Ethics and Regulatory Documentation

Ethics and Regulatory Documentation

This page contains links to summaries of discussions about the NIH Collaboratory Trials from ethical and regulatory perspectives. These discussions, which took place as teleconferences, included representation from the trials’ principal investigators and study teams, members of the Ethics and Regulatory Core, NIH staff, and Coordinating Center personnel, with additional input provided in some instances by representatives from the Office for Human Research Protections (OHRP). For more information:

See the OHRP statement of participation in NIH Collaboratory Trials discussions.

Meeting Minutes and Updates for NIH Collaboratory Trials

ABATE Infection

Principal Investigator: Susan Huang, MD, MPH

ACP PEACE

Principal Investigators: James Tulsky, MD; Angelo Volandes, MD, MPH

AIM-CP

Principal Investigators: Sebastian Tong, MD, MPH; Kushang Patel, PhD, MPH

APA-SM

Principal Investigators: Jennifer Kawi, PhD, MSN, FNP-BC, CNE; Jane Bolin, PhD, JD, RN; Hulin Wu, PhD, MS

ARBOR-Telehealth

Principal Investigators: Richard L. Skolasky, Jr, ScD, MA; Kevin McLaughlin, DPT

BackInAction

Principal Investigators: Karen Sherman, PhD, MPH; Lynn DeBar, PhD, MPH

BeatPain Utah

Principal Investigator: Julie Fritz, PhD, PT

BEST-ICU

Principal Investigators: Michele Balas, PhD; Eduard Vasilevskis, MD, MPH

BPMedTime

Principal Investigator: Gary Rosenthal, MD

CARNATION

Principal Investigators: Lynn DeBar, PhD, MPH; Rachel Gold, PhD, MPH; Nicole Cook, PhD, MPA

Chat 4 Heart Health

Principal Investigators: Michael Ho, MD, PhD; Sheana Bull, PhD, MPH

EMBED

Principal Investigators: Edward Melnick, MD, MHS; Gail D'Onofrio, MD, MS

EquiP PC

Principal Investigators: Kari Stephens, PhD; Rodger Kessler, PhD

FM-TIPS

Principal Investigators: Kathleen Sluka, PT, PhD; Leslie Crofford, MD

GGC4H

Principal Investigators: Margaret Kuklinski, PhD; Stacy Sterling, DrPH, MSW

GRACE

Principal Investigators: Ardith Z. Doorenbos, PhD, RN; Judith M. Schlaeger, PhD; Robert Molokie, MD; Miriam O. Ezenwa, PhD, RN; Nirmish Shah, MD

HiLo

Principal Investigator: Myles Wolf, MD, MMSc

I CAN DO Surgical ACP

Principal Investigators: Elizabeth Wick, MD; Genevieve Melton-Meaux, MD, PhD; Rebecca Sudore, MD

ICD-Pieces

Principal Investigator: Miguel Vazquez, MD

IMPACt-LBP

Principal Investigators: Christine Goertz, DC, PhD; Adam Goode, PT, DPT, PhD; Jon Lurie, MD, MS; Hrishikesh Chakraborty, DrPH

INSPIRE

Principal Investigators: Susan S. Huang, MD, MPH; Richard Platt, MD; Lead Investigator: Shruti Gohil, MD, MPH

iPATH

Principal Investigator: Sara Singer, PhD, MBA

LIRE

Principal Investigator: Jeffrey Jarvik, MD, MPH

LungSMART

Principal Investigators: David Wetter, PhD, MS; Guilherme Del Fiol, MD, PhD; Kensaku (Ken) Kawamoto, MD, PhD

MOMs Chat & Care Study

Principal Investigator: Stephanie Fitzpatrick, PhD

NOHARM

Principal Investigators: Andrea Cheville, MD; Jon Tilburt, MD

Nudge

Principal Investigators: Michael Ho, MD, PhD; Sheana Bull, PhD, MPH

OPTIMUM

Principal Investigator: Natalia Morone, MD

PPACT

Principal Investigator: Lynn DeBar, PhD

PRIM-ER

Principal Investigator: Corita Grudzen, MD, MSHS; Keith Goldfeld, DrPH

PROVEN

Principal Investigators: Susan Mitchell, MD, MPH; Vincent Mor, PhD; Angelo Volandes, MD, MPH

RAMP

Principal Investigators: Diana Burgess, PhD; Roni L. Evans, DC, MS, PhD; Katherine E. Hadlandsmyth, PhD

SPOT

Principal Investigator: Greg Simon, MD, MPH

STEP-2

Principal Investigators: Rachel Winer, PhD, MPH; Amanda Petrik, PhD; Jasmin Tiro, PhD

STOP CRC

Principal Investigator: Gloria D. Coronado, PhD; Beverly B. Green, MD, MPH

Principal Investigators: Chenchen Wang, MD, MSc; Helen Lavretsky, MD, MS; Eric Roseen, DC, MSc; Robert Saper, MD

Principal Investigator: Laura Dember, MD

TSOS

Principal Investigator: Douglas Zatzick, MD

OHRP Statement of Participation in NIH Collaboratory Trials Discussions

OHRP participated in a number of the ethics and regulatory discussions regarding trials conducted through the NIH Pragmatic Trials Collaboratory to provide technical advice as needed on the requirements of the Department of Health and Human Services Human Subjects Protection Regulations (45 CFR 46 Subpart A - the "Common Rule"). In these discussions, OHRP was able to state whether or not it would be reasonable for an IRB to approve such a study. However, it was carefully noted that these were not comprehensive formal reviews of the protocols and hence any statements generated from these discussions should not be construed as affirmative determinations of regulatory compliance.

We understand that one of the purposes for making these discussion minutes publicly available is to inform IRBs, institutions, and investigators of how the human subjects protection regulations might apply to studies similar to those being conducted through the NIH Collaboratory. OHRP notes that determining how the human subjects protection regulations apply must take into consideration study-specific information. If IRBs, institutions, or investigators have questions about how the regulations apply to a specific study, they may contact OHRP by phone at 866-447-4777 (toll-free within the United States) or 240-453-6900, or by email at ohrp@hhs.gov.

Citation:

Ethics and Regulatory Documentation: Ethics and Regulatory Documentation. In: Rethinking Clinical Trials: A Living Textbook of Pragmatic Clinical Trials. Bethesda, MD: NIH Pragmatic Trials Collaboratory. Available at: https://rethinkingclinicaltrials.org/demonstration-project-ethics-and-regulatory-documentation/. Updated March 2, 2026.