Upper South B Regional Ethics Committee - Annual …...Gray Crawford NZ Dip Mgt, Cert.Pers., Cert...
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Upper South B Regional Ethics Committee
Annual Report
January 2009 to December 2009
Published in June 2010 by the Ministry of Health
PO Box 5013, Wellington, New Zealand
ISBN 978-0-478-35988-6 (Website) HP 5129
This document is available on the New Zealand Health and Disability Ethics Committees website: http://www.ethicscommittee.health.govt.nz
Contents
Chairperson’s Report 1
Committee Membership 2
Response to Cultural Issues 8
Applications 9
Issues for the Committee 10
Guidelines for the Chairperson’s Delegation 10
Appendix 1: Upper South B Regional Ethics Committee Terms of Reference 12
Appendix 2: Upper South B Regional Ethics Committee Applications Listings 21
Upper South B Regional Ethics Committee Annual Report 2009 iii
Upper South B Regional Ethics Committee Annual Report 2009 1
This report provides an overview of the work of the Upper South B Regional Ethics Committee from January 2009 to December 2009. The report was presented to the Upper South B Regional Ethics Committee at its meeting on 1 February 2010. The report details applications received for ethical approval and other work undertaken by the committee.
Chairperson’s Report The Committee was initially established in December 2004. In its fifth year of operation (2009) the Committee met 10 times and processed 117 new applications: 69 full applications and 48 expedited review of observational studies. No meeting was held in April because insufficient applications were received. I was appointed to the role of Chairperson in December 2009 and Dr Melissa Copland was appointed to the role of Deputy Chair at the meeting held in December 2009. The committee would like to acknowledge the hard work and dedication to the committee over the past 5 years of Gray Crawford, former Chairperson, and Dr Mark Smith, former Deputy Chairperson, who both retired from the Committee in December 2009. They both contributed invaluable knowledge and expertise to the Committee. New members, Jan Marsh and Jo Gregan, who commenced their appointments in December 2009, were welcomed at the December meeting. The Committee has continued to actively encourage researcher/s to attend our monthly meetings in order to personally present their protocols to the Committee. This benefits both the researcher/s and the committee by speeding up the approval process and increasing the understanding of each other’s processes. It also results in improved relationships and co-operation. Sincerely Patricia Costigan Chairperson
Committee Membership
Appointments The following members were appointed by the Minister of Health, pursuant to section 11 of the New Zealand Health Public Health and Disability Act 2000. Chairperson December 2009 to present Patricia Costigan LLB (Hons) Representation Lay member Member category Community representative Gender Female Date of first appointment December 2006 Date of reappointment November 2009 Term of appointment 3 years Six-year maximum term December 2012 Professional affiliations Iwi affiliations None Chairperson January 2009 to November 2009 Gray Crawford NZ Dip Mgt, Cert.Pers., Cert Rehab St (Massey), AFNZIM, JP Representation Lay member Member category Consumer representative Gender Male Date of first appointment November 2004 Date of reappointment February 2008 Term of appointment 1 year Six-year maximum term February 2009 Professional affiliations – Iwi affiliations None Deputy Chairperson December 2009 to present Melissa Copland PhD (Pharmaceutical Sciences and Immunology) Representation Non-lay member Member category Pharmacist/pharmacologist Gender Female Date of first appointment March 2008 Term of appointment 3 years Six-year maximum term February 2014 Professional affiliations - Iwi affiliations None
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Deputy Chairperson January 2009 to November 2009 Mark Smith MBChB, PhD, FRACP Representation Non-lay member Member category Health practitioner Gender Male Date of first appointment November 2004 Date of reappointment February 2008 Term of appointment 1 year Six-year maximum term February 2009 Professional affiliations Canterbury District Health Board Iwi affiliations None Members Rosemary Carruthers LLB Representation Lay member Member category Lawyer Gender Female Date of first appointment December 2004 Date of reappointment December 2006 Term of appointment 3 years Six-year maximum term December 2009 Professional affiliations – Iwi affiliations None Brenda Moran BA Social Work Representation Lay member Member category Consumer representative Gender Female Date of first appointment November 2004 Date of reappointment December 2006 Term of appointment 3 years Six-year maximum term December 2009 Professional affiliations – Iwi affiliations None Annette Finlay Bachelor of Health Sciences, Dip Nursing Studies Representation Non-lay member Member category Health researcher Gender Female Date of first appointment December 2004 Date of reappointment February 2008 Term of appointment 3 years Six-year maximum term March 2011 Professional affiliations Iwi affiliations Tainui, Te Arawa
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Magnus McGee MSc Medical Statistics and Information Technology Representation Non-lay member Member category Biostatistician Gender Male Date of first appointment March 2008 Term of appointment 3 years Six-year maximum term March 2014 Professional affiliations Christchurch School of Medicine and Health Sciences Iwi affiliations None Michael Gough Representation Lay member Member category Community representative Gender Male Date of first appointment November 2006 Date of reappointment December 2006 Term of appointment 3 years Six-year maximum term December 2009 Professional affiliations – Iwi affiliations Te Atiawa, Ngati Mutunga Jane Cooper PhD (Philosophy) Representation Lay member Member category Ethicist Gender Female Date of first appointment March 2008 Term of appointment 3 years Six-year maximum term March 2014 Professional affiliations Iwi affiliations None David McGregor MBChB, PhD, FRACP Representation Non-lay member Member category Health practitioner Gender Male Date of first appointment November 2004 Date of reappointment December 2006 Term of appointment 3 years Six-year maximum term December 2009 Professional affiliations Canterbury District Health Board Iwi affiliations None
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Derelie Mangin MBChB, DPA (Distinction), PRIMEX (MRNZCGP) Representation Non-lay member Member category Health researcher Gender Female Date of first appointment December 2006 Term of appointment 3 years Six-year maximum term December 2012 Professional affiliations Iwi affiliations None Jo Gregan Representation Lay member Member category Community representative Gender Female Date of first appointment November 2009 Term of appointment 3 years Six-year maximum term November 2015 Professional affiliations Iwi affiliations None Jan Marsh M.A(Hons), Diploma in Clinical Psychology Representation Non-lay member Member category Psychologist Gender Female Date of first appointment November 2009 Term of appointment 3 years Six-year maximum term November 2015 Professional affiliations Iwi affiliations None
Retirements Gray Crawford, Mark Smith, David McGregor and Michael Gough retired in December 2009.
New Appointments Jan Marsh was appointed as a non-lay member, and Jo Gregan was appointed as a lay member in December 2009.
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Members’ attendance Member M/F Lay/
non-Lay Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
Gray Crawford Consumer Rep
M L Y Y Y Y Y Y Y A Y Retired 8/10
Mark Smith Health Practitioner
M NL Y A Y Y A Y Y A Y Retired 7/10
Rosemary Carruthers Lawyer
F L Y Y Y Y Y Y Y Y Y Y 10/10
Brenda Moran Consumer Rep
F L Y Y Y Y Y Y Y Y Y Y 10/10
Annette Finlay* Health Researcher
F NL Y Y Y Y Y Y Y Y Y Y 10/10
Michael Gough* Community Rep
M L Y Y A Y A Y Y A A Y 6/10
David McGregor Health practitioner
M NL Y A Y Y Y Y A A Y A 6/10
Derelie Mangin
Health Practitioner
F NL A Y Y Y A Y Y A Y Y 7/10
Patricia Costigan
Community Rep
F L Y Y Y Y A Y Y Y A Y 8/10
Magnus McGee
Biostatistician
M NL A Y Y Y A Y A Y Y Y 7/10
Jane Cooper
Ethicist
F L Y Y A Y Y Y Y Y Y Y 9/10
Melissa Copland
Pharmacist
F NL Y Y A Y Y Y Y Y Y Y 9/10
Jan Marsh
F NL Started November 2009 A 0/10
Jo Gregan
F L Started November 2009 Y 1/10
No. members present
10 10 9 12 7 12 10 7 10 10
No. of applications 5 9
6 6 8 7 4 5 8 11 69
* = Māori member Y = Present A = Apology
Expert Advisors Alison Luckey** F NL Y 1/10
Mark Smith M NL Y 1/10
Expert advisors attended to provide expert health practitioner opinion
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Training New member training There was no new member training offered in 2009. Ongoing training Ongoing training for members was held in Wellington, 26 to 27 June 2009. Topics included:
Cancer Society Tissue Bank Future use of tissue DNA Testing from a Patient perspective Appeals Process Maori Ethical Framework Statistical aspects of ethics applications Phase I studies Consent in the Acute and Emergency setting
The following members attended:
Rosemary Carruthers Patricia Costigan Annette Finlay Brenda Moran Jane Cooper Magnus McGee Diana Whipp, Administrator also attended.
Chairpersons’ meetings Gray Crawford attended the chairpersons’ meetings on 21 May 2009 and Patricia Costigan attended the chairpersons’ meeting on 3 December 2009.
Approval by the Health Research Council The committee is approved by the Health Research Council (HRC) until December 2010.
United States Department of Health & Human Services Registration The Upper South B Regional Ethics Committee is registered with the United States Department of Health & Human Services. This enables the committee to review United States Government funded research. The registration number is: IRB00004668 – Upper South B Regional Ethics Committee.
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Response to Cultural Issues
Number of applications deferred because Māori guidelines were not read
0
Number of applications for which consultation with Māori was considered appropriate
100%
Number of applications returned through insufficient consultation on cultural issues
Less than 10%
Process the committee has for following through on consultation
Feedback to researchers, offering advice for provision of Māori consultation groups for researchers. This is difficult as there are few places for researchers in the public arena who do not sit within an institution.
Cases of unsatisfactory reasons for not including Māori
None
Mechanisms in place to facilitate consultation with Māori by researchers
For comment on the cultural perspective for Māori the contacts are listed below: Canterbury District Health Board studies (CDHB): Tahu Stirling, Te Komiti Whakarite, Christchurch Hospital, Karen Keelan, Maori Komiti, The Princess Margaret Hospital, Te Korowai Atawhai, Mental Health, Hillmorton Hospital Christchurch School of Medicine and Health Sciences Elizabeth Cunningham For engagement with Māori at a community level, contact Dr. Matea Gillies, MIHI (Māori Indigenous Health Institute) at the Otago University And some private individuals who are willing to consult with researchers: Hector Matthews, Executive Director Māori Health CDHB email: Te Runanga o Nga Maata Waka
Te Runaka o Kai Tahu Ki Otautahi
Example of Māori not being included in research (a case of Māori excluded as the specific genetic mutation being studied is not found in Māori)
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Applications The committee held 10 scheduled meetings from January 2009 to December 2009.
Ethics Committee statistics for January–December 2009
Applications reviewed by the full committee
Applications approved 2
Applications deferred as at time of report 3
Applications declined 1
Applications carried forward (approved subject to conditions) 62
Applications deferred and subsequently approved 1
Ethics committee approval not required
Studies withdrawn by researcher
Studies terminated by sponsor
Studies transferred to Multi-region Ethics Committee
Total number of applications considered by the full committee 69
Applications deferred and subsequently approved 1
Expedited review applications
Expedited review applications approved 27
Expedited review applications declined review – ethics committee approval not required 17
Expedited review applications declined review – full application required
Expedited review applications declined review – insufficient information provided 2
Expedited review applications carried forward (approved subject to conditions) 2
Total number of expedited review applications reviewed 48
Total number of applications received 117
Other committee statistics
Number of matters arising 11
Number of general business items 23
Number of amendments reviewed by committee 2
Number of amendments approved under Delegated Authority 96
Innovative practice No applications for innovative practice were received.
Second opinions None were sought in 2009.
Complaints There were no complaints made in 2009.
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Issues for the Committee Closed Meetings The committee is concerned by requests for protocols to be heard in closed meetings. This occurs even when information on the proposed new medication to be tested is freely available on the internet.
The committee has previously agreed to a procedure in these circumstances. If a committee member considers that the researcher needs to explain, in more detail, their reasons for requesting the protocol to be heard in a closed meeting, then that member must communicate with the Chair, prior to the meeting. If it is considered appropriate, the Chair will then write to the researcher/s requesting further justification of their request for a closed meeting. The committee feels that it is important to continue to question the need for closed meetings to ensure they only occur for valid reasons.
Guidelines for the Chairperson’s Delegation At its meeting on 9 June 2008, the committee agreed to delegate the following authority to the Chairperson and Deputy Chairperson, taking into account the Ethical Guidelines for Observational Studies. The Chairperson and Deputy Chairperson may act with the delegated authority of the Upper South B Regional Ethics Committee between meetings. The Chairperson may approve the following: Minimal-risk observational research: case reports or case series; descriptive studies; and
questionnaires or surveys for research purposes that do not involve the collection of sensitive personal information.
Audit or related activity that requires ethics committee review. Observational studies that are undertaken as part of an educational qualification, which
require timely ethics committee review. Requests for the use of de-linked human tissue samples. Requests for the use of tissue/body parts that would normally be discarded and where
the consumer has given consent. Applications where an approval in principle (approved subject to conditions) has
previously been granted by the committee and the researcher has complied with the requests of the committee.
Amendments that require review and that should not impact adversely on participants. Extensions to existing protocols.
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Annual Progress Reports & Final reports. These delegations are binding on the Deputy Chairperson where that person is required to act on behalf of the Chairperson.
Deputy Chairperson The Deputy Chairperson may approve the following: Amendments that require review and that should not impact adversely on participants Extensions to existing protocols Serious Adverse Events / Safety Reports Annual Progress Reports & Final reports Applications for expedited review, where the Chairperson has delegated review to the
Deputy Chairperson Applications where an approval in principle (approved subject to conditions) has
previously been granted by the committee and the researcher has complied with the requests of the committee
NB: EGOS refers to Ethical Guidelines for Observational Studies, 2006 OSEC refers to Operational Standards for Ethics Committees, 2006
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Appendix 1: Upper South B Regional Ethics Committee Terms of Reference The new Terms of Reference for the Health and Disability Ethics Committees were updated in July 2008 and they are as follows.
Public Authority of the Upper South B Regional Ethics Committee (Upper South B REC) The Upper South B REC is established as a Ministerial committee under section 11 of the New Zealand Public Health and Disability Act 2000. These Terms of Reference outline the role and functions of the Upper South B REC.
Authority of the Upper South B Regional Ethics Committee The Upper South B REC (in conjunction with the Upper South A REC) shall have primary responsibility for ethics committee review of health and disability research and innovative practice occurring in the following District Health Board regions: Nelson/Marlborough West Coast Canterbury South Canterbury The Upper South B REC (in conjunction with the Upper South A REC) has primary responsibility for any health and disability research that is currently being undertaken in the above DHB regions, provided that such research has previously been given ethical approval by an approved regional ethics committee. Any other Regional Ethics Committee or the Multi-Region Ethics Committee may, if it has capacity, review health and disability research from the above regions. The Upper South B REC may, if it has additional capacity, review multi-region and national health and disability research or research from any other region.
Relation to the Operational Standard for Health and Disability Ethics Committees These Terms of Reference have precedence over the Operational Standard for Health and Disability Ethics Committees on any point of conflict, but otherwise, the Operational Standard applies to the Upper South B REC.
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Relations with other public sector organisations The Upper South B REC shall liaise with other relevant ethics committees on matters of common interest, such as jurisdiction over borderline cases. The Upper South B REC shall inform the Ministry of Health and the National Ethics Advisory Committee of any matters that arise in its operation that potentially have policy significance.
Approval of the Upper South B Regional Ethics Committee The Upper South B REC has to be approved for the purposes outlined in the following enactments: - the Injury Prevention, Rehabilitation, and Compensation Act 2001 - the Health Research Council Act 1990 - the Health Information Privacy Code 1994.
Role of the Upper South B Regional Ethics Committee The primary role of the Upper South B REC is to provide independent ethical review of health research and innovative practice that will be conducted in its region of authority to safeguard the rights, health and wellbeing of consumers and research participants and, in particular, those persons with diminished autonomy. In order to do this, the Upper South B REC shall: i. foster an awareness of ethical principles and practices in the health and disability
sector and research community ii. facilitate excellence in health research and innovative practice for the wellbeing of
society iii. collaborate with researchers to ensure the interests, rights, dignity, welfare, health, and
wellbeing of participants and consumers are protected iv. give due consideration to community views v. consistent with section 4 of the New Zealand Public Health and Disability Act 2000 and
He Korowai Oranga, recognise and respect the principles of the Treaty of Waitangi vi. operate in accordance with the Operational Standard for Health and Disability Ethics
Committees vii. operate in accordance with any guidance issued or approved by the Minister of Health.
Composition and Membership Guiding principle The primary guiding principle for appointing members to the Upper South B REC is to ensure that the Upper South B REC has the appropriate expertise, skills, knowledge and perspectives to conduct ethical review of the best quality.
Upper South B Regional Ethics Committee Annual Report 2009 13
Member numbers The number of members of the Upper South B REC should be 12.
Lay/Non-lay membership One half of the total membership shall be lay members, including a lay Chairperson and a non-lay Deputy Chairperson. A lay person is a person who is not: currently, nor has recently been, a registered health practitioner (for example, a doctor,
nurse, midwife, dentist, pharmacist) involved in conducting health or disability research or who is employed by a health
agency and who is in a sector of that agency which undertakes health research construed by virtue of employment, profession or relationship to have a potential
conflict or professional bias in a majority of protocols reviewed.
Member categories The Upper South B REC’s lay membership shall include: an ethicist a lawyer consumer perspectives community perspectives
The Upper South B REC’s non-lay members shall include: two health researchers a pharmacist or pharmacologist a biostatistician two health practitioners
Whole committee requirements At any time, consistent with the requirements of the New Zealand Public Health and Disability Act requirements for District Health Boards, the Upper South B REC shall have at least two Mäori members. Mäori members should have a recognised awareness of te reo Mäori, and an understanding of tikanga Mäori. All members of the Upper South B REC are expected to have an understanding of how the health sector responds to Mäori issues and their application to ethical review. The Upper South B REC’s membership should include expertise in the main kinds of health and disability research (eg. interventional, observational, kaupapa Mäori, and social research), and in both quantitative and qualitative research methods. Members should possess an attitude that is accepting of the values of other professions and community perspectives, and it is important for committees to be comprised of people from a range of backgrounds and ethnicities.
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Despite being drawn from groups identified with particular interests or responsibilities in connection with health and community issues, Upper South B REC members are not in any way the representatives of those groups. They are appointed in their own right, to participate in the work of the Upper South B REC as equal individuals of sound judgement, relevant experience and adequate training in ethical review.
Terms and Conditions of Appointment Members of the Upper South B REC are appointed by the Minister of Health, pursuant to section 11 of the New Zealand Public Health and Disability Act 2000, for a term of office of up to three years. The terms of office of members of the Upper South B REC shall be staggered to ensure continuity of membership. Members may be reappointed from time to time. No member may hold office for more than six consecutive years. After serving the maximum six-year term, members shall not be considered for reappointment until at least three years after their retirement from the Upper South B REC. Persons who have served six consecutive years on any Health Research Council (HRC)-approved ethics committee shall not be immediately eligible for appointment to the Upper South B REC. Those persons shall not be eligible for appointment to the Upper South B REC until at least three years after their retirement from any HRC-approved ethics committee. Persons who have served less than six years on any HRC-approved committee will be eligible to be appointed to the Upper South B REC for a term that is equal to the difference of six years and the term already served by that person on any HRC-approved ethics committee, or a shorter period. A person may not be a member of the Upper South B REC and National Ethics Advisory Committee or the Health Research Council Ethics Committee simultaneously. Unless a person sooner vacates their office, every appointed member of the Upper South B REC shall continue in office until their successor comes into office. Any member of the Upper South B REC may at any time resign as a member by advising the Minister of Health in writing. Any member of the Upper South B REC may at any time be removed from office by the Minister of Health for inability to perform the functions of office, bankruptcy, neglect of duty, or misconduct, proved to the satisfaction of the Minister. The Minister may from time to time alter or reconstitute the Upper South B REC, or discharge any member of the Upper South B REC, or appoint new members to the Upper South B REC for the purpose of decreasing or increasing the membership or filling any vacancies.
Upper South B Regional Ethics Committee Annual Report 2009 15
Chairperson and Deputy Chairperson The Minister shall appoint a lay member of the Upper South B REC to be its Chairperson. The terms and conditions of appointment for members of the Upper South B REC also apply to the person appointed as Chair. The Chairperson shall preside at every meeting of the Upper South B REC at which they are present. The Upper South B REC shall appoint a non-lay member as Deputy Chairperson and may appoint a second lay or non-lay Deputy Chairperson. The Chairperson and Deputy Chairperson/s may act with the delegated authority of the Upper South B REC between meetings.
Duties and responsibilities of a member This section sets out the duties and responsibilities generally expected of a person appointed as a member of the Upper South B REC. This is intended to aid Upper South B REC members by providing them with a common set of principles for appropriate conduct and behaviour.
General Upper South B REC members should have a commitment to protecting the interests of human participants while promoting and facilitating excellence in research and innovative practice. There is an expectation that Upper South B REC members will make every effort to attend all Upper South B REC meetings and devote sufficient time to become familiar with the affairs of the Upper South B REC and the wider environment within which it operates. Members have a duty to act responsibly with regard to the effective and efficient administration of the Upper South B REC and the use of Upper South B REC funds.
Conflicts of interest Upper South B REC members should perform their functions in good faith, honestly and impartially and avoid situations that might compromise their integrity or otherwise lead to conflicts of interest. Proper observation of these principles will protect the Upper South B REC and its members and will ensure it retains public confidence. Upper South B REC members attend meetings and undertake Upper South B REC activities as independent persons responsible to the Upper South B REC as a whole. Members are not appointed as representatives of professional organisations or particular community bodies. The Upper South B REC should not, therefore, assume that a particular group’s interests have been taken into account because a Upper South B REC member is associated with this group. Members should declare, and the committee regularly review their actual and potential conflicts of interest.
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When Upper South B REC members believe they have a conflict of interest on a subject that will prevent them from reaching an impartial decision or from undertaking an activity consistent with the Upper South B REC’s functions, they should declare that conflict of interest and withdraw themselves from the discussion and/or activity. A member of the Upper South B REC who has a proposal before the Upper South B REC or who has an involvement in the proposal such as a supervisory role shall not take part in the Upper South B REC’s assessment of that proposal. The member may be present to answer questions about a proposal but should take no part in the discussion surrounding the consideration of the proposal or any decision relating to the proposal. This will allow proposals to be considered in a free and frank manner. The Upper South B REC must exhibit transparency in avoiding or managing any real or perceived conflict of interest.
Confidentiality and information sharing Agendas and minutes of all Upper South B REC meetings should be available to the public. Copies of proposals should be available to individuals outside the Upper South B REC, subject to deletions in accordance with the Official Information Act 1982, and any deletions necessary to protect the privacy of individual persons. If an applicant would like their proposal to remain confidential, they must give reasons, consistent with the Official Information Act, to satisfy the Upper South B REC that the proposal should remain confidential. The reasons for keeping a proposal confidential are subject to review by the Ombudsmen. It is desirable for the members of the Upper South B REC to have an opportunity to discuss issues arising from applications with key contacts and support people prior to the consideration of proposals. This process should be encouraged. However, due to the need to protect any personal information, names or identifying details should not be circulated or made known outside the Upper South B REC. The Upper South B REC will need to consider the Privacy Act 1993 and the Health Information Privacy Code 1994 in developing these processes. Within the Upper South B REC, members with particular community expertise should be consulted and provide advice on the appropriate consultative process for all ethical issues concerning particular communities of interest.
Committee meetings Meetings of the Upper South B REC shall be held monthly or less frequently, as determined by the workload. At any meeting, a quorum shall consist of at least seven members or the minimum number constituting a majority. The quorum must include a reasonable representation of members with health practitioner, research, ethical and community/consumer expertise, knowledge and perspectives.
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As part of the accountability to the public they protect, it is desirable for the meetings of the Upper South B REC to be open to the public. Meetings of the Upper South B REC should therefore be: i. open meetings for the discussion of broad issues, particularly if the Upper South B
REC is reviewing health research ii. closed meetings when necessary to ensure the privacy and confidentiality of
participants iii. closed meetings when applicants provide good and sufficient reasons for this to occur,
and the minutes of the meeting should reflect these reasons. Information about the dates and times of committee meetings should be made available to the public. Applicants may attend meetings, in person or by teleconference, to talk to their proposal and answer any questions the Upper South B REC may have. Attendance is not mandatory. The Upper South B REC should advise applicants that they may be asked to leave the meeting while the Upper South B REC considers the proposal. Subject to the provisions set out in this document, the Upper South B REC may regulate its own procedures.
Decision-making process Wherever possible, the Upper South B REC should determine matters by consensus decision. Where a consensus cannot be reached, a vote shall apply, with a two-thirds majority of those voting required for any decisions, and the Chairperson having a casting vote. In relation to research involving Mäori, it is important that Mäori expertise be available to ensure that all issues are appropriately considered. Where it is not possible for Mäori members to attend an Upper South B REC meeting or for those members’ views to be sought and represented at the meeting, the matter should be deferred. On occasion, individual members may wish to abstain from some or all of the decision making process because of strong personal moral or religious reasons. Such abstentions shall not affect the approval process.
Ethics Committee Actions For each application it reviews, the Upper South B REC must state to its applicant whether its action is to Approve, Approve subject to conditions, Defer, or Decline that application. It must state its grounds for any action to Defer or Decline. For any action to Approve subject to conditions, it must specify the conditions, the grounds for these, and its process for assessing whether these conditions are subsequently met. In all cases, it must state which matters its action is based upon, and which are instead matters of comment, information, or advice to its applicant.
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Expert advice and consultation Members may wish to consult on ethical issues with, for example, individuals, groups, iwi and hapü, and this should be encouraged and supported. Consultation should be carried out in a timely manner. Where the Chairperson or quorum of Upper South B REC members believes there is insufficient expertise on the Upper South B REC to assess an application or an issue, the committee should seek additional expert advice. Advice may be sought from recognised experts with: i. specialist knowledge in particular fields of science and medicine ii. knowledge of the experiences and perspectives of people with disabilities iii. awareness of gender health perspectives iv. consumer and/or research participant perspectives v. an understanding of community health issues vi. an understanding of relevant cultural perspectives vii. an understanding of developing Mäori research methodologies viii. expertise in te reo Mäori ix. expertise in ethical theory. It should be noted that the above list gives examples, without restricting the range, of external expertise that may be sought. Where external consultation has taken place or advice has been sought, this should be documented, and recorded where appropriate in the Upper South B REC’s decision on a proposal.
Review of Committee Decisions At any stage in its deliberations, the Upper South B REC may seek advice regarding procedures or proposals from another health and disability ethics committee. The decisions of the Upper South B REC may be reviewed by the Health Research Council Ethics Committee under the Health Research Council Act 1990.
Training for members Training should be provided for new members and chairpersons within six months of appointment to the Upper South B REC.
Reporting requirements The following provides a checklist of requirements for annual reporting. Annual reports should be submitted to the Minister of Health and will be tabled by the Minister of Health in the House of Representatives.
Upper South B Regional Ethics Committee Annual Report 2009 19
The annual report shall include information on the membership of the Upper South B REC, including any change in the Upper South B REC’s membership or other substantive changes the Upper South B REC or its chairperson feels should be noted. The annual report shall also include a list of the national and multi-region research and innovative treatment protocols reviewed in the preceding year outlining the following details: i. the research title ii. principal investigator iii. institutions where the research is to be/has been undertaken iv. date of first review v. date of final outcome vi. outcome (which will be one of: Approved, Approved with conditions, Deferred,
Declined) vii. for each protocol deferred or declined, the reason(s) for the decision
The annual report shall also include: i. A list of training undertaken by Upper South B REC members, and a statement on
processes for orientation and training of new Upper South B REC members should be included.
ii. A list of complaints received by the Upper South B REC (if any), the actions taken to resolve the complaint and a comment on the outcome of the complaint(s).
iii. Any areas of review that caused difficulty for the Upper South B REC in making a decision on any particular protocol(s), and any questions on policy or other matters the Upper South B REC referred to the National Ethics Advisory Committee or the Health Research Council Ethics Committee for comment or guidance.
In compiling their reports, the Upper South B REC should take care not to provide information that would involve a breach of the Privacy Act 1993 and/or the Health Information Privacy Code 1994.
Fees and Allowances Members of the Upper South B REC are entitled to be paid fees for attendance at meetings. The level of attendance fees are set in accordance with the State Services Commission’s framework for fees for statutory bodies. The Chairperson shall receive an attendance fee of $330 per day plus half a day’s preparation fee. The attendance fee for members is set at $250 per day plus half a day’s preparation fee. In the event that the Chairperson and/or Deputy Chairperson/s are required to undertake additional work under the delegated authority of the Upper South B REC, they will be remunerated for the additional work at the same rate of remuneration as their attendance fee, up to a maximum of 4 days per month. The Ministry of Health shall pay actual and reasonable travel and accommodation expenses of the Upper South B REC members.
Servicing of the Upper South B Regional Ethics Committee The Ministry of Health shall employ staff and provide resources to service, advise, and administer the Upper South B REC out of the allocated budget for ethics committees.
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Upper South B Regional Ethics Committee Annual Report 2009 21
Appendix 2: Upper South B Regional Ethics Committee Applications Listings Appendix 1 details the applications considered by the committee from January 2009 to December 2009. Eight applications were considered in ‘closed’ meetings.
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/02/001 START Evaluation - Is Involving caregiver and family/whanau an effective treament strategy to reduce sexual abuse symptomology and what evidence exists of dissociative symptomology amongst START clients?
Mr Simon Panckhurst
13/01/2009
2/02/09 Approved Subject to Conditions
Approved 16/03/2009
START Nil START He Oranga Pounamu
URB/09/02/002 Reactions and responses to the diagnosis of a progressive hearing loss in adults
Katrina Light 16/01/2009
2/02/09 Approved Subject to Conditions
Approved 25/03/2009
Hearing Advantage Hearing Advantage Hearing Advantage Bay AudiologyBay Audiology
Nil University of Canterbury
Te Komiti Whakarite
URB/09/02/003 A comparison of music appreciation ratings for MED-EL cochlear implant users between the Fine Structure Processing and High Definition Continuous Interleaved Sampling processing strategies
Philip Winter 16/01/2009
2/02/09 Approved Subject to Conditions
Approved 16/03/2009
University of Canterbury
A MED-EL Corporation
Karuhiruhi
URB/09/02/004 Breath Analysis in High-Risk Haematology Patients for the Diagnosis of Invasive Aspergillosis
Prof. Stephen T Chambers
19/01/2009
2/02/09 Approved Subject to Conditions
Approved 2/03/2009 Christchurch Hospital
A HRC, Child Health Foundation
Ngai Tahu/Ngati Mutanga
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/02/005 Behavioural and Physiological Dynamics of Lapses of Responsiveness and Errors after Sleep Deprivation
Associate Professor Richard Jones
19/01/2009
2/02/09 Approved Subject to Conditions
Approved 30/03/2009
Van der Veer Institute
A Marsden grant, CMRF grant and an ACC Career Development Award
Elizabeth Cunningham - Te Komiti Whakarite
URB/09/03/006 The spiritual well-being of patients with a life limiting illness in the acute care setting
Mr Willem Vink
17/02/2009
2/03/09 Approved Subject to Conditions
Closed 31/03/2009
Christchurch Hospital
Nil Elizabeth Cunningham
URB/09/03/007 Surgical menopause and hormone replacement therapy: Perceptions and experiences
Beverley Burrell
17/02/2009
2/03/09 Approved Subject to Conditions
Approved 30/03/2009
Private place Nil University of Otago Research Committee
Elizabeth Cunningham
URB/09/03/008 A Phase II study of Dasatinib Combined withInduction Chemotherapy in Previously Untreated de novo Philadelphia Chromosome-Positive Acute Lymphoblastic Leukaemia
Dr. Andrew Butler
17/02/2009
2/03/09 Approved Subject to Conditions
Approved 14/04/2009
Canterbury Health Laboratories
A Australasian Leukaemia & Lymphoma Group (ALLG)
Mr Peter Mason;Connections Nga Kete E Rua
URB/09/03/009 Getting better: Evaluating outcome measures for depression in older people in mental health services
Dr Matthew Croucher
17/02/2009
2/03/09 Approved Subject to Conditions
Approved 12/05/2009
Princess Margaret Hospital
Nil CDHB Te Komiti Whakarite
URB/09/03/010 The Canterbury Eating and Feeding Study: Survey of non-food factors affecting toddlers and preschoolers eating habits and weight
Ms Amy T Galloway
17/02/2009
2/03/09 Approved Subject to Conditions
Approved 11/05/2009
Royal New Zealand Plunket Society Canterbury Area Otautahi Maori Women's Welfare League
Nil CPIT, Appalachian State University
Royal New Zealand Plunket Society Canterbury Area;Otautahi Maori Women's Welfare League;Pacific Trust Canterbury
URB/09/03/011 Outcome Evaluation of Early Start (9 Year Follow-up)
Professor David Fergusson
18/02/2009
2/03/09 Approved Subject to Conditions
Approved 7/04/2009 In participant's homes
Nil HRC programme grant
Elizabeth Cunningham and Board ofEarly Start
22 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/03/012 Metacognitive Therapy and Cognitive Behaviour Therapy for Depression
Dr Jenny Jordan
18/02/2009
2/03/09 Approved Subject to Conditions
Approved 11/05/2009
Department of Psychological Medicine, Terrace House, nr Chch Hospital Van der Veer Institute
A Elizabeth Cunningham;Paul Roertson;Te Pora Ehau;Louise Tankersley;Wendy Dallas-Katoa
URB/09/03/013 Reform wound dressing: patient and nurse feedback study
Dr Martin Than
18/02/2009
2/03/09 Approved Subject to Conditions
Approved 6/07/2009 Nurse Maude Association
B Mesynthes Ltd Te Komiti Whakarite
URB/09/05/015 Citric-Acid Inhalation Cough Challenge – Establishing Normative Data
Margaret Monroe
20/04/2009
4/05/09 Approved Subject to Conditions
Approved 8/06/2009 Van der Veer Institute for Parkinson's and Brain Research
Nil Angelia Ria;He Oranga Pounamu
URB/09/05/016 The role of Magnetic Resonance Imaging in the Management of Perianal Crohn’s Disease
Mr Tim Eglinton
21/04/2009
4/05/09 Approved Subject to Conditions
Approved 10/08/2009
Christchurch Hospital
A No funding required
Te Komiti Whakarite
URB/09/05/017 Paediatric Haematology / Oncology Late Effects Assessment Programme (LEAP) study of the quality of life and wellbeing of survivors of childhood cancer in New Zealand
Ms Kathy Yallop
21/04/2009
4/05/09 Approved Subject to Conditions
Approved 10/08/2009
Starship Children's Health Christchurch Hospital Wellington Hospital
A Rotary Club of Newmarket Inc and CanTeen National Office
Mata Forbes - Maori Health Service Coordinator/Advisor;ADHB;Patrick Au - Asian Mental Health Coordinator;ADHB;Ilaisaane Langi - Team Leader;pacific Family support Unit. Starship ADHB
URB/09/05/018 A Dose-Blind Multicenter, extension study to determine the long term safety and efficacy of two doses of BG00012 Monotherapy in subjects with relapsing-remitting Multiple Sclerosis
Dr Deborah Mason
21/04/2009
4/05/09 Approved Subject to Conditions
Approved 10/06/2009
Christchurch Hospital Auckland Hospital Central Neurological Services Ltd (CNSL), Hamilton
B Biogen Idec Maori Advisory Group for each location
URB/09/06/021 Plasma CNP forms in adults with acquired thyroid disease: Corelation with thyroid status and bone turnover markers
Dr Belinda Schouten
19/05/2009
8/06/09 Approved Subject to Conditions
Approved 28/07/2009
Christchurch Hospital
Nil Departmental and research funds
Te Komiti Whakarite Christhchurch Hospital
Upper South B Regional Ethics Committee Annual Report 2009 23
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/06/022 The effect of bisphosphonates on plasma CNP forms
Dr Belinda Schouten
19/05/2009
8/06/09 Approved Subject to Conditions
Approved 3/08/2009 Christchurch Hospital Princess Margaret Hospital
Nil Departmental and research funds
Te Komiti Whakarite Christchurch Hospital
URB/09/06/023 The distribution of omeprazole into human breast milk: a single dose study
Ms Judith Dalrymple
19/05/2009
8/06/09 Approved Subject to Conditions
Approved 28/09/2009
Christchurch Hospital
Nil Existing Uni of Otago reseach funds
Te Komiti Whakarite Christchurch Hospital
URB/09/06/024 A Multi-center, Randomized, Double-blind, Placebo-controlled Study of AMG 785 in Skeletally Mature Adults with a Fresh Unilateral Tibial Diaphyseal Fracture Status Post Definitive Fracture Fixation with an Intramedullary Nail Protocol Number: 20062017
Dr. Nigel Gilchrist
19/05/2009
8/06/09 Approved Subject to Conditions
Approved 20/07/2009
Christchurch Hospital Leinster Orthopaedics Elmwood Orthopaedic Centre CGM Research Trust
B Amgen Inc. Mr Peter Mason
URB/09/06/025 A Phase 1B Open Label Study of The Safety, Tolerability and Pharmacodynamic Activity of 100mg Clemizole Hydrochloride Administered Orally Twice a Day for 28 days Immediately prior to Initiation of Treatment with HCV Standard of Care Therapy in Treatment Naive Subjects Chronically Infected with HCV. Protocol EIG-101
Dr Alison Luckey
19/05/2009
8/06/09 Approved Subject to Conditions
Approved 29/07/2009
Primorus Clinical Trials Ltd Christchurch Hospital
B Eiger BioPharmaceutical, Inc
Mr Peter Mason;Connections;Nga Kete E Rua;Christchurch
URB/09/06/026 Outcome effects of a Mentalization Based Treatment service (MindSight) for people with personality disorder in urban Christchurch: a clinical trial and evaluative study
Mr Dave Carlyle
19/05/2009
8/06/09 Approved Subject to Conditions
Approved 12/08/2009
Community Mental HEalth Services
A University of Otago Research Grant
Elizabeth Cunningham and Te Korowai Atawhai (Maori Mental Health Services)
24 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/07/027 Influence Of Inhaled Corticosteroids on Acoustic Features of Normal Voice Production in Adults
Prof. Mcihael Robb
22/06/2009
6/07/09 Approved Subject to Conditions
Approved 27/07/2009
University of Canterbury
Nil Discretionary account Dept of Health Sciences for Masters students
Na Theresa Rongonui, Maori Research and Innovation, University of Canterbury
URB/09/07/028 "How to respond to the role of alcohol and drugs in enabling violent behaviour: A "proof of concept" project using Service Science methods"
Dr Wendy Gregory
22/06/2009
6/07/09 Approved Subject to Conditions
Approved 10/08/2009
ESR Nil Capability Fund, Ministry of Research Science and Technology
Annabel Ahuriri-Driscoll and Maui Hudson;ESR Maori researchers;Daryl Gregory;founder of He Waka Tapu Trust;and;Wally Haumaha;(NZ Police.
URB/09/07/029 Assessment of changes to labyrinthine function following surgery on the middle ear
Dr Emily Macassey
22/06/2009
6/07/09 Approved Subject to Conditions
Approved Subject to Conditions
Christchurch Hospital St George's Hospital Southern Cross Hospital
Nil External funding to be applied for
Te Komiti Whakarite
URB/09/07/030 Impact of submaximal steady state exercise on arterial oxygen saturations of healthy volunteers at moderate altitude, compared to sea level values
Dr Rachel L Wiseman
23/06/2009
6/07/09 Approved Subject to Conditions
Approved 31/08/2009
Christchurch Hospital
Nil No direct funding Tahu Potiki Sitrling
URB/09/07/031 Impact of exercise on arterial oxygen saturations of healthy volunteers at moderate altitude
Dr Rachel L Wiseman
23/06/2009
6/07/09 Approved Subject to Conditions
Approved 31/08/2009
Christchurch Hospital Mount Hutt ski field
Nil No direct funding Tahu Potiki Sitrling
URB/09/07/032 Parkinson's disease dementia: brain imaging using saccades
Ms Sarah Wright
23/06/2009
6/07/09 Approved Subject to Conditions
Approved 29/07/2009
Van der Veer Institute for Parkinson's and Brain Research
A Project funding Neurological Foundation NZ and Canterbury Medical Research Foundation
Elizabeth Cunninham
URB/09/07/033 Characteristics of vocally disruptive behaviour in residents with dementia in private hospitals and
Ms Christine Wyles
23/06/2009
6/07/09 Approved Subject to Conditions
Approved 15/09/2009
Rosewood Rest Home
Nil Dept Communication Disorders Uni of Canterbury
Elizabeth Cunningham
Upper South B Regional Ethics Committee Annual Report 2009 25
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
possible interventions
URB/09/08/035 Role Development of Nurses Supervising Exercies Tolerance Tests
Ms Judith Ann Ward
21/07/2009
3/08/09 Approved Subject to Conditions
Approved 17/08/2009
Christchurch Hospital
Nil Volunteer Group Chch Hospital and Dept of Nursing Chch Hosptial and NZ Nurses Organisation
Te Komiti Whakarite (Tahu Stirling)
URB/09/08/036 An evaluation of the efficacy of Motivational Interviewing (MI) in increasing commitment language (CL) in interviews with clients with spinal cord injury (SCI)
Mr Michael Terrence Smith
21/07/2009
3/08/09 Deferred Approved 7/09/2009 Burwood Hospital
Nil costs covered by researcher and time contributions from Kaleidoscope and NZ Spinal Trust
Tim Reriti
URB/09/08/037 Cognitive Status, Everyday Functions, Eye Movements and Brain Imaging in Parkinson's Disease
Professor T Anderson
21/07/2009
3/08/09 Approved Subject to Conditions
Approved 9/09/2009 Van der Veer Institute for Parkinson's and Brain Research
Nil Canterbury Medical Research Foundation and HRC
Elizabeth Cunningham
URB/09/08/038 Cognitive and behavioural functioning in people withdrawn from long term SSRI antidepressant use
Dr Claire Dowson
21/07/2009
3/08/09 Approved Approved 10/08/2009
Department of Public Health
A Grant applications and iinternal funds
Dr Paul Robertson;MIHI;University of Otago;Christchurch (Ngai Tahu and a clinical psychologist)
URB/09/08/039 Improving diabetes self-management: A randomised controlled trial
Dr. Lisa Whitehead
21/07/2009
3/08/09 Approved Subject to Conditions
Approved 13/10/2009
Halls and Community Centres Centre for Postgraduate Nursing Studies
A Strategy to Advance Research in Nursing and Allied Heatlh Grant
Elizabeth Cunningham
URB/09/08/040 A randomized control trial to compare scarring in midline sternotomy wounds using a keratin gel dressing versus standard moisturizer therapy
Dr Hamesh Jina
21/07/2009
3/08/09 Declined operational standard 2.4 57 (ii) and (iii)
Declined Christchurch Hospital St George's Hospital Participant's homes
B RJK Developments Ltd
Te Komite Whakarite
26 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/08/041 The effect of intratympanic dexmethasone administration on hearing loss in patients receiving intermediate and high dose cisplatin
Mr P. A. Bird 21/07/2009
3/08/09 Approved Subject to Conditions
Approved 23/09/2009
Christchurch Hospital
A Head and Neck service at Christchurc Hospital. Data management paid by Christchurch Oncology Research Unit 704 account.
Karuhiruhi
URB/09/09/042 Rotating Platform Compared to Posterior Stabilised Low Contact Stress Total Knee Replacement: A Prospective Randomised Trial
James Taylor 12/08/2009
7/09/09 Approved Subject to Conditions
Approved 15/12/2009
Christchurch Hospital
A Unfunded Mere Hibbs;Kai Whakahaere;Ranga Hauora Maori Health Services
URB/09/09/043 A Computerized Pitch-Perception training Program for Hearing Impaired
Ms Donna M P Jayakody
25/08/2009
7/09/09 Approved Subject to Conditions
Approved 19/10/2009
Canterbury University St George's Hospital Van Asch Deaf Education Centre
Nil Uni of Canterbury PhD student fund, SCIP-Research Trust Fund and Phonak Fund
John Pirker - Maori Research Advisory Group
URB/09/09/044 Evaluation of the Presbyterian support Upper South Island (PSSUSI) integrated support service for older people living with cognitive impairment
Dr Diane Jorgensen
25/08/2009
7/09/09 Approved Subject to Conditions
Approved 5/10/2009 Participant's homes Canterbury DHB
Nil Canterbury DHB Karen Keelan, Kaitautoko Kaumatua
URB/09/10/046 An exploration of the Practice Nurse consultation and engagement with patients
Ms Elsa Lally 22/09/2009
5/10/09 Approved Subject to Conditions
Approved 4/11/2009 Tahuna Medical Centre Stoke Medical Centre Wakefield Health Centre Nelson Family Medicine Nelson East Medical Centre Drs Riley &
Nil University of Wellington post-gradue study grant
Ann Hampton;Te Amo Health;Motueka;Kaumatua Tahi Takao;Te Awhina Marae;Motueka;Mayanne Wilkki-Singh;Te Awhina Marae;Motueka;Trisha Falleni Ngati Rarua;Victory Community Centre;Nelson
Upper South B Regional Ethics Committee Annual Report 2009 27
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
Mawdsley Greenwood HEalth
URB/09/10/047 Genetic Analysis of Ovarian Granulosa Cell Tumours (TISSUE BANK)
Dr A Shelling 22/09/2009
5/10/09 Approved Subject to Conditions
Approved 9/11/2009 Nil
URB/09/10/048 Development of a diagnostic test for urinary tract infections
Associate Professor Tony Kettle
22/09/2009
5/10/09 Approved Subject to Conditions
Approved Subject to Conditions
University of Canterbury Canterbury DHB -select-
A Not currently funded
Elizabeth Cunningham
URB/09/10/049 Why are neutrophils unable to kill bacteria in the airways of children with cystic fibrosis?
Associate Professor Tony Kettle
22/09/2009
5/10/09 Approved Subject to Conditions
Approved Subject to Conditions
Canterbury DHB
A Free Radical Research Group
Elizabeth Cunningham
URB/09/10/050 Effect of vitamin D supplementation on upper respiratory infections in adults - a randomised controlled trial
Professor David Murdoch
22/09/2009
5/10/09 Approved Approved 12/10/2009
University of Otago Canterbury DHB
A HRC project grant (09-302)
Elizabeth Cunningham
URB/09/11/051 Validity of Renal Function Estimates in Persons with High Muscle Mass and Extreme Body Weight: suitability of eGFR estimates for screening Chronic Kidney Disease
Dr Chris Florkowski
13/10/2009
2/11/09 Approved Subject to Conditions
Approved Subject to Conditions
Canterbury DHB
A Canterbury Medical Research Foundation and the New Zealand Kidney Foundation
Elizabeth Cunningham
URB/09/11/052 The cost of paediatric and perianal Crohn's disease in New Zealand
Dr Richard Gearry
14/10/2009
2/11/09 Approved Subject to Conditions
Approved 2/12/2009 Canterbury DHB
A Bowel and Liver Trust
Elizabeth Cunningham
28 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/11/053 ABSORB EXTEND Clinical Investigation: A Continuation in the Clinical Evaluation of the BVS Everolimus Elutiing Coronary Stent System in the Treatment of Subjects with de novo Native Coronary Artery Lesions CLINICAL INVESTIGATION PLAN 09-386
Dr Dougal McClean
20/10/2009
2/11/09 Approved Subject to Conditions
Approved 23/12/2009
Canterbury DHB
B Abbott Cardiovascular Systems, BVBA
Te Komite Whakarite
URB/09/11/054 Mapping the uptake, the process and the effectiveness of professional and clinical supervision, for nurses, in the Canterbury region
Ms Beverley Burrell
20/10/2009
2/11/09 Approved Subject to Conditions
Approved 2/12/2009 By Ethics Committee
A Student self funded
Elizabeth Cunningham;Annette Finlay
URB/09/11/055 A Phase 2 Randomized, Placebo-Controlled, Double-blind Study of Carboplatin/Placlitaxel in Combination with ABT-869 Versus Carboplatin/Paclitaxel Alone in Subjects with Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) as First-Line Treatment
Dr Dean Harris
20/10/2009
2/11/09 Approved Subject to Conditions
Approved Subject to Conditions
Christchurch Hospital
B Abbott Laboratories
Te Komite Whakarite
URB/09/11/056 Epilepsy Phenome/Genome Project
Dr Lynette Sadleir
20/10/2009
2/11/09 Approved Subject to Conditions
Approved Subject to Conditions
Wellington Hospital
A EPGP Group Mark Brunton;Kaitakawaenga Rangahau Maori
URB/09/12/059 Quantification of serum vasopressin levels in patients following vomiting
Dr Emily Macassey
11/11/2009
7/12/09 Approved Subject to Conditions
Approved Subject to Conditions
Christchurch Hospital
A Applied for external funding
Te Komite Whakarite
URB/09/12/060 The effect of patient position on hepatic vein pressures in patients having a liver resection
Mr. Saxon Connor
11/11/2009
7/12/09 Approved Subject to Conditions
Approved Subject to Conditions
Christchurch Hospital
A Costs met by research team
Te Komiti Whakarite
URB/09/12/061 A comparison of CD-NP and BNP bioactivity in patients with stable Left Ventricular
Professor Mark Richards
24/11/2009
7/12/09 Approved Subject to Conditions
Approved Subject to Conditions
Christchurch Hospital
A HRC grant Elizabeth Cunningham
Upper South B Regional Ethics Committee Annual Report 2009 29
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
dysfunction/compensated heart failure
URB/09/12/062 The utility of the coagrasper in the management of acute non variceal upper gastrointestinal bleeding
Dr. Steven Ding
24/11/2009
7/12/09 Deferred operational standard 57 (iii)
Deferred Christchurch Hospital
A No funding required
Peter Mason;connections;Nga Kete E Rus
URB/09/12/063 Evaluation of maternity units (EMU): a prospective cohort study of primary level (free standing) maternity units
Professor Sally K Tracy
24/11/2009
7/12/09 Approved Subject to Conditions
Approved Subject to Conditions
Burwood Hospital Rangiora Hospital Lincoln Hospital Christchurch Women's Hospital St George's Hospital Maternity and Midwifery Provider Organisation
Nil Australian National Health & Medical Research Council
Tuhia ki te Rangi;Tuhia ki te Whenua;Tuhia ki te Ngakau;o nga Tangata;Ko te mea nui;Ko te Aroha;Tihei Mauri Ora;Tena Koutou Katoa;He Mihi kau atu ki a koutou katoa;Ko te Whenua Potiki O Tautahi taku paptuuwhenua;I raro I te maru o Aoraki;Ko Amber Clarke au;No reira;Tena koutou;tena koutou;Tena koutou katoa
URB/09/12/064 Do high flow nasal cannula aerosolise nasal mucus?
Dr Mark Jermy
24/11/2009
7/12/09 Approved Subject to Conditions
Approved Subject to Conditions
University of Canterbury
Nil University of Canterbury, Tertiary Education Commission and Fisher and paykel Healthcare
Elizabeth Cunningham
URB/09/12/065 Analysis of exhaled volatile compounds in phenotypes of airway inflammation using selected ion flow tube - mass spectrometry
Dr Michael Epton
24/11/2009
7/12/09 Approved Subject to Conditions
Approved Subject to Conditions
Christchurch Hospital
B SYFT Technologies Ltd
Te Komiti Whakarite
URB/09/12/066 Evaluation of the Hepatitis C Community Clinic Project
Loren Brener 24/11/2009
7/12/09 Deferred operational standard 57 (i)
Deferred Hepatitis C Community Clinic Rodger Wright Centre
Nil CDHB Elizabeth Cunningham;Angelia Ria;Duane Ngataieura;Bruce Hiku
30 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/12/067 Influence of age on protein-binding of highly protein-bound drugs measured through spiking the blood samples of healthy volunteers
Dr Paul KL Chin
24/11/2009
7/12/09 Approved Subject to Conditions
Approved Subject to Conditions
Christchurch Hospital
A CDHB, Dept of Clinical Pharmacology Trust Funds
Te Komiti Whakarite - pending
URB/09/12/069 Health benefits of high intensity exercise for populations at risk of diabetes and cardiovascular disease
Dr Helen Lunt 24/11/2009
7/12/09 Approved Subject to Conditions
Approved Subject to Conditions
Christchurch Diabetes Centre, Christchurch Hospital University of Canterbury
A 2009 Translational Research Funding, HRC of NZ District Health Board Research Fund.
Te Komiti Whakarite - pending
CLOSED MEETINGS
URB/09/03/014 A multi-center, observational, open-label study on peripheral blood biomarkers in subjects with Rheumatoid Arthritis (RA) Initiating Tumor Necrosis Factor a (TNFa) Antagonist Therapy
Associate Professor Richard Robson
18/02/2009
2/03/09 Approved Subject to Conditions
Closed 15/04/2009
Christchurch Clinical Studies Trust Department of Rheumatology, Christchurch Hospital
B Roche Products (New Zealand) Ltd
Mr and Mrs John McManus
URB/09/05/019 A Phase IIb, randomized, double blind, placebo-controlled trial to investigate the efficacy, tolerability, safety and pharmacokinetics of TMC435 as part of a treatment regimen including PegIFNalfa-2a & RBV in treatment naïve genotype 1 Hep C infected pts Protocol Number: TMC435-TiDP16-C205 A substudy of TMC435-TiDP16-C205 to evaluate the pharmacokinetics of
Dr Frank Weilert
21/04/2009
4/05/09 Approved Subject to Conditions
Approved 29/06/2009
Auckland Hospital Auckland Clinical Studies Ltd Christchurch Hospital Waikato Hospital
B Janssen-Cilag Pty Ltd
ADHB Research Review Committee;Peter Mason - Connections Nga Kete E Rua
Upper South B Regional Ethics Committee Annual Report 2009 31
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
TMC435 as part of a treatment regimen including peginterferon alfa-2a and ribavirin in treatment-naive genotype 1 hepatitis C-infected subjects - AUCKLAND CLINICAL STUDIES only
URB/09/05/020 A Pilot study to evaluate the Single-dose pharmacokinetics of five investigational RO5190591 formulation prototypes in healthy subjects. Protocol Number: NP22580/A dated 6 April 2009
Associate Professor Richard Robson
21/04/2009
4/05/09 Approved Subject to Conditions
Approved 19/05/2009
Christchurch Clinical Studies Trust
B Roche Products (New Zealand) Ltd
Mr And Mrs John McManus
URB/09/07/034 PHI112843: A Phase I, Single-Dose, Randomized and Single-Blind (Part 1), Fixed Sequence and Open-Label (Part 2), Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of GSK1278863A in Subjects with Renal Impairment and Matched Healthy Volunteers. Protocol No. PHI112843, Amendment No 1
Associate Professor Richard Robson
23/06/2009
6/07/09 Approved Subject to Conditions
Approved 5/08/2009 Christchurch Clinical Studies Trust Christchurch Hospital
B GlaxoSmith Kline John and Maureen McManus
URB/09/09/045 Cerebrospinal fluid C-type natriuretic peptide and activity; Correlation with plasma values and clinical status
Professor Gary Hooper
25/08/2009
7/09/09 Approved Subject to Conditions
Approved 13/10/2009
Burwood Hospital
A Chch Cardioendocrine Reseaarch Trust Funds
Elizabeth Cunningham
32 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/11/057 A single oral ascending dose study to investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of RO5267683 in healthy subjects, including the effect of food and formulation. Protocol number: BP22889
Associate Professor Richard Robson
20/10/2009
2/11/09 Approved Subject to Conditions
Approved 25/11/2009
Christchurch Clinical Studies Trust
B Roche Products (New Zealand) Ltd
Mr and Mrs John McManus
URB/09/11/058 A Phase 11b, Randomized, Double-Blind, Placebo- and Active-Controlled, Dose-Range-Finding Study to Evaluate the Effects of MK-5442 on Bone Mineral Density (BMD) in the Treatment of Osteoporosis in Postmenopausal Women Previously Treated with an Oral Bisphosphonate Protocol 012-00 dated 23 July 2009
Dr. Nigel Gilchrist
20/10/2009
2/11/09 Deferred operational standard 57 (iii)
Deferred University of Auckand By Ethics Committee
B Merck, Sharp and Dohme NZ Ltd
Mr Peter Mason
URB/09/12/068 Protocol PP22712: A randomized, observer-blind, single-ascending-dose, placebo-controlled study to investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of RO5310074 following intravenous administration in healthy adults.
Dr. Chris Wynne
24/11/2009
7/12/09 Approved Subject to Conditions
Approved 22/12/2009
Christchurch Clinical Studies Trust
B Roche Products (New Zealand) Ltd
Mr & Mrs J McManus - pending
EXPEDITED REVIEWS
URB/09/01/EXP The effect of a unilateral scalp block on analgesia after supratentorial craniotomy - a retrospective audit.
Dr. Hamish Gray
16/01/2009
Closed 4/02/2009 Nil
Upper South B Regional Ethics Committee Annual Report 2009 33
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/02/EXP Case report and literature review on subject
Dr Erik Monasterio
9/02/2009 Approved 16/02/2009
Nil
URB/09/03/EXP Dietary Intervention in obese patients before elective joint replacement surgery
Ms Shelley Hargadon
16/02/2009
Approved 23/02/2009
Nil
URB/09/04/EXP Travel and Accommodation Impact for Cancer Patients
Ms Marinda Hawthorne
17/02/2009
Approved 4/03/2009 Nil
URB/09/05/EXP The application of molecular epidemiology to campylobacteriosis in New Zealand
Dr Brent Gilpin
2/03/2009 Ethical approval not required
Nil
URB/09/06/EXP Early Mobilisation Study
Ms Jan Mehrtens
4/03/2009 Approved 9/03/2009 Nil
URB/09/07/EXP The Acute Demand (Hospital in the Home) Service: The Relationship between patterns of care and the outcomes for clients
Ms Sandi Evans
16/03/2009
Ethical approval not required
Nil
URB/09/08/EXP Falls in an inpatient stroke rehabilitation unit setting
Dr Carl Hanger
20/04/2009
Approved 28/04/2009
Nil
URB/09/09/EXP Assessment of the accuracy of predictions of inhaled anaesthetic levels during the elimination phase - an observational study
Associate Professor Ross Kennedy
21/04/2009
Approved 6/05/2009 Nil
URB/09/10/EXP Oxygen Prescribing Dr Lutz Beckert
10/06/2009
Ethical approval not required
Nil
URB/09/11/EXP Mental Health and Disability Support Services interface
Ms Leanne McTear
18/06/2009
Approved 23/06/2009
Nil
URB/09/12/EXP A review of Vital Capacity measurement protocol in acute spinal cord injury
Ms Tracey Croot
23/06/2009
Ethical approval not required
Burwood Hospital
Nil
34 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/13/EXP Does measureable sensation and strength improve in people with median and ulnar nerve repairs after discharge from therapy,without formal sensory re-education
Ms Helen Hills
24/06/2009
Declined Nil
URB/09/14/EXP Changing treatment and outcomes in multiple myeloma over the last decade for patients in Christchurch
Dr Peter Ganly
30/06/2009
Ethical approval not required
Nil
URB/09/15/EXP Family Centred Care - is this possible when a child is diagnosed with cancer?
Ms Jan Millar 6/07/2009 Closed 8/07/2009 Nil
URB/09/16/EXP Demographic and Psychosocial Predictors of Chronic Pain and Associated Disability in New Zealand Tertiary Care
Prof. Edward A Shipton
6/07/2009 Ethical approval not required
Nil
URB/09/17/EXP Outcomes after Fast Track Colorectal Surgery in Christchurch Hospital: Case-Control Study
Mr Tim Eglinton
8/07/2009 Ethical approval not required
Nil
URB/09/18/EXP Neonatal vancomycin study
Ms Tracey Borrie
13/07/2009
Ethical approval not required
Nil
URB/09/19/EXP Clinical features and outcomes of legionellosis. A comparison of infections due to Legionella pneumophila and Legionella longbeachae
Matthew Amodeo
13/07/2009
Ethical approval not required
Nil
URB/09/20/EXP CT Colonoscopy data collection study
Dr Adrian Balasingam
13/07/2009
Ethical approval not required
Nil
Upper South B Regional Ethics Committee Annual Report 2009 35
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/21/EXP An epidemiological study assessing the number of cumulative CTU (computed tomography urography) scans performed on renal colic patients since 1999 in the Christchurch Hospital
Dr Martin Than
13/07/2009
Ethical approval not required
Nil
URB/09/22/EXP An audit of direct investigation of suspected Deep Vein Thrombosis without initial D-Dimer blood testing through the Canterbury (CDHB) Acute Demand Program
Dr Martin Than
13/07/2009
Ethical approval not required
Nil
URB/09/23/EXP Do customised fetal growth charts better predict fetal macrosomia than the standard population chart in women with diabetes in pregnancy?
Dr Ruth Hughes
14/07/2009
Ethical approval not required
Nil
URB/09/24/EXP Expanded Access of Prochymal® (Ex-vivo Cultured Adult Human Mesenchymal Stem Cells) Infusion for the Treatment of Pediatric Patients Who Have Failed to Respond to Steroid Treatment for Acute GVHD
Dr Michael Sullivan
17/07/2009
Approved 17/07/2009
Canterbury DHB
A
URB/09/25/EXP The effectiveness of Peer Support in first episode psychosis
Mark Turner 20/07/2009
Approved 1/09/2009 Nil
URB/09/26/EXP An evaluation of the cross-agency learning reource project
Brigit Mirfin-Veitch
11/08/2009
Approved 29/09/2009
Nil
URB/09/27/EXP Through the eyes of parents, children and friends: Exploring the resilience and success factors of parents with a disability
Ms Marilyn Raffensperger
12/08/2009
Declined A Na Theresa Rongonui;Research Consultand - Maori;Research and Innovation;University of Canterbury
36 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/28/EXP Normal Performance on Computerized Tests of Problem-Identification and Problem-Solving: Pilot Study
Dr. Carrie R.H. Innes
24/08/2009
Closed 1/09/2009 Nil
URB/09/29/EXP Family Members' experience of first episode psychosis
Mark Turner 31/08/2009
Approved 21/09/2009
Nil
URB/09/30/EXP Pilot study of Return to Work Attitudes and Behaviours Survey
Bronwyn Thompson
31/08/2009
Approved 7/09/2009 Nil
URB/09/31/EXP Data Entry/Research Staff and Summer Research Studentship Candidate
Saul Gibney 9/09/2009 Approved 15/09/2009
Nil
URB/09/32/EXP Efficiency and reach of community dietician services within Partnership Health Canterbury
Mr Andrew Norriss
15/09/2009
Approved 9/12/2009 Nil
URB/09/33/EXP Cachexia and Depression
Dr AD (Sandy) Macleod
15/09/2009
Approved 7/12/2009 Nil
URB/09/34/EXP Day of surgery discharge for Acute Cholecystitis
Dr Sameer Memon
16/09/2009
Ethical approval not required
Nil
URB/09/35/EXP Circumfrential margin positivity rates following Abdominoperineal Resection
Dr Sameer Memon
16/09/2009
Ethical approval not required
Nil
URB/09/36/EXP The natural history of sleep disurbances in patients undergoing off-pump cardiac bypass grafting
Mr Richard Flint
21/09/2009
Request for information
Nil
URB/09/37/EXP Changes in sleep habits in obese patients following bariatric surgery
Mr Richard Flint
21/09/2009
Approved 4/11/2009 Nil
URB/09/38/EXP Reducing the burden of Familial Hypercholesterolaemia: A mixed method approach
Dr Lauretta Muir
21/09/2009
Approved 29/09/2009
Nil Elizabeth Cunningham
URB/09/39/EXP Self-monitoring of blood glucose levels in Type 2 diabetes, is it valuable?
Ms Mary McLeod
6/10/2009 Approved 2/12/2009 Nil Elizabeth Cunningham
Upper South B Regional Ethics Committee Annual Report 2009 37
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/40/EXP Audit of Therapeutic Mild Hypothermia in Out-of-hospital Cardiac Arrest patients in Christchurch Hospital and a suggested guideline for cooling therapy
Mr Joseph Koh
7/10/2009 Ethical approval not required
Nil
URB/09/41/EXP Follow up audiological assessment of adult head and neck cancer patients treated with chemoradiation in the Christchurch area
Dr David Gibbs
27/10/2009
Approved 2/11/2009 A
URB/09/42/EXP Optimising Patient flow though the 24 Hour Surgery
Professor L Toop
27/10/2009
Ethical approval not required
A
URB/09/43/EXP Serosurvey of the Cantebury primary care workforce following the A(H1N1)09 influenza pandemic
Professor Les Toop
3/11/2009 Approved 25/11/2009
A Elizabeth Cunningham
URB/09/44/EXP The effect of rehabilitation interventions on activity levels during inpatient stroke rehabilitation
Ms Haley Evans
17/11/2009
Approved 7/12/2009 A
URB/09/45/EXP Assessment of the ADVANCE group education course for patients with type 1 diabetes
Ms Mariam Parwaiz
23/11/2009
Approved 14/12/2009
A
URB/09/46/EXP Observational study on the natural history of type III actromioclavicularinjuries
Dr Andrew Matthews
23/11/2009
Approved Subject to Conditions
A
URB/09/47/EXP Implementation and audit of a Lymphoedema Management clinical pathway
Ms Mary Thomson
23/11/2009
Approved 22/12/2009
A
38 Upper South B Regional Ethics Committee Annual Report 2009
Project Key Full Title Primary Investigator
Date Received
Meeting Reviewed
Outcome Why deferred/declined
Staus at time of report
Date of approval
Locality Organisations
Form
Sponsor/Funder Consultation undertaken
URB/09/48/EXP Evaluation of the pilot of the RAI 2.0 in Canterbury aged residential care facilities
Kaye Gilhooley
20/04/2009
Approved 24/06/2009
Rosecourt Life Care Bishops Park Churchill Complex Adriel Resthome Mef LifeCare Annaliese Haven Nurse Maude Hospital Rosewood Rest Home Elmswood Retirement Village Wesleycare
Nil
Upper South B Regional Ethics Committee Annual Report 2009 39