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Institutional Review Boards
UM Policies & Procedures - HSRO/IRB
1. Preface
2. Background Topics
3. Authorities and Responsibilities
4. Conflict of Interest
5. Institutional Review Boards
6. IRB Meetings
7. General Principles for IRB Reviews
8. Definition of IRB Review Types
9. IRB Review of Initial Studies
10. IRB Review of Continuing Studies
11. Amendments
12. Closing Studies and Final Reports
13. Suspension, Termination and Administrative Closure of IRB Approved Research
14. Unanticipated Problems and Adverse Events
15. Study Violations
16. Compliance Audits
17. Data Safety Monitoring Boards
18. Ancillary Committees
19. External IRB's
20. Policies Specific to Certain Types of Research
21. Informed Consent
22. Participant Recruitment Methods, Advertising Materials and Recruitment-Relevant Payment Arrangements
23. Vulnerable Populations
24. Privacy, Security, Confidentiality and HIPAA
25. Subcontracts/Agreements for UM-Initiated Studies that Engage or Involve non-UM Institutions or Investigators
26. International Research
27. Emergency Use
28. Record Retention
Other Policies
UChart Forms & Guidance
HSRO Forms & Documents
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Ancillary Committee Information
eProst User Guide
Ethics, Federal Regulations & Guidance
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Western IRB (WIRB)
About the HSRO


Basic Folder Information

23.1 General Principles


Approval Date

Review Responsibility:

IRB Policy and Procedure Committee

Current Approval Date:

July 6, 2008



Policy

Federal regulations and ethical principals require that certain groups of human subjects shall be considered particularly vulnerable in a research setting.  Those considered to be "vulnerable populations" are individuals who may have limited autonomy which precludes their full and free appreciation or participation in the consent process.

Particularly vulnerable populations must receive, in addition to the general requirements for review of research by the IRB,  further protections which are consistent with federal regulations and specific for: a) pregnant women, human fetuses and neonates involved in research (45 CFR 46 Subpart B), prisoners (45 CFR 46 Subpart C), and children (45 CFR 46 Subpart D, 21 CFR 50 Subpart D).  There are also additional federal regulations pertaining to “in vitro fertilization.”

Definitions applicable to these policies include:

  1. Neonate:  a newborn
  2. Fetus:  the product of conception from implantation until delivery
  3. Pregnancy:  the time between implantation until delivery.  A woman shall be assumed to be pregnant if she exhibits any of the pertinent presumptive signs of pregnancy until the results of a pregnancy test are negative or until delivery

Although federal regulations pertain specifically to the vulnerable populations defined above, other populations, though not considered vulnerable according to regulations, may still be particularly subject to coercion.  These populations, which should be considered vulnerable and deserving of special consideration by investigators and the IRB, include but are not limited to those with dementia or other cognitive impairments, students and employees of the Principal Investigator and key personnel, the elderly, terminally ill patients, hospitalized patients, prospective transplant recipients, and patients who can receive certain treatment(s) only through research protocols. Both the Principal Investigator and the IRB should recognize such subjects as vulnerable and should provide special protections as necessary.

While considering additional protections for vulnerable subjects, the IRB shall also require that members of these populations be permitted or encouraged to become human research subjects to ensure that they are adequately represented in research and have access to potential benefits of such research. 

In its review of studies involving vulnerable populations, the IRB should carry out responsibilities additional to those described in other sections of these policies.  For the vulnerable populations defined in Subparts B-D of 45 CFR 46 and Subpart D of 21 CFR 50, the additional responsibilities include following special procedures that ensure the safeguarding of the subjects' rights, safety and welfare.  Policies associated with these specific vulnerable populations and for other populations not incorporated in the federal regulations are included in individual sections of this document (below).  In general, the IRB review shall be particularly concerned with the rationale and details for the inclusion of vulnerable populations in studies, with procedures to ensure that risks are adequately addressed, with the consent process to ensure that it adequately addresses the needs and capabilities of vulnerable subjects and with the fulfilling of all necessary regulatory requirements. 

To accomplish the above, the IRB membership must include one or more members qualified to represent each involved group of vulnerable subjects with knowledge, expertise and sensitivity gained from working with these subjects or from personal experience.  At least one member qualified to represent the involved group of vulnerable subjects shall be present at the convened meeting when a study involving that group of vulnerable subjects is reviewed. 

If the IRB believes that its expertise regarding a vulnerable population is insufficient to conduct an in-depth study review, the IRB may seek input from one or more internal or external consultants with appropriate scientific or scholarly expertise and knowledge of the vulnerable groups of subjects.  The IRB has the authority to table its review until such consultant guidance/recommendation is received and presented pursuant to its policy on consultative support (SECTION 3.1).  

Keys to the IRB review process for studies involving vulnerable populations include that the IRB ascertain that the inclusion of the vulnerable population is adequately justified in writing, that the Principal Investigator and the convened IRB have reviewed relevant federal regulations (45 CFR 46 Subparts B-D and/or 21 CFR 50 Subpart D) and that safeguards are implemented to minimize risks that are unique to each population.  Research in vulnerable subjects shall not be performed unless all regulatory criteria are met.



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