USC IBC PROTOCOL MODIFICATION INSTRUCTIONS (Protocol Modification Form is on Page 4) 1. Protocol modifications (e.g., a change of the rDNA host-vector system to another prokaryotic, eukaryotic or viral species, addition of biological agent, select agent or carcinogen) require IBC review and approval before implementation of the changes. 2. Please submit an original Request for IBC Protocol Modification form and typed narrative that describes the proposed change. Modification forms must be signed by the Principal Investigator and dated before submission. 3. Modification requests can be submitted by e-mail to IBC@caps.usc.edu or hard copy to: Environmental Health & Safety Institutional Biosafety Committee (IBC) CHP 148, Mail Code 9005 4. The IBC Chair and/or Biosafety Officer will perform an initial review of the modification. An IBC subcommittee may review some types of modifications to existing protocols. Other types of modifications may require full committee review. Modifications that change the nature of the original application may require a new protocol submission for full committee review prior to initiation of such experiments. 5. It is recommended that all modifications be submitted on or before an IBC deadline. Deadlines and meeting dates are posted on the IBC Website at: http://capsnet.usc.edu/LabSafety/BioSafety/IBCSection 6. Modifications that are submitted for Chair review but require full committee review will be reviewed according to the posted deadlines on the Web (i.e., modifications received after an IBC deadline that require a full committee review will be held until the next IBC deadline.) Submission Procedure for Full Committee Review: Submit an original Request for IBC Protocol Modification form, typed narrative by 5 p.m. on or before an IBC deadline to the Environmental Health and Safety Office. The IBC will review the modification at a convened IBC meeting. Submission Procedure for IBC Chair Review: Submit an original Request for IBC Protocol Modification form, typed narrative, to the Environmental Health and Safety Office. All submissions received by Friday at 5 p.m. of a given week will be considered for Chair review the following Friday. IBC Protocol Modification Instructions 7/21/06 Page 1 of 4 INFORMATION TO INCLUDE IN THE NARRATIVE DESCRIPTION: Provide a detailed description of the proposed change. Include in the description the following information related to the desired change: A. Addition or change to the rDNA host-vector system: 1. Please list separately each new, changed or deleted host-vector system. Identify the host(s) to be used (e.g., target of gene transfer). Examples: E. coli, S. cerevisiae, human/animal cells, whole animals, humans. Identify the vector(s) to be used. Examples: Bacterial plasmids, yeast plasmids, cultured cell plasmid vectors, baculoviruses, transforming viruses Identify the nature of the DNA sequence, including the species of origin (i.e., specific gene, promoter, expressed product and function (if known). Provide species designations for all organisms where possible. If foreign gene product(s) will be purified, indicate which foreign gene product will be purified and describe the procedures for purification 2. Include experimental operations, procedures or techniques that might increase the risk associated with the use of recombinant DNA materials (e.g., creation of aerosols). 3. If replication-incompetent vectors will be used, include information about how incompetent vectors will be tested for reversion mutations (e.g., endpoint dilution analysis, plaque assay). 4. Identify the risk group (RG) classification of the recombinant or etiologic agent(s) and the proposed biosafety level (BSL). 5. Describe any changes to the decontamination and/or disposal practices described in the application. 6. Indicate why the new procedure(s) should be a modification of the existing project rather than a new protocol submission. 7. Indicate whether a new source of funding is associated with the new procedure. 8. Describe how personnel have been (or will be) trained to handle the new or changed host vector system. 9. In addition, please modify the relevant Addendums (e.g., Addendums I, V, VI) on the original protocol to reflect the addition of the new host-vector system, and include them with your protocol modification submission. B. Biological, Carcinogenic, Select Agents, or DOJ Chemical Precursors 1. Please list separately each new, changed or deleted agent. 2. Include experimental operations, procedures or techniques that might increase the risk associated with the use of the biological or carcinogenic materials (e.g., creation of aerosols). 3. Identify the risk group (RG) classification of the recombinant or etiologic agent(s) and the proposed biosafety level (BSL). 4. Describe any changes to the decontamination and/or disposal practices described in the application. 5. Indicate why the new procedure(s) should be a modification of the existing project rather than a new protocol submission. 6. Indicate whether a new source of funding is associated with the new procedure. IBC Protocol Modification Instructions 7/21/06 Page 2 of 4 7. Describe how personnel have been (or will be) trained to handle the new or changed agent. 8. In addition, please modify the relevant Addendums (e.g., Addendums V, VI, VII) on the original protocol to reflect the addition of the new biological, carcinogenic, select agent, or DOJ chemical precursor, and include them with your protocol modification submission. C. Personnel changes To add personnel: 1. Provide the names of personnel to be added. Include degree, job title, department, and tasks assigned. 2. Describe how personnel have been (or will be) trained to handle the agents described in this protocol application. If laboratory personnel attend pertinent safety courses (e.g., Lab Safety Orientation, Blood-borne Pathogens, Respiratory Protection), provide the name of the training course in this section of the application (or attach documentation). Investigator training must be documented in writing (per OSHA training requirements). For more information about this requirement, please contact Environmental Health and Safety directly. To delete personnel: 1. Provide the names of personnel to be removed. 2. Identify what the person’s responsibilities were on the project and who will assume those responsibilities. 3. If no one will be taking over responsibilities, explain how their responsibilities will be managed, or indicate which procedures will no longer be performed. 4. Indicate the date the person should be removed from the protocol. D. Room Changes (e.g., laboratory/surgery rooms or housing location): 1. Provide information about the new building and room number where agent(s) will be used/stored. 2. Indicate whether any buildings or rooms listed on the protocol should be removed. E. Contact Information Changes (e.g., mailing address, telephone, fax, email, pager) 1. Provide the new information on an attached sheet. IBC Protocol Modification Instructions 7/21/06 Page 3 of 4 REQUEST FOR IBC PROTOCOL MODIFICATION University of Southern California Institutional Biosafety Committee PI NAME: PROTOCOL# PHONE NUMBER: TITLE: MAILING ADDRESS: E-MAIL ADDRESS: MAIL CODE: 1. Please check the appropriate box(es) for all necessary changes to the approved protocol. rDNA host-vector system: Addition of a new rDNA host-vector system Change(s) to an approved rDNA host-vector system Change(s) in the experimental operations, procedures or techniques used Change(s) to the approved decontamination and/or disposal practices Biological, Carcinogenic, Select Agents or DOJ Chemical Precursor: Addition of a new agent Change(s) in the experimental operations, procedures or techniques used Change(s) to the approved decontamination and/or disposal practices Personnel: Adding new personnel -List here: Deleting personnel -List here: Locations: Change of procedure/storage rooms Change of investigator contact information (e.g., mailing address, telephone, fax, e-mail) Other: Indicate the change: 2. Attach a typed narrative that describes the modification. Please refer to the modification instructions for submission requirements and required information for IBC review. Changes must not be implemented until IBC approval is granted. P.I. Signature _________________________________________ Date: ___________________ Inclusion of this modification into the referenced protocol has been approved by the IBC. ________________________________________________ Signature of IBC Chair or designee _______________________ Date