"Why did the IRB send my protocol back again?"
In 73% of first-submission returns, the issue isn't the science — it's the consent form. Reviewers flag language that's above an 8th-grade reading level, missing duration estimates, or vague descriptions of data storage. The protocol itself is fine; the paperwork surrounding it isn't.
"What makes a consent form get flagged for vulnerable populations?"
IRBs apply heightened scrutiny whenever a study involves prisoners, pregnant participants, children, or individuals with cognitive impairments. The common failure isn't missing the designation — it's failing to justify the necessity of including that population and the additional protections in place.
"How do multi-site reliance agreements actually work?"
A single IRB (sIRB) mandate under the 2018 Common Rule requires that multi-site non-exempt research use one reviewing IRB. The complexity isn't the concept — it's executing the reliance agreement between your institution's IRB and the reviewing IRB without triggering a 60-day delay at either end.
94%
First-submission approval rate
340+
Protocols reviewed in 2024
8 days
Median turnaround time
0
FDA audit findings on our protocols
What approval actually feels like
"I'd been through two full-board reviews that came back with the same consent-form language issues. Clearance caught them in the first read. We filed three weeks later. Approved first submission."

Dr. Margaret Osei-Bonsu
Principal Investigator
University of Michigan School of Public Health
Get the IRB First-Submission Checklist
47 items. Every required element, every common omission, every reviewer trigger — organized by protocol section. Free. No pitch deck attached.
Sent once. No sequences, no retargeting. Just the checklist.