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Office of Regulatory Affairs

INSTITUTIONAL REVIEW BOARD (IRB)

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Adverse Event Reporting at Georgetown University

In 2002 the Office of Regulatory Affairs (ORA) and the General Clinical Research Center (GCRC) initiated a project to computerize the adverse event reporting at Georgetown University. This joint effort resulted in the creation of the Computerized Adverse Event Reporting (CAER) system. CAER objectives include 1) the establishement of processes for the identification, reporting, analysis of adverse events, 2) the implementation of a system that includes conducting an analysis when an adverse event occurs and 3) developing strategies to reduce the risk of similar incidents occurring in the future. The CAER project aims at simplifying the process of reporting of adverse events and enabling the electronic storage of adverse event reports in a central database for the generation of "ad hoc" and "pre-formatted" reports.

The CAER system has been live in production since April 2003. Below we have prepared answers to some frequently asked questions regarding the guidelines on the reporting of adverse events and the CAER system.

If you have a question that is not listed below, please call the IRB office at 202.687.6553 or send an email to caer@georgetown.edu

  1. Who has access to CAER?
  2. What is a NetID and how should I know if I have one?
  3. I am not a Georgetown University or Georgetown University Hospital employee. How do I obtain a NetID?
  4. I have obtained my NetID, how do I obtain a password?
  5. I have full GU NetID credentials and I have gone through the CAER orientation. What is the web address of CAER?
  6. What type of events should I report to the IRB using the CAER system?
  7. I have received a case safety report for an external event that is not suspected to have been caused by the investigational drug, device, or procedure. Should I report the event to the IRB?
  8. An internal event has occurred and the PI believes that the event is not caused by the investigational drug, device, or procedure. Should I report the event to the IRB?
  9. What if I do not have sufficient information to determine whether a reaction was caused by an investigational drug, device, or procedure?
  10. How do I find out if a case safety report has already been reported to IRB through the CAER system?
  11. Which adverse event reporting policies and procedures supercede? that of the Georgetown University IRB or the sponsor? Which do I follow?
  12. A human research subject is off the study but has experienced an adverse reaction. Should I report the event to the IRB?
  13. A human research subject that is currently enrolled in a study, conducted at Georgetown University [Internal event], has been hospitalized. The PI believes the hospitalization is not related to the investigational drug, device, or procedure. Should I report the event to the IRB?
  14. A case safety report has been received from the sponsor indicating that a human research subject that is currently enrolled in a study, outside Georgetown University [external event], has been hospitalized. The sponsor and/or the site PI believe the hospitalization is not related to the investigational drug, device, or procedure. Should I report the event to the IRB?
  15. I have received a report from the sponsor, advising of an adverse event that occured in an animal research study believed to be related to an investigation drug, device, or procedure. Should I report the event to the IRB?
  16. I have received a follow up for an event that is not in the CAER system. What should I do?
  17. I have received a case safety report for a multi-site trial which has been closed at Georgetown University. Should I report the event to the IRB?
  18. I don't have access to a computer and need to submit an expedited report to the IRB. May I use the paper-based AE form?
  19. Where do I find new IRB guidelines on adverse event reporting?
  20. Can I associate an adverse event to multiple protocols?
  21. Can a report that has already been submitted to IRB as a final report be modified or updated with additional information?

  1. Who has access to CAER?
  2. The CAER system is Georgetown University NetID-enabled. There are two prerequisites to using the CAER system: a) you must have GU NetID credentials, and 2) you must have gone through a CAER orientation session.

  3. What is a NetID and how should I know if I have one?
  4. NetIDs are generated automatically for every employee, student and alumnus entered in Genesys, SIS, or the alumni database. All Georgetown University or Georgetown University Hospital employees should have a NetID. For Georgetown University employees, the NetID is also the alias that goes before the '@georgetown.edu' domain of their email address. Georgetown University Hospital employees have a NetID, but may not know it. If unsure, you can find your NetID by checking the Directory page and typing your name in the search field. If you are, in fact, in the system, your name and NetID will be displayed.

  5. I am not a Georgetown University or Georgetown University Hospital employee. How do I obtain a NetID?
  6. The IRB office can apply for a NetID on your behalf. In order to be entered into the Genesys system, you will have to download the Affiliated Non-Employee Transaction Form (MSWord format) and send it to the IRB office. The IRB office will notify you once your NetID has been generated.

  7. I have obtained my NetID, how do I obtain a password?
  8. Please consult the NetID password page at http://uis.georgetown.edu/netid/reset.html.

  9. I have full GU NetID credentials and I have gone through the CAER orientation. What is the web address of CAER?
  10. The web address of CAER is https://sae.georgetown.edu/caer/

  11. What type of events should I report to the IRB using the CAER system?
  12. a) Internal unanticipated and serious adverse events, b) external unexpected adverse events, c) external expected adverse events.

  13. I have received a case safety report for an external event that is not suspected to have been caused by the investigational drug, device, or procedure. Should I report the event to the IRB?
  14. Yes. Each time you are notified of an adverse event by the sponsor, MedWatch system, or external investigator, you are required to notify the IRB.

  15. An internal event has occurred and the PI believes that the event is not caused by the investigational drug, device, or procedure. Should I report the event to the IRB?
  16. Yes. Ultimate decisions concerning safety and efficacy are done at the local IRB level.

  17. What if I do not have sufficient information to determine whether a reaction was caused by an investigational drug, device, or procedure?
  18. The IRB Subcommittee on Adverse Events will review the event and follow up with you for any additional information to make a determination.

  19. How do I find out if a case safety report has already been reported to IRB through the CAER system?
  20. While in the CAER system, from the main page, click on "Search Reports." In the "Case Safety Report Number" field, type the unique number on the form >> click the "Search" button.

  21. Which adverse event reporting policies and procedures supercede? that of the Georgetown University IRB or the sponsor? Which do I follow?
  22. You should always follow both the IRB and the sponsors requirements.

  23. A human research subject is off the study but has experienced an adverse reaction. Should I report the event to the IRB?
  24. Please contact the IRB subcommittee on adverse event by sending an email to caer@georgetown.edu. The answer to this question may vary case by case.

  25. A human research subject that is currently enrolled in a study, conducted at Georgetown University [Internal event], has been hospitalized. The PI believes the hospitalization is not related to the investigational drug, device, or procedure. Should I report the event to the IRB?
  26. Subject hospitalization is defined by FDA and NIH guidelines as reportable event.

  27. A case safety report has been received from the sponsor indicating that a human research subject that is currently enrolled in a study, outside Georgetown University [external event], has been hospitalized. The sponsor and/or the site PI believe the hospitalization is not related to the investigational drug, device, or procedure. Should I report the event to the IRB?
  28. Subject hospitalization is defined by FDA and NIH guidelines as reportable event.

  29. I have received a report from the sponsor, advising of an adverse event that occured in an animal research study believed to be related to an investigation drug, device, or procedure. Should I report the event to the IRB?
  30. Please contact the IRB subcommittee on adverse event by sending an email to caer@georgetown.edu. The answer to this question may vary case by case.

  31. I have received a follow up for an event that is not in the CAER system. What should I do?
  32. Please treat the case safety report as original. All other follow ups received for this safety report can then be added in the CAER system using the "Amend" function.

  33. I have received a case safety report for a multi-site trial which has been closed at Georgetown University. Should I report the event to the IRB?
  34. Please contact the IRB subcommittee on adverse event by sending an email to caer@georgetown.edu. The answer to this question may vary case by case.

  35. I don't have access to a computer and need to submit an expedited report to the IRB. May I use the paper-based AE form?
  36. Yes.

  37. Where do I find new IRB guidelines on adverse event reporting?
  38. Stay tuned.

  39. Can I associate an adverse event to multiple protocols?
  40. Yes. From the Protocol select list, please hold the CTRL key and click on the applicable protocols.

  41. Can a report that has already been submitted to IRB as a final report be modified or updated with additional information?
  42. The report that has been submitted as final cannot be modified. However, you may use the "Amend" function to append additional information to the report.


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