SIRB Implementation Plan for Study Teams - Step 5
STEP 5: Completing Ongoing SIRB Responsibilities
Your study is underway, participating sites are active, and the University of Utah is serving as the Single IRB (SIRB). The final step is maintaining study-wide oversight and ensuring all participating sites remain compliant throughout the life of the study.
As the Responsible Principal Investigator (R-PI) or lead study team, you are responsible for coordinating activities across participating sites, communicating important updates, maintaining study records, and bringing sites and the study to a successful close.
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Study-Wide Oversight Responsibilities
Once participating sites are approved and activated, your role shifts from startup activities to ongoing study management.
As the Lead Study Team, You Are Responsible For:
- Coordinating communication across participating sites
- Implementing approved study-wide changes
- Monitoring site compliance and reporting obligations
- Maintaining regulatory documentation
- Adding new sites when needed
- Managing site and study closure activities
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Study Lifecycle

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Step 5A: Add New Participating Sites
Many multisite studies continue adding participating sites after initial approval.
Before Adding a New Site
Confirm:
- The institution has agreed to participate
- Appropriate site personnel have been identified
- Reliance can be established
- Site-specific documents can be prepared
Process for Adding a New Site
- Add the site to the study.
- Complete reliance activities.
- Collect local considerations.
- Prepare site-specific documents.
- Submit the Participating Site Application (PSA).
- Obtain SIRB approval.
- Complete local activation requirements.
New sites follow the same onboarding process described in Step 3: Onboarding Participating Sites.
Helpful Tips: If your funding plan anticipates future site expansion, prepare onboarding materials early to reduce startup timelines. Budget extra to cover additional SIRB initial site and annual review fees.
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Step 5B: Manage Study-Wide Amendments
Some changes affect the entire study rather than a single site.
Common Study-Wide Amendments:
- Protocol revisions
- Changes to study procedures
- New recruitment strategies
- Updated consent templates
- Expanded eligibility criteria
- New study documents
- Additional study activities
After Approval
When a study-wide amendment is approved:
- Review the approval letter carefully.
- Identify which sites are affected.
- Notify participating site teams.
- Update site-specific documents when necessary.
- Track implementation across sites.
Best Practice
Maintain a centralized change log documenting:
- What changed
- Approval date
- Sites affected
- Date each site implemented the change
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Step 5C: Coordinate Communication Across Participating Sites
Consistent communication is one of the most important factors in a successful multisite study.
Topics That Should Be Communicated Promptly
- Approved amendments
- Protocol changes
- Safety information
- Reporting requirements
- Enrollment goals
- Study milestones
- Upcoming deadlines
Recommended Communication Methods
- Monthly coordinator meetings
- Site newsletters
- Study update emails
- Regular investigator calls
- Shared project workspaces
Remember: Participating sites cannot comply with requirements they are unaware of. Timely communication helps maintain compliance across the entire study network.
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Step 5D: Maintain Regulatory Documentation
Multisite studies generate a substantial amount of documentation over time.
Recommended Records
- Protocol approvals
- Site approval letters
- Reliance documentation
- Site correspondence
- Amendment approvals
- Continuing review records
- Reportable event documentation
- Site activation records
- Site closure records
Documentation Best Practices
- Maintain version control
- Store records in a centralized location
- Retain historical approvals
- Archive superseded documents
- Document important decisions and communications
Helpful Tip: Many study teams organize records by participating site and then further organize by approval type, amendment, reporting, and closure activities.
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Step 5E: Monitor Study-Wide Compliance
Compliance should be monitored throughout the study, not only when reporting deadlines approach.
Areas to Review Regularly
- Site approval status
- Enrollment activity
- Training requirements
- Reporting deadlines
- Required approvals
- Approved document versions
- Site-specific compliance issues
Questions to Ask Regularly
- Are all sites currently approved?
- Are sites using the most recent approved documents?
- Have required reports been submitted?
- Have study-wide changes been implemented consistently?
- Are there unresolved site-specific issues?
Recommended Practice
Schedule periodic reviews of participating site status to identify and address problems early.
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Step 5F: Prepare for Site and Study Closure
Eventually, participating sites and the study itself will complete all research activities.
Closing Individual Participating Sites
A participating site may be eligible for closure when:
- Enrollment is complete
- Study interventions are complete
- Follow-up activities are complete
- Required reports have been submitted
- No further IRB oversight is needed
Participating sites may close at different times while the overall study remains active.
Closing the Entire Study
Before closing the study, confirm:
- All participating sites have been closed or transitioned appropriately
- Enrollment is complete
- Follow-up activities are complete
- Required reporting is complete
- Regulatory obligations have been satisfied
- Study records have been organized and retained appropriately
IMPORTANT: The study should remain open until all activities requiring IRB oversight have been completed.
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Multisite Study Management Checklist
Study-Wide Oversight
☐ Maintain site tracking records
☐ Monitor site approvals
☐ Track key deadlines
☐ Communicate study updates
Regulatory Management
☐ Retain approval documentation
☐ Maintain reliance records
☐ Archive superseded documents
☐ Maintain version control
Compliance Monitoring
☐ Review approved document versions
☐ Monitor reporting requirements
☐ Address site-specific issues
☐ Document corrective actions
Closure Activities
☐ Close participating sites as appropriate
☐ Complete required closure reports
☐ Retain study records
☐ Archive final documentation
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Frequently Asked Questions
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Yes. New sites can typically be added throughout the life of the study following the standard onboarding process.
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Provide clear information regarding what changed, which sites are affected, when implementation may begin, and any actions required by site personnel.
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Yes. Individual sites may close while the overall study remains active.
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The Responsible Principal Investigator (R-PI) and lead study team are responsible for coordinating communication and oversight across participating sites.
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The study may close when all participating sites have completed required activities and no further IRB oversight is required.
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Congratulations!
You have reached the final step in the University of Utah SIRB process.
By following these steps, you can successfully:
- Develop your SIRB strategy
- Obtain initial SIRB approval
- Onboard participating sites
- Manage approved sites
- Maintain compliance throughout the study
- Successfully close your multisite study
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Need Help?
The University of Utah SIRB Reliance Team is available to assist with:
- Adding participating sites
- Reliance questions
- Site onboarding
- Amendments
- Continuing review requirements
- Study-wide changes
- Site and study closure planning
Contact the SIRB Reliance Team if you need assistance at any stage of the Single IRB process.