UPPER SOUTH B ETHICS COMMITTEE Agenda for the meeting of Monday, 11 December 2006 APOLOGIES NEW APPLICATIONS 1. Evaluation of the effectiveness of a formal community pharmacist review for people with diabetes who take hypoglycaemic medication on the West Coast of the South Island of New Zealand Investigators: Dr C Atmore, Dr J Tracey, J Kilkelly Ethics Ref: URB/06/12/090 Spokesperson: Sharon Gardiner 2. A study to determine the ability of plasma BNP signal peptide concentrations to act as a specific and early clinical biomarker of Acute Myocardial Infarction: The “SP-AMI” study Investigators: Prof M Richards, Dr C Pemberton, A/Prof T Yandle, Prof G Nicholls Ethics Ref: URB/06/12/091 Spokesperson: Mark Smith 3. A study to determine the amino acid structure of plasma BNP signal peptide as a specific and early clinical biomarker of Acute Myocardial Infarction: The “SSS” study Investigators: Prof M Richards, Dr C Pemberton, A/Prof T Yandle, Prof G Nicholls Ethics Ref: URB/06/12/092 Spokesperson: Mark Smith 4. A study to determine the diagnostic test performance (sensitivity, specificity, negative predictive value, positive predictive value, accuracy and prognostic value) of BNP-SP measurement in detection of ACS (including those with ischemia short of infarction) within a population of “all-comers” with chest discomfort: The “SP-ACE” study Investigators: Prof M Richards, Dr C Pemberton, A/Prof T Yandle, Prof G Nicholls Ethics Ref: URB/06/12/093 Spokesperson: David McGregor 5. Biomarkers Risk-stratifying for Adverse post-operative Cardiac Events: The “BRACE” study Investigators: Prof M Richards, Dr C Pemberton, A/Prof T Yandle, A/Prof C Frampton, Prof J Roake, Dr R Troughton, D Lewis, Prof G Nicholls Ethics Ref: URB/06/12/094 Upper South B Regional Ethics Committee Agenda 11 December 2006 Spokesperson: David McGregor 6. Prediction of Retention in a Drug Treatment Therapeutic Community: Retrospective Review Investigator: Prof R Mulder Ethics Ref: URB/06/12/095 Spokesperson: Simon Clarke 7. Maintaining Independence: Predicting and Preventing Resident Care Admission Investigators: C P Heppenstall, T Wilkinson, C Hangar, S Keeling Ethics Ref: URB/06/12/096 Spokesperson: Kathrine Townshend 8. Presence of Mycobacterium avium subsp. paratuberculosis (MAP) in the peripheral blood of healthy Caucasians Investigators: Dr R Roberts Ethics Ref: URB/06/12/097 Spokesperson: Robin Fraser 9. Physiological responses to acute hypobaria in normal volunteers, patients with chronic obstructive pulmonary disease (COPD) and patients with diffuse parenchymal lung disease (DPLD) Investigators: Mr P T Kelly, Dr L Beckert, M P Swanney, J D Stanton, E Swallow, A/Prof C Frampton Ethics Ref: URB/06/12/098 Spokesperson: Annette Finlay 10. Subclinical thyrotoxicosis in an outpatient population - Audit of presentation plus clinical and biochemical outcome Investigators: Dr B Robb, Dr B Brownlie, Dr J Turner Ethics Refs: URB/06/12/099 Spokesperson: Patrick Graham 11. Stable primary care depression: maintenance vs gradual withdrawal of fluoxetine Investigators: Dr D Mangin, Prof L Toop, Prof R Mulder, Dr C Dowson, Prof T Dowell, Prof B Arroll, Prof E Begg Investigators: Ethics Ref: URB/06/12/100 Spokesperson: Annette Finlay 12. Investigation into the effect of a nutritional supplement on mood and function in clinical sample of young adolescents with Bipolar Disorder: naturalistic clinical case series ABAB patient preference design. Investigators: Dr J Rucklidge, Dr S Moor, Dr L O’Connell, Dr B Kaplan Ethics Ref: URB/06/12/101 Spokesperson: Sharon Gardiner Upper South B Regional Ethics Committee Agenda 11 December 2006 MINUTES Review of minutes from previous meeting, 13 November 2006 CHAIRPERSON’S REPORT MATTERS ARISING AMENDMENTS SUBMITTED FOR ETHICAL APPROVAL 1. Prevalence and importance of abnormalities of glycine betaine metabolism among patients with cerebrovascular disease: a cross-sectional study Investigators: Dr J Fink, Prof S Chambers, Prof P George, Dr M Lever, Dr J Elmslie, Dr W Atkinson Ethics Ref: URB/06/06/045 Spokesperson: Mark Smith Protocol amendment has been requested, revised Information Sheet (part A) provided with changes highlighted GENERAL BUSINESS ITEMS OF INFORMATION 1. Minutes of the Upper South A Regional Ethics Committee meeting held 30 October 2006 2. Nelson Marlborough District Health Board Annual Report 2005/6 - see weblink: http://www.nmdhb.govt.nz/publisheddocs/2006annualreport.pdf 3. Minutes of Chairs’ meeting held on 5 and 6 September 2006 APPLICATIONS GIVEN FINAL APPROVAL UNDER DELEGATED AUTHORITY 1. The Impact on Individuals Supporting People Diagnosed with Bipolar Affective Disorder Investigators: V Maskill, A/Prof S Luty (Supervisor) Ethics Ref: URB/06/09/065 Upper South B Regional Ethics Committee Agenda 11 December 2006 The Committee is satisfied that this study is not being conducted principally for the benefit of the manufacturer or distributor of the medicine or item in respect of which the trial is being carried out 2. The influence of olfaction on swallowing-respiratory coordination and submental muscle contraction Investigators: Dr ML Huckabee, A/Prof R Jones Ethics Ref: URB/06/10/077 The Committee is satisfied that this study is not being conducted principally for the benefit of the manufacturer or distributor of the medicine or item in respect of which the trial is being carried out 3. Prospective Study of Piperazine Based Party Pill Toxicity: A Three Part Researcg Project. Investigators: Dr. Paul Gee Ethics Ref: URB/05/11/158 The Committee involved in the approval of this study is accredited by the Health Research Council and is constituted and operates in accordance with the Operational Standard for Ethics Committees, April 2006. 4. The effect of topical negative pressure (TNP) therapy on the microbiology of lower limb ulcers; an observational pilot study Investigators: Mr Manar Khashram, Mr David Lewis, Prof. Stephen T Chambers, Professor JA Roake, Ms Catherine Hammond Ethics Ref: URB/06/11/087 The Committee involved in the approval of this study is accredited by the Health Research Council and is constituted and operates in accordance with the Operational Standard for Ethics Committees, April 2006. AMENDMENTS GIVEN ETHICAL APPROVAL UNDER DELEGATED AUTHORITY 1. Renal Impairment in Decompensated Heart Failure Investigators: Prof M Richards, Dr S Palmer, Prof Z Endre, A/Prof T Yandle, Dr R Keenan Ethics Ref: URB/06/02/008 Information sheet (Sub study 1) version 3 dated 11 October 2006 and Information Sheet (sub study 2) version 3 dated 17 October 2006 approved after consultation with David McGregor. 2. Regional plasma concentrations of vasoactive peptides and correlations with haemodynamic state in cardiac disease. Investigators: Prof M Richards, Dr S Palmer, A/Prof T Yandle, Ethics Ref: URB/06/02/010 Upper South B Regional Ethics Committee Agenda 11 December 2006 Amendments and Information Sheet and Consent Form version 2 dated 11 October approved after consultation with Mark Smith. 3. Cholinergic and oxidative stress mechanisms in Sudden Infant Death Syndrome (SIDS). Investigators: Dr Anne Dick, Dr Rodney Ford, Professor C C Winterbourn, Dr C Andre. Protocol Number: 96/03/032 Amendment and Information Sheet and Consent Form version 3 dated 10 October approved after consultation with Mark Smith. 4. Randomised, Double-blind, Placebo-controlled Efficacy and Safety Study of Colesevelam HCl to Paediatric Patients with Heterozygous Familial Hypercholesterolemia on a Stable dose of Statins or Treatment Naive to Lipid-Lowering Therapy Investigators: Prof R Scott, Prof P George, Prof C Florkowski, Dr A Luckey, N Hurndell Ethics Ref: URB/06/06/053 Self Reporting forms version 1 dated 22 August 2006 approved after consultation with Mark Smith. 5. A randomised open-label multicenter study of VELCADE with Rituximab or Rituximab alone in subjects with Relapsed or Refractory, Rituximab Naïve or Sensitive B-cell Follicular Non-Hodgkins Lymphoma Investigators: Dr S Gibbons, Dr RL Spearing, Dr M Smith, Dr P Ganly Ethics Ref: URB/06/02/007 Information Sheet and Consent Form dated 20 October 2006 approved after consultation with David McGregor. 6. An open-label, randomised study of VELCADE®/Melphalan/prednisone versus Melphalan/prednisone in subjects with previously untreated multiple myeloma: Protocol 26866138-MMY-3002 Ph. 3, 14/10/04: IB Ed #7, 18/03/04: Investigators: Dr S Gibbons, Dr RL Spearing, Dr M Smith, Dr P Ganly Ethics Ref: NTX/04/12/008 Information Sheet and Consent Form version 5 dated 20 October 2006 approved after consultation with David McGregor. 7. Does suppression of AF promote reverse electrical remodeling of the atria? Investigators: Dr Ian Crozier, Dr Iain Melton Ethics Ref: URB/05/02/013 Upper South B Regional Ethics Committee Agenda 11 December 2006 Protocol Amendment #2 dated 19 September 2006 approved after consultation with David McGregor. 8. Relationship of Plasma Aminoterminal C-type Natriuretic Peptide to Growth and Bone Maturation Investigators: T Prickett, Prof T Yandle (Supervisor), Prof EA Espiner, Prof G Abbott, Prof AM Richards Ethics reference: CTY/02/06/105 Additional weight and height measurement approved after consultation with Robin Fraser. STUDIES REAPPROVED FOR A FURTHER 12 MONTHS UNDER DELEGATED AUTHORITY 1. 2. The effect of glycine betaine supplementation on plasma homocysteine concentrations in chronic renal failure patients receiving hemodialysis or continuous ambulatory peritoneal dialysis (CAPD) Investigators: Dr D McGregor, Prof R Robson, Prof S Chambers, Prof P George, Dr S Slow Ethics ref: CTR/04/06/099 Angioplasty and Stent for Renal Artery Lesions Investigators: Dr D McGregor, Dr M Searle, Prof T Buckenham, Dr A Laing, N Forrest-Mclernon Ethics reference: CTY/02/10/169 3. Morbidity of Insulin treated diabetes in Canterbury: a follow up study Investigators: Dr. S Dawson, Dr J Willis, Dr Cflorkowski, Dr R Scott Ethics reference: URB/05/11/151 4. A study of the dose response association between infant iron status and later cognitive functioning Investigators: Dr D Richards, C Dowson, Dr D Fergusson, A/P G Abbott, S Pitama, Dr P George, Prof L Toop, Prof I Town Ethics reference: CTY/03/05/083 FINAL REPORTS FOR REPORTING BACK 1. Respiratory laboratory Quality Assurance: Development of an automated program for data analysis and identifying a system of best practice. Investigators: Dr J Stanton Ethics reference: URB/05/11/153 Spokesperson: Patrick Graham Upper South B Regional Ethics Committee Agenda 11 December 2006 2. A Multicentre, Randomised, Double-Blind Study to Evaluate the Safety and Effectiveness of MK-0431 Monotherapy in Patients with type 2 Diabetes Mellitus and Chronic Renal Insufficiency Who have Inadequate Glycemic Control (Protocol MK-0431-028) Investigators: Prof R Scott, Dr R Robson, Dr W Isbell, Dr C Florkowski Ethics Ref: CTR/04/09/170 Allocated to: David McGregor 3. The measurement of propofol in the expired breath of adults receiving total intravenous anaesthesia with propofol Investigators: Dr R French, Dr R Kennedy Ethics reference: CTY/02/07/120 Allocated to: Mark Smith 4. A study to formally establish appropriate biological reference intervals for routine biochemical and haematological test parameters in the top of the South Island region. Investigators: G Ludemann Ethics Ref: NMA/04/09/022 Allocated to: Patrick Graham 5. Prospective observational audit of patients presenting to the Christchurch ED with syncopal symptoms Investigators: Dr Scott Pearson, Dr Martin Than, Dr David Jardine Ethics Ref: CTR/04/11/225 Allocated to: Rosemary Carruthers SERIOUS ADVERSE EVENTS See listing attached for CTY, CTR and URB 1 November 2006 - 30 November 2006 Upper South B Regional Ethics Committee Agenda 11 December 2006