When applying, please check the notes below and submit the required documents. Additionally, a declaration to the Conflict of Interest Management Committee is required. For more information, please refer to the website of the Conflict of Interest Management Committee within the General Affairs Division Itabashi Campus Office.
Updated August 28, 2024
Updated July 4, 2024
Updated May 23, 2024
Updated April 30, 2024
The scheduled dates for committee meetings and deadlines for document submissions for 2024 have been posted.
Please submit the following documents to the Ethics Committee Secretariat (Itabashi Campus Office). Also, attach additional documents as necessary.
Please read the requirements carefully before preparing the documents.
Applications may not be accepted if the documents are not filled out in accordance with the required information.
Materials for the explanatory meeting on how to fill out the Ethics Committee application form
The video of the seminar can be viewed below. (Only accessible to LMS registered users)
Teikyo University LMS site
Please refer to the FAQ along with the guidelines when creating your plan.
On-campus procedures are also required when applying to other Accredited Clinical Research Review Boards (CRBs). Please refer to the page of the Clinical Research Review Board of the Faculty of School of Medicine for the required documents.
Teikyo University School of Medicine Clinical Research Review Board
Studies that fall under the following are subject to institutional review by the Institutional Review Board. The attendance of the applicant or a research organization member who understands the research content is required.
Please refer to the following for the dates and deadlines.
Scheduled date of the event / Scheduled deadline for submitting documents
Please refer to the following for the details of the examination. In the case of an institutional review board review, please attach the review application form.
About the institutional review of the ethics committee
Examination application form
Please attach the following required documents to all researchers belonging to the University listed in the research plan "5. Research Organization".
Members of the research organization on campus are required to examine conflicts of interest.
After completing the prior confirmation, please request the examination using the conflict of interest Web filing system after the guidance from the secretariat.
If you have not registered as a user, please contact the Research Compliance Office (anpo@teikyo-u.ac.jp).
Please refer to the following for how to log in to the system. (Accessable only on campus).
Teikyo University Itabashi Campus Conflict of Interest Management Committee Page
If the university is the main research institution, it is necessary to confirm conflicts of interest even for collaborators of institutions that do not have an ethics committee. Please contact the secretariat (outside the university will not be examined).
ICRweb
Please check the site for ICRweb. Introduction to ICR Clinical Research
I have a facility contract. Please contact the secretariat before taking the course.
If you took the course before January 17, 2013 (old course), please take the basic knowledge course of clinical research of the current course again.
APRIN e-learning program
At Itabashi Campus (including Mizoguchi Hospital and Chiba General Medical Center), attendance is compulsory from 2015.
Please contact us if you have a certificate of completion of the CITI Program in the United States or a certificate of completion that you have taken at another institution in the past.
If you are taking this course for the first time, please contact us as we will register at the secretariat.
If you are a collaborative researcher outside the university and cannot take the course at your institution, please contact the secretariat.
In the case of multi-institutional joint research in which a member of the university is the principal investigator, the ethics committee of the university will conduct a batch review, so the principal investigator should apply collectively.
If you apply to the Institutional Review Board of the University for multi-institutional joint research with major research organizations other than the University, the Institutional Review Board of the University will conduct a batch review. Please apply by collecting the names.
In the case of joint research with a main institution other than our university, please attach a copy of the plan and approval letter of the main institution.
When creating a research plan, be sure to refer to the entry guidelines and various procedure manuals of the university.
Please refer to the item of "Various Procedures" at the bottom for downloading the procedure.
See below for statistical consultation. Reservations are required as it is not resident.
About statistics consultation of December
Submit the report to the ethics committee at the time specified in the research protocol.
Please download the form from the item "Documents required for reporting (university form)" below.
[Before examination by an external organization]
Please submit the University Declaration Form with the necessary documents to the Institutional Review Board Secretariat. For the documents that need to be submitted, please refer to the attached documents column at the end of the ethical review application report. For the format of the ethics examination application report, please refer to the item "Request for examination of documents (university format) required at the time of application to an external organization".
Flow chart (before examination)
[After approval by an external organization]
When the examination at the request destination is completed and approved, please submit the examination result report together with the necessary documents to the Institutional Review Board Secretariat.
For the format of the examination result report, please refer to the item "Documents required for reporting (University format)".
After submitting the report, the research can be started after the procedure for obtaining the approval of the director of the Faculty of School of Medicine is completed.
Flow chart (after examination)
For inquiries regarding the Ethics Committee, please see the link below.
FAQ
Please attach materials as necessary.
Standard Operating Procedures for Record-Keeping in Clinical Research (Updated July 4, 2024)
Standard Operating Procedures for Record Retention in Clinical Research (Application for Retention of Materials After Research Ends) (Updated June 24, 2021)
Procedures for the storage of specimens obtained from the human body (Updated June 24, 2021)
Standard Operating Procedures for Reporting Serious Adverse Events in Research (Updated December 10, 2022)
Submission | Format | Remarks |
---|---|---|
Submit at the time of application | (Imperial Form 1) Ethics Examination Request Form_Batch (Representative) / Single Institution (Updated March 29, 2022) | Please attach a plan, etc. Please use the form for our university |
(Imperial Form 2) Ethics Examination Request Form_Batch (Responsibility) (Updated March 29, 2022) | ||
(Teirin Form 3) List of Collaborative Research Institutions (Updated July 4, 2024) | Only required for multi-institutional joint research | |
Submit after acceptance | (Teirin Form 5) Research Implementation System Confirmation Form (Intervention Research) (Updated on September 22, 2023) | The attached documents will include the examination results regarding conflicts of interest and the certificate of attendance for education and training. |
(Teirin Form 6) Research Implementation System Confirmation Form (Non-interventional Research) (Updated on September 22, 2023) |
If you are a researcher (institution) who wishes to be examined by the Teikyo University Medical Research Ethics Committee, please check the following notes and contact the committee secretariat in advance.
[Contract requirements]
Please make sure that you meet the requirements of our university. (Teikyo University Medical Research Ethics Committee Regulations Operation Detailed Regulations Article 7)
Teikyo University Medical Research Ethics Committee Regulations Operation Detailed Regulations
We will accept the examination request only if all of the following conditions are met.
[Application procedure]
Teikyo University School of Medicine Research Ethics Committee Secretariat
〒173-8605
Office, 2F, Itabashi Itabashi Campus Kaga, Itabashi-ku, Tokyo