animal study protocol template

It is based on a form used by intramural NIH investigators, and was modified as the result of review of many different extramural institutional forms in order to anticipate a variety of research scenarios. The template guidance is only intended to help you draft the document and should not be retained in the final version. What made us think an UPT would be useful? If you wish to use the sample animal study proposal as a template, click one of the formats below to download. It is based on a form used by intramural NIH investigators, and was modified as the result of review of many different extramural institutional forms in order to anticipate a variety of research scenarios. Animal Subjects Subcommittee–January 12, 2021 Universal Protocol Template (UPT) Update. As able, ensure the area is well ventilated. Fox Foundation for Parkinson‟s Research 90 Broad Street, 10th Floor New York, NY 10004 Work is underway to facilitate the inclusion of reviews of pre-clinical studies. However, in general, many IACUCs have found that use of a protocol form helps research investigators to delineate the information that the IACUC requires in order to review a proposal, and also helps the IACUC to achieve greater consistency in its review. Number of study centers (if more than one): Phase of study: Objectives: Please. Reviews of methodological issues need to contain at least one outcome of direct patient or clinical relevance in order to be included in PROSPERO. Community Input and FDP Involvement 4. The details of each of the study procedures are in Section 5, where a short paragraph describes each procedure. DRUG: SRP-4045 Injection and SRP-4053 Injection Institutional Animal Care and Use Committee Protocol Form Instructions T h efor mi s dula n c t .AC ( ) b p y Attachments may need to be completed depending on your responses to the checklist in Section V of the Core. Most institutions have instituted an animal care and use protocol form that investigators are required to complete and submit to the IACUC. Study Protocols 2 of 10 CVB Reviewers’ Manual The considerations for a particular protocol are highly dependent upon the type of study being performed. We anticipate changes to this document as institutional comments are received and as animal research and the policies that govern it evolve. Study Plan/Protocol Review Process •Standard study plan/protocol templates - reviewed by IACUC committee for all standard study types - templates reflect the regulatory requirements for basic parameters -additional parameters required must be reviewed and approved prior to ordering the animals/prior to animal arrival The study design is cross-sectional, meaning that there is just one study visit. Modifications can be made by submitting protocol change requests, and study team updates. � Use the template to build your initial protocol document. } ~ � ��ࡱ� > �� + - �� * �� q` �� Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) 2015 statement; 8; Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide; 9; Guidance for reporting intervention development studies in health research (GUIDED): an evidence-based consensus study; 10 ~ This template should only be used for for studies limited to (1) the use of existing data or specimens, (2) where the only study procedure is a retrospective chart review or use of existing biological samples and (3) where the analysis plan is limited to purely descriptive summary statistics. Next Steps 6. animal and/or clinical study Protocol. � L Institutions may download the form … We are interested in your comments on the content of this sample animal study proposal and in your suggestions for additions, deletions, or revisions. You may submit written comments and suggestions at any time for Agency consideration to the Division of Dockets Management, Food and Drug Administration, 5630 Fishers Lane, Room 1061, (HFA-305), Rockville, MD, 20852. Remove all template guidance before you attach the file to the submission. � � � � � � � � � � � � � � � � � � � � � � � � � � � This second example is for an observational protocol. Session Discussion Points 1. Sections may be added, deleted, or modified to meet the needs of individual programs. The following template provides essential topics of interest that the IRB looks for during review. Specific information requested in the following animal-use protocol template is a result of requirements of the Animal Welfare Regulations (AWR), the Guide for the Care and Use of Laboratory Animals, and other applicable Federal regulations and DOD directives. Laboratory Use. Action is taken as per the study protocol and includes euthanizing the animal, stopping a painful procedure, or alleviating the pain or distress with other appropriate measures. Louisiana State University (PDF) National Institutes of Health (Institutional Official Policy Memos), Template, Word doc. COL. A Phase II, Randomized, Double -blind, Placebo -controlled Study to Evaluate the Safety and Efficacy of TJ301 (FE 999301) Administered Intravenously in Patients with Active Ulcerative Colitis Carleton University, Ottawa, Ontario: Lab Animal Use Protocol, Wildlife Protocol, and Pedagogical Merit Review forms. When submitting comment… Animal Utilization Proposal Form Protocol # AUP-2020-05-13318-----Protocol Title: Sample Form_2020 Approval Period: Draft Important Note: This Print View may not reflect all comments and contingencies for approval. Registering to eProtocol – In order for any individual to be listed on an Animal Use Protocol they must be provisioned an account in e-Protocol by completing the e-Protocol registration. How did we determine an UPT is needed? Q/A. Estimated Timeline 7. Drexel University. Individuals who have not registered will not have access to e-Protocol and will not be available for selection as study team members in the system. Animal Monitoring sheet template (DOCX, 13.79 KB) example one The following guide is designed to offer practical tips for investigators when preparing an application. � For interventional PASS, instructions provided in Volume 10 of the Rules Governing Medicinal products in the European Union should be followed. • Animal care • Study endpoint • Animal welfare • Biohazard/safety • Surgery • Qualification of personnel • Blood or body fluid withdrawal/tissue collection/injections, tail clip, gavaging Protocol Writing Protocol Title This is an animal protocol, therefore it must have animal listed in the title *** Effect of Antigen A on Vaccine Efficacy. Georgetown University. National Institutes of Health (NIH), 9000 Rockville Pike, Bethesda, Maryland 20892, U.S. Department of Health & Human Services, PHS Policy on Humane Care and Use of Laboratory Animals, Guide for the Care and Use of Laboratory Animals (PDF), AVMA Guidelines for the Euthanasia of Animals (external PDF), Semiannual Program Review and Facility Inspection Checklist, Semiannual Report to the Institutional Official, Sample Documents for Implementation of the PHS Policy on Humane Care and Use of Laboratory Animals, Download the sample animal study proposal, Description of Experimental Design and Animal Procedures, Pain or Distress Classification and Consideration of Alternatives, Anesthesia, Analgesia, Tranquilization, Other Agents, Methods of Euthanasia or Disposition of Animals at End of Study, Biological Material/Animal Products for Use in Animals, Exemptions from Environmental Enrichment for Nonhuman Primates or Exercise for Dogs, Special Concerns or Requirements of the Study, Appendix 1 - USDA Classifications and Examples, Attachment 1 - Explanation for USDA Classification E, U.S. Department of Health and Human Services, PHS Policy on Humane Care and Use of Laboratory Animals, 2015. Follow instructions for proper mixing, disposal, and PPE (e.g., gloves, eye protection). R j � ' 0 W x � � x � In the training session, each participant will be designated to one of four experimental conditions based on his or her gender, demographics and sensation seeking score (Zuckerman M, 1994). TJ301 Protocol No. N Research protocol The present study evaluates hazard perception training programs for young-inexperienced drivers. Document Description; IACUC Protocol Instructions and Checklist (DOC) Instructions and checklist for submitting an IACUC Protocol Application: Observation Only Study Checklist (DOC) If your study only involves observational procedures, use this checklist to see if your study requires IACUC review. � &. Guide to completing the CDU AEC Project and Permit application (PDF, 855.7 KB) Other online submissions for electronic protocols … M Have all material safety data sheets or product safety data sheets for cleaning and disinfection materials available. ***** This document is intended to be an aid in the preparation of an U.S. Air Force DOD – sponsored animal use proposal. � TITLE PAGE . Protocol No. STUDY SUMMARY Title A Clinical Investigation Evaluating Efficacy of a Full-Thickness Placental Allograft (Revita) in Lumbar Microdiscectomy Outcomes Methodology Randomized, controlled trial, blind study Study Duration Estimated duration for the main protocol (e.g. This protocol template aims to facilitate the development of two types of clinical trials involving human participants. There is great variation in the length, format, content, and use of these forms, and a form that serves one institution well may not necessarily prove successful at another institution. Contact the Division of Policy and Education by phone at 301-496-7163 or e-mail to olawdpe@mail.nih.gov. Sample environmental cleaning and disinfection protocol . If a study is USDA Classification E, describe any non-pharmaceutical methods that will be used to minimize pain and distress. 1. read the Aims & Scopeto gain an overview and assess if your manuscript is suitable for this journal; 2. use the Microsoft Word template or LaTeX template orFree Format Submissionto prepare your manuscript; 3. make sure that issues about publication ethics, research ethics, copyright, authorship, figure formats, data and references formathave been appropriately considered; 4. ensure that all authors have approved the content of the submitted manuscript. Submit, for each animal toxicology study that is intended to support the safety of the proposed clinical (i.e., human) research study, a full tabulation of the respective data suitable for detailed review. Investigators should design this record-keeping para-digm before starting the study, so that they are ready for post-approval IACUC monitoring visits and USDA regulatory visits. Institutions may download the form and modify it to suit their own institutional program and needs. Registration can be completed at: The general goals behind developing a UPT 3. animal and clinical study protocol template. Systematic review protocols registered on PROSPERO can include studies of any design. There is no required format or template; different sections and formatting may be used, provided the necessary information is included. bjbjqPqP . To the greatest extent possible, pre-emptive euthanasia should be advocated for any study in which an animal is likely to progress to a moribund state (impending death). The first type of trials are Phase 2 and 3 clinical trial protocols that require a Food and Drug Administration (FDA) Investigational New Drug (IND) or Investigational Device Exemption (IDE) application. The use of this sample animal study proposal is not required and is provided for the convenience of Institutional Animal Care and Use Committees (IACUC) at Assured institutions. Objective . Individuals not familiar with the PHS Policy are encouraged to visit the PHS Policy Tutorial. This is an animal protocol, therefore it must have animal listed in the title ... • Characteristics of the species make it uniquely suited for the study Protocol Writing 7.2.1 Animal model and Species justification Justification of the selected species (con’t) • Describe the characteristic of the animal that make appropriate for the study. Sarepta Therapeutics, Inc. Study 4045-301, Version 6 Page 1 03 April 2017 Confidential . The sample animal study proposal is provided in response to requests from many institutions that wish to develop or revise an animal care and use protocol form intended for internal institutional use. Submit electronic comments to www.regulations.gov. 1. Animal Study Proposal v12/8/2015 3 • Other potential stressors [e.g., noxious stimuli, environmental stress] and procedures to monitor and minimize distress. The new system will allow faculty, researchers and staff to submit new animal protocols, and to modify these new protocols. 2. The animal activity proposal should describe how experimental and medical records will be maintained to show that the protocol has been carried out as approved. � The protocol should clearly state the nature and purpose of the study. Many of these forms are available from institutional websites. � � � L � � � � � � � � � � � N R � � � W � � � � ` ` ` d ` ` ` d ` ` ` L L L L L L �� animal and/or clinical study Protocol Protocol title: Protocol number: Study center: Coordinating or Principal Investigator Number of study centers (if more than one): Phase of study: Objectives: Methodology: Number of human subjects or animals for this study: Diagnosis and Main Criteria for Inclusion (for human clinical phase): Number of treatments: Dosing for each treatment: Duration of each treatment: Criteria for Evaluation: Statistical Methods: Measures: Safety: Efficacy: Pharmaco-kinetics: Others: List all other measures here. A protocol format for the preparation, registration and publication of systematic reviews of animal intervention studies; 7; Guidelines for assessment of bone microstructure in rodents using micro-computed tomography; 8; A systematic review of systematic reviews and meta-analyses of animal experiments with guidelines for reporting; 9 CLINICAL STUDY PROTOCOL . MJFF-001 Clinical Study Protocol CONFIDENTIAL Final Page 1 of 58 02 December 2009 Clinical Study Protocol Variability of Parkinson’s Disease Biomarker Analytes Sponsor: Michael J. : CTJ301UC201 Solution for Injection Clinical Trial Protocol Leading Biopharm Limited CONFIDENTIAL CLINICAL TRIAL PROTO. The following is a list of general considerations, not all of which apply to every study. Local Protocol Addendum Template (HRP-508) This document contains local information not represented in the main protocol document received from a study sponsor or non-Northwestern University research collaborator. Checklist. The research protocol should provide the information needed for reviewers to determine that the regulatory and Human Research Protection Program (HRPP) policy requirements have been met. Inclusion criteria (human clinical trial only): Exclusion criteria (human clinical trial only): % & � � � � � � � This template should not be used for observational study designs (cohort, case-control, cross-sectional); the Observational template should be used for these designs. Note that the procedures in Section 4 are simply bullet points and these match the Table of Procedures. � The sample animal study proposal is provided in response to requests from many institutions that wish to develop or revise an animal care and use protocol form intended for internal institutional use. 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