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Office of Compliance

Human Subjects Committee


Problem Report Instruction Page

Investigators must promptly report the following events and information to the HSC:

Event/Information Form
Reporting Timeframe *

Internal adverse drug event that is unexpected and related to study participation  (Internal events are those occurring to a subjects at any site under the responsibility of the KUMC principal investigator)

Problem Report Form A

Death: 24 hrs

Other: 5 days

External adverse drug event that is unexpected and related to study participation

Problem Report Form B
20 days
Unanticipated adverse device event Problem Report Form C

Internal Death: 24 hrs Internal other: 5 days

External: 20 days

Report of Non-compliance (deviations/violations)

Problem Report Form D 5 days

Complaint from a subject related to the study

Problem Report Form E
5 days

Monitoring/audit report indicating a problem that could affect safety of participants, influence the conduct of the study or alter the HSC’s approval to continue the study

Problem Report Form F
5 days

Incarceration of a study subject

Problem Report Form G
5 days

Breach of confidentiality or loss of data


Problem Report Form H
5 days

Other problems, such as equipment problems, availability of test articles/study materials or availability of resources

Problem Report Form I
5 days

DSMB or DMC reports, safety reports, toxicology reports or other interim findings

Report of New Information
20 days

Summary of study-wide adverse events

Report of New Information

Suspension or termination of the study due to risk

Report of New Information
20 days

Publication that indicates an unanticipated change to risk/benefit ratio of the study

Report of New Information
20 days

FDA alert, withdrawal from marketing, or other FDA information impacting the risk/benefit ratio of the study

Report of New Information
20 days

*Reporting timeframes are working days. Timeframes listed are the maximum.   
Urgent information that impacts subject safety must be reported to the HSC within 24 hours.

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