Post-approval implementation planning: the gap between IRB approval date and operational implementation date
Teaches RCs to build sequenced implementation plans that bridge the gap between IRB amendment approval and operational readiness -- coordinating consent deployment, staff training, source document updates, system changes, and pharmacy notification with assigned owners and deadlines.
The IRB approves on Tuesday. The next visit is Thursday.
The IRB approval letter arrives Tuesday afternoon. Amendment 5, approved. The protocol change is straightforward -- the blood draw schedule at the Week 8 visit has been modified from a single fasting sample to paired samples collected 30 minutes apart. The next participant's Week 8 visit is scheduled for Thursday morning at 9:00 AM.
Forty-eight hours. That is the window between regulatory approval and the moment a participant sits down for a visit that must now follow the amended procedure. In those 48 hours, the site must deploy the revised consent form (version 6.0 was approved alongside the amendment), confirm the study coordinator has it and has removed version 5.0 from circulation, brief the clinical team on the new blood draw timing, update the source documents to reflect paired samples, notify the laboratory about the revised specimen handling, and confirm that the visit supplies include the additional collection tubes.
Can it be done? Possibly. But "possibly" is not a plan. And "possibly" does not address what happens if one of those steps cannot be completed by Thursday at 9:00 AM. Does the site proceed with the visit under the superseded protocol? Does the site reschedule the participant? Does the site conduct the visit using the new blood draw procedure but without the updated consent -- a clear violation of Section 4.3.5 of ICH E6(R3)?
Every one of those questions should have an answer before the IRB approval letter arrives. Not after. The post-approval implementation plan is what provides those answers.
What you will learn
By the end of this lesson, you will be able to: