An investigator shall assure that an IRB that complies with the requirements set forth in part 56 will be responsible for the initial and continuing review and approval of the proposed clinical study. The investigator shall also assure that he or she will promptly report to the IRB all changes in the research activity and all unanticipated problems involving risk to human subjects or others, and that he or she will not make any changes in the research without IRB approval, except where necessary to eliminate apparent immediate hazards to human subjects.
21 CFR Part 312 · Investigational New Drug Application
§ 312.66 Assurance of IRB review
Independent copy, not an official legal edition. 21 CFR is a U.S. Government work in the public domain; this text comes from the eCFR and the annual CFR edition, and may lag recent amendments. The authoritative version is on ecfr.gov. Compliome is not affiliated with or endorsed by FDA. Not legal advice.
What FDA inspectors cite under § 312.66
Form FDA 483 observations citing this section, fiscal years 2009–2026 (Bioresearch Monitoring).
- Unanticipated problems 139
- Changes in research 87
- Initial and continuing review 80
Warning letters citing § 312.66
9 FDA warning letters since 2017 cite this section :
- Ralph A. DeFronzo, M.D. 17 Sept 2025
- Namita A. Goyal, M.D. 10 Oct 2024
- Louisiana State University Health Science Center IRB 27 Sept 2024
- Angela D. Ritter, M.D. 7 Jun 2024
- Jeffrey W. Taub, M.D./Children's Hospital of Michigan 19 Dec 2023
- Luis Javier Pena-Hernandez, M.D., FCCP 20 Sept 2023
- Sabine S. Hazan, M.D. 28 Feb 2022
- Richard J. Obiso, PhD dba Avila Herbals, LLC 4 Feb 2022
- James R. Corbett, M.D. 27 Feb 2020
FDA guidance that cites § 312.66
- Investigator Responsibilities – Safety Reporting for Investigational Drugs and Devices: Guidance for Industry 15 Dec 2025
- Protocol Deviations for Clinical Investigations of Drugs, Biological Products, and Devices draft 30 Dec 2024
- Use of Data Monitoring Committees in Clinical Trials draft 13 Feb 2024
- Considerations for the Conduct of Clinical Trials of Medical Products During Major Disruptions Due to Disasters and Public Health Emergencies 21 Sept 2023
- Informed Consent: Guidance for IRBs, Clinical Investigators, and Sponsors 15 Aug 2023
- Expansion Cohorts: Use in First-In-Human Clinical Trials to Expedite Development of Oncology Drugs and Biologics Guidance for Industry: Guidance for Industry 1 Mar 2022
- Master Protocols: Efficient Clinical Trial Design Strategies to Expedite Development of Oncology Drugs and Biologics Guidance for Industry: Guidance for Industry 1 Mar 2022
- Investigational In Vitro Diagnostics in Oncology Trials: Streamlined Submission Process for Study Risk Determination Guidance for Industry 10 Oct 2019
- Investigational New Drug Applications Prepared and Submitted by Sponsor-Investigators draft 15 May 2015
- Considerations When Transferring Clinical Investigation Oversight to Another IRB: Guidance for IRBs, Clinical Investigators, and Sponsors 23 May 2014
- IRB Continuing Review After Clinical Investigation Approval: Guidance for IRBs, Clinical Investigators, and Sponsors 27 Feb 2012
- Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials: Guidance for Industry 27 Sept 2007
- Establishment and Operation of Clinical Trial Data Monitoring Committees: Guidance for Clinical Trial Sponsors 28 Mar 2006
- The Use of Clinical Holds Following Clinical Investigator Misconduct: Guidance for Industry and Clinical Investigators 2 Sept 2004
- CHAPTER 48 - 7348.809 Bioresearch Monitoring
Amendment history
Federal Register documents that created or amended this section.
- 52 FR 8831 19 Mar 1987
- 52 FR 23031 17 Jun 1987
- 67 FR 9586 4 Mar 2002