Which documents do I need?
APPLICATION FORMS | When can the form be used? | ||||
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Document information |
WA Health Single Ethical Review | National Mutual Acceptance | Conducting research at a site | Accesssing participant tissue or data only | |
ETHICS | |||||
Human Research Ethics Application (HREA) & WA Specific Module (WASM) |
HREA (external site) is a streamlined ethics application using dynamic content and help to assist researchers consider and address the principles of the National Statement on Ethical Conduct in Human Research. The HREA is not available electronically in RGS. If ethical review is by a WA Health HREC, the HREA must be completed via the NHMRC HREA website and uploaded to RGS as a pdf supporting document. There is no need to attach supporting documents to the HREA (on the NHMRC website) as they should be uploaded separately into RGS. If ethical review is by an NMA non-WA Health HREC, the HREA should be completed via the state/territory Governance application site. Please ensure all sites involved in the research project are listed in the HREA form. WASM (PDF) addresses WA legislative requirements. It is completed in conjunction with the HREA for health and medical research projects conducted within WA or intending to access WA participants, tissue / data. |
YES | YES | YES | YES |
WA Health Ethics Application Form (WAHEAF) | WAHEAF (PDF) is used for intra-jurisdictional (within WA) single-centre or multi-centre-research or the HREA can be used accompanied by the WASM. | YES | NO | YES | YES |
RESEARCH GOVERNANCE (RG) | |||||
Site Specific Assessment (SSA) Form | SSA (PDF) covers legal compliance, financial management, accountability and risk management associated with research. | YES | YES | YES | YES |
Access Request (AR) Form |
AR Form is used instead of an SSA where the study is collecting data or information but the research is not being carried out on the site.
In addition to the AR Form, for projects requesting access to the Department of Health data collections the investigator must submit an Application for Data Form (external site) RG determines whether to allow access to its participants, their tissue or data when a research project is not being conducted at the site. When a study requires access across multiple sites within the jurisdiction of the same RG Office, then details regarding these sites may be documented on one AR Form, though a declaration of authorisation will be required from each site involved. In WACHS the Regional Director must also provide a declaration. |
YES | YES | NO | YES |
TABLE A: ETHICS Documents – as applicable | |
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Document name | Document information |
Protocol |
A research protocol is the guide for a research study. The protocol describes in detail what the researchers are intending to do and how they will do it. In writing a protocol all the major issues are considered in design and development of a particular research project. Clinical Trial Protocol (suggested template) (external site) A protocol will include the following as a minimum:
Non Clinical Trial Protocol (suggested template) (external site) Projects not classified as Clinical Trials may include,
They will usually not involve assessments of the efficacy/safety of drugs or other therapeutic or investigational products (including medical devices). |
Peer Review | Peer review is the evaluation of work by one or more people with similar competencies as the producers of the work. It functions as a form of self-regulation by qualified members of a profession within the relevant field. |
PARTICIPANT INFORMATION & CONSENT FORMS (PICF) | |
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OTHER DOCUMENTS | |
Participant documents i.e. identification card, diaries | Any study document being used/completed by participants must be reviewed by ethics. |
Questionnaires, surveys |
Any study document being used/completed by participants must be reviewed by ethics. Please note some international questionnaires require approval to be used by the international group such as EQ-5D-5L. |
Interview outlines | Where participants are to be interviewed in an outpatient setting, on the ward or over the internet or the phone, a script should be provided for ethical review. |
Recruitment documents i.e. letters | Any study document being sent to participants or doctors must be reviewed by ethics. |
Recruitment documents i.e. posters, advertisements | Any study advertising must be reviewed and approved by ethics. |
Radiological Council Approval | When radiation exposure for study participants is above standard of care in usual management the Radiological Council will need to determine whether the exposure is acceptable through an application and approval process before the ethics and governance submissions. This is a separate submission process. The first line of contact is through SCGH Medical Physics to request a dosimetry report for the study to determine whether a Radiological Council submission is necessary. Factors considered are the study cohort and in the case of participants with life limiting illness, whether the additional radiation will impact their lifespan. |
Data Application Form (Data Linkage) |
Data linkage is a technique for connecting pieces of information that are thought to relate to the same person, family, place or event. Linked data is used in Western Australia to support approved research, develop policies, plan services and evaluate services. This provides a more complete picture of the health of people in WA. |
Investigator’s Brochure (IB) (DRUG studies only) |
The Investigator’s Brochure (IB) is a compilation of the clinical and nonclinical data on the investigational product(s) that are relevant to the study of the product(s) in human subjects. Its purpose is to provide the investigators and others involved in the trial with the information to ensure their understanding of the rationale for, and their compliance with, many key features of the protocol, such as the dose, dose frequency/interval, methods of administration: and safety monitoring procedures. The IB also provides insight to support the clinical management of the study participants during the clinical trial. The information should be presented in a concise, simple, objective, balanced, and non-promotional form. A medically qualified person should generally participate in the editing of an IB, but the contents of the IB should be approved by the disciplines that generated the described data. |
Product Information | This relates to study drugs and devices where the registration information is found via the Therapeutic Goods Administration (TGA) (external site) |
TABLE B: GOVERNANCE Documents – as applicable | |
Document name | Document information |
Contracts
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WA Health uses Medicines Australia CTRA templates. (external site)
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PARTICIPANT INFORMATION & CONSENT FORMS (PICF) | |
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OTHER DOCUMENTS | |
Budget Supporting Document (optional) | Further budgetary information that supports the application. |
Confidentiality Agreement | WA Health has established a standard Confidentiality Disclosure Agreement (CDA) which is recommended for use in clinical trial research and data registries, which can be negotiated with the external party in line with WA Government legal and legislative policy and guidelines. |
Clinical Drug Trials |
Which clinical trial scheme should I choose? (external site) This tool helps Australian trial sponsors (external site) determine whether the CTN or the CTA scheme is most appropriate for their clinical trial. If you are carrying out an investigator-led study the Research Governance office will assist with the CTN or CTA submission on behalf of the study sponsor. (See TGA CTN GUIDELINES MASTER COPY v1.0 02.09.15.) |
Clinical Trial Notification (CTN) (Drug or device study) OR Clinical Trial Approval (CTA) Documentation (Drug or device study) |
CTN – under the Therapeutic Goods Administration Act 1989 and Regulations, notification under the CTN Scheme (or application under the CTX Scheme) is required for:
CTA scheme forms | Therapeutic Goods Administration (TGA) (external site) CTA applications are submitted using paper-based forms. There are two forms that must be completed by the sponsor and sent to us via clinical.trials@health.gov.au If you require a CTA
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Indemnity Form |
For commercial clinical trials, sponsors (or the contract research organisation) are required to provide the relevant Medicines Australia Form of Indemnity for Clinical Trials. These forms reference the 'Guidelines for Compensation for Injury Resulting from Participation in a Company-sponsored Clinical Trial' which the sponsor agrees to adhere to if injury is suffered by a participant while participating in the Study (project). Investigators must make it clear to the participants that the project is being conducted subject to those Guidelines. For commercial clinical investigations, sponsors (or the contract research organisation) are required to provide the relevant Medical Technology Association of Australia Standard Indemnity Form for a Clinical Investigation. |
Institutional Biosafety Committee Notification | The Institutional Biosafety Committee is responsible for reviewing all research that involve the use of biological agents. Contact the Research Governance Office regarding the forms to complete and whether additional SSA signatures are required. |
Insurance Certificate of Currency (Clinical Trials) | Certificate of Currency is a document confirming that the insurance policy is current and includes details of the sums insured, the policy type as well as the policy expiry date. |
Insurance Policy (Clinical Trials) | The insurance policy demonstrates that there is adequate insurance and indemnity arrangements in place for the clinical trial to be conducted at WA Health Organisations. |
Medical Physicist Report | The dosimetry report states the total dosage of radiation exposure the participant will have during the study and whether this is thought to be reasonable. |
NHMRC Embryo Research Licensing Committee Licence | The Licensing Committee (external site) oversees the Research Involving Human Embryos Act 2002 (RIHE Act) and the Prohibition of Human Cloning for Reproduction Act 2002 (PHCR Act). It regulates research activities that involve the use of human embryos created by assisted reproductive technology (ART) or by other means. There are strong penalties for non-compliance with the legislation. The legislation also prohibits human cloning for reproductive purposes and a range of other practices relating to reproductive technology. |
Office of the Gene Technology Regulator Approval | The Office of the Gene Technology Regulator (external site) provides administrative support to the Gene Technology Regulator in the performance of the functions under the Gene Technology Act 2000. All studies using Genetically Modified Organisms (GMOs) must seek approval and/or apply for a licence to have their facilities certified. |
Reproductive Technology Council Approval | Reproductive Technology Council (external site) - Makes sure that any research carried out by or on behalf of a licensee on eggs, sperm, or participants, has general or specific approval of Council; Encourage and facilitate research into the causes and prevention of all types of human infertility and on the social and public health implications of reproductive technology. |
HREC Approval letter | The letter provides ethics approval for the study and named study sites. |
HREC Approval letter (Specialist) | The letter provides ethics approval for the study and named study sites undertaken by a specialist in the area of the study. |
Amendment Approval letters for latest approved documents, site related investigators or CPI change | Where study documents are altered or the CPI or PI change, the revised documents must be submitted for approval before the changes are enacted. |
Which supporting documents should be submitted?
- Before submitting the application, the Coordinating Principal Investigator (CPI) or the Principal Investigator (PI) should ensure all required supporting documentation is attached.
- A research protocol MUST be submitted with the ethics application.
- Templates are available from the RGS Document Templates (external site) tab as a guide for investigators who do not already have a protocol for their research project.
Reminders
- The Research Governance Office (RGO) must be able to review the latest approved ethics documents (as per Table A) except for the Recruitment and Research Tools (unless separate site branding is required).
- If the ethics application has been submitted through the RGS all WA Health RG Offices will have access to the submitted ethics forms, documents and approval letters so these do not need to be submitted again.
- However, if this has not occurred, the latest approved ethics documents listed above will have to be submitted via the RGS to the RG Office along with the governance documents.