Appendix B: Information To Be Supplied For New Medical Use Of Ionizing Radiation

The following information must be submitted to the Duke University Medical Center Radioactive Drug Research Committee (RDRC) and the Institutional Review Board (IRB) along with the Protocol Approval form. Please consult with the IRB for details on submitting protocols for human research.

  1. Title and purpose of study. Indicate whether the study is to be clinical research or clinical evaluation and explain why.
  2. The plan of investigation in sufficient detail to permit a critical evaluation of the methods for conducting the experiments and the controls established.
  3. A statement as to whether any complementary drug or radioisotope administration is anticipated in conjunction with the study.
  4. A statement about the expected fate of the isotope administered and if the procedure is for therapy, a statement about the expected effects.
  5. If the application is for clinical research, an outline of related work conducted in laboratory animals and in humans, including data on localization, effective half-life, and radiation dosage; if no work has been conducted in animals, explain why. Pertinent reference and a brief abstract prepared by the applicant of published or unpublished material shall be submitted.
  6. If the application is for clinical evaluation, pertinent references and a brief abstract prepared by the applicant of published or unpublished material, including information on localization, effective half-life, and radiation dosage.
  7. A description of the human subjects to be studied.
    1. Persons without manifest disease: number, method of selection, age range.
    2. Persons with manifest disease: number, nature of pathology, method of selection, age range.
    3. Pregnant women shall ordinarily be excluded from any test not involving the condition of the pregnancy itself. Specify whether or not pregnant women will be tested and if so, explain why.
  8. The dose range (microcuries or millicuries) to be administered and the method of administration.
  9. Calculations of the radiation doses delivered to the whole body and to the critical organ(s). The calculations shall contain information regarding:
    1. The expected half-life in various organs.
    2. The relationship between the retained isotope and permissible body burden for occupational exposure (except for therapy).
    3. The rationale for using the dose selected.
    4. The radiation dose due to other simultaneous or accompanying radioactive isotope test which may be administered.
  10. A statement of the institutional resources available to support the study including:
    1. Physical facilities and equipment especially suited for the study under consideration.
    2. Availability of clinical material.
    3. Types of consultation or collaboration available including the name of the study author if other than the applicant.
  11. Qualifications of the individual physician who will be responsible for the study, including a summary of research training and experience and pertinent training or experience in the use of radioisotopes.
  12. Estimated time needed to complete the study.
  13. A schedule for reporting results of the study and an outline of the information to be included in the report. The schedule can be in terms of time intervals or number of subjects studied. If studies are to be long range, interim reports shall be provided.
  14. Copy of consent form.
  15. Confirmation that adverse reactions associated with the use of the radioactive material will be immediately reported to the Committee.

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