IRB Continuing Review Application
1. Study Identification
Protocol Title
Principal Investigator Name
Protocol Number
IRB Approval Number
2. Contact Information
Email Address
Phone Number
3. Review Dates
Date of Initial IRB Approval
Current Approval Period End Date
4. Summary of Study Progress
Describe study progress, activities since last review, and participant enrollment numbers
5. Participant Progress
Number of participants currently enrolled
Number of participants completed
Number of participants withdrawn/dropped
6. Adverse Events/Problems
Describe any adverse events or unanticipated problems since last review
7. Protocol Changes
List all protocol changes or amendments submitted or proposed since last review
8. Consent Process Updates
Summarize any changes in the consent process, forms, or documentation
9. Additional Information
Provide any other relevant information for IRB continuing review