CLOSURE REQUEST

version February 2025

Name and credentials

Include email address of PI or knowledgeable designee

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Enrollment breakdown

Enter the total number of enrollees for each ethnic group below

Specify ethnic group in space below

Vulnerable populations

select each group that was part of this project

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ATTACHMENTS

*Note special requirements for HUD/HDE and Registry projects

  • Abstracts resulting from conduct of the research/project
  • Email(s) addressing status of outstanding items found during audits or monitoring visits
  • DSMB/DMC/Ethics Board, etc... report/approval since last renewal review
  • FDA/OHRP/NIH, audits (internal and external) and/or progress reports
  • Publications resulting from conduct of the research/project
  • Relevant reports in recent literature
  • Reportable events log
  • Sponsor support of study closure, sponsor annual reports, or sponsor monitoring visit reports
  • Summary/short narrative of conclusions when requesting closure
  • HUD/HDE projects: Summary of clinical outcomes
  • Registry projects: list of individual projects conducted under the registry