Institutional Review Board Study Progress Report

Why are you submitting this report? (seclect one):

annual request for continuation of study request for approval of revisions to study closure of study request to reopen expired or closed study

Study #:  

Study Title:

Investigator/Researcher:

Email:

Study Status (select one): has not begun is currently open to enrollment and/or has enrolled subjects undergoing research-related activities research remains active for long-term follow up only remaining research activities limited to data analysis has been completed

Total Number of Participants:  Date of Study Closure:

Unless the study has not begun, summarize participants' experience, including benefits, any adverse events or unanticipated problems involving risks to participants or others, number and reasons for withdrawal of participants, or complaints about the research in the space below:

If study is continuing, answer questions 1-3 below:

1. Summarize study results so far including current risk-benefit analysis assessment based on study results:

2. Summarize any new literature, findings, or other relevent information, especially information about risks associated with the research or which relate to subjects' willingness to continue participation, since the last review:

3. Are any changes planned? no yes If so, describe here: