Evidence map›Paper›PMID 30285561›Full record

ReviewAJOB empirical bioethics

Reliance agreements and single IRB review of multisite research: Concerns of IRB members and staff.

Charles W Lidz, Ekaterina Pivovarova, Paul Appelbaum, Deborah F Stiles, Alexandra Murray, Robert L Klitzman

Abstract readReview
In one paragraph

Review in AJOB empirical bioethics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Responses to Commentaries on "Ethics as if Your Life Depended on It".Journal of empirical research on human research ethics : JERHRE · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. JAMIA open · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Charles W Lidza Department of Psychiatry , University of Massachusetts Medical School.
Ekaterina Pivovarovaa Department of Psychiatry , University of Massachusetts Medical School.
Paul Appelbaumb Department of Psychiatry, Columbia University.
Deborah F Stilesc Office of the Executive Vice President for Research , Columbia University.
Alexandra Murrayd SPARC , University of Massachusetts Medical School of Psychiatry.
Robert L Klitzmanb Department of Psychiatry, Columbia University.

Funding

Central IRBs: Enhanced Protections for Human Research Participants?R01GM113640 · NIGMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LIDZ, CHARLES W · 2014 to 2016
$1.7M
NIGMS NIH HHS R01 GM113640
6 · The paper itself

Abstract

The new National Institutes of Health (NIH) Policy on the Use of a Single Institutional Review Board (sIRB) for Multi-Site Research was adopted primarily to simplify and speed the review of complex multisite clinical trials. However, speeding review requires overcoming a number of obstacles. Perhaps the most substantial obstacle is the time and effort needed to develop reliance agreements among the participating sites. We conducted 102 semistructured interviews with sIRB personnel, including directors, chairs, reviewers, and staff, from 20 IRBs that acted as sIRBs for multisite research, including 6 commercial/independent sIRBs, and 10 university-based academic and 4 federal sIRBs. Almost without exception, the interviewees agreed that reliance agreements were complex, difficult to develop, and time-consuming. A major problem for relying sites was that different agreements specified different responsibilities for the relying sites. Attitudes differed about whether these problems will be resolved as IRB staff and managers become more experienced with sIRBs. However it is clear that the process of developing reliance agreements must be simplified. Federal assistance in standardizing at least some sections of reliance agreements might reduce the difficulties involved.

Indexed as

Ethics Committees, ResearchAdultBiomedical ResearchCooperative BehaviorFemaleHumansMaleMiddle AgedMulticenter Studies as TopicNational Institutes of Health (U.S.)Policy MakingUnited Statesauthorization agreementCIRBIRBreliance agreementsIRB

Identifiers

PMID30285561
PMCPMC6309766

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.