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Ontario Cancer Research Ethics Board: lessons learned from developing a multicenter regional institutional review board.

Publication ,  Journal Article
Saginur, R; Dent, SF; Schwartz, L; Heslegrave, R; Stacey, S; Manzo, J
Published in: J Clin Oncol
March 20, 2008

PURPOSE: We describe issues and outcomes in the development of a specialized, central institutional review board (IRB) for multicenter oncology protocols. Numerous authoritative bodies have called for a change to the ethics review system to better manage multicenter trials in terms of quality, timeliness, and efficiency. In 2003, the American Society of Clinical Oncology proposed a network of regional IRBs for cancer. Previous experience with central IRBs has been met with mixed success. METHODS: We took a bottom-up approach to organizing a province-wide IRB, which was led by an IRB chair and a clinical investigator at one cancer center. Participation on the part of institutions was voluntary. RESULTS: Uptake in the first 2 years was modest and increased from 11 clinical trials in year 1 to 21 in year 2. In the third year, there was an apparent upsurge in the number of involved centers (14) and in the number of submitted clinical protocols (54). CONCLUSION: Sponsors and investigators are loath to risk development of a novel IRB until there is a clear demonstration of quality, efficiency, and timeliness of decision. Development of a regional, specialized IRB requires considerable efforts to develop and maintain the trust of sponsors, investigators, and institutions despite prior demands for more efficient and timely ethics review. Voluntary institutional participation, clear delineation of roles and responsibilities, and effective execution promote development of this trust.

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Published In

J Clin Oncol

DOI

EISSN

1527-7755

Publication Date

March 20, 2008

Volume

26

Issue

9

Start / End Page

1479 / 1482

Location

United States

Related Subject Headings

  • United States
  • Ontario
  • Oncology & Carcinogenesis
  • National Cancer Institute (U.S.)
  • Multicenter Studies as Topic
  • Humans
  • Ethics, Research
  • Ethics Committees, Research
  • Clinical Trials as Topic
  • Cancer Care Facilities
 

Citation

APA
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ICMJE
MLA
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Saginur, R., Dent, S. F., Schwartz, L., Heslegrave, R., Stacey, S., & Manzo, J. (2008). Ontario Cancer Research Ethics Board: lessons learned from developing a multicenter regional institutional review board. J Clin Oncol, 26(9), 1479–1482. https://doi.org/10.1200/JCO.2007.12.6441
Saginur, Raphael, Susan F. Dent, Lisa Schwartz, Ronald Heslegrave, Sid Stacey, and Janet Manzo. “Ontario Cancer Research Ethics Board: lessons learned from developing a multicenter regional institutional review board.J Clin Oncol 26, no. 9 (March 20, 2008): 1479–82. https://doi.org/10.1200/JCO.2007.12.6441.
Saginur R, Dent SF, Schwartz L, Heslegrave R, Stacey S, Manzo J. Ontario Cancer Research Ethics Board: lessons learned from developing a multicenter regional institutional review board. J Clin Oncol. 2008 Mar 20;26(9):1479–82.
Saginur, Raphael, et al. “Ontario Cancer Research Ethics Board: lessons learned from developing a multicenter regional institutional review board.J Clin Oncol, vol. 26, no. 9, Mar. 2008, pp. 1479–82. Pubmed, doi:10.1200/JCO.2007.12.6441.
Saginur R, Dent SF, Schwartz L, Heslegrave R, Stacey S, Manzo J. Ontario Cancer Research Ethics Board: lessons learned from developing a multicenter regional institutional review board. J Clin Oncol. 2008 Mar 20;26(9):1479–1482.

Published In

J Clin Oncol

DOI

EISSN

1527-7755

Publication Date

March 20, 2008

Volume

26

Issue

9

Start / End Page

1479 / 1482

Location

United States

Related Subject Headings

  • United States
  • Ontario
  • Oncology & Carcinogenesis
  • National Cancer Institute (U.S.)
  • Multicenter Studies as Topic
  • Humans
  • Ethics, Research
  • Ethics Committees, Research
  • Clinical Trials as Topic
  • Cancer Care Facilities