for Administration: e. Toxicity and Known Side Effects: f. Precautions and Contraindications: g. Provide the following information from the Investigator’s Brochure, package insert, or other materials indicating where additional information about the drug(s) or biological product(s) can be found. Also, upload the document(s) to the e-IRB Application. a. Section Title: b. Page numbers: 3. Does the drug or biologic have an Investigational New Drug (IND) Number? Yes (answer question 4 below; skip questions 5, 6 and 7) No (skip question 4; answer questions 5 and 6 below) 4. Provide the following information about the IND: (NOTE: Researchers must provide documentation of a valid IND number prior to IRB approval. If the study is not externally funded or a UCI investigator holds the IND, a copy of the FDA IND Application is required prior to IRB review.): a. IND Number: b. IND Filing Date (mm/dd/yy): c. Holder of the IND Lead Researcher (Specify): Study Sponsor Other (Specify): d. Does the IND allow billing of subjects? Yes No e. Please indicate the phase(s) of the study, if applicable: Phase I Phase II Phase III Phase IV Not Applicable f. Public Law 110-85 requires registration of clinical trials. The International Committee of Medical Journal Editors (ICMJE) also requires registration of clinical trials in order for results to be published in member biomedical journals. Additional information, including guidance on the UCI registration process for ClinicalTrials.gov at UCI, can be found on the HRP page, Guidelines for Registering with ClinicalTrials.gov. Clinical trials are required to be registered before the enrollment of the first subject, but not prior to IRB approval. Please select one of the following: This is not a clinical trial; registration not required Registration Pending ClinicalTrials.gov “NCT” number for this trial: 5. Is the drug or biologic FDA approved and being used according to the approved labeling? Yes - Briefly describe the FDA approved labeling and indicated use: No - Indicate why an IND is not required: 6. Has the FDA reviewed an IND submission and determined that an IND is not required? Yes (Skip Question 7. Be sure to upload the FDA determination letter.) No 7. Please answer the following questions to determine whether "off-label" use of an approved FDA drug or biological product requires filing of an IND. Note: The clinical investigation of an approved, marketed drug or biological product requires consideration of whether an IND is required. When the principal intent of the investigational use of a test article (drug, biological product) is to develop information about the product's safety or efficacy, submission of an IND is required. If you answer “yes” “yes” to any of the following criteria, an IND must be filed with the FDA: a. Are you or your funding source intending to report the study results to the FDA to support a new indication of labeling change? Yes No b. Are you or your funding source intending to report the study results to the FDA to support a change in the advertising? Yes No c. Does the planned use of the study drug increase the risks or decrease the acceptability of the risks to the subjects being studied? Yes No d. Does the study require any change in the approved formulation, dosage, or route of administration of the drug? Yes No e. Cancer therapies only: Does the study involve new combinations, new schedules or new routes of administration of the drug? Yes* No * An IND is not required if this is the only box checked "Yes." 8. Are investigational drugs or biologics controlled by a UCI Pharmacy? Yes (Skip this section) No Provide the following information about how the drug/biologic will be managed and controlled: a. Describe your plan to ensure that the investigational drug/biologic is used only in accordance with the UCI IRB approved protocol: b. Describe who will access to the drug/biologic and how access will be controlled to secure the drug/biologic: c. Specify how records for control of the drug/biologic will be recorded. The sample Drug/Biologic Accountability Log on the HRPP website will be used. The Drug/Biologic Log provided by the Sponsor will be used (be sure to attach this to the application). No log will be used (specify why not): d. Specify whether investigational drugs or biologics are prepared or manufactured in UCI research labs. Yes (If yes, identify the lab): No