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Humanitarian Use Research Review
1 copy of each of the following documents should be delivered to our office. You can also view/print this checklist from a word document.
Items Required for EVERY Humanitarian Use Study - All forms are in MS Word except where noted
ü Department Review Form - To be completed by head of department submitting the study
ü The following PDF forms must be filled out by every investigator listed on attachment 1, as well as the Principal Investigator
Conflict of Interest Statement for UNM Employees
OR
Conflict of Interest Statement for non-UNM Employees
ü One of the Following:
Investigators Protocol: Guidelines for developing the Protocol
Sponsor's Protocol (for commercially sponsored studies)
Manufacturer's clinical brochure or informational materials
ü Documentation from the UNM and/or NMVAHCS Creditialing Committee that you are 'credentialed' to use this HUD
ü FDA Humanitarian Device Exemption Letter (or similar documentation)
Items Required if applicable to Study - All forms are in MS Word except where noted
ü Patient labeling information sheet, brochure, and/or consent form
ü Any Applicable Attachments:
| 1. Additional Investigators List | |
| 2. Studies Involving Minors | |
| 10. Studies Involving Prisoners |
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