Wisconsin IRB Consortium (WIC): a model for multi-site IRB review Nichelle Cobb, PhD Director, Health Sciences IRBs University of Wisconsin-Madison Secretary’s Advisory Committee on Human Research Protections October 19, 2010

A presentation on behalf of the members of the Wisconsin IRB Consortium by the CTSA member institutions identified below URL: URL:

WIC Background 2007 (January) - consortium development began –Participating WI institutions for first phase Aurora Health Care (Milwaukee) Marshfield Clinic (Marshfield) Medical College of Wisconsin (Milwaukee) University of Wisconsin (Madison) –More than one CTSA recipient involved 2009 (April) - single IRB authorization agreement for WIC formalized

WIC Goals Provide more effective and efficient oversight of multi-site human subjects research in Wisconsin Reduce administrative burden and costs for study teams and IRBs alike by identifying a single IRB of record for eligible studies when possible Facilitate collaborative research among partner institutions to increase investigator-initiated research

Progress Since Inception Developed SOPs that describe how research teams submit requests to use WIC and required content of requests Established point people at each institution to work with requests submitted through WIC Established quarterly meetings of founder institutions –Discuss issues that arise with WIC –Develop further SOPs and shared documents, including a draft of a shared consent and HIPAA authorization form Developed a WIC-specific website:

WIC Volumes & Duplicate Review Reduction Data from April 2009-September 2010

Why WIC Worked Leadership at institutions involved committed to project Inter-institutional trust and flexibility –IRB offices were familiar with one another –Legal counsels able to come to agreement Key policies similar across institutions Knowledgeable, experienced IRB staff who understand regulatory requirements for multi-site research and sensitive to researcher needs

Challenges/Next Steps No additional resources provided to the IRBs for WIC –Protocol review work, SOP development done in addition to current IRB staff activities –Looking for funding for a full-time position to support WIC Teaching research teams how to present multi-site studies to the IRB and setting expectations about multi- site research requirements Expansion from the founding group –Need resources to assess policies from institutions that wish to join in future to ensure they are in line with WIC charter member standards

Acknowledgments WIC has been an equal partnership amongst the four institutions involved in its inception. Specific thank you to Linda Jaros at the Marshfield Clinic for compiling the data used in this presentation and to Rebecca Marnocha at the University of Wisconsin- Madison for her detailed review of this presentation. All WIC member institutions agreed to support this presentation to SACHRP.