Policy for Access and Distribution of ATN Resources ATN resources that AMLG Principal Investigators may request to access are discretionary funds, databases, and repository materials. During the course of ATN studies, databases and repository materials will be accumulated which investigators may find beneficial for other studies. Stipulated discretionary funding is available within the ATN. Given the amount of this funding, the most likely studies to be funded are 1) small pilot studies demonstrating feasibility of an intervention or approach, 2) small pilot studies providing preliminary data to support further development of a protocol or 3) testing of repository samples collected along with other data in a targeted study. Another potential use of discretionary funds is to support personnel to complete informative studies using available databases or repositories. Since discretionary funds within the ATN may be limited, protocols selected for the network should be consistent with the Network’s set scientific agenda. To apply for the use of ATN discretionary funds, databases, or repository materials, an AMLG investigator will follow the procedural steps for Study Concept Plan Development: a Protocol Concept Capsule with a proposed budget is developed and presented to the appropriate group for review, the Behavioral Leadership Group or the Therapeutic Leadership Group (BLG/TLG). If approved by the BLG/TLG, the full AMLG reviews and prioritizes the Protocol Concept Capsule and a full Protocol Concept Plan will be developed for review and approval by the AMLG. If approved by the AMLG, the Protocol Concept Plan will then be presented to the Executive Committee for review and approval in the context of the approved research agenda. Alternatively, a full Protocol Concept Plan could be presented to the BLG/TLG if the study is within the prioritized research agenda of the AMLG; if approved by the BLG/TLG, the Protocol Concept Plan would then be presented to the AMLG and subsequently to the Executive Committee for approval. Requests from non-AMLG investigators to access ATN resources must be made through an AMLG principal investigator. Given the cooperative agreement for funding within the ATN, final approval of all ATN approved usage of discretionary funds is dependent on NICHD review. Policy for Access of REACH Repository Specimens Specimens exist in a contract repository, McKesson Bioservices, funded by NICHD: cells, plasma, vaginal/anal swabs and cervical-vaginal lavage. All specimens were collected from REACH subjects with site-specific certificates of confidentiality in place. The specimens from REACH sites that did not continue in the ATN (n=5) have been rendered anonymous. Proposals for these limited specimens may be judged on their scientific merit alone. For the remaining specimens in the repository links to personal identifiers exist and these proposals require full IRB review. Practically, this distinction is unlikely to matter for most studies which will require specimens from both types of REACH sites. All specimens are linked by subject identifiers to the REACH database and thus can provide a wealth of supporting data to proposed analyses. In addition, since the identifier link remains for the majority of subjects in REACH, follow-up studies can be proposed with the capacity for prospective data and specimen collection from the majority of REACH sites. Requests to Access REACH Repository Specimens All requests to access REACH repository specimens must be submitted with a written proposal to the AMHARN Steering Committee. After 30 November 2001, requests to access REACH repository specimens should be submitted to the REACH Repository Committee (Send to cjp@uab.edu for distribution to the committee). Duties of the REACH Repository Committee include: (1) Provide the NICHD IRB with the information it needs to set the conditions under which specimens can be shared; (2) Review all proposals to access the SID-linked REACH database and the REACH specimens maintained in the NICHD-funded repository for (a) scientific validity (b) feasibility, and (c) congruency with the scope of the research for which subjects gave initial consent for future testing (3) Collate the necessary information for the NICHD IRB review of the proposal to use repository specimens including (a) proposal (b) judgment on congruency with scope of consent and justification (c) a signed use agreement from the potential recipient attesting: "Recipient acknowledges that the conditions for use of this research material are governed by the cell repository IRB in accordance with Department of Health and Human Services regulations at 45 CFR 46. Recipient agrees to comply fully with all such conditions and to report promptly to the cell repository any proposed changes in the research project and any unanticipated problems involving risks to subjects or others. Recipient remains subject to applicable State and local laws or regulations and institutional policies which provide additional protections for the human subjects. This research material may only be used in accordance with the conditions stipulated by the cell repository IRB. Any additional use of this material requires prior review and approval by the cell repository IRB and, where appropriate, by an IRB at the recipient site, which must be convened under the applicable OHRP assurance." (4) Monitor the progress of laboratory work on REACH specimens. (5) Notify local IRBs of any central NICHD IRB action. Approved Approved by EC 11/02/01 by the AMLG 6/21/01