Dear Colleague: John Baumann, PhD Associate Vice President for Research Compliance Indiana University (317)

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Dear Colleague: We are pleased to provide you with the attached Quarterly Report for the IU Human Subjects Office (HSO). The HSO supports the institutional review boards (IRBs) which serve IU, IU Health, Roudebush VAMC, Eskenazi Health, and several other institutions in Indianapolis and the surrounding areas. The Quarterly Report provides current metrics for the IRBs. New Study Approval Comparison HSO vs. AAHRPP: In 2011, the Association for the Accreditation of Human Research Protection Programs (AAHRPP) began collecting turnaround times from all accredited institutions, which have become the gold standard for the industry. Page 1 of the report provides a comparison of HSO turnaround times with this standard. As you can see, the IU IRBs are able to review and approve new study submissions more quickly than the average AAHRPP-accredited institution. 1 Historical Turnaround Time Data: Page 2 of the report is a graphical representation of the HSO s turnaround times for the current fiscal year and previous fiscal years. The HSO is proud to demonstrate a drastic reduction in turnaround times since July 2012, largely due to an increase in resources and improvements to the IRB submission process. Throughput: Page 3 is accounting graphic representation of throughput, an internal metric which compares the number of items submitted to the HSO with the number of item completed, for the current and previous fiscal years. While these two numbers are rarely equivalent, a positive throughput indicates that more items have been completed than received. The HSO has produced positive or nearly positive throughput overall for all time periods, demonstrated by the nearly-aligned graphical lines of received and completed. Total Protocols: Page 4 offers an historical accounting of total active protocols managed by the HSO. Please note that IU quarters are based on a fiscal year beginning July 1 and ending June 30. As such, quarters refer the following dates: Q1: July 1 September 30 Q2: October 1 December 31 Q3: January 1 March 31 Q4: April 1 June 30 We are pleased to provide you with this information and encourage you to share it with your investigators and colleagues as you see fit. As always, we would be happy to discuss this information, or any questions or concerns regarding human research protections, with you at any time. Please don t hesitate to contact me at your convenience. John Baumann, PhD Associate Vice President for Research Compliance Indiana University (317) 278-7830 baumannj@iu.edu 1 From 2011 to 2013, AAHRPP collected mean turnaround time from accredited institutions. Beginning in 2014, AAHRPP transitioned from mean to median turnaround times. Median turnaround time is now the only turnaround time metric published by AAHRPP. Beginning in July 2015 (Fiscal Year 2016, Q1), both AAHRPP and IU turnaround times reported are median numbers rather than mean, except where noted otherwise.

Complete to Review by the Convened IRB New Study Approval Comparison: HSO vs. AAHRPP - FY2019 Q2 Complete to Approval by the Convened IRB Complete to Review by the Expedited Procedure Complete to Approval by the Expedited Procedure Complete to Exempt Determination AAHRPP Median 2017 15 38 7 16 10 HSO FY2019 Q2 Median 19.0 41.0 7.0 11.0 2.0 HSO and AAHRPP Median Comparison 45 40 35 41.0 38 AAHRPP Median 2017 HSO FY2019 Q2 Median 30 Days 25 20 15 19.0 15 16 10 11.0 10 5 7.07 0 to Review by the Full Board IRB to Approval by the Full Board IRB to Review by the Expedited IRB to Approval by the Expedited IRB 2.0 Time from Submission to Exempt Determination Notes: 1. AAHRPP metrics released 2018, based on 2017 annual report data. 2. Complete to Review by Expedited Procedure is measured from the Screener Complete Date. 3. Full Board N = 43; Expedited N = 144; Exempt N = 449 4. Means in order of the chart: Full Board - 23, 40; Expedited - 10, 16; Exempt - 5 Page 1 of 6

HSO Turnaround Times (TAT) - FY2019 Q2 All HSO Volume Mean TAT (Calendar Days) Standard Deviation Median TAT (Calendar Days) Range Min Max Amendments 912 7.9 15.1 3 242 0 242 Exempt Protocols 449 4.0 5.3 2 60 0 60 Expedited Protocols 144 15.6 16.4 11 92 0 92 Full Board Protocols 43 40.1 17.8 41 85 0 85 Full Board Team Volume Mean TAT (Calendar Days) Standard Deviation Median TAT (Calendar Days) Range Min Max Amendments 46 25.7 16.4 26 64 0 64 Full Board Protocols 43 40.1 17.8 41 85 0 85 Biomedical Team Volume Mean TAT (Calendar Days) Standard Deviation Median TAT (Calendar Days) Range Min Max Amendments 658 7.9 16.1 3 242 0 242 Exempt Protocols 170 5.1 7.1 3 60 0 60 Expedited Protocols 70 19.9 19.4 16 92 0 92 SBE Team Mean TAT Standard Median TAT Volume (Calendar Days) Deviation (Calendar Days) Range Min Max Amendments 208 3.9 6.4 2 63 0 63 Exempt Protocols 279 3.3 3.8 2 21 0 21 Expedited Protocols 74 11.5 11.8 8 69 0 69 Page 2 of 6

HSO TAT FY2012-FY2019 100 90 80 70 60 50 40 30 20 10 0 FY2012 FY2013 FY2014 FY2015 FY2016 FY2017 FY2018 FY2019 Full Board NS Expedited NS Exempt NS Amendment Year Quarter Full Board NS Expedited NS Exempt NS Amendment FY2012 FY2013 FY2014 FY2015 FY2016 FY2017 FY2018 FY2019 Q1 57 57 48 36 Q2 92 59 57 47 Q3 85 49 33 24 Q4 74 28 13 11 Q1 55 18 6 8 Q2 31 8 5 7 Q3 28 6 3 5 Q4 28 7 3 5 Q1 36 8 3 5 Q2 33 7 5 8 Q3 29 5 4 5 Q4 31 4 3 4 Q1 32 5 3 4 Q2 30 7 3 5 Q3 34 9 4 5 Q4 32 10 5 5 Q1 33 11 3 4 Q2 29 8 6 3 Q3 32 8 6 3 Q4 30 8 5 3 Q1 30 7 3 2 Q2 34 7 4 2 Q3 32 10 2 4 Q4 33 9 2 3 Q1 35 10 3 2 Q2 35 7 2 3 Q3 38 8 1 3 Q4 35 8 2 4 Q1 39 8 3 3 Q2 41 11 2 3 Page 3 of 6

Throughput - FY2019 Q2 No Submitted No. Completed Throughput % Backlogged All HSO Amendments 913 939 26-2.8% Closeouts 135 137 2-1.5% Continuing Reviews 259 239-20 7.7% Continuing Reviews with Amendments 200 185-15 7.5% General Info (FYI) 89 91 2-2.2% Not Human Subjects Protocols 67 65-2 3.0% Exempt Protocols 481 472-9 1.9% Expedited Protocols 149 156 7-4.7% Full Board Protocols 35 54 19-54.3% Reliance Team 120 121 1-0.8% Total 2448 2459 11-0.4% Full Board Team Amendments 49 47-2 4.1% Continuing Reviews 27 26-1 3.7% Continuing Reviews with Amendments 79 64-15 19.0% General Info (FYI) 89 91 2-2.2% Full Board Protocols 35 54 19-54.3% Total 279 282 3-1.1% Biomedical Team Amendments 651 675 24-3.7% Closeouts 109 111 2-1.8% Continuing Reviews 165 150-15 9.1% Continuing Reviews with Amendments 100 99-1 1.0% Not Human Subjects Protocols 49 47-2 4.1% Exempt Protocols 174 181 7-4.0% Expedited Protocols 70 77 7-10.0% Total 1318 1340 22-1.7% Social/Behavioral/Educational Team Amendments 213 217 4-1.9% Closeouts 26 26 0 0.0% Continuing Reviews 67 63-4 6.0% Continuing Reviews with Amendments 21 22 1-4.8% Not Human Subjects Protocols 18 18 0 0.0% Exempt Protocols 307 291-16 5.2% Expedited Protocols 79 79 0 0.0% Total 731 716-15 2.1% NOTE: Total for All HSO includes Reliance items which are not separately listed in Team sections Page 4 of 6

3250 HSO Throughput FY2012-FY2019 3000 2750 2500 2250 2000 Received Completed 1750 1500 FY2012 FY2013 FY2014 FY2015 FY2016 FY2017 FY2018 FY2019 Year Quarter Received Completed Difference FY2012 FY2013 FY2014 FY2015 FY2016 FY2017 FY2018 FY2019 Q1 1878 1431-447 Q2 2116 2796 680 Q3 2646 2984 338 Q4 2435 2528 93 Q1 2563 2596 33 Q2 2537 2575 38 Q3 2930 2976 46 Q4 2655 2580-75 Q1 2626 2586-40 Q2 2369 2322-47 Q3 2397 2459 62 Q4 2571 2542-29 Q1 2290 2258-32 Q2 2516 2456-60 Q3 2612 2582-30 Q4 2685 2571-114 Q1 2500 2474-26 Q2 2425 2490 66 Q3 2757 2685-72 Q4 2652 2615-37 Q1 2606 2622 16 Q2 2578 2506-72 Q3 2777 2713-64 Q4 2772 2842 70 Q1 2763 2741-22 Q2 2433 2528 95 Q3 2765 2664-101 Q4 2691 2709 18 Q1 2869 2824-45 Q2 2448 2459 11 Page 5 of 6

HSO Total Protocols FY2019 Q2 FY2019 Q1 FY2018 Q4 FY2018 Q3 FY2018 Q2 FY2018 Q1 Exempt (approved in the last year: 1.1.2018-12.31.2018) 1677 1562 1455 1388 1352 1330 Expedited 3015 3038 3112 3120 3100 3051 Full Board 1161 1181 1169 1130 1148 1172 AAHRPP Total 5853 5781 5736 5638 5600 5553 Deferrals 541 558 567 557 529 498 Emergency Use 6 6 6 6 5 5 Humanitarian Use Devices (HUD) 22 23 24 24 22 21 Not Human Subjects Research 273 255 221 218 194 194 Miscellaneous Total 842 842 818 805 750 718 All HSO Total 6695 6623 6554 6443 6350 6271 NOTES: 1. Deferrals include: IU protocols deferred to NCI CIRB, WIRB, or other external IRB. 2. Not Human Subjects Research includes Applications for Not Human Subjects research and Applications for Non-Research Student Projects approved in the last year. Page 6 of 6